Assessment of dietary habits and nutritional status among adolescent girls in a rural area of Puducherry: a community-based cross-sectional study

Prevalence and associated factors of undernutrition among adolescents in India: a systematic review

BACKGROUND

Undernutrition is a major public health challenge among Indian adolescents in India where 253 million of them are in the age group of 10-19 years. In spite of several intensive efforts through various program interventions and care, research studies find a less encouraging improvement in nutritional scenarios. The present systematic review aimed to determine the pooled prevalence and associated factors of undernutrition (stunting and underweight) among Indian adolescents.

METHODS

We searched e-databases of MEDLINE/PubMed, EMBASE, Google Scholar, and Cochrane library for the period between the years 2000 and 2021. The peer-reviewed and empirical studies analyzing the prevalence of undernutrition among Indian adolescents and its associated factors were eligible for inclusion. The quality of the study reports included in the review was evaluated using the Newcastle-Ottawa Scale. The random-effect model with the Dersimonian and Laird method, at 95% confidence intervals, was used for estimating the overall effect. Subgroup analysis was conducted to investigate the possible sources of heterogeneity. Publication bias was assessed through visual examination of funnel plots and objectively by Egger's regression test.

RESULTS

A total of forty eligible studies with a pooled sample size of 67,865 adolescents were included to determine the prevalence of undernutrition among adolescents in India. The pooled prevalence of stunting and underweight in India was 41.1% (95% CI: 35.9, 46.0) and 32.6% (95% CI: 26.8, 37.1) respectively. It was also found that the rate of stunting prevalence was high among late adolescents and underweight was high among early adolescents. Age, gender, income, family size, caste, parental education, and occupation were the significant associated factors of the prevalence of stunting and underweight among adolescents in India.

CONCLUSION

The prevalence of stunting and underweight among adolescents is still a high concern in India. The results of this review posit the need of an integrated effort to reduce undernutrition in India and identify research priorities in this field.

The Nutritional Status and Eating Patterns of Female Secondary School Students in Kirkuk City, Iraq: A Cross-Sectional Study

Background Adolescents are increasingly facing nutrition-related issues such as overweight, obesity, and underweight, and eating patterns may significantly contribute to these issues. So, this study aims to assess the nutritional status and eating patterns of female secondary school students in Kirkuk City, Iraq.  Methods A descriptive cross-sectional study design was applied, which took place between January 13 and May 30, 2024. The convenience non-probability sampling method was used to select 525 female secondary students in six female government secondary schools. Interview techniques and a structured questionnaire were used to collect data. IBM SPSS Statistics for Windows, Version 27.0 (Released 2020; IBM Corp., Armonk, New York, United States), was used for the data analysis. Results The mean age of the participants was 15.66 years old (SD 1.56). The finding revealed that 84 (16%) of secondary school female students were underweight, 100 (19%) of them were overweight, and 22 (4%) were obese. On the other hand, 423 (80.6%) of them reported eating snacks between meals, 497 (94%) reported eating fast food, and 378 (72%) reported skipping meals. The chi-squared test concludes that eating fast food and consuming energy drinks show significant associations with weight status, with a p-value less than 0.05.  Conclusion A quarter of the female secondary school students were overweight or obese, and about one-sixth of them were underweight. Most of them either had snacks between meals, frequently ate fast food, or skipped meals. For these reasons, it is crucial to implement a school-based nutrition program in Iraqi schools.

Knowledge, practices and influencing factors defining unhealthy food behavior among adolescents in India: a scoping review

Unhealthy food behaviors are the major contributing factors to the rising burden of non-communicable diseases (NCDs) among adolescents in India. Knowledge and practices related to unhealthy eating are significant factors influencing adolescents' food behavior. In this scoping review, we aim to map evidence and identify gaps on knowledge, practices, and the influencing factors associated with unhealthy food behavior among Indian adolescents by examining the existing literature. Arksey and O'Malley's scoping review framework and the Joanna Briggs Institute Reviewers' manual were used for this review. After the screening, 33 articles were identified according to the inclusion criteria. Data extraction was performed according to the study objectives, followed by narrative summarization. The studies included a total of 20,566 adolescents. Most studies reported insufficient knowledge about healthy food choices among adolescents. Diet intake patterns among the adolescents showed a lower amount of fruits and vegetables and an increase in fried items, sugar-sweetened beverages, packaged food, and fast food in both sexes, with a broader association with peer influence (21.2%), parental unhealthy food behavior (15.1%), place of residence (6.06%), emotional status (6.06%), and mass media exposure (18.1%). The scoping review highlights the need for targeted interventions aimed at improving the knowledge and practices of Indian adolescents by promoting healthy food choices and sensitizing them about the risk of non-communicable diseases. The analysis of evidence around adolescent dietary behavior in India shows a monotonous, limited, and narrow range in scope, indicating the extended need for research.

Effectiveness of nutrition education in improving fruit and vegetable consumption among selected college students in urban Puducherry, South India. A pre-post intervention study

Objectives World Health Organization (WHO) suggests intake of five servings (400 g) of fruits and vegetables (F&V) per day to ensure an adequate dietary fibre and to reduce the risk of non-communicable diseases. Risk factor survey of Non-Communicable Diseases (2007-08), reports that only 1% population in Tamil Nadu, South India consumed more than five servings a day. So we aimed to assess the effectiveness of nutrition education in improving the daily intake of fruit and vegetable servings and stage of behaviour change among college students. Methods A pre-post intervention study was conducted among undergraduate students from two selected women's colleges in urban Puducherry, South India during September-October 2019. The two English departments were randomly allocated into intervention group (IG), control group (CG) and 75 students in each group were chosen by systematic random sampling. IG received 30 min of nutrition education programme; which includes importance and minimum daily intake of fruits & vegetables, local availability, cost and awareness about myths and misconceptions. CG received pamphlets regarding healthy dietary intake. Knowledge regarding portion sizes, average daily servings of fruit & vegetable intake and stage of behaviour change were assessed at baseline and after one month of intervention. Results There was a significant increase in knowledge regarding portion sizes (28- 64%) after intervention in IG (p<0.001) compared to CG (24- 40%). The knowledge regarding the required number of servings of fruits (27-56%) and vegetables (15-58%) also increased significantly (p<0.001) in the IG. Intake of fruits, vegetables and juices in the last 24 h were significantly increased in IG compared to CG (p<0.001). There was a significant increase (p=0.002) in contemplation and preparation stage (13-34%) in IG after intervention. Conclusions A well designed nutrition education programme is an effective tool in promoting healthy eating habits among adolescents. It enabled a significant increase in knowledge regarding portion sizes of F&V and daily intake of fruits and vegetables.