scholarly journals School-based interventions targeting double burden of malnutrition and educational outcomes of adolescents in low- and middle-income countries: protocol for a systematic review

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Sachin Shinde ◽  
Dongqing Wang ◽  
Wafaie W Fawzi
Keyword(s):  
Systematic Review ◽  
Educational Outcomes ◽  
Multiple Forms ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Randomized Controlled ◽  
School Based ◽  
School Based Interventions ◽  
Double Burden Of Malnutrition

Abstract Background Adolescence is a period of rapid physical growth and transition between childhood to adulthood. However, in many developing countries, nutritional and epidemiological transitions are contributing to surging overnutrition, which, together with prevalent undernutrition, is resulting in the double burden of malnutrition (DBM) among adolescents. Schools as social systems have tremendous but mostly underutilized capacity to facilitate change and address a range of nutritional and associated educational concerns of adolescents and young people. The main objective of this systematic review will be to describe school-based interventions that address the multiple forms of malnutrition, and synthesize their effects on nutrition and educational outcomes among adolescents (10 − 19 − years − old) from low- and middle-income countries (LMICs). Methods Comprehensive literature searches will be conducted in multiple electronic databases, including Medline (through PubMed), Embase, CENTRAL (through Cochrane Library), CINAHL, and Google Scholar. We will include randomized controlled trials (RCTs), non-RCTs including controlled before-after studies, examining the effects of nutrition interventions on nutrition and educational outcomes among adolescents in LMICs. Two reviewers will independently screen all citations and full-text articles and abstract data. The quality of the included studies will be assessed with the Cochrane Collaboration’s revised tool for assessing the risk of bias for RCTs and the Risk Of Bias In Non-randomized Studies of Interventions tool for controlled before-after studies and non-randomized controlled trials. Discussion To maximize the power of schools as a platform to reinforce the mutually beneficial relationship between adolescent nutrition and education, it is imperative to develop and implement integrated interventions connecting schools, adolescents, parents, communities, and the health care system. The results of this systematic review may provide a comprehensive state of current knowledge on the effectiveness of school-based interventions to enable future research that maximizes the impact and efficiency of integrated approaches to tackle multiple forms of malnutrition among school-going and out-of-school adolescents. Systematic review registration PROSPERO ID: CRD42020211109

School-Based Interventions Targeting Double Burden of Malnutrition and Educational Outcomes of Adolescents in Low- and Middle-Income Countries: Protocol for a Systematic Review

2020 ◽  
Author(s):  
Sachin Shinde ◽  
Dongqing Wang ◽  
Wafaie W Fawzi
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Educational Outcomes ◽  
Controlled Trials ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Randomized Controlled ◽  
School Based ◽  
School Based Interventions

Abstract BackgroundAdolescence is a period of rapid physical growth and transition between childhood to adulthood. However, in many developing countries, nutritional and epidemiological transitions are contributing to surging overnutrition, which, together with prevalent undernutrition, is resulting in the double burden of malnutrition (DBM) among adolescents. Schools as social systems have tremendous but mostly underutilized capacity to facilitate change and address a range of nutritional and associated educational concerns of adolescents and young people. The main objective of this systematic review will be to synthesize the evidence on school-based nutrition interventions that aimed to address the DBM, and the associated educational outcomes among adolescents from low- and middle-income countries (LMICs).MethodsComprehensive literature searches will be conducted in multiple electronic databases, including the Medline (through PubMed), Embase, CENTRAL (through Cochrane Library), CINAHL, and Google Scholar. We will include randomized controlled trials (RCTs), controlled before-after studies, and non-randomized controlled trials examining the effects of nutrition interventions on DBM and educational outcomes among adolescents (10−19−years−old) in LMICs. Two reviewers will independently screen all citations and full-text articles and abstract data. The quality of the included studies will be assessed with the Cochrane Collaboration’s tool for assessing the risk of bias for RCTs and the Risk Of Bias In Non-randomized Studies of Interventions tool for controlled before-after studies and non-randomized controlled trials. DiscussionTo maximize the power of schools as a platform to reinforce the mutually beneficial relationship between adolescent nutrition and education, it is imperative to develop and implement integrated interventions connecting schools, adolescents, parents, communities, and the health care system. The results of this systematic review will provide a comprehensive state of current knowledge on the effectiveness of school-based interventions to enable future research that maximizes the impact and efficiency of integrated approaches to tackle multiple forms of malnutrition among school-going and out-of-school adolescents.Systematic review registrationPROSPERO ID: 211109 (under review)

scholarly journals The double burden of malnutrition among adolescents: analysis of data from the Global School-Based Student Health and Health Behavior in School-Aged Children surveys in 57 low- and middle-income countries

2018 ◽  
Vol 108 (2) ◽  
pp. 414-424 ◽  
Author(s):  
Rishi Caleyachetty ◽  
G N Thomas ◽  
Andre P Kengne ◽  
Justin B Echouffo-Tcheugui ◽  
Samantha Schilsky ◽  
...  
Keyword(s):  
Health Behavior ◽  
Contextual Factors ◽  
Student Health ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
School Aged Children ◽  
School Based ◽  
Double Burden Of Malnutrition ◽  
Overweight Or Obesity

ABSTRACT Background Adults and young children in countries experiencing the nutrition transition are known to be affected simultaneously by undernutrition and overnutrition. Adolescence is a critical period for growth and development. Yet, it is unknown to what extent this double burden of malnutrition affects adolescents in low- and middle-income countries (LMICs) and the macrolevel contextual factors associated with the double burden of malnutrition. Objective The aim was to quantify the magnitude of the double burden of malnutrition among adolescents and to examine the potential sources of heterogeneity in prevalence estimates across LMICs. Design We used individual-participant data from the Global School-Based Student Health and Health Behavior in School-Aged Children surveys conducted in 57 LMICs between 2003 and 2013, comprising 129,276 adolescents aged 12–15 y. Pooled estimates of stunting, thinness, or both; overweight or obesity; and concurrent stunting and overweight or obesity were calculated overall, by regions, and stratified by sex, with random-effects meta-analysis. Guided by UNICEF's conceptual framework for child malnutrition, we used ecological linear regression models to examine the association between macrolevel contextual factors (internal conflict, lack of democracy, gross domestic product, food insecurity, urbanization, and survey year) and stunting, thinness, and overweight and obesity prevalence, respectively. Results The prevalence of stunting was 10.2% (95% CI: 8.3%, 12.2%) and of thinness was 5.5% (95% CI: 4.3%, 6.9%). The prevalence of overweight or obesity was 21.4% (95% CI: 18.6%, 24.2%). Between 38.4% and 58.7% of the variance in adolescent malnutrition was explained by macrolevel contextual factors. The prevalence of concurrent stunting and overweight or obesity was 2.0% (95% CI: 1.7%, 2.5%). Conclusions The double burden of malnutrition among adolescents in LMICs is common. Context-sensitive implementation and scale-up of interventions and policies for the double burden of malnutrition are needed to achieve the Sustainable Development Goal to end malnutrition in all of its forms by 2030. This trial was registered at clinicaltrials.gov as NCT03346473.

Effectiveness of School-based Interventions for Preventing Tobacco Smoking Initiation Among Young People in Low-and-middle-income Countries: a Systematic Review Protocol.

2021 ◽  
Author(s):  
Divine Darlington Logo ◽  
Yeetey Enuameh ◽  
George Adjei ◽  
Arti Singh ◽  
Emmanuel Nakua ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Tobacco Smoking ◽  
Smoking Initiation ◽  
Tobacco Prevention ◽  
Middle Income ◽  
Middle Income Countries ◽  
School Based ◽  
School Based Interventions ◽  
Low And Middle Income

Abstract Background: In-school young people in Low- and Middle-Income Countries (LMICs) are more likely to initiate tobacco use, sustain its use, and are at a higher risk of tobacco related-harms compared to their counterparts in High-Income Countries. Synthesized evidence however on the effectiveness of school-based tobacco prevention interventions for preventing tobacco initiation among young people in LMICs are not documented. We aim to evaluate the effectiveness of school-based interventions compared to non-intervention school programmes in preventing tobacco smoking initiation among young people in LMICs, including Ghana.Methods: The JBI methodology for systematic reviews of effectiveness will guide the conduct of this review. A comprehensive strategic search will be developed to retrieve both published and unpublished studies. Studies published in the English language from the year 2000 will be considered for the review. The processes of study selection, critical appraisal, data extraction, and data synthesis will be in accordance with the JBI approach for reviews of effectiveness. The primary outcome for the review will be the non-initiation of tobacco smoking by the youth. Discussion: We anticipate providing synthesized evidence on the effectiveness of school-based smoking initiation prevention among young people in LMICs. The findings could also support policymakers in regulating and implementing smoke-free laws.Systematic review registration: PROSPERO CRD42021246206

scholarly journals EXAMINING THE DOUBLE BURDEN OF MALNUTRITION FOR PRESCHOOL CHILDREN AND WOMEN OF REPRODUCTIVE AGE IN LOW- AND MIDDLE-INCOME COUNTRIES: A SCOPING REVIEW PROTOCOL

2021 ◽  
Author(s):  
Jason Mulimba Were ◽  
SAVERIO STRANGES ◽  
Ishor Sharma ◽  
Juan-Camilo Vargas-Gonzalez ◽  
M. Karen Campbell
Keyword(s):  
Preschool Children ◽  
Scoping Review ◽  
Reproductive Age ◽  
World Health ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Double Burden Of Malnutrition ◽  
Low And Middle Income

Introduction: The majority of the populations in Low-and Middle-Income Countries (LMICs) are encountering the double burden of malnutrition (DBM): the coexistence of both undernutrition and overnutrition sequalae. With DBM being a new phenomenon in research, little is known about its etiology, operational definitions and risk factors influencing its manifestation. The proposed scoping review is aimed at mapping literature with regards to the DBM phenomenon among preschool children and women of reproductive age in LMICs who are among the most high-risk groups to encounter DBM. Methods: A comprehensive literature search will be conducted in the following electronic databases: MEDLINE, EMBASE, Scopus, CINAHL, LILACS and ProQuest Dissertations & Thesis Global. Additionally, searches in other government and institutional sources (World Health Organization website and university repositories) and forward and backward citation tracking of seminal articles will also be done. Two reviewers will independently conduct title and abstract screening and full text screening. Similarly, data extraction and coding will independently be done by two reviewers. Information extracted from included literature will be analysed qualitatively using thematic analysis approach and reported as per the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Ethics and Dissemination: Ethical approval is not required for this study because the review is based on literature from publicly available sources. The dissemination of our findings will be done through presentations in relevant conferences and publication in a peer-reviewed journal.

scholarly journals School Based Sex Education and HIV Prevention in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis

PLoS ONE ◽  
2014 ◽  
Vol 9 (3) ◽  
pp. e89692 ◽  
Author(s):  
Virginia A. Fonner ◽  
Kevin S. Armstrong ◽  
Caitlin E. Kennedy ◽  
Kevin R. O'Reilly ◽  
Michael D. Sweat
Keyword(s):  
Systematic Review ◽  
Hiv Prevention ◽  
Sex Education ◽  
Meta Analysis ◽  
Middle Income ◽  
Middle Income Countries ◽  
School Based ◽  
Low And Middle Income
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