ArticleJournal of health, population, and nutrition2024
Adolescents' dietary patterns, their drivers and association with double burden of malnutrition in adolescents: a cross-sectional study in Kenya's urban slums.
Article in Journal of health, population, and nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed.
- Environmental and Individual Influences on Adolescent Diets in an Urban Informal Settlement in Kenya: Perspectives from Adolescents and Influential Adults.Current developments in nutrition · 2026Article
- Inequities in Children's Food Environment: A Comparison between Slum and Non-slum Settings in Urban Bangladesh.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Urban South African Adolescents' Perspectives on Healthy and Unhealthy Foods and the Drivers of Their Food Choices in Their School Food Environment: A Pilot Study.International journal of environmental research and public health · 2026Article
- Dietary diversity, nutrition knowledge and attitude among adolescents in Addis Ababa: a cross-sectional study.Frontiers in nutrition · 2026Article
- Are teenagers in Kenya physically active? The nexus between physical activity and nutrition status of Kenyan teenagers: A cross-sectional study.PLOS global public health · 2026Article
- Adolescent Nutrition and Health: a Critical Period for Nutritional Intervention to Prevent Long Term Health Consequences.Current nutrition reports · 2025Review
- Drivers and solutions to unhealthy food consumption by adolescents in urban slums, Kenya: a qualitative participatory study.Public health nutrition · 2025Article
- Global burden of disease for colorectal cancer due to diet low in whole grains from 1990 to 2021 and its projections to 2050: analysis of the global burden of disease study 2021.Frontiers in nutrition · 2025Article
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Abstract
backgroundThe double burden of malnutrition (DBM) during adolescence is associated with growth and developmental impairment and risk of non-communicable diseases. There is limited evidence on adolescent's dietary patterns (DPs), and how they contribute to DBM in urban low income contexts in sub Saharan Africa. This study assessed DPs of adolescents, their drivers and association with DBM in Kenya's urban slums.
methodsAnthropometric, socio-demographic and dietary-intake data were collected through a cross-sectional survey of 621 adolescents from three major urban slums in Nairobi, Kenya. DPs were derived using principal component analysis. Multinomial-logistic-regression was used to assess the association between the DPs, individual and environmental factors and DBM.
resultsTwo DPs were identified: traditional DP (whole grains/cereals, rice, fruits, legumes/nuts, and water) and transitioning DP (refined cereals (maize/wheat), vegetables, meat, tea/coffee, sweet ultra-processed/deep fried snacks). Adolescents from Mathare (the largest slum) were more likely to adhere to the traditional DP (RRR = 3.43; 95% CI 1.85-6.37). Cultural background (Luo) had a positive association (RRR = 4.28; 95% CI 1.97-9.32), while longer residency in the slum (> 10 years) had a negative association (RRR = 0.47; 95% CI 0.25-0.90) with transitioning DP. The transitioning DP had a positive (non-linear) association with overweight/obesity in girls (RRR = 2.79; 95% CI 1.16-6.71). The DPs were not associated with thinness or stunting.
conclusionThe DPs indicate various stages of nutrition transition of adolescent diets, which are influenced by cultural background, neighbourhood and duration of stay in the slum. Transitioning DP may expose adolescents to the risks of overweight/obesity in the long-term.
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