Doktorarbeit / Dissertation, 2013
139 Seiten, Note: A
1. INTRODUCTION
Risk Factor of Anaemia
Causes of Anaemia
Stages of Anaemia
Nutritional Requirement during Adolescents
Objectives of the Study
2. REVIEW OF LITERATURE
3. RESEARCH METHODOLOGY
Material Selection
Development of Questionnaire
Clinical and Bio Chemical Assessment
Nutrition Education
Procedure
4. RESULTS
5. DISCUSSION
6. CONCLUSION AND RECOMMENDATIONS
The primary objective of this research is to evaluate the prevalence of iron deficiency anaemia among adolescent girls and to determine the effectiveness of a structured health and nutrition education programme in improving their dietary habits and hemoglobin levels.
CAUSES OF ANAEMIA
Iron-deficiency anaemia (IDA), often caused by insufficient iron intake, is the major cause of anaemia in childhood. It has become much less common in the United States over the past 30 years, primarily due to iron-fortified infant formulas and cereals. Iron-deficiency anaemia doesn't develop immediately. Instead, a person progresses through stages of iron deficiency, beginning with iron depletion, in which the amount of iron in the body is reduced while the iron in RBCs remains constant. If iron depletion isn't corrected, it progresses to iron deficiency, eventually leading to IDA. Not having enough iron in our body causes iron-deficiency anaemia. Lack of iron usually is due to blood loss, poor diet, or an inability to absorb enough iron from the foods that we eat.
Blood loss
When one loses blood, one loses iron. If enough iron is not stored in one’s body to make up for the iron loss, the person develops iron-deficiency anaemia. In women, low iron levels may be due to blood loss from long or heavy menstrual periods or bleeding fibroids in the uterus. Blood loss that occurs during childbirth is another cause for low iron levels in women. Internal bleeding (bleeding inside the body) also may lead to iron-deficiency anaemia. This type of blood loss isn’t always obvious, and it may occur slowly. Some causes of internal bleeding are:
• A bleeding ulcer, colon polyp, or colon cancer
• Regular use of aspirin or other pain medicines, such as no steroidal anti-inflammatory drugs (for example, ibuprofen and naproxen)
• Urinary tract bleeding
INTRODUCTION: This chapter provides an overview of adolescent development, the physiological importance of iron, and the high prevalence of anaemia in India, establishing the study's research objectives.
REVIEW OF LITERATURE: This chapter systematically surveys historical and contemporary research regarding adolescent development, anaemia prevalence, and the effectiveness of previous interventions in various socio-economic contexts.
RESEARCH METHODOLOGY: This chapter outlines the study design, including the selection of schools in district Srinagar, the development of questionnaires, anthropometric techniques, and the implementation of the nutrition education intervention.
RESULTS: This chapter presents the data gathered from the study, providing a detailed statistical analysis of the respondents' demographic profiles, nutritional status, and clinical signs.
DISCUSSION: This chapter interprets the findings in the context of existing literature, discussing demographic, anthropometric, and clinical associations with anaemic conditions.
CONCLUSION AND RECOMMENDATIONS: This chapter summarizes the study's conclusions regarding the prevalence of anaemia and offers specific policy and educational recommendations for school-based interventions.
Anaemia, Iron Deficiency, Adolescent Girls, Nutrition Education, Hemoglobin, Anthropometry, Dietary Habits, Public Health, Micronutrient Deficiency, Srinagar, Socio-demographic factors, Intervention Programme, Clinical Assessment, Bio-chemical Tests, Menstrual Health.
The research focuses on assessing the prevalence of iron deficiency anaemia among adolescent girls in the Srinagar district and evaluating the effectiveness of a targeted nutrition education programme in changing their dietary behavior.
The study covers demographic factors, anthropometric measurements, clinical signs of nutritional deficiency, dietary history, and menstrual health in relation to anaemia.
The primary goal is to assess anaemia levels via bio-chemical tests, evaluate nutritional status, and measure changes in hemoglobin levels after implementing an educational intervention.
The study used a combination of questionnaire-based surveys, interviews, anthropometric measurements (height, weight, BMI), and clinical examinations, complemented by bio-chemical tests for hemoglobin, serum iron, and serum ferritin.
The main body treats the physiological risks of anaemia, the etiology of the condition, a review of global and local prevalence literature, and the detailed presentation of the study’s analytical results.
Key terms include Iron Deficiency Anaemia, Adolescent Girls, Nutrition Education, Dietary Behaviour, and Public Health.
The researchers used simple language in the questionnaires and provided explanations in the local Kashmiri language where necessary to ensure clarity for the respondents.
The study identifies rice as a primary staple diet and analyzes its contribution alongside other dietary habits to the iron deficiency status of the participants.
The intervention involved the use of visual aids like posters and charts, along with lectures focused on food groups, iron-rich foods, and the importance of Vitamin C for iron absorption.
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