Browsing by Author "Sen, Jaydip"
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Publication Association of Tri-Ponderal Mass Index vs Body Mass Index With Mid-Upper Arm Circumference Among Adolescent Girls(Nepal Paediatric Society (JNPS), 2021) Roy, Shreyasi; Sen, JaydipAbstract: Introduction: Since 2017, number of studies involving nutritional status of adolescents using a novel parameter named tri-ponderal mass index (TMI) is soaring high. The concept of TMI was formulated to substitute body mass index (BMI) in case of adolescent population. The present study aims to find TMI values of school-going adolescent girls (aged 10 to 19 years). It also aims to compare the association of TMI and BMI with mid-upper arm circumference (MUAC) of the subjects. Methods: Height, weight and MUAC were measured using standard procedures. The BMI and TMI were accordingly calculated. The data obtained was tabulated to elucidate age-wise descriptive statistics. Quadratic polynomial regression was employed to yield a general conclusion regarding association of TMI and BMI with MUAC of the subjects. Receiver operating characteristic (ROC) curve was plotted to check which of the two indices, BMI or TMI, has better ability to predict higher MUAC of the subjects. Results: The ROC-area under curve (AUC) was 0.867 and 0.955 for TMI and BMI respectively. Conclusion: BMI has better association with MUAC. In comparison to TMI, BMI has superior ability in predicting higher MUAC of the subjects.Publication Birth Order, Father's Occupation and Family Size are Strongly Associated with Thinness Among Bengalee Adolescent Girls of Darjeeling District, West Bengal (India)(Nepal Paediatric Society (JNPS), 2016) Debnath, Mampi; Tigga, Pushpa Lata; Mondal, Nitish; Sen, JaydipAbstract: Introduction: Undernutrition is a major issue in the developing countries such as India. The country has the largest adolescent population in the world and one of the primary focuses of nutritional assessment among them is undernutrition. The present cross-sectional study tries to determine the prevalence of thinness among adolescent girls of Darjeeling district using thinness (BMI-for-age) and to ascertain the effects of different socio-economic and demographic variables on the same. Material and methods: The study was carried out among 387 school-going adolescent girls aged 9-14 years belonging to the Bengalee Hindu caste populations (BHCP). The prevalence of thinness was assessed using recently proposed international BMI-for-age cut-offs of Cole et al. Results: The prevalence of overall thinness was 23.77%. The distribution of mild (Grade I), moderate (Grade II), and severe (Grade III) thinness were 17.31%, 4.39% and 2.07%, respectively. The results of the binary logistic regression analysis showed that birth order, family size and father’s occupation were significantly associated with overall prevalence of thinness (p<0.05). Conclusion: The proper dissemination of awareness related to nutritional requirement, food habit, and appropriate dietary habit would be helpful to reduce the prevalence of thinness.Publication Prevalence of Stunting and Thinness Among Adolescent Girls Belonging to the Rajbanshi Population of West Bengal, India(Nepal Paediatric Society (JNPS), 2016) Roy, Susmita; Barman, Sweeta; Mondal, Nitish; Sen, JaydipAbstract: Introduction: In India majority of the individuals remain undernourished. The primary causes of undernutrition are its large population, socio-economic differences and inadequate access to health facilities. Assessment of nutritional status among adolescents is very important as they are the future parents and constitute a potentially vulnerable segment of the population. The present school-based cross-sectional study evaluates the prevalence of stunting and thinness among adolescent girls from North Bengal. Materials and Methods: The present study was carried out among 500 Rajbanshi adolescent girls aged 9 to 18 years and residing in the districts of Darjeeling and Jalpaiguri in West Bengal, India. Anthropometric measurements of height and weight were recorded and body mass index (BMI) calculated. The prevalence of undernutrition was assessed using recommended anthropometric indices of stunting (low height-for-age) and thinness (low BMI-for-age), along with a comparison with the WHO reference population. Results: The overall prevalence of stunting and thinness was observed to be 39.60% and 26.00% respectively. The prevalence of age-specific stunting was higher and lower among girls aged 17 years (70.21%) and 10 years (24.00%), respectively. The age-specific prevalence of thinness was observed to be higher among those aged 10 years (66.00%) and lower among those aged 17 years (8.51%). Conclusion: There is a need for appropriate nutritional intervention programmes to address their nutritional needs. The results of the present study will also help policy makers to formulate various developmental and health care programmes.Publication Subcutaneous Adiposity and Nutritional Status Among Children of Eastern-India(Nepal Paediatric Society (JNPS), 2018) Debnath, Sampriti; Mondal, Nitish; Sen, JaydipAbstract: Introduction: Skinfold thickness is now considered to be an important indicator of body composition and nutritional status. Assessment of subcutaneous adiposity is becoming very important due to increasing trend of overweight and obesity. The objectives of the present study were to determine age-sex specific subcutaneous adiposity using skinfold thicknesses and its use in assessment of nutritional status among children of Eastern-India. Material and Methods: The investigation was carried out among 1262 children (619 boys; 643 girls) aged 5–12 years of Darjeeling district, West Bengal. Anthropometric measurements of skinfold thickness were recorded using standard procedures. Age-sex specific smooth percentile curves of skinfold thickness were derived using the L, M and S model. Results: Sexual dimorphism was observed in TSF, SSF, SISF, PBF, Σ2SKF and Σ4SKF measurements between sexes in children (p<0.05). Age-sex specific mean values of skinfold thicknesses of TSF, SSF, SISF and PBF of girls were observed to be significantly higher than boys (p<0.05). The age-sex specific mean values of BSF, TSF, SSF, SISF, Σ4SKF and PBF did not show any age-specific trend in children. Comparison with the NHANES-III data showed poor attainment of subcutaneous adiposity and nutritional status. Conclusion: Results of the present study showed the age-sex specific variations in subcutaneous adiposity pattern in children. The comparisons of skinfold thicknesses with references showed unsatisfactory nutritional status among children. These findings are important for future investigations in field, epidemiological and clinical settings.Publication Upper Arm Composition as an Indicator of Body Composition and Nutritional Status of Adolescent Boys Aged 10-18 Years(Nepal Paediatric Society (JNPS), 2015) Sen, Jaydip; Mondal, Nitish; Ghosh, ParthaAbstract: Introduction: The upper arm composition is usually assessed based on total upper arm area (TUA), upper arm muscle area (UMA), upper arm fat area (UFA) and arm fat index (AFI). It is closely associated with assessment of body composition and nutritional status. The present study aims to determine the age specific variations in upper arm composition and its usefulness in the assessment of body composition and nutritional status among adolescent boys. Materials and Methods: The study was conducted among 964 boys (aged 10 – 18 years) and belonging to the indigenous Rajbanshi population of West Bengal, India. The boys were selected from five different sub-urban government secondary schools located under Siliguri subdivision of Darjeeling district, West Bengal, India. The anthropometric measurements of height, weight, MUAC and TSF were recorded and upper arm composition was estimated based on TUA, UMA, UFA and AFI using standard procedures. The overall body composition was evaluated using body mass index (BMI). Results: There appears to be existence of significant age-specific variations in BMI, UMA and UFA as the boys approached higher ages. The age specific means of TUA, UMA and UFA increased with age. The adolescent boys were observed to be well below the 50th percentiles of the reference population in BMI, TUA, UMA, UFA and AFI. Age and sex-specific smooth percentile curves were derived for height, weight, TSF, BMI, UMA and UFA using the L, M and S modelling approach for further evaluation of body composition. Conclusion: The present study recommends the assessment of body composition and nutritional status to improve screening of nutritional status using upper arm composition, especially in community settings so as to accurately identify the risk of lower or greater adiposity and muscularity, and thereby proposing a major opportunity to improve health through proper intervention programmes.