Evidence map›Paper›PMID 42205619›Full record

ArticleBMJ public health2026

Factors associated with knowledge, attitude and practice of micronutrients among adolescents in Madhyabindu Municipality: a cross-sectional study.

Tripti Shrestha, Poonam Pokhrel, Milan Thapa, Kiran Paudel, Sandesh Bhusal, Tara Ballav Adhikari

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Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Tripti ShresthaDepartment of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.
Poonam Pokhrel *Department of Public Health, Manmohan Memorial Institute of Health Sciences, Kathmandu, Nepal.ORCID 0009-0002-0974-7664
Milan Thapa *Public Health Arena, Kathmandu, Nepal.ORCID 0009-0004-0148-4956
Kiran PaudelNepal Health Frontiers, Kathmandu, Bagmati, Nepal.ORCID 0000-0002-5590-4133
Sandesh BhusalNepal Health Frontiers, Kathmandu, Bagmati, Nepal.ORCID 0000-0002-3060-5823
Tara Ballav AdhikariNepal Health Frontiers, Kathmandu, Bagmati, Nepal.ORCID 0000-0002-7654-5483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Micronutrients, which include essential vitamins and minerals required in trace amounts, play crucial roles in various physiological processes, such as immune function, cognitive development and overall health. Several previous studies in Nepal have addressed general nutrition and malnutrition trends, few have specifically explored micronutrient-related knowledge and dietary behaviours, particularly among adolescents with attention given to micronutrients in particular. Therefore, this study aims to assess the level of awareness, perceptions and dietary practices related to micronutrients among adolescents. Methods: A school-based cross-sectional study was conducted between October and December 2022 among 755 adolescents in Madhyabindu Municipality, Nepal. The study employed multistage random sampling with a validated self-administered questionnaire distributed to participants. Statistical analyses, including χ Results: Adequate knowledge of micronutrient-rich foods was observed in 51.52% of the participants, whereas 47.94% had positive attitudes and 42.38% demonstrated good consumption practices. Higher knowledge levels were linked to higher grades (adjusted OR (AOR)=1.47, 95% CI 0.90 to 2.37), belonging to the advantageous ethnic group (AOR=2.40, 95% CI 1.14 to 3.65), maternal education (primary: AOR=1.91, 95% CI 1.06 to 3.47; secondary: AOR=3.02, 95% CI 1.44 to 6.32) and curriculum nutrition content (AOR=1.92, 95% CI 1.30 to 2.81). Good dietary practices were associated with ethnicity (AOR=3.59, 95% CI 1.89 to 6.79), family income (AOR=2.14, 95% CI 1.18 to 3.86), maternal occupation (AOR=1.73, 95% CI 1.05 to 2.86) and paternal occupation (AOR=1.71, 95% CI 1.01 to 2.90). Conclusion: This study highlights a significant gap between adolescents' knowledge and their actual consumption or the dietary practices related to micronutrients. There is a pressing need for targeted educational interventions, particularly those involving parents. Enhancing school curricula to include comprehensive and detailed education on micronutrients-especially folate, zinc and vitamins C and D-is crucial for improving adolescent health outcomes.

Indexed as

AdolescentCross-Sectional StudiesPublic Health

Identifiers

PMID42205619
PMCPMC13202188

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