30.11.2014 Views

indian council of medical research - Pondicherry University DSpace ...

indian council of medical research - Pondicherry University DSpace ...

indian council of medical research - Pondicherry University DSpace ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Bhasin et a1..1990; Gupta et a1..1990; Joshi et a/., 1994; Singh et a1.,1996). Qamra<br />

(1990~) observed that girls who consumed inadequate calories were significantly<br />

smaller than girls who consumed adequate calories. Moreover, ~n h~study he found<br />

that while 91.2% <strong>of</strong> girls from the LSES consumed inadequate calories, only 38.2% <strong>of</strong><br />

girls from the USES did so. This probably explained the better growth <strong>of</strong> girls from the<br />

USES. Spatial variation in growth pattern is also observed in d~fferent parts <strong>of</strong> the<br />

country. Girls from South India were shorter by 2.0%4.5% than their counterparts from<br />

North India, especially between 9-13 years. However, they became comparable by the<br />

age <strong>of</strong> 17 years <strong>of</strong> age (Chattejee and Mandal.1991). Likewise, it was observed that<br />

boys between 9-18 years <strong>of</strong> age from West Bengal were taller and heavier than the<br />

South Indian boys (Chattejee and Manda1.1994). This variation could be as a result <strong>of</strong><br />

d~fferent environmental conditions, nutritional status and socioeconomic conditions.<br />

The educational level <strong>of</strong> parents also might have a significant impact on growth and<br />

nutrit~on (Chattejee and Manda1,1994).<br />

(ii) Menarche<br />

Menarche IS an important biological event in a girl's life. It is not only a landmark in a<br />

girl's developmental process, but the age at menarche is also an indirect indicator <strong>of</strong><br />

her health and nutritional status. The averageage at menarche is generally between<br />

12-14 years. However, in some studies the mean age at menarche was 11.5 years and<br />

In some, it was observed to be well over 14 years (Logamabal and Rao,1979;<br />

Singh,1986). The timing <strong>of</strong> menarche is detenn~ned by the girl attaining a certain body<br />

weight ard also height (Vir,1990; Ludwig,1994; Kuteyi et a/.,1997). A strong and<br />

Positive association was found between the nutritional status and attainment <strong>of</strong><br />

menarche (Kuteyi et aL,1997). The mean age at menarche was lower In affluent girls,

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!