Effects of preventive nutrition interventions among adolescents on health and nutritional status in low- and middle-income countries: A systematic review.
Journal
Campbell systematic reviews
ISSN: 1891-1803
Titre abrégé: Campbell Syst Rev
Pays: United States
ID NLM: 9918227275506676
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
medline:
18
5
2020
pubmed:
18
5
2020
entrez:
3
5
2023
Statut:
epublish
Résumé
Malnutrition is one of the most common causes of morbidity and mortality among children and adolescents and is now considered to be one of the largest risk factors responsible for the global burden of diseases along with poor diet. The objective of this review was to assess the impact of preventive nutrition interventions (including nutrition education and counselling; micronutrient supplementation/fortification and macronutrient supplementation) to improve the health and nutritional status of adolescents aged 10-19 years in low- and middle-income countries (LMICs). The secondary objective of the review was to assess various contextual factors based on the World Health Organisation (WHO) health system building blocks framework that might potentially impact the effectiveness of these interventions for this age group. The search was conducted on Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE, CINAHL, PsycINFO, the WHO nutrition databases, CAB Global Health, Social Science Citation Index, Scopus, WHO Global Health Index, ADOLEC and EPPI until February 5, 2019. We searched Google Scholar along with key nutrition agencies database such as Nutrition International, the Global Alliance for Improved Nutrition, the World Food Programme and HarvestPlus to search for nonindexed, grey literature to locate relevant programme evaluations and any additional trials. All searches were performed without any restrictions on publication date, language or publication status. We included randomised controlled trials, quasiexperimental studies, controlled before-after studies and interrupted time series evaluating the effectiveness of preventive nutrition interventions among adolescents between 10 and 19 years of age from LMICs. Two review authors independently assessed trials for inclusion, assessed risk of bias and extracted data from included studies. Meta-analysis was conducted separately for each outcome and intervention. For dichotomous data, we reported risk ratios (RR) with 95% confidence intervals (CI). For continuous data, we reported the mean difference (MD) or standard mean difference (SMD) with 95% CI. This review summarises findings from a total of 10 studies from 15 papers including 10,802 participants. All the studies included in this review assessed the impact of micronutrient supplementation/fortification on health and nutritional status among adolescents in LMIC. We did not find any study assessing the impact of nutrition education and counselling or on macronutrient supplementation among adolescents. Micronutrient supplementation/fortification interventions included calcium/vitamin D supplementation/fortification, iron supplementation with or without folic acid, zinc supplementation and multiple micronutrient (MMN) fortification. The majority of the studies (eight out of 10 studies) included adolescent girls aged between 10 and 19 years of age. We did not find any large scale preventive nutrition intervention programmes targeting adolescents in LMICs. We are uncertain of the effect of iron supplementation with or without folic acid on anaemia (daily supplementation; RR: 1.04, 95% CI 0.88, 1.24; one study; 1,160 participants; low quality evidence. Weekly supplementation; RR: 1.07, 95% CI: 0.91, 1.26; one study; 1,247 participants; low quality evidence). We are uncertain of the effect of various micronutrient supplementation/fortification on body mass index (calcium/vitamin D supplementation; (MD: -0.01 kg/m There is limited evidence of micronutrient supplementation/fortification among adolescents on health and nutritional status in LMICs, with lack of evidence on nutrition education and counselling and macronutrient supplementation. The findings are generaliseable for adolescent girls since all studies (except one) targeted female adolescents.
Sections du résumé
Background
UNASSIGNED
Malnutrition is one of the most common causes of morbidity and mortality among children and adolescents and is now considered to be one of the largest risk factors responsible for the global burden of diseases along with poor diet.
Objectives
UNASSIGNED
The objective of this review was to assess the impact of preventive nutrition interventions (including nutrition education and counselling; micronutrient supplementation/fortification and macronutrient supplementation) to improve the health and nutritional status of adolescents aged 10-19 years in low- and middle-income countries (LMICs). The secondary objective of the review was to assess various contextual factors based on the World Health Organisation (WHO) health system building blocks framework that might potentially impact the effectiveness of these interventions for this age group.
Search Methods
UNASSIGNED
The search was conducted on Cochrane Controlled Trials Register (CENTRAL), MEDLINE, EMBASE, CINAHL, PsycINFO, the WHO nutrition databases, CAB Global Health, Social Science Citation Index, Scopus, WHO Global Health Index, ADOLEC and EPPI until February 5, 2019. We searched Google Scholar along with key nutrition agencies database such as Nutrition International, the Global Alliance for Improved Nutrition, the World Food Programme and HarvestPlus to search for nonindexed, grey literature to locate relevant programme evaluations and any additional trials. All searches were performed without any restrictions on publication date, language or publication status.
Selection Criteria
UNASSIGNED
We included randomised controlled trials, quasiexperimental studies, controlled before-after studies and interrupted time series evaluating the effectiveness of preventive nutrition interventions among adolescents between 10 and 19 years of age from LMICs.
Data Collection and Analysis
UNASSIGNED
Two review authors independently assessed trials for inclusion, assessed risk of bias and extracted data from included studies. Meta-analysis was conducted separately for each outcome and intervention. For dichotomous data, we reported risk ratios (RR) with 95% confidence intervals (CI). For continuous data, we reported the mean difference (MD) or standard mean difference (SMD) with 95% CI.
Main Results
UNASSIGNED
This review summarises findings from a total of 10 studies from 15 papers including 10,802 participants. All the studies included in this review assessed the impact of micronutrient supplementation/fortification on health and nutritional status among adolescents in LMIC. We did not find any study assessing the impact of nutrition education and counselling or on macronutrient supplementation among adolescents. Micronutrient supplementation/fortification interventions included calcium/vitamin D supplementation/fortification, iron supplementation with or without folic acid, zinc supplementation and multiple micronutrient (MMN) fortification. The majority of the studies (eight out of 10 studies) included adolescent girls aged between 10 and 19 years of age. We did not find any large scale preventive nutrition intervention programmes targeting adolescents in LMICs. We are uncertain of the effect of iron supplementation with or without folic acid on anaemia (daily supplementation; RR: 1.04, 95% CI 0.88, 1.24; one study; 1,160 participants; low quality evidence. Weekly supplementation; RR: 1.07, 95% CI: 0.91, 1.26; one study; 1,247 participants; low quality evidence). We are uncertain of the effect of various micronutrient supplementation/fortification on body mass index (calcium/vitamin D supplementation; (MD: -0.01 kg/m
Authors' Conclusions
UNASSIGNED
There is limited evidence of micronutrient supplementation/fortification among adolescents on health and nutritional status in LMICs, with lack of evidence on nutrition education and counselling and macronutrient supplementation. The findings are generaliseable for adolescent girls since all studies (except one) targeted female adolescents.
Identifiants
pubmed: 37131413
doi: 10.1002/cl2.1085
pii: CL21085
pmc: PMC8356321
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
e1085Informations de copyright
© 2020 The Authors. Campbell Systematic Reviews published by John Wiley & Sons Ltd on behalf of The Campbell Collaboration.
Déclaration de conflit d'intérêts
The authors declare that there are no conflict of interests.
Références
Lancet. 2016 Jun 11;387(10036):2423-78
pubmed: 27174304
Int J Vitam Nutr Res. 2000 Jul;70(4):172-7
pubmed: 10989766
Am J Clin Nutr. 2013 Jul;98(1):82-91
pubmed: 23719547
Indian Pediatr. 2009 Oct;46(10):849-54
pubmed: 19430082
Public Health Nutr. 2001 Feb;4(1A):131-9
pubmed: 11255503
Indian Pediatr. 2009 Feb;46(2):137-43
pubmed: 19242031
Pediatr Res. 2012 Jun;71(6):713-9
pubmed: 22337227
Am J Clin Nutr. 2008 Jun;87(6):1715-22
pubmed: 18541560
J Clin Epidemiol. 2011 Apr;64(4):401-6
pubmed: 21208779
Am J Clin Nutr. 2005 May;81(5):1168-75
pubmed: 15883444
Nutr Res Rev. 2009 Dec;22(2):220-43
pubmed: 19930787
Am J Clin Nutr. 1998 Oct;68(4):880-7
pubmed: 9771866
Lancet. 2012 Apr 28;379(9826):1630-40
pubmed: 22538178
Arch Pediatr Adolesc Med. 2002 Feb;156(2):131-5
pubmed: 11814373
Ann Behav Med. 2006 Jun;31(3):205-23
pubmed: 16700634
Food Nutr Bull. 2011 Mar;32(1 Suppl):S4-13
pubmed: 21717913
Nutrition. 2006 Jan;22(1 Suppl):S26-32
pubmed: 16426960
Ann N Y Acad Sci. 2017 Apr;1393(1):34-50
pubmed: 28436101
Nutrition. 2006 Jan;22(1 Suppl):S33-9
pubmed: 16426961
J Health Popul Nutr. 2008 Mar;26(1):74-8
pubmed: 18637530
Br J Nutr. 2014 Nov 14;112(9):1510-20
pubmed: 25231730
Expert Rev Neurother. 2009 Sep;9(9):1393-412
pubmed: 19769453
J Adolesc Health. 2016 Oct;59(4S):S29-S39
pubmed: 27664593
Bone. 2015 Dec;81:554-561
pubmed: 26362226
Indian J Med Res. 2009 Nov;130(5):584-9
pubmed: 20090111
J Bone Metab. 2014 Feb;21(1):21-8
pubmed: 24707464
Lancet. 2015 Dec 5;386(10010):2287-323
pubmed: 26364544
Trop Med Int Health. 2000 Nov;5(11):794-9
pubmed: 11123827
Southeast Asian J Trop Med Public Health. 2012 Jan;43(1):192-200
pubmed: 23082570
Am J Clin Nutr. 2006 Mar;83(3):714-21
pubmed: 16522922
PLoS Med. 2012;9(9):e1001314
pubmed: 23028264
Am J Clin Nutr. 2012 Nov;96(5):1042-50
pubmed: 22990031
Eur J Clin Nutr. 2008 Jul;62(7):856-65
pubmed: 17522609
Health Educ Res. 2001 Dec;16(6):647-60
pubmed: 11780705
Lancet. 2007 Aug 11;370(9586):511-20
pubmed: 17693180
Obstet Gynecol. 2006 Sep;108(3 Pt 1):565-71
pubmed: 16946216
Cell Biochem Funct. 2009 Apr;27(3):162-6
pubmed: 19277992
Matern Child Nutr. 2013 Sep;9 Suppl 2:1-5
pubmed: 24074314
Eur J Clin Nutr. 2013 Nov;67(11):1188-92
pubmed: 24022261
Am J Clin Nutr. 1999 Jun;69(6):1249-56
pubmed: 10357747
J Nutr. 2015 Jul;145(7):1515-23
pubmed: 26019245
J Adolesc Health. 2017 Oct;61(4):405-406
pubmed: 28941482
Nutrition. 2012 May;28(5):551-8
pubmed: 22129855
Food Nutr Bull. 2011 Dec;32(4):315-23
pubmed: 22590964
Nutrients. 2015 Oct 30;7(11):9005-17
pubmed: 26529011
Lancet Diabetes Endocrinol. 2015 Apr;3(4):286-95
pubmed: 25591468
Syst Rev. 2013 Aug 23;2:67
pubmed: 23971426
PLoS Med. 2005 Jan;2(1):e1
pubmed: 15696200
Int J Epidemiol. 2010 Apr;39 Suppl 1:i21-31
pubmed: 20348122
Asia Pac J Clin Nutr. 2010;19(4):465-72
pubmed: 21147706
Eat Behav. 2015 Aug;18:160-78
pubmed: 26112228
Eur J Clin Nutr. 2002 Jul;56(7):666-73
pubmed: 12080408
Cochrane Database Syst Rev. 2012 Jun 13;(6):CD005039
pubmed: 22696347
J Nutr Educ Behav. 2016 Oct;48(9):631-646.e1
pubmed: 27720105
J Clin Endocrinol Metab. 2005 Jun;90(6):3153-61
pubmed: 15755856
Am J Clin Nutr. 1997 Jul;66(1):177-83
pubmed: 9209187
J Clin Endocrinol Metab. 2005 Oct;90(10):5576-81
pubmed: 16076940
Am J Clin Nutr. 2008 Feb;87(2):455-62
pubmed: 18258639
Am J Clin Nutr. 2015 Dec;102(6):1585-94
pubmed: 26561626
Pediatr Int. 2016 Nov;58(11):1193-1199
pubmed: 27083763
Food Nutr Bull. 2009 Dec;30(4 Suppl):S488-95
pubmed: 20120790
Cochrane Database Syst Rev. 2017 Apr 13;4:CD004905
pubmed: 28407219
Food Nutr Bull. 2009 Mar;30(1 Suppl):S5-11
pubmed: 19472599
Am J Clin Nutr. 1997 May;65(5):1460-4
pubmed: 9129477
PLoS One. 2017 May 8;12(5):e0175237
pubmed: 28481882
Ann N Y Acad Sci. 2017 Apr;1393(1):3-20
pubmed: 28436100
Food Nutr Bull. 2002 Mar;23(1):57-64
pubmed: 11975370
J Nutr. 2010 Oct;140(10):1879-86
pubmed: 20702745
Am J Clin Nutr. 2000 Feb;71(2):544-9
pubmed: 10648270
Eur J Clin Nutr. 2004 Jun;58(6):927-37
pubmed: 15164114
Campbell Syst Rev. 2020 May 18;16(2):e1085
pubmed: 37131413
Ann Hum Biol. 2003 Mar-Apr;30(2):214-9
pubmed: 12637196
ISRN Hematol. 2012;2012:482153
pubmed: 22919508
J Bone Miner Res. 2006 Jun;21(6):836-44
pubmed: 16753014
Int J Food Sci Nutr. 2012 Dec;63(8):1014-20
pubmed: 22574624
J Sch Health. 2002 Mar;72(3):121-7
pubmed: 11962228
J Nutr. 2007 Sep;137(9):2147-53
pubmed: 17709456
Coll Antropol. 2012 Jun;36(2):573-9
pubmed: 22856247
Eur J Clin Nutr. 1997 Jan;51(1):38-45
pubmed: 9023466
Nutrition. 2006 Jan;22(1 Suppl):S8-14
pubmed: 16426962
Eur J Clin Nutr. 2006 Apr;60(4):545-52
pubmed: 16340950
Am J Clin Nutr. 2018 Aug 1;108(2):414-424
pubmed: 29947727
Nutrients. 2017 Jan 04;9(1):
pubmed: 28054964
Br J Nutr. 2004 Jul;92(1):159-68
pubmed: 15230999
Am J Clin Nutr. 2000 Jul;72(1 Suppl):280S-290S
pubmed: 10871594
Indian Pediatr. 2003 Apr;40(4):296-301
pubmed: 12736400
J Clin Endocrinol Metab. 2014 Sep;99(9):3169-76
pubmed: 24762110
Asia Pac J Clin Nutr. 2002;11(1):36-41
pubmed: 11890637
Am J Clin Nutr. 2005 Oct;82(4):829-35
pubmed: 16210713