SEARCHMETA-ANALYSISpediatrics, nutrition

meta-analysis·pediatrics, nutrition, epidemiology, public health, systematic review·PMC10079135

A systematic review and meta-analysis of adolescent nutrition in Ethiopia: Transforming adolescent lives through nutrition (TALENT) initiative

PLOS ONE · 11 authors, 4 centres

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TL;DR

It found a double burden of malnutrition, with undernutrition (stunting, thinness) being predominant but overnutrition (overweight/obesity) emerging, alongside high rates of micronutrient deficiencies.

Full summary

662 CHARS

The meta-analysis pooled prevalence estimates for stunting (22.4%), thinness (17.7%), and overweight/obesity (10.6%). The review identified widespread micronutrient deficiencies, including anemia (9%-33%), iodine deficiency (40%-52%), and deficiencies in vitamin D (42%), zinc (38%), folate (15%), and vitamin A (6.3%). A key finding was a double burden of malnutrition: undernutrition was more prevalent in boys and rural adolescents, while overweight/obesity was higher in girls and urban adolescents. Limitations included the inability to perform trend analysis due to the cross-sectional nature of most included studies and variations in outcome definitions.

STUDY TYPE

meta-analysis

SPECIALTY

pediatrics

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10079135

A systematic review and meta-analysis of adolescent nutrition in Ethiopia: Transforming adolescent lives through nutrition (TALENT) initiative

PLOS ONE

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ABSTRACT

Background Ethiopia has undergone rapid economic growth over the last two decades that could influence the diets and nutrition of young people. This work systematically reviewed primary studies on adolescent nutrition from Ethiopia, to inform future interventions to guide policies and programs for this age group. Method A systematic search of electronic databases for published studies on the prevalence of and interventions for adolescent malnutrition in Ethiopia in the English language since the year 2000 was performed using a three-step search strategy. The results were checked for quality using the Joanna Bridge Institute (JBI) checklist, and synthesized and presented as a narrative description. Results Seventy six articles and two national surveys were reviewed. These documented nutritional status in terms of anthropometry, micronutrient status, dietary diversity, food-insecurity, and eating habits. In the meta-analysis the pooled prevalence of stunting, thinness and overweight/obesity was 22.4% (95% CI: 18.9, 25.9), 17.7% (95% CI: 14.6, 20.8) and 10.6% (7.9, 13.3), respectively. The prevalence of undernutrition ranged from 4% to 54% for stunting and from 5% to 29% for thinness. Overweight/obesity ranged from 1% to 17%. Prevalence of stunting and thinness were higher in boys and rural adolescents, whereas overweight/obesity was higher in girls and urban adolescents. The prevalence of anemia ranged from 9% to 33%. Approximately 40%-52% of adolescents have iodine deficiency and associated risk of goiter. Frequent micronutrient deficiencies are vitamin D (42%), zinc (38%), folate (15%), and vitamin A (6.3%). Conclusions The adolescent population in Ethiopia is facing multiple micronutrient deficiencies and a double-burden of malnutrition, although undernutrition is predominant. The magnitude of nutritional problems varies by gender and setting. Context-relevant interventions are required to effectively improve the nutrition and health of adolescents in Ethiopia.

CITATION EXPORT

Mubarek Abera, Abdulhalik Workicho, Melkamu Berhane et al.. A systematic review and meta-analysis of adolescent nutrition in Ethiopia: Transforming adolescent lives through nutrition (TALENT) initiative. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0280784

AUTHORS

11 · 4 CENTRES

Mubarek Abera, Abdulhalik Workicho, Melkamu Berhane, Desta Hiko, Rahma Ali, Beakal Zinab, Abraham Haileamlak, Caroline Fall, Chiranjivi Adhikari, Chiranjivi Adhikari, Chiranjivi Adhikari

1 Faculty of Medical Sciences, Institute of Health, Jimma University, Jimma, Ethiopia
2 Faculty of Public Health, Institute of Health, Jimma University, Jimma, Ethiopia
3 Medical Research Council (MRC) Lifecourse Epidemiology Centre, Southampton General Hospital, University of Southampton, Southampton, United Kingdom
Pokhara University, NEPAL

EDITOR / REVIEWER

Chiranjivi Adhikari