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This study aims to explore dietary diversity (DD) and nutritional status of adolescents among rural farm households in Southwestern Nigeria. It analyses whether higher commercialization levels of farm households translate to better nutrition.

This study was conducted in Ogun and Oyo States of Southwestern Nigeria, using primary data from 352 farm households with a total of 160 adolescent members. The individual version of dietary diversity score (DDS) of nine food groups was used to calculate adolescent DDS over a 24-h recall period. World Health Organization AnthroPlus software was used in analyzing adolescents’ anthropometric data (height-for-age z-score and body mass index-for-age z-score) while household crop commercialization index (CCI) was estimated for each farm household. Separate logit models were used to examine the drivers of adolescents’ DD and malnutrition.

The study findings indicated that 100% of the adolescents consumed starchy staples while 0%, 3.1% and 12.5% consumed organ meat, milk/milk products and eggs, respectively. Results revealed that 74.1% and 21.2% of boys were stunted and thin while the prevalence in adolescent girls was 50.7% and 9.3%, respectively. Prevalence of stunting was found to be very high (60%–83%) in all the four CCI levels’ households indicating that belonging to highly commercialized households (CCI 3–4) may not necessarily translate to better nutrition of adolescent members. Food expenditure (p < 0.01) and access to piped water (p < 0.01) negatively influenced adolescents’ stunting mainly because of lower expenditure on food items and lower percent of household having access to piped water, respectively, while education (p < 0.01) had positive effects on adolescents’ DD.

Previous studies have contributed to the body of knowledge concerning the link between agricultural commercialization and nutrition using under-five children of the households. However, to the best of the authors’ knowledge, this is the first study that investigated the influence of CCI on DDS and nutritional status of adolescent members of farm households in Nigeria. This study fills this existing knowledge gap in investigating adolescents’ DD and malnutrition among smallholder farm households.

This study aims to formulate multiple nutritionally improved snacks intended for school-aged children according to international nutritional goals: Vanilla cookies (VC), Bay biscuits (BB), Cheese crackers (CC) and Tomato muffins (TM).

The reformulation targets implied incorporating alternative flours and milk powder and reducing the sugar and sodium contents, with respect to the usually consumed control products. These products were subjected to proximate composition, colour and sensory profile analyses. Their overall acceptability was assessed by school-aged children whose nutritional status was also evaluated.

Significant increments in relevant nutrients were observed in the composition of snacks: fibre (p = 0.01 for VC, p < 0.01 for BB and CC), proteins (p < 0.01 for all snacks) and calcium (p < 0.01 for all snacks). Average sodium reductions of 1.5% and 3.7% were achieved for CC and TM. During formulation, added sugar was reduced by 15.5% and 23.5% for VC and BB. All snacks were found to be acceptable in terms of appearance, texture, flavour and overall acceptability by the participants, and VC, BB and CC were ready for their effective implementation as part of school meals.

Comprehensive policies have become necessary to combat malnutrition, mainly overweight and obesity. The incorporation of nutritionally improved snacks in school environments is one of several strategies for promoting healthier lifestyles among children, including educational programs, workshops and food assistance.

Frequent consumption of sugar-sweetened beverages (SSB) not only contribute to the incidence of dental caries but also a substantial risk for metabolic syndrome, obesity, type 2 diabetes mellitus, cardiovascular diseases and arthritis. Therefore, this study aims to compare the ready-to-drink SSB (RTD-SSB) consumption frequency, choice and sugar intake across gender and body weight status.

This cross-sectional study involved 126 adolescents from two primary schools in Shah Alam, Selangor. Adolescents aged between 9-11 years old were enrolled using convenience sampling method. A semi-structured questionnaire was administered to assess socio-demographic and RTD-SSB consumption of the adolescents. The RTD-SSB consumption was assessed with 2-day 24-hour dietary recalls (single weekend and single weekday recalls), whereas body weight and height were assessed using TANITA weighing scale and stadiometer, respectively. Data were analysed using SPSS version 26.0, while BMI-for-age (BAZ) z-score was determined using the World Health Organization (WHO) AnthroPlus software version 1.0.4.

The mean age of 126 adolescents was 10.82 ± 0.93 years old. The frequency of SSB consumption was 1.77 ± 1.25 times/day, whereas the average daily sugar intake was 6.3 teaspoons (26.61 ± 22.18 g) from RTD-SSBs. Flavoured milk emerged as the most frequent consumed beverage among adolescents, regardless of gender and weight status. No association was observed between the RTD-SSB consumption frequency and weight status (χ² = 0.953, p > 0.05) as well as sugar intake and weight status (χ² = 1.202, p > 0.05). Emerging findings demonstrated that the RTD-SSB consumption frequency, choice and sugar intake were similar across gender and weight status.

This was the first study that compares RTD-SSB consumption frequency, choice and sugar intake across gender and different body weight status.

This paper aims to describe food insecurity status, food consumption patterns of households and nutritional status of families residing along the baobab belt in Kitui and Kilifi counties of Kenya. It also explores associations between these and household socio-demographic characteristics.

A cross-sectional study design was performed with a sample of 216 caregiver/child pairs interviewed. Tablet-based semi-structured questions were used to obtain information on socio-demographic characteristics of children (6-13 years) and caregivers. Food insecurity status was assessed using the household food insecurity experience scale. Information on food consumption was obtained from qualitative 24-h recall as a basis for calculating a household dietary diversity score. Data were also obtained from a non-quantitative food frequency questionnaire. Anthropometric measurements of children and caregivers’ height and weight were taken to assess their nutritional status. Data were analyzed using Statistical Package for Social Science version 24 and WHO AnthroPlus 1.0.4.

The majority (98.2 per cent) of the households were food insecurity despite 81.5 and 57.4 per cent in Kitui and Kilifi counties, respectively, owning baobab trees. About 32.1 per cent of the households had poor dietary diversity scores (< 4). The prevalence of stunting (28.6 per cent), wasting (11.6 per cent) and underweight (25 per cent) rates among children were high. A significant association was observed between the children stunting rates with their age (p = 0.027), and also with household’s food security status (p < 0.001). Of the caregivers, 14.8 per cent were underweight, 18.1 per cent were overweight and 8.8 per cent were obese. There was significant association between the nutrition status of the caregivers and gender of the children (p < 0.001) and also with stunting rates of children (p = 0.047).

The study provides data on the current food security status and food consumption patterns of households and nutritional status of families residing along the baobab belt in Kenya which are mostly areas of marginal agricultural potential. The findings indicate a need for appropriate dietary improvements.

This study aimed to determine the relationship between calorie and macronutrients intake and the growth status of Aboriginal children based on gender and age group.

This was a cross-sectional study participated by 85 school-aged Aboriginal children at Labu, Negeri Sembilan. The dietary intake and socioeconomic status data were collected from the parents using an interviewer administrated structured-questionnaire and 24-hour dietary recall. WHO AnthroPlus software was used to determine the z-score of weight for age (WAZ), height for age (HAZ) and body mass index (BMI) for age (BAZ).

The mean fat intake was significantly higher among younger children (i.e. 7–9 years old) as compared to elder children (i.e. 10–12 years old) (40.7 ± 17.3 g vs 32.0 ± 13.8 g; t = 2.496, p = 0.015) but not for the mean intake of calorie (1816.1 ± 979.9 kcal vs 1566.3 ± 808.7 kcal; t = 1.248, p = 0.216), protein (50.13 ± 20.08 g vs 44.94 ± 16.45 g; t = 1.269, p = 0.208) and carbohydrates (198.0 ± 63.0 g vs 190.8 ± 66.1 g; t = 0.513, p = 0.609). The majority of the respondents did not meet recommended nutrient intake (RNI) for the calorie (65.9%) and fat (75.3%). A significantly higher proportion of elder children did not meet RNI for fat as compared to younger children (88.8% vs 65.3%; X² = 6.21, p = 0.021). The HAZ showed that 28.2% (n = 24) of the Aboriginal children were stunted, while WAZ showed that 14.8% (n = 9) of the Aboriginal students were underweight, and 8.2% of them were overweight. Based on BAZ classification, 15.4% (n = 6) of boys and 2.2% (n = 1) of girls were overweight. There is no significant correlation between calories and macronutrients and growth status of the children.

Although the under-nutrition status among Aboriginal children is still a highlighted issue, the few over-nutrition statuses among Aborigines should be taken into count, especially in term of energy and macronutrient intake.

Adolescents are a vulnerable age group in the human life cycle for the development of anemia. Despite limited health infrastructures, there are limited studies in the pastoral community of the Afar region. Thus, this study aims to assess anemia and associated factors among adolescent school girls in the Aysaita district, the pastoral community of the Afar region, Ethiopia.

An institution-based cross-sectional study was conducted among 522 randomly selected adolescent girls in the Aysaita district. A pretested structured questionnaire was used to collect data, and a systematic random sampling technique was used using school registration rosters. Hemoglobin was measured using a complete blood count machine from the vein blood sample. Anthropometric measurements were done to assess the nutritional status of adolescents. Descriptive logistic regression analysis was used to summarize the results and identify the factors associated with anemia.

In this study, the prevalence of anemia among adolescent school girls was 109 (21.7%) [95% CI: (18.1%, 25.3%)]. School adolescent girls from rural residence [adjusted odds ratio (AOR) = 3.42, 95% CI (1.97, 5.94)], who had a minimum dietary diversity score less than 4 [AOR = 3.4, 95% CI (2.1, 5.42)] and menstrual duration 5 and above days [AOR = 2.34, 95% CI (1.36, 4.01)] were associated with increased odds of anemia.

This is original manuscript. Not submitted and published elsewhere.

Identifying and addressing poor nutritional status in school-aged children is often not prioritized relative to HIV/AIDS treatment. The purpose of this paper is to elucidate the benefits of integrating nutrition (assessment and culturally acceptable food supplement intervention) in the treatment strategy for this target group.

The authors conducted a randomized, double blind pre-/post-intervention trial with 201 HIV-positive children (six to 15 years) in Botswana. Eligibility included CD4 cell counts < 700/mm3 (a marker for the severity of HIV infection), documented treatment with antiretroviral (ARV) drugs, and no reported evidence of taking supplemental food products with one or more added nutrients in the six-month period prior to the study. The intervention (12 months) consisted of two food supplements for ethical reason, one with a higher protein content, bean (bean-sorghum based) group (n=97) and a cereal (sorghum) group (n=104) both of which contained added energy- and micro- nutrients. Anthropometric and biochemical nutritional status indicators (stunting, wasting, underweight, skinfolds for fat and muscle protein reserves, and hemoglobin levels) were compared within and between the bean and the cereal groups pre- and post-intervention separately for children six to nine years and ten to 15 years.

Older children (ten to 15 years) fared worse overall compared to those who were younger (six to nine years) children in anthropometric and protein status indicators both at baseline and post-intervention. Among children six to nine years, the mid arm circumference and blood hemoglobin levels improved significantly in both the bean and cereal groups (p < 0.01 and p < 0.05, respectively). Although the BMI for age z-score and the triceps skinfold decreased significantly in the bean group, the post-intervention subscapular skinfold (fat stores) was significantly higher for the bean group compared to the cereal group (p < 0.05). Among children ten to 15 years, both the bean and the cereal groups also showed improvement in mid arm circumference (p < 0.001), but only those in the bean group showed improvement in hemoglobin (p < 0.01) post-intervention.

Similar significant nutritional status findings and trends were found for both food interventions and age within group pre- vs post-comparisons, except hemoglobin in the older children. Post-intervention hemoglobin levels for the type food supplement was higher for the “bean” vs the “cereal” food in the younger age group. The fact that all children, but especially those who were older were in poor nutritional status supports the need for nutrition intervention in conjunction with ARV treatment in children with HIV/AIDS, perhaps using a scaled up future approach to enhance desired outcomes.

The purpose of this paper is to determine the relationship between parental child feeding practices with growth status of Orang Asli (OA) children in Negeri Sembilan.

This is a cross-sectional study conducted amongst 190 OA children aged 4–6 years studying at Tabika KEMAS OA in Negeri Sembilan. Mothers were interviewed to obtain socio-demographic information while feeding practices were assessed using Malay version of Comprehensive Feeding Practices Questionnaire (CFPQ-M). Growth status of the children were determined using WHO ANTHRO Plus software. Three indicators of growth status assessed were weight-for-age (WAZ), height-for-age (HAZ) and body mass index (BMI)-for-age (BAZ) z-scores.

The mean score for feeding practices used by the mothers while feeding their child showed that most of the mothers practiced modelling (3.71 ± 0.82), encouraging balance and variety (3.52 ± 0.76) and environment (3.66 ± 0.66) while the practice of restriction to weight (1.85 ± 0.79) and emotional regulation (2.20 ± 0.96) were low. Most of the OA children had normal WAZ (70.0%), HAZ (71.1%) and BAZ (84.2%). Amongst the three indicators of growth status, BAZ was used to study the relationship with feeding practices. The use of feeding practices such as pressure (r = −0.34, p < 0.01), food as a reward (r = −0.23, p=<0.01), child control (r = −0.18, p = 0.01) and restriction to weight (r = 0.19, p = 0.01) were associated with BAZ.

This study only focussed on OA children of Temuan and Semelai sub-ethnics studying at kindergarten specific for OA children, thus findings could not be generalised to the entire OA population in Malaysia.

There is a need to address the OA population as they continue to be amongst the most disadvantaged population often affected with poor health and social outcomes.

In this study, a wide range of scales in that represents different feeding practices in CFPQ-M was assessed instead of focussing on limited type of feeding practices. Thus, a better understanding was observed regarding the healthy and unhealthy feeding practices. The result of this study could be useful to update the existing literature of OA research, and to plan suitable interventions with regards to feeding practices and growth status of the children, especially amongst this vulnerable community.

The purpose of this study was to evaluate the screen time used by Autism Spectrum Disorder (ASD) children and its association with their physical activity and weight status.

This cross-sectional study was conducted among 100 purposive sampled children registered under the National Autism Society of Malaysia centres in Kuala Lumpur. Parents-administered questionnaire composed of socio-demographic, anthropometric data (height and weight of the children), Autism Severity Questionnaire, Screen Time Questionnaire and Physical Activity Questionnaire for Older Children (PAQ-C) was used in this study.

Respondents in this study were categorised as having mild ASD (55%). Most of the respondents had higher screen time (78%), with average (4.14 ± 3.19) h spent using the devices. The respondents had low physical activity level (54%), with average PAQ-C scores of (2.38 ± 0.79). Average BMI-for-age z-scores was 1.06 ± 2.15, which was in the normal category. Approximately, 34% of the respondents were overweight and obese. BMI-for-age was positively associated with screen time during weekdays (χ² = 11.06; p < 0.05) but not during weekend (χ² = 3.14; p > 0.05). Spearman correlation test showed negative relationships between screen time on weekdays (rs = −0.30 and p < 0.01) and weekend (rs = −0.21 and p < 0.05) with PAQ-C of this group of ASD children.

Screen time was directly associated with the BMI-for-age z-score but was inversely associated with physical activity. Future studies could implement a structured physical activity intervention among children with ASD, which may increase physical activity and decrease screen time behaviours while addressing the overweight/obesity and cognitive aspects of these ASD children.

This study measured the amount of screen time, level of physical activity and weight status but not dietary intake of autistic children.

The purpose of this study was to identify the predictors of child undernutrition and anemia among children 6–24 months old in the East Mamprusi district, Northern region, Ghana.

This cross-sectional study recruited 153 children and their mothers. Weight, height and hemoglobin levels of the children were measured. A structured questionnaire based on the World Health Organization's indicators for assessing infant and young child feeding practices was used to collect data on parents' socioeconomic status, household characteristics, hygiene and sanitation practices, mothers' knowledge on feeding practices such as child's meal frequency and dietary diversity and child morbidity within the past two weeks. Predictors of child nutritional status were determined using multinomial logistic regression analysis.

Underweight in the children was significantly predicted by maternal knowledge on protein foods (AOR = 0.045, p = 0.008), time of initiation of complementary feeding (AOR = 0.222, p = 0.032) and maternal age (AOR = 9.455, p = 0.017). Feeding child from separate bowls (AOR = 0.239, p = 0.005), minimum meal frequency per child's age (AOR = 0.189, p = 0.007) and time of initiation of complementary feeding (AOR = 0.144, p = 0.009) were significant determinants of stunting among the children. Exclusive breast feeding (AOR = 7.975, p = 0.012) and child's past morbidity (AOR = 0.014, p = 0.001) significantly contributed to anemia among the children.

This is a cross-sectional study and cannot establish causality. The small sample size also limits the generalizability of study findings. However, findings of the study highlight factors which could potentially influence the high rate of child undernutrition in the study setting.

This study identifies determinants of undernutrition in the East Mamprusi district, an underresourced area in Ghana. This information could inform the development/reformulation of locally sensitive key messages and targeted intervention strategies to curb the high levels of child undernutrition in the East Mamprusi district of Ghana.

This study identifies maternal care practices as key potential drivers of undernutrition in a low-resource setting known for high prevalence of child undernutrition. It suggests insight for large-scale studies on the predictors of child undernutrition in Northern Ghana and other resource-poor settings.