Adolescent Nutrition Research Articles

Influence of Inflammatory State on the Need to Customize Parenteral Nutrition in Adolescents

Background/Objectives: Parenteral nutrition (PN) can be standardized or customized according to a patient’s individual needs, including clinical, metabolic, nutritional, and inflammatory conditions. The influence of inflammation on the indication of standard or customized PN for adolescents hospitalized in a quaternary hospital in the southeastern of Brazil was evaluated. Methods: A historical cohort study of 61 adolescents admitted to the hospital was conducted. Nutritional, clinical, and biochemical data from the first 7 days of PN use were analyzed. Elevated serum mineral and triglyceride levels, as well as renal or liver failure (grade III or IV), were considered unequivocal reasons for PN customization, while restoring energy-protein adequacy and low serum mineral levels were considered questionable reasons. Inflammatory status was analyzed during the study period. Results: A total of 128 PN solutions were prescribed, comprising 55 standardized and 73 customized. Overall, 40/61 patients required customized PN. The main reason for customization was to restore energy-protein adequacy (n = 48), while 24.7% (n = 18) of individualizations were for unequivocal reasons. Restoring energy-protein adequacy in the first 48 h was shown to have contributed to high transthyretin, which reduced the need for additional customized PN (r = −0.544; p = 0.044). A positive correlation was found between the total number of PN readjustments and C-Reactive Protein levels (r = 0.509; p = 0.044). Conclusions: Conditions such as malnutrition or an inflammatory state in adolescents presenting metabolic changes are indications for the use of customized PN.

Adolescent nutrition program that is integrated and gender responsive through nutritional actions in the context of support government realize gold generation

Children's health age schools and teenagers moment was determine the degrees generation nation in the future. We need prepare them to become a source power of quality human beings, such as through education health in order to increase their capability to avoid theirselves from possible problems​ impact. Indonesian teenagers experience three burden nutrition which classified as short (25%), thin (8%), overweight body weight (15%) or obesity and about 10% of male teenagers and 23% of female teenagers were suffering from anemia. Teenager is half from source Power man for the future and a huge asset For growth economic and social especially teenager daughter who prone to suffer from anemia due to lost blood at the moment menstruation. Female teenagers who suffer from anemia are at risk experienced anemia at the time pregnant and will impact negative to growth and development fetus in content as well as potential give rise to complications pregnancy and childbirth, even cause death to mother and child. Anemia in children ages 5-14 years amounting to 26.8% and aged 15-24 years by 32%. Activity implementation action program dedicated to implement some programs, such as hemoglobin examination in students, strengthen supplementation of iron substance, and acid folate weekly or Fe table for female teenager, education multi-sectoral nutrition, and sharing and drinking with added tablets blood. Activity This need done monitoring and evaluation the extent of the effectiveness of this program in frame prevent occurrence of anemia in adolescents.

How does community health feature in Global Financing Facility planning documents to support reproductive, maternal, newborn, child and adolescent health and nutrition (RMNAH-N)? insights from six francophone West African countries

ABSTRACT Background Community health is key for improving Reproductive, Maternal, Newborn, Child, and Adolescent Health and Nutrition (RMNCAH-N). However, how community health supports integrated RMNCAH-N service delivery in francophone West Africa is under-researched. Objective We examined how six francophone West African countries (Burkina Faso, Côte d’Ivoire, Guinea, Mali, Niger, and Senegal) support community health through the Global Financing Facility for Women, Children and Adolescents (GFF). Methods We conducted a content analysis on Investment Cases and Project Appraisal Documents from selected countries, and set out the scope of the analysis and the key search terms. We applied an iterative hybrid inductive-deductive approach to identify themes for data coding and extraction. The extracted data were compared within and across countries and further grouped into meaningful categories. Results In country documents, there is a commitment to community health, with significant attention paid to various cadres of community health workers (CHWs) who undertake a range of preventive, promotive and curative roles across RMNCAH-N spectrum. While CHWs renumeration is mentioned, it varies considerably. Most community health indicators focus on CHWs’ deliverables, with few related to governance and civil registration. Challenges in implementing community health include poor leadership and governance and resource shortages resulting in low CHWs performance and service utilization. While some countries invest significantly in training CHWs, structural reforms and broader community engagement are lacking. Conclusions There is an opportunity to better prioritize and streamline community health interventions, including integrating them into health system planning and budgeting, to fully harness their potential to improve RMNCAH-N.

Nutrition and Glycemic Control in Children and Adolescents with Type 1 Diabetes Mellitus Attending Diabetes Camps.

Background/Objectives: Diabetes camps for children and adolescents with Type 1 Diabetes mellitus (T1DM) offer the opportunity to have a camping experience in a safe and supportive environment where they can receive diabetes skills education, such as glucose self-monitoring, insulin injections, management of hypoglycemia/hyperglycemia, and nutritional recommendations, including meal planning and carbohydrate counting. The ultimate goal of diabetes camps is to educate children to manage their condition independently, without parental involvement. Additionally, attending a diabetes camp is an excellent opportunity to meet peers and share their experiences and concerns about their condition, enhancing their confidence and reducing diabetes-related emotional distress. The aim of this review was to assess whether the nutritional planning and education offered at diabetes camps has a favorable effect on the glycemic control of attending children and adolescents. Methods: A literature search in PubMed and Scopus databases was performed. Eligible for inclusion were studies evaluating the effect of nutritional education offered in diabetes camps on glycemic control of children and adolescents with T1DM. Results: The majority of identified eligible studies supported the beneficial impact of the nutritional education offered in diabetes camps on glycemic control during and after the camp sessions. The favorable effect, though, seemed to be temporarily sustained (<6 months). Conclusions: Continuous nutritional education is required to prolong the duration of these beneficial outcomes. Further interventional studies are required to evaluate the direct effect of nutritional education provided at diabetes camps on glycemic control of children and adolescents with T1DM and the actual duration of favorable outcomes.

Secular trends in underweight, overweight, and physical fitness of girls and boys aged 16–18 in eastern Poland from 2006 to 2016–2021

Introduction: Significant changes in the nutrition and physical fitness of children and adolescents have been observed in many countries around the world. The purpose of this study is to determine the changes in the prevalence of underweight, normal BMI, and overweight, as well as in the physical fitness of girls and boys from eastern Poland. Materials and methods: The study was conducted over the years 2006–2021. BMI was calculated, and physical fitness was assessed using the EUROFIT test. The results were statistically analyzed. Results: Minor changes in underweight were observed, and even a re-duction in its prevalence among girls was noted. However, a significant increase in the frequency of overweight was identified. Meanwhile, a decrease in the level of physical fitness in both girls and boys was recorded. These changes, however, were not uniform across all fitness abilities. Conclusions: The systematic decline in physical fitness among the examined girls and boys, particularly in cardiovascular-respiratory endurance, underscores the necessity for continued regular monitoring of the health of children and adolescents.

The Effect of Multi-Strategy Nutrition Education Programs on Hedonic Hunger and Nutrition Status in Adolescents.

Objective: Increasing the awareness of adolescents about hedonic hunger, understanding the difference between homeostatic hunger and hedonic hunger, and adolescents learning to control themselves to stop excessive food consumption are extremely important for a healthy adulthood. The study aimed to evaluate the effects of the multi-strategy nutrition education programs (MSNEP) on hedonic hunger, food addiction, nutrition literacy, and nutritional status in adolescents. Methods: This study was planned using a pre-test and post-test design. The MSNEP was conducted with 132 adolescents (11-15 years; 69 boys, 63 girls) for 4 weeks (45 min-1 h/session). Data were obtained using questionnaires with face-to-face interviews at pre-education (baseline) and post-education (week 4 and week 8). The survey form included sociodemographic information, nine item short version of Children's Power of Food Scale (C-PFS-9), the Yale Food Addiction Scale for Children 2.0 (YFAS-C 2.0), the Adolescent Nutrition Literacy Scale (ANLS), anthropometric measurements, and 24-hour dietary recall. Results: A decrease in C-PFS-9 total scores was found compared to the baseline (p < 0.001). While the YFAS-C 2.0 score decreased in boys compared to the baseline (p < 0.05), no significant difference was found in girls (p > 0.05). A difference was found in the ANLS scores for girls (p = 0.01), but no difference was found in the scores for boys during the study (p > 0.05). At week 4, the consumption of dairy products, legumes, vegetables and fruits, bread and grains, nuts, and hard-shelled seeds increased compared to the baseline (p < 0.05). Also, daily protein and fiber intake increased (p < 0.05). Accordingly, a higher YFAS-C 2.0 score predicted greater hedonic hunger. A lower ANLS score was a predictor for higher food taste and food available scores. Conclusions: In conclusion, the MSNEP was found to have positive effects on hedonic hunger, food addiction, nutritional literacy, and healthy eating behaviors. The study revealed differences between girls and boys. In order to maintain healthy body weights in adolescents, it is recommended that the MSNEP be provided in schools.

Health enhancing behaviors in early adolescence: an investigation of nutrition, sleep, physical activity, mindfulness and social connectedness and their association with psychological distress and wellbeing.

Nutrition, sleep and physical activity are termed the "big three" health enhancing behaviors (HEB) associated with psychological distress and wellbeing. This study sought to understand differential associations between an expanded group of HEB (nutrition, sleep, physical activity, mindfulness, social connectedness) and psychological distress/wellbeing in early adolescents. Correlational and regression analyses were conducted in N=103 (51% females) adolescents (12.6 ± 0.3 years of age) recruited from the Longitudinal Adolescent Brain Study. Higher scores on sleep, social connectedness and mindfulness scales were significantly associated with lower psychological distress scores. While higher scores on social connectedness and mindfulness scales were significantly associated with higher wellbeing scores. When adjusting for sex, nutrition, sleep, social connectedness and mindfulness accounted for a significant proportion of variance in the psychological distress model whereas physical activity and social connectedness accounted for a significant proportion of the variance in the wellbeing model. Overall findings make a strong case for expansion of the "big three" HEB to include mindfulness and social connectedness, especially given social connectedness emerged as the strongest predictor of both psychological distress and wellbeing. In addition, this research suggests that early adolescent nutrition, sleep quality, and mindfulness should be prioritized in efforts to reduce risk of difficulties, and physical activity prioritized as a protective factor for wellbeing in this population. Findings have implications for interventions, emphasizing the importance of addressing HEB factors comprehensively and tailoring strategies to the unique needs of early adolescents to foster positive mental health outcomes.

Nutrition for adolescents, then and now

Nutrition for adolescents, then and now

A Systematic Review on the Impact of Plant-Based Milk Consumption on Growth and Nutrition in Children and Adolescents

BackgroundChildren are increasingly consuming plant-based milks, yet the impact on their growth and nutrition is unclear. ObjectiveThis systematic review aimed to summarize the available evidence on the impact of plant-based milk consumption on growth and nutrition in children and adolescents. MethodsMEDLINE, Embase (Excerpta Medica Database), EBM Reviews – Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews, Cumulative Index to Nursing and Allied Health Literature, Child Development and Adolescent Studies, and Scopus were comprehensively searched from 2000 to 2024 to identify studies evaluating the growth and nutritional effects of plant-based milk consumption in children aged 1–18 y. Two reviewers independently screened full-text articles, assessed their quality, and extracted data. ResultsA total of 6 studies were identified: 3 cross-sectional studies, 1 prospective cohort study, and 2 clinical trials (total n = 15,815). Observational studies found that consumption of plant-based milk was associated with lower childhood body mass index (BMI), height, and serum vitamin D concentrations compared with cow milk. No association was found between soy milk consumption and BMI in adolescent girls. Low-quality clinical trials showed minimal effects on growth, and 1 study found that adolescent girls with low calcium intake who consumed fortified soy milk had higher bone density compared with those who did not consume soy milk. ConclusionsAvailable evidence suggests that children who consume plant-based milk may have lower BMI, height, and micronutrient intake compared with those who consume cow milk, whereas fortified soy milk may support bone health in adolescents who do not drink cow milk. Longitudinal studies and randomized controlled trials are needed to determine whether these associations persist over time, differ between children and adolescents or among those who consume soy milk, and to understand the potential underlying mechanisms.This trial was registered at PROSPERO as CRD42022367269.

Development of Stunting Prevention Education Videos through Balanced Nutrition Arrangements for Adolescents

Stunting in children contributes to adolescent nutrition problems because adolescent nutrition affects the health quality of the next generation. Adolescent malnutrition, such as iron and protein deficiencies, impacts reproductive health and increases the risk of giving birth to stunted children. Therefore, it is important to carry out adolescent nutritional interventions to prevent stunting as early as possible. This research aims to produce educational videos that are feasible and effective in increasing knowledge about stunting and balanced nutrition with the target group of adolescents. This research is a Development Research using the ADDIE (Analysis, Design, Development, Implementation, Evaluation) development model. The data analysis applied a one-to-one test and a small-group test. The one-to-one test obtained a percentage of 89% indicating that the video design is in a good category with revision. The small-group test reached 92% indicating that it is categorized as very good but some suggestions for improvement are recommended. The suggested revision is not fundamental because it is only related to the selection of vocabulary to be understood better by the target. Another recommendation is the background musical illustrations that possibly distract the targets’ attention. After some improvements, it is recommended that this educational video be disseminated through social media platforms such as WhatsApp Group or Instagram so that more teenagers can access it.

Skrining Status Gizi Remaja Putri dalam Upaya Peningkatan Kesehatan Remaja

Adolescents are a group aged 10-18 years who need various nutrients. Adolescents need more nutrients, because it is a transition period from childhood to adulthood. Assessment and monitoring of adolescent nutritional status needs to be done to prevent nutritional and health problems in adulthood. This community service was carried out on 11 female adolescents who were willing to undergo nutritional status screening. The activities to be carried out include measuring hemoglobin (Hb) levels, measuring upper arm circumference (LiLA), and providing education about adolescent nutrition. The results of the activity obtained an increase in participant knowledge about nutritional status after being given education, there were 2 participants who had anemia with Hb examination results &lt;12g/dL and there were 3 participants who had LiLa &lt;23.5 cm. Participants already understand and are able to perform Hb examinations using the Easy Touch GCHb tool and LiLA measurements.

THE IMPACT OF SOCIOECONOMIC FACTORS ON NUTRITIONAL KNOWLEDGE AND DIETARY PRACTICES AMONG SCHOOL-GOING ADOLESCENTS

Objectives: This study investigates the impact of socioeconomic factors on nutritional knowledge and dietary practices among school-going adolescents in rural areas of Jodhpur, Rajasthan. The primary objectives were to assess the relationship between socioeconomic status and adolescents' nutritional knowledge and dietary practices, and to identify barriers to adopting healthy dietary practices in the context of socioeconomic disparities. Methods: A cross-sectional survey was conducted, encompassing data from 385 adolescents, with variables such as family income, parental education, and access to nutritional resources being analyzed. Results: The results revealed significant correlations between higher socioeconomic status and better nutritional knowledge and dietary practices. Adolescents from wealthier families and those with more educated parents demonstrated superior understanding and adherence to healthy dietary guidelines, while those from lower socioeconomic backgrounds exhibited gaps in knowledge and poorer dietary habits. Additionally, the study highlighted the presence of nutritional health issues, including both underweight and overweight adolescents, indicating a dual burden of malnutrition in the region. Conclusion: The conclusion emphasizes the need for targeted public health interventions that address the socioeconomic disparities influencing adolescent nutrition. Such interventions should include enhanced nutritional education, improved access to affordable nutritious foods, and culturally sensitive programs that respect local dietary practices while promoting balanced nutrition. The findings underscore the critical role of socioeconomic factors in shaping adolescents' nutritional behaviors and call for multi-faceted approaches to improve nutritional outcomes in rural communities. KEYWORDS: Nutrition knowledge, Dietary practices, Adolescent Nutrition, Public Health, Nutritional Education

Individual and Environmental Determinants of the Consumption of Iron-Rich Foods among Senegalese Adolescent Girls: A Behavioural Model

To improve adolescent nutrition, it is crucial to understand factors underlying food behaviours. This study aims to identify pathways by which the environment and individual factors interact to affect the consumption of iron-rich food (IRF) among Senegalese adolescent girls in the hopes to reduce anemia. This is a cross-sectional study conducted among 600 adolescent girls (10–19 years old) of all 14 regions of Senegal. IRF consumption in the past day and night was evaluated using a food frequency questionnaire. Individual determinants, such as the attitude, the subjected norm, and the perceived behaviour control (PBC), and environmental determinants, such as food accessibility and price, were assessed using a validated and reliable questionnaire. Path analyses were conducted to examine relations between IRF consumption and individual and environmental variables. Overall, 83.7% of girls had the intention to eat IRF and 84.7% reported doing so. The PBC (β = 0.20, p &lt; 0.01) and the attitude (β = 0.57, p &lt; 0.01) predict the intention of consuming IRF daily. In turn, the environment predicts the attitude (β = −0.22, p &lt; 0.01) and the PBC (β = 0.26, p &lt; 0.01). The intention was a predictor of the IRF consumption (β = 0.16, p &lt; 0.05). This research provides guidance to nutrition education programmes as well as to improve the food environment to facilitate the consumption of IRF among adolescent girls by inspiring community health initiatives based on empirical data.

The Impact of Dietary Intake and Nutritional Status on Birth Outcomes Among Pregnant Adolescents: A Systematic Review

Birth outcomes have been linked to the overall maternal general health including nutrition as well as maternal age during pregnancy. Compared to adults, delivery outcomes during adolescence are poor. Nutrient intake and nutrition status during adolescent pregnancy may be linked to birth outcomes. This review aims to identify the association between dietary intake and nutrition status of pregnant adolescents and their maternofetal outcomes. Literature search on nutrient intake and nutritional status of pregnant adolescents (aged 11-19 years) which identified 17 English papers from 1995 to 2019 was reviewed. Papers that did not include data on birth outcomes in relation to nutrient intake or nutritional status were excluded. The review showed that most micronutrients with the exception of Riboflavin, vitamins B12 and C were below the recommended levels whilst macronutrients levels were above the recommended levels. Energy intakes were also below the recommended levels. Most studies presented normal hemoglobin levels in the first trimester of pregnancy but these levels decreased as pregnancy progressed to the third trimester leading to a high prevalence of anemia. Well-regulated provision and intake of micronutrient supplementation and nutrition education to improve healthy eating habits will significantly reduce poor birth outcomes such as low birth weights (LBW), still births, preterm deliveries, small or large for gestational age (SGA and LGA) and intrauterine growth restrictions in pregnant adolescents. This review provides to a large extent evidence to support the importance of adolescent nutrition and birth outcomes. There is the need to implement policies to improve adolescent nutrition through a multisectoral approach.

School health and nutrition environments: A multicountry survey in five countries of sub-Saharan Africa region-Burkina Faso, Ethiopia, South Africa, Sudan, and Tanzania.

Schools are increasingly regarded as a key setting for promoting the health, well-being, and development of children and adolescents. In this multicountry cross-sectional survey, we describe the health, nutrition, and food environments of public primary schools in five urban settings in Africa region: Ouagadougou, Burkina Faso; Addis Ababa, Ethiopia; Durban; South Africa, Khartoum, Sudan; and, Dar es Salaam, Tanzania. We evaluated the school health and nutrition (SHN) environments in three main areas: (1) the availability of health-related policies, guidelines, and school curricula, (2) the provision of health, nutrition, and water, sanitation, and hygiene (WASH)services in schools, and (3) the school food environments and eating habits of adolescents. We used stratified random sampling to recruit 79 schools from five countries. Trained fieldworkers collected standardized questionnaire data from 79 school administrators, 765 food vendors, and 4999 in-school adolescents aged 10-15 years. In our study, 24 out of 79 school administrators were aware of their school's health-related policies and guidelines while 30 schools had a specific SHN curriculum. In general, health, nutrition, and WASH services were inadequate. Possibly due to a lack of school kitchens, 14.4% of students bought snacks and unhealthy foods from food vendors. Our study indicates that schools' food and nutrition environments are insufficient to improve adolescent health and nutrition in the African region, including limited coverage of SHN policies, suboptimal facilities and nutrition services, and unregulated food environments. Schools in sub-Saharan Africa need to improve their health and nutrition environments.

Food habits of Ukrainian adolescents with obesity

Introduction and objective: There is currently a significant increase in the prevalence of obesity among children worldwide. The aim of the study was to analyse the diet and eating habits of adolescents depending on the presence of obesity and demonstrate the impact of incorrect eating habits on lipid and mineral metabolism disorders. Materials and methods: The study involved 133 adolescents aged 12–17 years: 101 adolescents with obesity and 32 healthy children in the control group. The study plan provided for a combination of standard clinical and anamnestic evaluations, including a study of eating habits, and laboratory-instrumental research. Results: In adolescents with obesity, violations of the regularity of eating (p &lt; 0.001), as well as the habit of snacking on bakery products and sweets during the day (p &lt; 0.01) and late dinner (p &lt; 0.001) were significantly more common compared to the control group. Adolescents with obesity consumed sweets, bakery products, fast food products, chips, crackers significantly more often, and vegetables less frequently, compared to their peers in the control group, every day or several times a week (p &lt; 0.05). Adolescents with obesity had significantly lower levels of zinc and magnesium compared to the control group (p &lt; 0.05). Conclusions: The study revealed the problem of irrational and unbalanced nutrition in adolescents with obesity. The obtained data may become the basis for timely correction of the diet of obese adolescents, which will prevent the development of disorders of the gastrointestinal tract, and halt the progression of the underlying disease.

The Ghana School Food Environment Is Associated With Dietary Diversity and Anemia: Findings From the 2022 National Nutrition and Health Survey of In-School Adolescents

The Ghana School Food Environment Is Associated With Dietary Diversity and Anemia: Findings From the 2022 National Nutrition and Health Survey of In-School Adolescents

Form and functioning: contextualising the start of the Global Financing Facility policy processes in Burkina Faso

ABSTRACT Background Burkina Faso joined the Global Financing Facility for Women, Children and Adolescents (GFF) in 2017 to address persistent gaps in funding for reproductive, maternal, newborn, child, and adolescent health and nutrition (RMNCAH-N). Few empirical papers deal with how global funding mechanisms, and specifically GFF, support resource mobilisation for health nationally. Objective This study describes the policy processes of developing the GFF planning documents (the Investment Case and Project Appraisal Document) in Burkina Faso. Methods We conducted an exploratory qualitative policy analysis. Data collection included document review (N = 74) and in-depth semi-structured interviews (N = 23). Data were analysed based on the components of the health policy triangle. Results There was strong national political support to RMNCAH-N interventions, and the process of drawing up the investment case (IC) and the project appraisal document was inclusive and multi-sectoral. Despite high-level policy commitments, subsequent implementation of the World Bank project, including the GFF contribution, was perceived by respondents as challenging, even after the project restructuring process occurred. These challenges were due to ongoing policy fragmentation for RMNCAH-N, navigation of differing procedures and perspectives between stakeholders in the setting up of the work, overcoming misunderstandings about the nature of the GFF, and weak institutional anchoring of the IC. Insecurity and political instability also contributed to observed delays and difficulties in implementing the commitments agreed upon. To tackle these issues, transformational and distributive leaderships should be promoted and made effective. Conclusions Few studies have examined national policy processes linked to the GFF or other global health initiatives. This kind of research is needed to better understand the range of challenges in aligning donor and national priorities encountered across diverse health systems contexts. This study may stimulate others to ensure that the GFF and other global health initiatives respond to local needs and policy environments for better implementation.

Impact of weekly iron-folic acid supplementation on nutritional status and parasitic reinfection among school-age children and adolescents in Sub-Saharan Africa: a systematic review and meta-analysis.

Two significant etiological factors contributing to iron deficiency anemia, and undernutrition posing substantial public health challenges in Sub-Saharan Africa, are soil-transmitted helminths and malaria. This study carried out the effect of weekly iron-folic acid supplementation (WIFAS) on the nutrition and general health of school-age children and adolescents in Sub-Saharan Africa, a systematic review and meta-analysis have been conducted. To find pertinent publications for this study, a thorough search was carried out on May 20, 2023, across five databases: Pubmed (MEDLINE), Web of Science, Scopus, Cochrane Library, and Google Scholar. In addition, a search was conducted on August 23, 2023, to capture any new records. The inclusion criteria for the studies were based on school-age children and adolescent populations, randomized controlled trials, and investigations into the effects of WIFAS. The outcomes of interest were measured through anthropometric changes, malaria, and helminthic reinfection. A systematic review of 11 articles revealed that WIFAS significantly decreased the risk of schistosomiasis reinfection by 21% among adolescents (risk ratio = 0.79, 95%CI: 0.66, 0.97; heterogeneity I 2 = 0.00%, P = 0.02). However, no significant impact was observed on the risk of malaria reinfection (risk ratio = 1.02, 95%CI: 0.92, 1.13; heterogeneity I 2 = 0.00%, P = 0.67) or A. Lumbricoides reinfection (risk ratio = 0.95, 95%CI: 0.75, 1.19; heterogeneity I 2 = 0.00%, P = 0.65). Moreover, the analysis demonstrated that there is no significant effect of iron-folic acid supplementation in measured height and height for age Z-score (HAZ) of the school-age children (Hedge's g -0.05, 95%CI: -0.3, 0.2; test for heterogeneity I 2 = 0.00%, P = 0.7) and (Hedge's g 0.12, 95%CI: -0.13, 0.37; test for heterogeneity I 2 = 0.00%, P = 0.36) respectively. The effectiveness of WIFAS in reducing the risk of schistosomiasis reinfection in adolescents has been demonstrated to be greater than that of a placebo or no intervention. Additionally, the narrative synthesis of iron-folic acid supplementation has emerged as a potential public health intervention for promoting weight change. However, there was no significant association between WIFAS and Ascariasis, trichuriasis, and hookworm. Moreover, the certainty of the evidence for the effects of WIFAS on height and malaria is low and therefore inconclusive. Whereas, the certainty of the evidence for the effectiveness of WIFAS on Schistosomiasis is moderate. Even though the mechanisms need further research WIFAS may be implemented as part of a comprehensive public health strategy to address schistosomiasis in adolescents. https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023397898, PROSPERO (CRD42023397898).

Weekly iron-folic acid supplementation and its impact on children and adolescents iron status, mental health and school performance: a systematic review and meta-analysis in sub-Saharan Africa

ObjectiveThis systematic review and meta-analysis aimed to comprehensively assess the impact of weekly iron-folic acid supplementation (WIFAS) on the nutrition, health and educational outcomes of children and adolescents in sub-Saharan...