Dual Burden of Malnutrition Among Adolescents With Hunger Aged 12–15 Years in 41 Countries: Findings From the Global School-Based Student Health Survey

Liu, Huaqing; Zhang, Min; Fu, Peipei; Chen, Yan; Zhou, Chengchao

doi:10.3389/fmed.2021.771313

Cited by 3 publications

(6 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We also found high obesity prevalence (i.e., 7.4%) among the adolescents, but with substantial discrepancies across countriesconsistent with the results of other studies. 16,21 In contrast to our previous results, 24 our current results indicated that young adolescents experiencing hunger had a relatively high obesity prevalence (8.9%).…”

Section: Discussioncontrasting

confidence: 99%

“…We also found high obesity prevalence (i.e., 7.4%) among the adolescents, but with substantial discrepancies across countries—consistent with the results of other studies 16,21 . In contrast to our previous results, 24 our current results indicated that young adolescents experiencing hunger had a relatively high obesity prevalence (8.9%). Taken together, these results suggest that both hunger and obesity have become a pandemic among young adolescents and these are serious public health issues globally.…”

Section: Discussionsupporting

confidence: 87%

“…In our previous study, we estimated the prevalence of underweight, overweight and obesity among adolescents who experienced hunger, and our findings indicated the dual burden of underweight and obesity among this population. 24 In the current study, we confirmed that hunger and obesity coexist in young adolescents globally; however, this relationship was noted to be complex and vary among countries or regions. In conclusion, young adolescents exposed to home food inadequacy-which indicates an obesogenic food environment-may have an increased obesity risk.…”

Section: Discussionsupporting

confidence: 78%

“…16,22,23 Hunger and obesity may coexist within the same population. In our previous study, we found a dual burden of underweight and obesity in young adolescents experiencing hunger, 24 posing a considerable, complex challenge to adolescent health. A systematic review and meta-analysis on clinical trials revealed that reducing hunger and enhancing satiety interventions may improve body weight management in the context of obesity.…”

Section: Introductionmentioning

confidence: 95%

See 3 more Smart Citations

Coexistence of obesity and hunger in young adolescents: Evidence from the Global School‐based Student Health Survey

Liu

Zhang

et al. 2022

Pediatric Obesity

Self Cite

View full text Add to dashboard Cite

Summary Background Hunger and obesity among young adolescents are serious public health issues; however, the relationship between these issues in this demographic has yet to be examined. Objective To determine whether both obesity and hunger coexist in young adolescents from a global perspective. Methods We analysed data of 142 565 adolescents (age, 12–15 years) from 60 countries from the Global School‐based Student Health Survey. Results Total prevalence of moderate and severe hunger was 22.32% and 7.8%, respectively—with the highest in Africa (29.14% and 12.14%, respectively) and the lowest in the Americas (16.83% and 5.31%, respectively). The prevalence of obesity among adolescents with severe hunger was 1.26 (95% confidence interval [CI]: 1.15–1.38) times the prevalence among those without hunger; however, this association varied across countries or regions. Moreover, the prevalence of obesity was 17% (95% CI: 1.04–1.29) higher in adolescent girls with moderate hunger in high‐income countries, 91% (95% CI: 1.23–2.58) higher in adolescents with severe hunger in low‐income countries and 54% (95% CI: 1.34–1.76) higher in lower middle–income countries compared to those without hunger. Conclusions Both obesity and hunger coexist in adolescent populations worldwide. Our findings emphasize the need for double‐duty actions to simultaneously address burdens of hunger and obesity among adolescents.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 95%

See 2 more Smart Citations

Coexistence of obesity and hunger in young adolescents: Evidence from the Global School‐based Student Health Survey

Liu

Zhang

et al. 2022

Pediatric Obesity

Self Cite

View full text Add to dashboard Cite

show abstract

“…We interestingly found that clustering of frequent soft drink and fast-food consumption, rather than other lifestyle risk clusters, was strongest associated with suicidal attempts in LMICs. It is remarkable that LMICs have greater availability of nutrient-poor and energy-dense foods, the resultant burden of adolescent malnutrition may increase the risk of suicidality in these countries [54].…”

Section: Discussionmentioning

confidence: 99%

Clustering of lifestyle risk factors in relation to suicidal thoughts and behaviors in young adolescents: a cross-national study of 45 low- and middle-income countries

Zhan,

Wang,

Zhan

et al. 2024

BMC Global Public Health

View full text Add to dashboard Cite

Background Prior research has reaffirmed lifestyle risk behaviors to cluster among adolescents. However, the lifestyle cluster effect on suicidal thoughts and behaviors (STBs) was unclear among adolescents in low- and middle-income countries (LMICs). No comparison of such associations was conducted across nations. Methods Data from 45 LMICs were obtained from the Global School-based Student Health Survey (GSHS) between 2009 and 2019. Lifestyle behavior factors were collected through a structured questionnaire. Suicidal ideation, plan, and attempt were ascertained by three single-item questions. Lifestyle risk scores were calculated via a sufficient dimension reduction technique, and lifestyle risk clusters were constructed using a latent class analysis. Generalized linear mixed models with odds ratio (OR) and 95% confidence interval (CI) were used to estimate the lifestyle-STB associations. Results A total of 229,041 adolescents were included in the final analysis. The weighted prevalence of suicidal ideation, plan, and attempt was 7.37%, 5.81%, and 4.59%, respectively. Compared with the favorable lifestyle group, the unfavorable group had 1.48-, 1.53-, and 3.11-fold greater odds of suicidal ideation (OR = 1.48, 95%CI: 1.30–1.69), plan (OR = 1.53, 95%CI 1.34–1.75), and attempt (OR = 3.11, 95%CI 2.64–3.65). Four clusters of lifestyle risk behaviors were identified, namely healthy lifestyles (H–L), insufficient intake of vegetables and fruit (V-F), frequent consumption of soft drinks and fast food (D-F), and tobacco smoking and alcohol drinking (S-A) clusters. Compared with H–L cluster, V-F cluster was associated with 43% and 42% higher odds of suicidal ideation and plan, followed by S-A cluster (26% for ideation and 20% for plan), but not significant in D-F cluster (P > 0.05). D-F cluster was associated with 2.85-fold increased odds of suicidal attempt, followed by V-F cluster (2.43-fold) and S-A cluster (1.18-fold). Conclusions Clustering of lifestyle risk behaviors is informative for risk stratification of STBs in resource-poor settings. Lifestyle-oriented suicide prevention efforts should be initiated among school-attending adolescents in LMICs.

show abstract

Association between meal skipping and the double burden of malnutrition among university students

Olagunju,

Aleru,

Abodunrin

et al. 2024

Nor. Afr. J. Food Nutr. Res.

View full text Add to dashboard Cite

Background: The study delves into the nuanced relationship between meal skipping and the double burden of malnutrition among university students. It addresses a critical gap in understanding how young adults' irregular dietary patterns contribute to undernutrition and overnutrition, phenomena typically studied in isolation. Aims: This research aimed to shed light on the broader implications of meal skipping within the context of student health and well-being. Subjects and Methods: The study surveyed a representative sample of undergraduate students from various academic disciplines at Lead City University in Ibadan, Nigeria, utilizing a descriptive cross-sectional approach. Detailed questionnaires were administered to assess the frequency of meal skipping, dietary habits, and associated lifestyle factors. Body mass index (BMI) and self-reported health data were also collected. Statistical analyses, including univariate and bivariate analysis, were employed to identify the nutritional status and meal patterns of the students, Principal component analysis was employed to identify the dietary patterns prevalent among the students from the food frequency questionnaire administered. Results: The findings reveal a significant correlation between meal skipping and the risk of undernutrition and overnutrition. Students who regularly skip meals are likely at an increased risk of undernutrition, characterized by lower BMI and potential micronutrient deficiencies, and overnutrition, indicated by higher BMI and associated health risks. This dual risk factor challenges existing perceptions of nutrition among young adults, suggesting that meal skipping can be a critical determinant of diverse and complex nutritional outcomes. Conclusion: The study highlights the urgent need for comprehensive nutritional strategies at university campuses, focusing on educating students about the risks associated with inconsistent eating patterns. It calls for implementing targeted interventions and policy changes to address the double burden of malnutrition, promoting healthier lifestyles, and preventing long-term health issues among university students. Keywords: Meal skipping, double burden of malnutrition, university students, nutritional status, dietary patterns, public health interventions, young adult health.

show abstract

Dual Burden of Malnutrition Among Adolescents With Hunger Aged 12–15 Years in 41 Countries: Findings From the Global School-Based Student Health Survey

Cited by 3 publications

References 33 publications

Coexistence of obesity and hunger in young adolescents: Evidence from the Global School‐based Student Health Survey

Coexistence of obesity and hunger in young adolescents: Evidence from the Global School‐based Student Health Survey

Clustering of lifestyle risk factors in relation to suicidal thoughts and behaviors in young adolescents: a cross-national study of 45 low- and middle-income countries

Association between meal skipping and the double burden of malnutrition among university students

Contact Info

Product

Resources

About