Nutritional intervention in orphanage girls
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The study aimed to determine the impact of an 8-week nutrition education program on the knowledge, attitudes, practices, and lifestyle habits of 150 orphan girls aged 10-15 in Mumbai, India. Baseline assessments found the girls' diets to be deficient in some nutrients compared to recommendations. After the program, the girls' nutrition knowledge and attitudes increased significantly, though their practices did not fully change due to relying on institution-provided meals. Overall, the study suggests nutrition education can improve orphan girls' health literacy but that organized feeding and hygienic living conditions also need to be addressed for optimal nutrition status.
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Nutritional intervention in orphanage girls
- 1. MRS. ANURADHA SHEKAR & JAYTI SHAH DR. BMN COLLEGE OF HOME SCIENCE, MATUNGA, MUMBAI
- 2. AIM The objective of this study was to determine the changes in knowledge, attitude and practices and lifestyle modification in orphan girls 10-15 years after receiving a nutrition education programme for 8 weeks.
- 3. OBJECTIVES 1) To understand the prevailing Knowledge, Attitude, Practices regarding nutrition and lifestyle. 2) To analyse nutritional status using 24 hr recall method. 3) To assess the nutritional status regarding anthropometric measurements of the girls. 4) To see the effect of the intervention on the nutritional status and lifestyle pattern. 5) To compare between the pre and post results after imparting nutrition education.
- 4. METHODOLOGY PURPOSIVE SAMPLING (N = 150) Girls 10-15years PRE TEST QUESTIONNAIRE WAS GIVEN TO ASSESS THEIR PRESENT KNOWLEDGE, ATTITUDE AND PRACTICE REGARDING NUTRITION AND LIFESTYLE ANTHROPOMETRY (HT, WT, BMI, WAIST & HIP CIRCUMFERENCE, WAIST TO HIP RATIO NUTRIENT INTAKE (24 HR RECALL) subsample of 50 ENERGY, PROT, FAT, CHO & IRON AND CALCIUM
- 5. INTERVENTION FOR 8 WEEKS NUTRITION EDUCATION PROGRAMME (BALANCED DIET,FOOD PYRAMID, ANEMIA, PERSONAL HYGIENE AND PHYSICALACTIVITY) POST TEST QUESTIONNAIRES WERE GIVEN TO CHECK THEIR KAP AFTER NEP ANALYSIS OF DATA WAS DONE USING SPSS PACKAGE
- 6. Majority of the subjects were Hindus 97% . Eighty percent were Maharashtrians. They were from standard 6th to std 8th. The mean height was 155 cms, weight 46 kgs, BMI 19.2 , waist to hip ratio 0.6, waist circumference 62 cms and hip circumference 92 cms. In the age group of 10-12 years, 44 out of 74 subjects were normal (BMI=18.5 to 24.9Kg/m2) and 30 subjects were underweight (BMI<18.5Kg/m2). In the age group of 13-15 it was found that 20 subjects out of 76 were underweight (BMI<18.5Kg/m2) and 56 subjects were in the normal range. (BMI=18.5 to 24.9Kg/m2) RESULTS
- 7. MEAN ENERGY, PROTEIN, CARBOHYDRATES, FAT, CALCIUM AND IRON INTAKES BEFORE NUTRITION EDUCATION (N = 150) N RDA Mean Std. Deviation Energy 50 2010-2330 kcal 1729.80 99.407 Protein 50 40-50 gms 51.57 2.809 Fat 50 35-40 g ms 40.33 3.345 Carbohydrate 50 - 237.25 12.666 Calcium 50 800 mg 654.88 27.842 Iron 50 27 mg 22.32 .887 Dietary intakes for energy, calcium and iron were found to be deficient when compared to RDA for all the age groups. The protein and fats were found to be sufficient .The overall nutritional status of the orphans was not found to be bad.
- 8. TOTAL PRE AND POST TEST SCORES OF THE SUBJECTS REGARDING KNOWLEDGE, ATTITUDE AND PRACTICE BEFORE AND AFTER NUTRITION EDUCATION PROGRAMME (N=150) Mean N Std. Deviation Std. Error Mean Pair 1 % Knowledge Score Pre 36.9333 150 13.35859 1.09072 % Knowledge Score Post 73.6000 150 11.77416 .96136 Pair 2 % Attitude Score Pre 51.5000 150 19.20832 1.56835 % Attitude Score Post 75.0000 150 11.67585 .95333 Pair 3 % Practice Score Pre 49.5238 150 17.25329 1.40873 % Practice Score Post 30.6667 150 17.07133 1.39387
- 9. T test t df Sig. (2-tailed) Pair 1 % Knowledge Score Pre - % Knowledge Score Post -27.925 149 .000 Pair 2 % Attitude Score Pre - % Attitude Score Post -15.716 149 .000 Pair 3 % Practice Score Pre - % Practice Score Post 25.110 149 .000 It can be concluded from the above table that Knowledge and Attitude of the orphans increased but they did not Practice what they learnt.
- 10. EFFECT OF BMI AND NUTRIENT INTAKE ON KNOWLEDGE, ATTITUDE AND PRACTICE SCORE ON THE SUBJECTS (N=150) % Knowledge Score % Attitude Score % Practice Score BMI Pearson Correlation .013 -.034 -.046 Sig. (2-tailed) .879 .678 .574 N 150 150 150 Energy Pearson Correlation .006 -.214 .067 Sig. (2-tailed) .965 .131 .640 N 50 50 50 Proteins Pearson Correlation -.079 -.343(*) -.044 Sig. (2-tailed) .580 .014 .760 N 50 50 50 Fats Pearson Correlation .235 -.024 -.313(*) Sig. (2-tailed) .096 .868 .025 N 50 50 50
- 11. % Knowledge Score % Attitude Score % Practice Score Carbohydrates Pearson Correlation -.057 -.290(*) .008 Sig. (2-tailed) .691 .039 .957 N 50 50 50 Calcium Pearson Correlation .030 -.027 -.112 Sig. (2-tailed) .833 .853 .434 N 50 50 50 Iron Pearson Correlation -.110 -.187 -.143 Sig. (2-tailed) .443 .189 .315 N 50 50 50 The above table depicts that there was no significant association between the macronutrient intake with % of knowledge, attitude and practice scores of the subjects. The above table shows that attitude had a negative association with proteins and carbohydrates which proves that subjects having good attitude towards nutrition consumed adequate amounts of proteins and carbohydrates. The table also reveals that practice had a negative association with fats at a significance of - .313. Thus it can be concluded that subjects showing good practice scores consumed lesser amounts of fats.
- 12. NEP was given on lifestyle modification which included topics like personal hygiene, physical activity and exercise. When interviewed about the same, the subjects gave a positive response and showed a major impact.
- 13. Summary and conclusion The study can be concluded that the nutritional status of the institutionalized orphan girls of age group of 10-15 years was not that bad when compared with different standards. Results indicated that dietary intake was deficient for some nutrients when compared to RDA for all age groups which may be linked to poor planning of menus found in the orphanage. It was also found that sometimes these children were provided with fruits, energy, and protein rich foods. This might be attributed to a great extent to better health care system prevailing in the orphanage. Nutrition education programme definitely proved to have improved their KAP. But practicing them is not in their hands as they are at the mercy of eating what is provided by the institution. This suggests that the nutritional status of the orphans, who are considered to be nutritionally at a disadvantage, can be improved through organized feeding and exposure to better hygienic condition.
- 14. Mrs. Anuradha Shekhar Associate Professor Head of the Dept. Food Science and Nutrition Dr. BMN College Of Home Science, 338, Ra Kidwai Road, Matunga Mumbai, Maharashtra , INDIA Contact No:+91-98206 17577 Work : 022 4095792 www.bmncollege.com e-mail shekaranuradha@yahoo.co.in