Evidence map›Paper›PMID 30558128›Full record

SynthesisNutrients2018

The Dietary Intake and Practices of Adolescent Girls in Low- and Middle-Income Countries: A Systematic Review.

Emily C Keats, Aviva I Rappaport, Shailja Shah, Christina Oh, Reena Jain, Zulfiqar A Bhutta

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  19. How Are Adolescents Participating in the Transformation of Healthy Food Environments? A Scoping Review of Empirical Research.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emily C KeatsPeter Gilgan Centre for Research and Learning, Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada. emily.keats@sickkids.ca.ORCID 0000-0002-1354-7086
Aviva I RappaportPeter Gilgan Centre for Research and Learning, Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada. rappaportaviva@gmail.com.
Shailja ShahPeter Gilgan Centre for Research and Learning, Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada. shailja.shah@sickkids.ca.
Christina OhPeter Gilgan Centre for Research and Learning, Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada. christina.oh@sickkids.ca.
Reena JainPeter Gilgan Centre for Research and Learning, Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada. reena.jain@sickkids.ca.
Zulfiqar A BhuttaPeter Gilgan Centre for Research and Learning, Centre for Global Child Health, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada. zulfiqar.bhutta@sickkids.ca.

Funding

United States Agency for International Development AID-OAA-A-11-00031
6 · The paper itself

Abstract

In many low- and middle-income countries (LMICs) the double burden of malnutrition is high among adolescent girls, leading to poor health outcomes for the adolescent herself and sustained intergenerational effects. This underpins the importance of adequate dietary intake during this period of rapid biological development. The aim of this systematic review was to summarize the current dietary intake and practices among adolescent girls (10⁻19 years) in LMICs. We searched relevant databases and grey literature using MeSH terms and keywords. After applying specified inclusion and exclusion criteria, 227 articles were selected for data extraction, synthesis, and quality assessment. Of the included studies, 59% were conducted in urban populations, 78% in school settings, and dietary measures and indicators were inconsistent. Mean energy intake was lower in rural settings (1621 ± 312 kcal/day) compared to urban settings (1906 ± 507 kcal/day). Self-reported daily consumption of nutritious foods was low; on average, 16% of girls consumed dairy, 46% consumed meats, 44% consumed fruits, and 37% consumed vegetables. In contrast, energy-dense and nutrient-poor foods, like sweet snacks, salty snacks, fast foods, and sugar-sweetened beverages, were consumed four to six times per week by an average of 63%, 78%, 23%, and 49% of adolescent girls, respectively. 40% of adolescent girls reported skipping breakfast. Along with highlighting the poor dietary habits of adolescent girls in LMIC, this review emphasizes the need for consistently measured and standardized indicators, and dietary intake data that are nationally representative.

Indexed as

Developing CountriesFeeding BehaviorAdolescentChildDietFemaleHumansMalnutritionPovertyadolescent girlsdeveloping countriesdietdietary practicesenergy intakenutrition transition

Identifiers

PMID30558128
PMCPMC6315365

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.