Interventions to Improve Adolescent Nutrition:

A Systematic Review and Meta-Analysis

Presenter: Dr. Roza Maulindra

Moderator: DR. Dr. H. Ferry Yusrizal, SpOG(K), M.Kes

Departement Of Obstetric and Gynecology

Sriwijaya University Mohammad Hoesin General Hospital
Introduction
Adolescent nutrition is crucial for proper growth and development and a prerequisite
for achieving full developmental potential.

Suboptimal nutrition may contribute to delayed and stunted growth as well as

impaired development.

Many of the risk factors that impact maternal and newborn health exist right from
adolescence, including nutritional deciencies also obesity
Introduction

Prepregnancy low body mass index (BMI < 18.5)

Low BMI signicantly increases perinatal risks including stillbirths, preterm

births, small for gestational age, and low birth weight (LBW) babies

Iron deciency anemia is among the top 10 causes of disability-adjusted life

years lost among adolescents
METHODS

Adolescent
Aged 15-24 years
population
De novo Updated
reviews reviews
Search
December 2014
conducted
Methodology for de novo reviews

Select existing randomized, quasi-randomized and before/after

studies, in which the intervention was directed toward the
adolescent age group and related to nutritional outcome
Methodology for updated reviews

We adopted the same methodology and search strategy

mentioned in the existing review to update the search and
nd all the relevant studies after the last search date of
the existing review
results
results
Micronutrient supplementation for adolescents

Findings from moderate-quality evidence suggest an overall signicant

reduction in anemia with iron/iron folic acid supplementation alone or
in combination with other micronutrient supplementation.

School-based delivery of iron/iron folic acid supplementation alone or in

combination with other micronutrient supplementation was also
associated with improved serum hemoglobin, ferritin, and iron.
Nutrition interventions among pregnant
adolescents

Micronutrient supplementation such as calcium and zinc, in addition to the routine iron
folic acid supplementation to adolescent mothers or engaging them in nutritional
education sessions to enable them to improve nutritional intake

Moderateto low-quality evidence suggested a statistically signicant improvement in

mean birth weight, reduced LBW and preterm birth
Promoting healthy nutrition and preventing
obesity
discussion
Micronutrient supplementation among adolescents can signicantly decrease the
prevalence of anemia in this age group with school-based supplementation having
signicant impact

Interventions to improve nutritional status of pregnant adolescents signicantly improved

neonatal birth weight, decreased LBW, and preterm birth
discussion

A focus on adolescent girls nutrition is important not only to improve the health
status of women but also to ensure optimal fetal growth and development to
prevent the vicious cycle of intergenerational transmission of undernutrition

Interventions to promote nutrition and prevent obesity can marginally reduce BMI

Benecial impacts of programs that combine the promotion of healthy dietary

habits and physical activity on preventing obesity in children and adolescents,
especially school-based programs
discussion

Limitations of our review include high heterogeneity, lack of data from LMICs, and
lack of data to conduct gender-specic subgroup analysis.

There is sufcient evidence suggesting the importance of adolescent nutrition

interventions and its impact on improved adolescent nutrition and birth outcomes
THANK YOU