Adolescent undernutrition in South Asia: a scoping review protocol

Querol, Sara Estecha; Al-Khudairy, Lena; Iqbal, Romaina; Johnson, Samantha; Gill, Paramjit

doi:10.1136/bmjopen-2019-031955

Cited by 7 publications

(2 citation statements)

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“…Insufficient nutrient intake or nutritional deficiency, termed “hidden hunger” by the World Health Organization (WHO) ( 1 , 2 ), has a major effect on physical and mental health. Children and adolescents are two groups that are most affected by hidden hunger because of their high demand for nutrient intake ( 3 , 4 ). Moreover, many school students have problems with memory, concentration, immunity, mood, and growth and development due to nutritional deficiency ( 5 , 6 ).…”

Section: Introductionmentioning

confidence: 99%

Nutritional deficiencies in low-sociodemographic-index countries: a population-based study

Ren

Guo

et al. 2023

Front. Nutr.

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BackgroundWe aimed to estimate the burden of nutritional deficiency according to sex and age in countries with a low sociodemographic index (SDI).MethodsFollowing the methods of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, estimated annual percentage changes (EAPCs) were calculated to determine trends in the age-standardized rates of incidence and disability-adjusted life-years (DALYs) of nutritional deficiency and its main subcategories from 1990 to 2019 in low-SDI countries.FindingsFrom 1990 to 2019, the age-standardized incidence and DALY rates of nutritional deficiency showed decreasing trends, with EAPCs of −0.90 [95% confidence interval (CI), 1.06 to −0.75] and −3.20 (95% CI, −3.29 to −3.10), respectively, in low-SDI countries. In 2019, of the subcategories analyzed, vitamin A deficiency had the highest age-standardized incidence rate and protein–energy malnutrition had the highest age-standardized DALY rate. From 1990 to 2019, the greatest decrease in the age-standardized incidence rate was observed for vitamin A deficiency and the greatest decrease in the age-standardized DALY rate was observed for protein–energy malnutrition. At the national level, from 1990 to 2019, the greatest increase in the age-standardized incidence rate of overall nutritional deficiency was observed in males in Afghanistan (EAPC: 0.28; 95% CI, 0.07 to 0.49). Of the age groups analyzed, the highest incidence and DALY rates of overall nutritional deficiency and dietary iron deficiency were observed in children aged 1–4 years.InterpretationThe age-standardized incidence and DALY rates of nutritional deficiency decreased significantly from 1990 to 2019, especially for vitamin A deficiency and protein–energy malnutrition. Overall nutritional deficiency and dietary iron deficiency occurred primarily in children aged 1–4 years.

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Section: Introductionmentioning

confidence: 99%

Nutritional deficiencies in low-sociodemographic-index countries: a population-based study

Ren

Guo

et al. 2023

Front. Nutr.

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“…According to WHO, 1.2 billion adolescence live in the world which constitute 16% of the total population in the world [1], with over 253 million in India [2]. Adolescence is a period transition from childhood to adulthood , in which they undergo various rapid changes from physical appearances to changes in the food habits [3,4] . During this period, especially in the low and middle income countries childbearing age starts, particularly for women, which is one of the most precarious time wherein optimum nutritional status need to be achieved.…”

Section: Introductionmentioning

confidence: 99%

Dietary Diversity Among Indian Adolescents: Evidence From UDAYA Study

Bansal¹,

Arora²,

Sharma³

et al. 2021

Preprint

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Background: Adolescence is a period transition from childhood to adulthood , in which they undergo various rapid changes from physical appearances to changes in the food habits. During this period, childbearing age starts, particularly for women, which is one of the most precarious time wherein optimum nutritional status need to be achieved. So, Eating healthy during adolescence is important as rapid physical growth increases the need of several nutrients.Methods: In our study, we have used the UDAYA longitudinal study design which provides a unique opportunity to determine the role of dietary pattern at one time point to the changes at the time 2. For analysis, cross-tabulation and chi-square test is used to test independence of various groups. Binary logistic regression is used to identify determinants of minimum dietary diversity (Yes=1, No=0) of the adolescents. Adjusted odds ratio are computed for Uttar Pradesh and Bihar separately, as well as for combined sample.Results: In the present study, the average adherence to the dietary pattern in our adolescents was 58%, while in Bihar it was 61% , and in UP it was 56%. Using the logistic regression analysis, we found that there was significant difference in the MDD of adolescents by their socio-economic characteristics. But no differentials were found among young and old adolescents in UP and Bihar. Also, food consumption score index (A.O.R.=2.6, 95% CI (2.1-3.1), and media exposure of adolescents at wave1 (A.O.R.=2.1, 95% CI (1.7-2.7) were found significant in depicting the MDD at wave2. Conclusions: India launched ICDS scheme in 1975s to strengthen the nutritional status of young children in the country, but the recent data of NFHS-5 (2019-20), shows that the nutritional status of the country improved only marginally, or rather decreased in some parts. Strengthening and proper evaluation of ICDS programme can help to improve the pro-nutrition among the adolescents. Also, there should be a specific state policy to address the needs of adolescents, and various educational programmes should be conducted in schools where students along with their parents should be educated about the need of healthy dietary habits.

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Adolescent nutrition and health: characteristics, risk factors and opportunities of an overlooked life stage

Heslin

McNulty

2023

Proc. Nutr. Soc.

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Adolescence is a pivotal, yet frequently overlooked, period of life, with this age group often no longer receiving the focus, care and protection devoted to other life stages. Nutritional vulnerability increases in adolescence due to heightened nutritional requirements, yet the quality of the diets consumed by this age group often deteriorates significantly. Poor-quality dietary patterns and insufficient nutrient intakes are frequently observed amongst adolescents both in Ireland and globally. This deterioration in diet quality is greatly influenced by individual, social and environmental determinants of behaviour and health. The influences of each of these factors change and increase as adolescents begin to interact independently with the surrounding world. Poor nutrition during adolescence can result in several immediate and long-term health consequences, including micronutrient deficiencies, increased risk of overweight/obesity and increased presentation of cardiometabolic risk factors, all of which have been observed as persistent issues amongst adolescents in Ireland and internationally. Adolescence is a critical period of intervention to protect youth both now and into their future lives. This age group can be particularly receptive to the influence of society and the surrounding environment, posing several avenues in which to influence adolescents towards more health-promoting behaviour. This review aims to summarise the key nutritional and dietary characteristics of adolescents, to provide an overview of the causes and consequences of poor nutrition in adolescence, and to highlight potential opportunities for intervention to protect the health of this age group, with a particular focus on evidence from an Irish context.

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Adolescent undernutrition in South Asia: a scoping review protocol

Cited by 7 publications

References 10 publications

Nutritional deficiencies in low-sociodemographic-index countries: a population-based study

Nutritional deficiencies in low-sociodemographic-index countries: a population-based study

Dietary Diversity Among Indian Adolescents: Evidence From UDAYA Study

Adolescent nutrition and health: characteristics, risk factors and opportunities of an overlooked life stage

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