ArticlePloS one2019
Patterns and risk factors of double burden of malnutrition among adolescent girls and boys in Indonesia.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06515288 (The Effect of a School-based Nutrition Intervention to Promote Healthy Eating Behaviour Among Adolescents in Indonesia - a Cluster Randomized Pilot Study), which is not on this map. Cited by 21 papers.
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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.
The Effect of a School-based Nutrition Intervention to Promote Healthy Eating Behaviour Among Adolescents in Indonesia - a Cluster Randomized Pilot Study
Who cites it
21 citing papers in PubMed, 65 citations in OpenAlex.
- Double burden of malnutrition and its associated factors among adolescents aged (10-19) years in a rural district of Pakistan.PLOS global public health · 2026Article
- Nutritional status and associated factors among adolescents in Senegal: a nationwide cross-sectional study.BMJ open · 2025Article
- Burden and contributing factors to overweight and obesity in young adolescents in Addis Ababa, Ethiopia.Maternal & child nutrition · 2025Article
- BMI-z score trajectories of Indonesian children and adolescents between 1993 and 2014 and associated risk factors.Public health nutrition · 2025Article
- Socioeconomic inequality in undernutrition among late female adolescent in sub-Saharan African countries: a decomposition analysis.BMC public health · 2025Article
- Socioeconomic determinants of the double burden of malnutrition among women of reproductive age in sub-Saharan Africa: A cross-sectional study.Health science reports · 2024Article
- Determinants of Stunting in Young Women Age 13-15 Years in South Galesong District, Takalar Regency, Indonesia: a Cross-sectional Study.Acta medica Philippina · 2024Article
- SOCIAL MEDIA USE, KNOWLEDGE, AND ATTITUDES TOWARDS PEOPLE LIVING WITH HIV/AIDS AMONG HIGH SCHOOL STUDENTS IN AN INDONESIAN TOURISM REGION.African journal of infectious diseases · 2024Article
- Predictors of Acute and Chronic Undernutrition among 10-19 Year Olds using World Health Organization Growth References: A Cross-sectional Study from Central India.Nepal journal of epidemiology · 2024Article
- Behavioural and environmental risk factors associated with primary schoolchildren's overweight and obesity in urban Indonesia.Public health nutrition · 2023Article
- Foregone health care in adolescents from school and community settings in Indonesia: a cross-sectional study.The Lancet regional health. Southeast Asia · 2023Article
- Article
- Double burden of malnutrition and its associated factors among adolescents in Debre Berhan Regiopolitan City, Ethiopia: a multinomial regression model analysis.Frontiers in nutrition · 2023Article
- Nutritional Status and Associated Factors Among School Adolescent Girls in North Shoa Zone, Amhara Region, Ethiopia: A Cross-Sectional Study.Women's health reports (New Rochelle, N.Y.) · 2023Article
- The Study of Nutrient Intake and Adolescent Girls' Quality of Life in a Rural Area of Indonesia.Children (Basel, Switzerland) · 2022Article
- Evidence-Based Nutrition Interventions Improved Adolescents' Knowledge and Behaviors in Indonesia.Nutrients · 2022Article
- Burden and Predictors of Malnutrition Among Indian Adolescents (10-19 Years): Insights From Comprehensive National Nutrition Survey Data.Frontiers in public health · 2022Article
- Magnitude and Determinants of Under-Nutrition Among Late Adolescent Girls in East Africa: Evidence From Demographic and Health Surveys (2010-2016).Frontiers in nutrition · 2022Article
- Underweight, overweight, and tobacco use among adolescents aged 12-15 years: Evidence from 23 low-income and middle-income countries.Tobacco induced diseases · 2021Article
- Growth dynamics among adolescent girls in Bangladesh: Evidence from nationally representative data spanning 2011-2014.PloS one · 2021Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAs an emerging middle-income country, Indonesia is grappling with the double burden of malnutrition across all age groups, including adolescents. Slow gains in reducing undernutrition are compounded by rapidly increasing overnutrition. This study aims to determine the patterns and determinants of this double burden, particularly stunting, thinness and overweight, among adolescent girls and boys aged 12-18 years in Indonesia.
methodsA cross-sectional survey was conducted among 2,160 girls and boys in the districts of Klaten and Lombok Barat in 2017. Data were collected on adolescents' nutritional status, sociodemographic characteristics, morbidity, dietary intake and physical activity and other relevant factors. Multivariable logistic regression models using generalized estimation equation were employed to determine risk factors for stunting, thinness and overweight.
resultsAbout a quarter of adolescent girls (25%) and boys (21%) were stunted. Approximately 5% of girls and 11% of boys were thin, whereas 11% girls and boys each were overweight. Living in a higher wealth household (OR = 0.67; 95% CI: 0.49-0.91), compared to a lower wealth household, and living in a district with higher socioeconomic status (OR = 0.63; 95% CI: 0.51-0.79) were associated with lower odds of being stunted. Adolescent education was also protective against stunting (OR = 0.52; 95% CI: 0.33-0.88). Older adolescents aged 15-18 years were more likely to be stunted (OR = 1.88; 95% CI: 1.42-2.46). Being a girl was associated with reduced odds of being thin (OR = 0.42; 95% CI: 0.30-0.58). Higher household wealth (OR = 1.93; 95% CI: 1.27-2.97) predicted being overweight, while maternal primary or some secondary education, compared to no or incomplete primary education, was protective against adolescent overweight (OR = 0.60; 95% CI: 0.40-0.90).
conclusionIndonesian adolescent girls and boys face both extreme spectrums of malnutrition. Addressing the dual burden of malnutrition requires a multi-pronged approach, and urgent shift is warranted in nutrition policy and programmes targeting adolescents to effectively address the associated underlying determinants.
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