Knowledge About Calcium-Rich Foods in Adolescent Girls in Charsadda – A Cross-Sectional Study: Knowledge About Calcium-Rich Foods in Adolescent Girls

Sana Shah; Alfan Al Ktebi; Iftikhar Alam

doi:10.54393/df.v5i04.167

Authors

Sana Shah Department of Human Nutrition and Dietetics, Bacha Khan University, Charsadda, Pakistan
Alfan Al Ktebi Department of Health Care Management, College of Health Care Sciences, University of Sharjah, Sharjah, United Arab Emirates
Iftikhar Alam Department of Human Nutrition and Dietetics, Bacha Khan University, Charsadda, Pakistan

DOI:

https://doi.org/10.54393/df.v5i04.167

Keywords:

Pre-Adolescent, Calcium, Knowledge, Calcium-Rich Foods

Abstract

Calcium is a critical nutrient for adolescent bone development and overall health, yet intake often remains below recommended levels. Objectives: To identify and list calcium-containing foods available in Charsadda and to assess the knowledge level of adolescent girls about calcium foods and calcium nutrition. Methods: A cross-sectional study was conducted to list all foods and food products available in Charsadda. This study was conducted at two different time points in the same year, in the summer months and in the winter months of 2021. The purpose of the survey at two different time-points was to recognize and list all possible available calcium-rich foods in the locality throughout the year. This phase of the study was followed by cross-sectional surveys to find out pre-adolescent girls’ knowledge about calcium-rich foods already identified in the first phase of the study. A multi-stage stratified sample (n=78) of pre-adolescent school-going girls completed the survey using a pre-tested questionnaire. Results: A high number (174) of calcium-rich foods and products were available at the local market and households of Charsadda city. Overall, pre-adolescent girls’ knowledge about calcium-rich foods was poor. Only 60%, 45.3%, 46.7%, and 42.7% of the girls could identify, respectively, milk, cheese, yoghurt and lassi/malt-drink as calcium-rich foods. Most plant-based items were poorly recognized. Conclusions: Despite a high number of calcium-rich foods available in the local market of Charsadda, the knowledge level of school-going pre-adolescent girls was poor, warranting further community-based awareness and education programs on calcium nutrition.

References

Jomova K, Makova M, Alomar SY, Alwasel SH, Nepovimova E, Kuca K et al. Essential Metals in Health and Disease. Chemico-Biological Interactions. 2022 Nov; 367: 110173. doi: 10.1016/j.cbi.2022.110173.

Shlisky J, Mandlik R, Askari S, Abrams S, Belizan JM, Bourassa MW, Cormick G, Driller‐Colangelo A, Gomes F, Khadilkar A, Owino V. Calcium Deficiency Worldwide: Prevalence of Inadequate Intakes and Associated Health Outcomes. 2022 Jun; 1512(1): 10-28. doi: 10.1111/nyas.14758.

Ariyo O, Alabi O, Aleru EO, Ojo TJ. Effect of Emotion-Based Nutrition Messages on Consumption of Calcium-Rich Foods Among Early Adolescents in Ogbomoso, Nigeria. Dialogues in Health. 2023 Dec; 2: 100130. doi: 10.1016/j.dialog.2023.100130

Knight F, Rana ZH, Cormick G, Belizan J, Gomes F, Bourassa MW et al. Could Local Foods Achieve Recommended Calcium Intakes for Nutritionally Vulnerable Populations in Uganda, Guatemala, and Bangladesh? Annals of the New York Academy of Sciences. 2023 Jul; 1525(1): 173-83. doi: 10.1111/nyas.15008.

Sanwalka NJ, Khadilkar AV, Mughal MZ, Sayyad MG, Khadilkar VV, Shirole SC et al. A Study of Calcium Intake and Sources of Calcium in Adolescent Boys and Girls from Two Socioeconomic Strata, in Pune, India. Asia Pacific Journal of Clinical Nutrition. 2010 Sep; 19(3): 324-9.

Martinez Y, Banna JC, Ballejos ME, Bruhn C, Cluskey M, Gunther C et al. Evaluation of Messages to Promote Intake of Calcium-Rich Foods in Early Adolescents. Journal of Community Engagement and Scholarship. 2022 Jul; 9(2). doi: 10.54656/FKGP5837.

Knight F, Ferguson EL, Rana ZH, Belizan J, Gomes F, Bourassa MW et al. Including Calcium‐Fortified Water or Flour in Modeled Diets Based on Local Foods Could Improve Calcium Intake for Women, Adolescent Girls, and Young Children in Bangladesh, Uganda, and Guatemala. Annals of the New York Academy of Sciences. 2023 Aug; 1526(1): 84-98. doi: 10.1111/nyas.15032.

Nguyen B and Murimi MW. Lack of Calcium Rich Foods in the Diet, Low Knowledge on Calcium Level Recommendations and Severe Food Insecurity Predicts Low Calcium Intake Among Vietnamese Women. Appetite. 2021 Aug; 163: 105242. doi: 10.1016/j.appet.2021.105242.

Miller GD, Jarvis JK, McBean LD. The Importance of Meeting Calcium Needs with Foods. Journal of the American College of Nutrition. 2001 Apr; 20(2): 168S-85S. doi: 10.1080/07315724.2001.10719029.

Cormick G and Belizán JM. Calcium Intake and Health. Nutrients. 2019 Jul; 11(7): 1606. doi: 10.3390/nu11071606.

Reka SM, Vijayanchali SS, Rani VE. Minimization of Calcium Deficiency among Children and Adolescents Using Sesbania Grandiflora Leaves. Journal of the Asiatic Society of Mumbai. 2022; 1.

Akhter P, Baloch NZ, Mohammad D, Orfi SD, Ahmad N. Assessment of Strontium and Calcium Levels in Pakistani Diet. Journal of Environmental Radioactivity. 2004 Jan 1;73(3):247-56. doi: 10.1016/j.jenvrad.2003.08.011.

Khan MR, Darwaish AM, Tahir U. Sodium, Potassium, Iron, Calcium and Phosphorus Content of Some Pakistani Condiments. Scientific Inquiry and Review. 2018 Jan; 2(1): 16-22. doi: 10.32350/sir/21/020103.

Alshahrani F, Alassafi MT, Owaiwid LN, Alageel NA, Alanazi FH, Alsogami LS et al. Assessment of Calcium Intake and Recognition of Calcium-Rich Food Sources Among the Saudi Population. Archives of Osteoporosis. 2023 Oct; 18(1): 130. doi: 10.1007/s11657-023-01337-4.

Rahman MM. Sample Size Determination for Survey Research and Non-Probability Sampling Techniques: A Review and Set of Recommendations. Journal of Entrepreneurship, Business and Economics. 2023 Feb; 11(1): 42-62.

Jaisaard R, Kanjanarach T, Chanaboon S, Ban B. Consumption of Calcium and Knowledge About Calcium Sources and Nutrition Labels Among Lower Secondary School Students in Thailand. Risk Management and Healthcare Policy. 2021 Sep: 3829-40. doi: 10.2147/RMHP.S312264.

Gómez AL, Kraemer WJ, Maresh CM, Lee EC, Szivak TK, Caldwell LK et al. Resistance Training and Milk-Substitution Enhance Body Composition and Bone Health in Adolescent Girls. Journal of the American College of Nutrition. 2021 Apr; 40(3): 193-210. doi: 10.1080/07315724.2020.1770636.

Mead SJ. Dietary Calcium Intakes and Major Contributing Food Sources of Adolescent Males in New Zealand (Doctoral dissertation, University of Otago). 2021.

Patimah S. Effect of School-Integrated Interventions on Improvement of Nutrition-Health Knowledge and Nutritional Status among Adolescent Girls: A Quasi-Experimental Study. Current Research in Nutrition and Food Science. 2023; 11(2): 880-93. doi: 10.12944/CRNFSJ.11.2.35.

El-Abbassy AA, Ahmed H, Diab SS, El-Nagar SA. Nutrition Intervention Based on Health Belief Model for Promoting Dietary Calcium Intake among Adolescent Girl Students. International Egyptian Journal of Nursing Sciences and Research. 2022 Jan; 2(2): 307-25. doi: 10.21608/ejnsr.2022.212467.