Nutritional status of school-age children and adolescents in low- and middle-income countries across seven global regions: a synthesis of scoping reviews

Wrottesley, Stephanie V; Mates, Emily; Brennan, Eilise; Bijalwan, Vasundhara; Menezes, Rachael; Ray, Stephanie; Ali, Zakari; Yarparvar, Amirhossein; Sharma, Deepika; Lelijveld, Natasha

doi:10.1017/s1368980022000350

Cited by 44 publications

(39 citation statements)

References 85 publications

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“…At the same time, the intake of fruits and vegetables, which is micronutrient-rich sources, was very low. The results of this study are in line with the results of a review of various studies from low-middle income countries showing that there is a greater likelihood of iodine deficiency in girls and older age due to dietary pattern transition, which is higher in energy-dense foods, processed and micronutrient-poor foods, both in children and adolescents (Wrottesley et al, 2022).…”

Section: Resultssupporting

confidence: 89%

Iodine Intake Deficiency as a Key Predictor of Stunting Among Adolescent Girls in Coastal Area, Majene District

Patimah¹

2022

Proceedings of the International Conference on Food, Nutrition, Health and Lifestyle

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Adolescence is a period in a lifespan with increased nutrition requirements for supporting optimal growth and reproductive maturation. There is a dearth of studies exploring the risk of stunting among adolescents in coastal areas. Majene Regency is a coastal area that is rich in animal protein sources. However, the stunting prevalence of adolescent girls in this area was relatively high. Therefore, this study aimed to identify the contributing predictors of stunting in adolescent girls. A cross-sectional involving 360 adolescent girls in secondary school was employed. Data were analyzed using the chisquare test and logistic regression with a significance of 5%. The overall prevalence of stunting in adolescent girls was 31.7%. Factors significantly associated with stunting were energy and iodine deficiency and wasting. Adolescent girls with low iodine intake (below RDA) were 1.9 times more likely to be stunted (p= 0.027). This study concluded that the prevalence of stunting among adolescent girls living in this coastal area was a high community nutritional problem. We recommended that nutrition promotion is needed, especially regarding the importance of consuming animal food sourced from the sea and the use of iodised salt fortification to prevent stunting in adolescent girls.

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Section: Resultssupporting

confidence: 89%

Iodine Intake Deficiency as a Key Predictor of Stunting Among Adolescent Girls in Coastal Area, Majene District

Patimah¹

2022

Proceedings of the International Conference on Food, Nutrition, Health and Lifestyle

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“…• Timescale: to achieve measurable results in reducing the prevalence of malnutrition in the next 10 years An initial list of 71 research questions was compiled, informed by key literature (reviews, metanalyses, Lancet series, and opinion pieces only) published in the past seven years (2014-2021) (39 articles) and several other resources: a systematic literature review of primary research conducted for each of the UNICEF regions in 2020 (991 articles) [13]; and an open stakeholder survey with the option to submit suggested research gaps (133 respondents) [14]. An expert group of 21 leading specialists in adolescent nutrition, with diverse representation, collectively refined and reduced the list to 48 questions (39 general and nine specific to pregnant adolescents) which made up the final survey.…”

Section: Survey Developmentmentioning

confidence: 99%

“…For example, girls 15-19 years are often only included as part of the broader 'women of reproductive age' (15-49 years) group. Major policy gaps, and a lack of both intervention studies and international and national targets for nutrition in SAC and adolescents further hampers progress [10,11].…”

Section: Introductionmentioning

confidence: 99%

Research priorities for nutrition of school-aged children and adolescents in low- and middle-income countries

Lelijveld

Wrottesley²,

Aburmishan

et al. 2023

PLoS ONE

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Purpose A lack of data, intervention studies, policies, and targets for nutrition in school-age children (SAC) and adolescents (5-19 years) is hampering progress towards tackling malnutrition. To stimulate and guide further research, this study generated a list of research priorities. Methods Using the Child Health and Nutrition Research Initiative (CHNRI) method, a list of 48 research questions was compiled and questions were scored against defined criteria using a stakeholder survey. Questions covered all forms of malnutrition, including micronutrient deficiencies, thinness, stunting, overweight/obesity, and suboptimal dietary quality. The context was defined as research focused on SAC and adolescents, 5 to 19 years old, in low-and middle-income countries, that could achieve measurable results in reducing the prevalence of malnutrition in the next 10 years. Results Between 85 and 101 stakeholders responded per question. Respondents covered a broad geographical distribution across 38 countries, with the largest proportion focusing on work in East and Southern Africa. Of the research questions ranked in the top ten, half focused on delivery strategies for reaching adolescents and half on improving existing interventions. There were few differences in the ranked order of questions between age groups but those related to in-school children and adolescents had higher expert agreement than those for out-of-school adolescents. The top ranked research question focused on tailoring antenatal and postnatal care for pregnant adolescent girls. Conclusion Nutrition programmes should incorporate implementation research to inform delivery of effective interventions to this age group, starting in schools. Academic research on the development and tailoring of existing nutrition interventions is also needed; specifically, on how to package multisectoral programmes and how to better reach vulnerable and underserved sub- groups, including those out of school.

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“…Moreover, nutrition has a formative role in puberty timing and pattern and thus affects height, muscle and fat mass accrual, as well as noncommunicable disease risk during adulthood. 2,3 Therefore, hunger during adolescence contributes to poor health later in life. [4][5][6][7] In other words, adequate food is essential for healthy growth of adolescents.…”

Section: Introductionmentioning

confidence: 99%

“…Adolescence is a critical growth period. Moreover, nutrition has a formative role in puberty timing and pattern and thus affects height, muscle and fat mass accrual, as well as noncommunicable disease risk during adulthood 2,3 . Therefore, hunger during adolescence contributes to poor health later in life 4–7 .…”

Section: Introductionmentioning

confidence: 99%

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

Liu

Zhang

et al. 2022

Pediatric Obesity

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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.

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Nutritional status of school-age children and adolescents in low- and middle-income countries across seven global regions: a synthesis of scoping reviews

Cited by 44 publications

References 85 publications

Iodine Intake Deficiency as a Key Predictor of Stunting Among Adolescent Girls in Coastal Area, Majene District

Iodine Intake Deficiency as a Key Predictor of Stunting Among Adolescent Girls in Coastal Area, Majene District

Research priorities for nutrition of school-aged children and adolescents in low- and middle-income countries

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

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