Interventions to Improve Adolescent Nutrition: A Systematic Review and Meta-Analysis

Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till December 2014 to ascertain the effectiveness of interventions to improve adolescent nutrition. We found one existing systematic review on interven...

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Published in:Journal of adolescent health Vol. 59; no. 4; pp. S29 - S39
Main Authors: Salam, Rehana A., Hooda, Mehar, Das, Jai K., Arshad, Ahmed, Lassi, Zohra S., Middleton, Philippa, Bhutta, Zulfiqar A.
Format: Journal Article
Language:English
Published: United States Elsevier Inc 01.10.2016
Elsevier
Subjects:
Adolescent nutrition
Micronutrient supplementation
Pediatrics
Preconception nutrition
Pregnant adolescents
Review
Pregnant adolescents
Preconception nutrition
Micronutrient supplementation
Adolescent nutrition
ISSN:1054-139X, 1879-1972, 1879-1972
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Abstract Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till December 2014 to ascertain the effectiveness of interventions to improve adolescent nutrition. We found one existing systematic review on interventions to prevent obesity which we updated and conducted de novo reviews for micronutrient supplementation and nutrition interventions for pregnant adolescents. Our review findings suggest that micronutrient supplementation among adolescents (predominantly females) can significantly decrease anemia prevalence (relative risk [RR]: .69; 95% confidence interval [CI]: .62–.76) while interventions to improve nutritional status among “pregnant adolescents” showed statistically significant improved birth weight (standard mean difference: .25; 95% CI: .08–.41), decreased low birth weight (RR: .70; 95% CI: .57–.84), and preterm birth (RR: .73; 95% CI: .57–.95). Interventions to promote nutrition and prevent obesity had a marginal impact on reducing body mass index (standard mean difference: −.08; 95% CI: −.17 to .01). However, these findings should be interpreted with caution due to significant statistical heterogeneity.
AbstractList Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till December 2014 to ascertain the effectiveness of interventions to improve adolescent nutrition. We found one existing systematic review on interventions to prevent obesity which we updated and conducted de novo reviews for micronutrient supplementation and nutrition interventions for pregnant adolescents. Our review findings suggest that micronutrient supplementation among adolescents (predominantly females) can significantly decrease anemia prevalence (relative risk [RR]: .69; 95% confidence interval [CI]: .62–.76) while interventions to improve nutritional status among “pregnant adolescents” showed statistically significant improved birth weight (standard mean difference: .25; 95% CI: .08–.41), decreased low birth weight (RR: .70; 95% CI: .57–.84), and preterm birth (RR: .73; 95% CI: .57–.95). Interventions to promote nutrition and prevent obesity had a marginal impact on reducing body mass index (standard mean difference: −.08; 95% CI: −.17 to .01). However, these findings should be interpreted with caution due to significant statistical heterogeneity.
Abstract Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till December 2014 to ascertain the effectiveness of interventions to improve adolescent nutrition. We found one existing systematic review on interventions to prevent obesity which we updated and conducted de novo reviews for micronutrient supplementation and nutrition interventions for pregnant adolescents. Our review findings suggest that micronutrient supplementation among adolescents (predominantly females) can significantly decrease anemia prevalence (relative risk [RR]: .69; 95% confidence interval [CI]: .62–.76) while interventions to improve nutritional status among “pregnant adolescents” showed statistically significant improved birth weight (standard mean difference: .25; 95% CI: .08–.41), decreased low birth weight (RR: .70; 95% CI: .57–.84), and preterm birth (RR: .73; 95% CI: .57–.95). Interventions to promote nutrition and prevent obesity had a marginal impact on reducing body mass index (standard mean difference: −.08; 95% CI: −.17 to .01). However, these findings should be interpreted with caution due to significant statistical heterogeneity.
Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till December 2014 to ascertain the effectiveness of interventions to improve adolescent nutrition. We found one existing systematic review on interventions to prevent obesity which we updated and conducted de novo reviews for micronutrient supplementation and nutrition interventions for pregnant adolescents. Our review findings suggest that micronutrient supplementation among adolescents (predominantly females) can significantly decrease anemia prevalence (relative risk [RR]: .69; 95% confidence interval [CI]: .62-.76) while interventions to improve nutritional status among "pregnant adolescents" showed statistically significant improved birth weight (standard mean difference: .25; 95% CI: .08-.41), decreased low birth weight (RR: .70; 95% CI: .57-.84), and preterm birth (RR: .73; 95% CI: .57-.95). Interventions to promote nutrition and prevent obesity had a marginal impact on reducing body mass index (standard mean difference: -.08; 95% CI: -.17 to .01). However, these findings should be interpreted with caution due to significant statistical heterogeneity.Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till December 2014 to ascertain the effectiveness of interventions to improve adolescent nutrition. We found one existing systematic review on interventions to prevent obesity which we updated and conducted de novo reviews for micronutrient supplementation and nutrition interventions for pregnant adolescents. Our review findings suggest that micronutrient supplementation among adolescents (predominantly females) can significantly decrease anemia prevalence (relative risk [RR]: .69; 95% confidence interval [CI]: .62-.76) while interventions to improve nutritional status among "pregnant adolescents" showed statistically significant improved birth weight (standard mean difference: .25; 95% CI: .08-.41), decreased low birth weight (RR: .70; 95% CI: .57-.84), and preterm birth (RR: .73; 95% CI: .57-.95). Interventions to promote nutrition and prevent obesity had a marginal impact on reducing body mass index (standard mean difference: -.08; 95% CI: -.17 to .01). However, these findings should be interpreted with caution due to significant statistical heterogeneity.
Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till December 2014 to ascertain the effectiveness of interventions to improve adolescent nutrition. We found one existing systematic review on interventions to prevent obesity which we updated and conducted de novo reviews for micronutrient supplementation and nutrition interventions for pregnant adolescents. Our review findings suggest that micronutrient supplementation among adolescents (predominantly females) can significantly decrease anemia prevalence (relative risk [RR]: .69; 95% confidence interval [CI]: .62-.76) while interventions to improve nutritional status among "pregnant adolescents" showed statistically significant improved birth weight (standard mean difference: .25; 95% CI: .08-.41), decreased low birth weight (RR: .70; 95% CI: .57-.84), and preterm birth (RR: .73; 95% CI: .57-.95). Interventions to promote nutrition and prevent obesity had a marginal impact on reducing body mass index (standard mean difference: -.08; 95% CI: -.17 to .01). However, these findings should be interpreted with caution due to significant statistical heterogeneity.
Author Salam, Rehana A.
Arshad, Ahmed
Das, Jai K.
Hooda, Mehar
Lassi, Zohra S.
Middleton, Philippa
Bhutta, Zulfiqar A.
AuthorAffiliation e Center of Excellence in Women and Child Health, The Aga Khan University, Karachi, Pakistan
d Centre for Global Child Health, The Hospital for Sick Children, Toronto, Canada
c South Australian Health and Medical Research Institute and The University of Adelaide, Adelaide, Australia
a Division of Women and Child Health, Aga Khan University, Karachi, Pakistan
b Robinson Research Institute, University of Adelaide, Adelaide, Australia
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– name: d Centre for Global Child Health, The Hospital for Sick Children, Toronto, Canada
– name: c South Australian Health and Medical Research Institute and The University of Adelaide, Adelaide, Australia
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  givenname: Rehana A.
  surname: Salam
  fullname: Salam, Rehana A.
  organization: Division of Women and Child Health, Aga Khan University, Karachi, Pakistan
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  givenname: Mehar
  surname: Hooda
  fullname: Hooda, Mehar
  organization: Division of Women and Child Health, Aga Khan University, Karachi, Pakistan
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  organization: Division of Women and Child Health, Aga Khan University, Karachi, Pakistan
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  givenname: Ahmed
  surname: Arshad
  fullname: Arshad, Ahmed
  organization: Division of Women and Child Health, Aga Khan University, Karachi, Pakistan
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  givenname: Zohra S.
  surname: Lassi
  fullname: Lassi, Zohra S.
  organization: Robinson Research Institute, University of Adelaide, Adelaide, Australia
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  surname: Bhutta
  fullname: Bhutta, Zulfiqar A.
  email: zulfiqar.bhutta@sickkids.ca
  organization: Centre for Global Child Health, The Hospital for Sick Children, Toronto, Canada
BackLink https://www.ncbi.nlm.nih.gov/pubmed/27664593$$D View this record in MEDLINE/PubMed
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ContentType Journal Article
Copyright 2016 Society for Adolescent Health and Medicine
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Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
2016 Society of Adolescent Health and Medicine. All rights reserved. 2016 Society for Adolescent Health and Medicine
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Issue 4
Keywords Pregnant adolescents
Preconception nutrition
Micronutrient supplementation
Adolescent nutrition
Language English
License This is an open access article under the CC BY license.
Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.
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PublicationDateYYYYMMDD 2016-10-01
PublicationDate_xml – month: 10
  year: 2016
  text: 2016-10-01
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PublicationTitle Journal of adolescent health
PublicationTitleAlternate J Adolesc Health
PublicationYear 2016
Publisher Elsevier Inc
Elsevier
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Snippet Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies till...
Abstract Adequate adolescent nutrition is an important step for optimal growth and development. In this article, we systematically reviewed published studies...
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SubjectTerms Adolescent nutrition
Micronutrient supplementation
Pediatrics
Preconception nutrition
Pregnant adolescents
Review
Title Interventions to Improve Adolescent Nutrition: A Systematic Review and Meta-Analysis
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