Menu ENN Search

Adolescent nutrition in Ethiopia: A systematic review and meta-analysis

View this article as a pdf

Lisez cet article en français ici

This is a summary of the following paper: Abera M, Workicho A, Berhane M et al (2023) A systematic review and meta-analysis of adolescent nutrition in Ethiopia: Transforming adolescent lives through nutrition (TALENT) initiative. PLOS ONE, 18, 4, e0280784. https://pubmed.ncbi.nlm.nih.gov/37022989/

 

Ethiopia, like many low- and middle-income countries, has undergone rapid economic growth over the last two decades that could influence the diets and nutrition of young people. With concurrent urbanisation and lifestyle transformations, overweight and obesity are emerging as significant problems among the adolescent population, alongside persisting undernutrition in large sections of the population. Although nutritional interventions are growing rapidly in Ethiopia, most of these are targeted to young children, as well as pregnant and lactating women, leaving adolescents a relatively neglected group. This work reviewed studies on adolescent nutrition to inform future interventions and guide policies and programmes for this age group.

The authors performed a systematic search for studies published in English on the prevalence of and interventions for malnutrition in adolescents aged 10–19 years in Ethiopia between 2000 and 2020. The results were checked for quality and rated as low, medium, and high using the Joanna Bridge Institute quality assessment checklists for observational and interventional studies. Seventy-eight studies were eligible for inclusion in the meta-analysis. These documented nutrition outcomes 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%. The prevalence of anaemia ranged from 9% to 33%. Approximately 40% to 52% of adolescents had iodine deficiency and associated risk of goitre. Frequent micronutrient deficiencies were vitamin D (42%), zinc (38%), folate (15%), and vitamin A (6.3%). About 80% and 60% of adolescents from rural and urban settings respectively were found to have low dietary diversity. 

The review showed that undernutrition (stunting, thinness, and micronutrient deficiencies) was more prevalent than overweight. The prevalence of thinness and stunting was higher among boys and rural adolescents, whereas overweight and obesity were higher among girls and urban adolescents. The review also revealed that adolescent food insecurity and low dietary diversity were common. Consequently, a large proportion of adolescents had one or more micronutrient deficiency.

The authors concluded that the adolescent population in Ethiopia faced multiple micronutrient deficiencies and a double burden of malnutrition, although undernutrition was predominant. The magnitude of nutritional problems varied by gender and setting, which calls for context-relevant interventions to effectively improve the nutrition and health of adolescents in Ethiopia.

“Although the prevalence of overweight is low compared to that of undernutrition, it appears that problems of overnutrition were emerging before Ethiopia has dealt with the burden of undernutrition.”

More like this

FEX: School-age children and adolescent nutrition status in South Asia: A scoping review

This is a summary of the following paper: Choedon T, Brennan E, Joe W et al (2023) Nutritional status of school-age children 5-19 years in South Asia: A scoping review....

FEX: Adolescent nutrition mapping study: A global stakeholder survey of policies, research, interventions and data gaps

View this article as a pdf Summary of research1 Nutrition in school-aged children and adolescents can significantly impact lifelong health and wellbeing as well as the...

Resource: Adolescent nutrition mapping study: A global stakeholder survey of policies, research, interventions and data gaps

Executive summary Nutrition in school-aged children and adolescents can significantly impact lifelong health and wellbeing as well as national economic growth and the health...

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

Abstract 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...

FEX: Diet and nutrition status among school-age children and adolescents in Tanzania

View this article as a pdf By Sauli John, Geofrey Mchau, Heavenlight Ayubu, Stanslaus Mafung'a, Samafilan Ainan, Wiggins Kyatikila, Elizabeth Lyimo, Frank Chacky, Fatoumata...

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

Abstract Objective: To summarise available evidence on the nutritional status of school-age children and adolescents (5-19 years) from seven global regions and on...

FEX: Anthropometric assessment of nutritional status in school-aged children and adolescents

View this article as a pdf Lisez cet article en français ici By Natasha Lelijveld Natasha Lelijveld is a senior nutritionist at ENN. She has previously worked in...

FEX: Dietary intake and practices of adolescent girls in low and middle-income countries: A systematic review

View this article as a pdf This is a summary of the following paper: Keats, E.C., Rappaport, A.I., Shah, S., Oh, C., Jain, R. & Bhutta, Z.A. (2018). The Dietary Intake and...

Resource: Women's nutrition: A summary of evidence, policy and practice including adolescent and maternal life stages

Please scroll down for links to download the Executive Summary (also available in French) and full report Lisez cet document d'information technique en français ici...

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

View this article as a pdf This is a summary of the following paper: Lelijveld N, Wrottesley S, Aburmishan D et al (2023) Research priorities for nutrition of school-aged...

FEX: The triple burden of malnutrition among adolescents in Indonesia

View this article as a pdf Rah, JH, Melse-Boonstra, A, Agustina, R, van Zutphen, KG and Kraemer, K (2021) The triple burden of malnutrition among adolescents in Indonesia....

FEX: Early is best but it is not always too late. Young Lives evidence on nutrition and growth in Ethiopia, India, Peru and Vietnam

View this article as a pdf Summary of report Location: Ethiopia, India, Peru and Vietnam What this article is about: Anthropometric data, taken from 12,000 children across...

FEX: Use of anthropometry in school-aged children and adolescents

This is a summary of a Field Exchange research summary that was included in issue 66. The original article was authored by Natasha Lelijveld Natasha Lelijveld is a Senior...

FEX: Improving maternal nutrition in South Asia: Implications for child wasting prevention efforts

View this article as a pdf Lisez cet article en français ici By Zivai Murira and Harriet Torlesse Zivai Murira is Nutrition Specialist at United Nations Children's...

NEX: Filling the Nutrient Gap in Pakistan: Insights to address malnutrition

Dr Aliahmad Khan is a nutritionist with the World Food Programme Pakistan Country Office in Islamabad. Muhammad Aslam Shaheen is Chief of Nutrition and SUN Focal Point in...

FEX: Systems approach to prevent all forms of malnutrition among children 5-19 years

View this article as a pdf By Deepika Sharma and Vilma Tyler Deepika Sharma is a Nutrition Specialist and the focal point for the nutrition of children in school-age and...

FEX: Double Burden of obesity and malnutrition in Western Sahara refugees

Summary of published research1 There is growing recognition of a ‘double burden’ of malnutrition among populations in both affluent and less-affluent countries, i.e. the...

FEX: The link between foetal and childhood nutrition and adult non-communicable disease: lessons from birth cohort studies in India

View this article as a pdf Research summary1 Location: India What we know: Non-communicable diseases (NCDs) are rising in prevalence globally and they particularly affect...

FEX: Risk of nutritional deficiencies increases during female adolescence – a comparison of the cost of a nutritious diet across sex and age

View this article as a pdf By Zuzanna Turowska, Janosch Klemm, Nora Hobbs and Saskia de Pee Zuzanna Turowska is a Food Systems Analyst in the Nutrition Division of the World...

FEX: Linking agriculture with nutrition within SDG2: making a case for a dietary diversity indicator

By Anna Lartey Anna Lartey is Director of FAO's Nutrition Division within the Economic and Social Development Department at FAO in Rome. She was a Professor of Nutrition at...

Close

Reference this page

Adolescent nutrition in Ethiopia: A systematic review and meta-analysis. Field Exchange 71, December 2023. p29. www.ennonline.net/fex/71/adolescent-nutrition-in-ethiopia-a-systematic-review-and-meta-analysis

(ENN_7752)

Close

Download to a citation manager

The below files can be imported into your preferred reference management tool, most tools will allow you to manually import the RIS file. Endnote may required a specific filter file to be used.