Magnitude and Determinants of Under-Nutrition Among Late Adolescent Girls in East Africa: Evidence From Demographic and Health Surveys (2010–2016)

Raru, Temam Beshir; Ayana, Galana Mamo; Kure, Mohammed Abdurke; Merga, Bedasa Taye; Yuya, Mohammed; Rob, Kedir Teji

doi:10.3389/fnut.2022.763047

Cited by 5 publications

(3 citation statements)

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“…Furthermore, previous studies have relied on small sample sizes and have been conducted in a restricted geographic area and some of these studies do not employ appropriate statistical method (i.e. multilevel analysis) that accounts for the hierarchical nature of data [ 20 ]. Thus, considering the previously mentioned constraints, the objective of this study was to utilize the latest Demographic and Health Survey (DHS) data to estimate the occurrence and factors influencing stunting among late adolescent girls in ten East African countries.…”

Section: Introductionmentioning

confidence: 99%

The magnitude of stunting and its determinants among late adolescent girls in East Africa: Multilevel binary logistics regression analysis

Asebe,

Seifu,

Mare

et al. 2024

PLoS ONE

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Background Stunting poses a significant health risk to adolescent girls aged 15–19 in low- and middle-income countries, leading to lower education levels, reduced productivity, increased disease vulnerability, and intergenerational malnutrition. Despite the inclusion of adolescent nutrition services in the Sustainable Development Goals, little progress has been made in addressing malnutrition among adolescent girls in several African nations. Limited evidence exists in East Africa due to small sample sizes and methodological limitations. To overcome these constraints, this study utilizes the latest Demographic and Health Survey data to estimate the prevalence and factors influencing stunting among late adolescent girls in ten East African countries. Methods This study utilized the most recent Demographic and Health Survey (DHS) data from 10 East African countries, including a total sample weight of 22,504 late-adolescent girls. A multilevel mixed-effect binary logistic regression model with cluster-level random effects was employed to identify factors associated with stunting among these girls. The odds ratio, along with the 95% confidence interval, was calculated to determine individual and community-level factors related to stunting. A p-value less than 0.05 was considered statistically significant in determining the factors influencing stunting among late-adolescent girls. Results The prevalence of stunting among late adolescent girls in East Africa was found to be 13.90% (95% CI: 0.13–0.14). Religion, relationship to the head, presence of under-five children in the household, lactating adolescent, marital status, Time to get water source, and country of residence were significantly associated with Stunting. Conclusion This study highlights the complexity of stunting in East Africa and identifies key factors that need attention to reduce its prevalence. Interventions should focus on improving water access, supporting lactating girls, addressing socioeconomic disparities, promoting optimal care practices, and implementing country-specific interventions to combat stunting and improve adolescent girls’ nutrition.

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Section: Introductionmentioning

confidence: 99%

The magnitude of stunting and its determinants among late adolescent girls in East Africa: Multilevel binary logistics regression analysis

Asebe,

Seifu,

Mare

et al. 2024

PLoS ONE

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“…Adolescents in low-and middle-income countries are at increased risk of undernutrition (because of inadequate food intake, irregular meal consumption, especially breakfast skipping) and overnutrition resulting from overconsumption of foods that are high in calories and fats but poor in nutrients. [ 1 2 3 ]…”

Section: Introductionmentioning

confidence: 99%

“…About 40% of adult deaths in developing countries and 70–80% of deaths in industrialized countries are linked to attitudes and behaviors adopted during adolescence. [ 1 ] Research suggests that an adequate level of nutritional knowledge is related to optimal nutritional behaviors, while dietary habits affect nutritional status. Dietary habit is one of the modifiable risk factors for obesity in childhood and adolescence.…”

Section: Introductionmentioning

confidence: 99%

Dietary diversity and nutritional status of adolescents in Lagos, Nigeria

Olatona,

Ogide,

Abikoye

et al. 2023

Journal of Family Medicine and Primary Care

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Background/Objectives: Adolescents in low- and middle-income countries, such as Nigeria, are at increased risk of malnutrition, especially obesity, but there is limited data describing the risk. We assessed this risk by examining the nutritional status and associated factors such as dietary habits, dietary diversity, nutritional knowledge and sociodemographic characteristics among adolescents in Lagos, Nigeria. Methods: A descriptive cross-sectional study in which 682 adolescents were selected from their communities using a multistage sampling technique. Dietary habits were assessed using a food frequency questionnaire, and dietary diversity was assessed through nonquantifiable 24-h diet recall. Anthropometric measurements were taken to determine nutritional status. Data were analyzed using Epi-Info software version 7.2.3.1. Nutritional status was evaluated using WHO AnthroPlus software. Chi-square was used to test for an association between categorical variables, and P values ≤0.05 were considered statistically significant. Results: The mean age of the adolescents was 13.6 ± 2.3 years, and only 47.4% of them had good nutritional knowledge. Dietary habits were poor and dietary diversity was low. The prevalence of overweight and obesity was 13.4% and 7.0%. Eating dinner, dieting to control weight and daily consumption of foods outside the home were associated with overweight and obesity (P < 0.05). Conclusions: Dietary habits and diversity of the adolescents were poor, while overweight and obesity were high. Eating dinner and daily consumption of foods outside the home were factors associated with being overweight and obesity. Our findings emphasize the critical need for adolescent nutrition programs that address weight control, especially among those who eat outside their homes.

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Dietary intake and quality for young adolescents in sub‐Saharan Africa: Status and influencing factors

Madzorera

Bromage

Mwanyika‐Sando

et al. 2023

Maternal & Child Nutrition

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Adolescents face the risk of the triple burden of malnutrition—the co‐existence of micronutrient deficiencies, underweight and overweight and obesity and related noncommunicable diseases. Poor‐quality diets are a modifiable risk factor for all forms of malnutrition in adolescents. However, there is limited knowledge about diet quality for African adolescents. We analyzed data from 4609 school‐going adolescents aged 10–15 years in Burkina Faso, Ethiopia, Sudan and Tanzania. Dietary intake was assessed using food frequency questionnaires, and diet quality computed using the Global Diet Quality Score (GDQS). Generalized estimating equations linear regression models were used to evaluate factors associated with adolescent diet quality. Mean adolescent age was 12.4 (±1.4) years and 54% of adolescents were female. Adolescents reported physical activity on 1.5 (±1.7) days/week. The mean GDQS (±SD) was 20.6 (±4.0) (maximum 40). Adolescent consumption of vegetables, fruit, nuts and seeds, eggs, fish and poultry was low, and refined grain consumption was relatively high. Boys consumed unhealthy foods less frequently but consumed fewer cruciferous vegetables and deep orange tubers. Older adolescents had higher fish and lower red meat consumption. Having an unemployed mother versus farmer (estimate −2.60, 95% confidence interval [CI]: −4.81, −0.39), and having 3–4 days of physical activity per week versus none (estimate 0.64, 95% CI: 0.11, 1.17) were associated with GDQS. We found evidence of poor‐quality adolescent diets and gender and age differences in the consumption of healthy diets. Programs to address poor‐quality diets should consider tailoring interventions for adolescent girls and boys of different ages and also consider the role of physical activity in these contexts.

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Magnitude and Determinants of Under-Nutrition Among Late Adolescent Girls in East Africa: Evidence From Demographic and Health Surveys (2010–2016)

Cited by 5 publications

References 37 publications

The magnitude of stunting and its determinants among late adolescent girls in East Africa: Multilevel binary logistics regression analysis

The magnitude of stunting and its determinants among late adolescent girls in East Africa: Multilevel binary logistics regression analysis

Dietary diversity and nutritional status of adolescents in Lagos, Nigeria

Dietary intake and quality for young adolescents in sub‐Saharan Africa: Status and influencing factors

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