ArticlePloS one2020
Nutritional status of Indian adolescents (15-19 years) from National Family Health Surveys 3 and 4: Revised estimates using WHO 2007 Growth reference.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers.
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12 citing papers in PubMed, 55 citations in OpenAlex.
- Understanding the child malnutrition in rural India through the lens of the composite index of anthropometric failure (CIAF): evidence from NFHS-5 (2019-21).BMC public health · 2026Article
- Geographic variation in lack of food group consumption among children in India: An analysis of change across 720 districts, 2016-2021.PLOS global public health · 2026Article
- Predictors of Acute and Chronic Undernutrition among 10-19 Year Olds using World Health Organization Growth References: A Cross-sectional Study from Central India.Nepal journal of epidemiology · 2024Article
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- Factors Related to Suicidal Ideation in Adolescents According to Types of Stress.Iranian journal of public health · 2023Article
- Changes in anemia and anthropometry during adolescence predict learning outcomes: findings from a 3-year longitudinal study in India.The American journal of clinical nutrition · 2022Article
- Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.PloS one · 2022Article
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- Screening of cardiovascular risk assessment accuracy of anthropometric indices in Indian children and adolescents.Wellcome open research · 2020Article
- Stunting and thinness among adolescents residing in Jazan City, Saudi Arabia: a school-based cross-sectional study using WHO AnthroPlus.Annals of Saudi medicineArticle
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe National Family Health Surveys (NFHS) in India apply adult cutoffs of nutritional status for the estimation of undernutrition/overweight in the 15-19 age group. The prevalence of thinness in boys and girls thus estimated is 58.1% and 46.8% in NFHS-3, and 45% and 42% in NFHS-4 respectively. But the WHO recommends using age and sex-specific reference for adolescents. We reanalyzed the nutritional status of the adolescents using the WHO 2007 Growth Reference to obtain revised estimates of thinness, overweight and stunting across states, rural-urban residence, and wealth quintiles. METHODS AND
findingsDemographic information, anthropometric data, and wealth index were accessed from the Demographic and Health Survey (DHS) database. We re-analyzed the anthropometric data using WHO AnthroPlus software which uses the WHO 2007 Growth reference. The revised estimates of thinness assessed by BMI-for-age z-scores in boys and girls was 22.3% (95%CI: 21.6, 23.0) and 9.9% (95%CI: 9.5, 10.3) in NFHS-3 and 16.5% (95%CI: 16.0,17.0) and 9% (95%CI: 8.9, 9.2) in NFHS-4 respectively. Stunting was found to be 32.2% (95% CI: 31.6, 32.9) in boys and 34.4% (95% CI: 34.2, 34.7) in girls in NFHS-4. This was higher than that in NFHS-3; 25.2% (95% CI: 24.4, 26) in boys and 31.2 (95% CI: 30.6, 31.8) in girls. There was a clear socioeconomic gradient as there were higher thinness and stunting in rural areas. There was wide variation among the states with pockets of a double burden of malnutrition.
conclusionUsing the adult cutoffs significantly overestimates thinness in adolescents in the age group of 15-19 years old in India. Stunting, which is an indicator of long term nutrition is also widely prevalent in them. Future editions of DHS and NFHS should consider adolescents as a separate age group for nutritional assessment for a better understanding of nutritional transition in the population.
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