@article{fdi:010092062,
  title = {{A}dolescents' dietary patterns, their drivers and association with double burden of malnutrition in adolescents : a cross-sectional study in {K}enya's urban slums},
  author = {{W}anjohi, {M}. {N}. and {K}imani-{M}urage, {E}. {W}. and {A}siki, {G}. and {H}oldsworth, {M}ichelle and {P}radeilles, {R}ebecca and {L}angat, {N}. and {A}mugsi, {D}. {A}. and {W}ilunda, {C}. and {K}lipstein-{G}robusch, {K}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {T}he double burden of malnutrition ({DBM}) during adolescence is associated with growth and developmental impairment and risk of non-communicable diseases. {T}here is limited evidence on adolescent's dietary patterns ({DP}s), and how they contribute to {DBM} in urban low income contexts in sub {S}aharan {A}frica. {T}his study assessed {DP}s of adolescents, their drivers and association with {DBM} in {K}enya's urban slums. {M}ethods {A}nthropometric, socio-demographic and dietary-intake data were collected through a cross-sectional survey of 621 adolescents from three major urban slums in {N}airobi, {K}enya. {DP}s were derived using principal component analysis. {M}ultinomial-logistic-regression was used to assess the association between the {DP}s, individual and environmental factors and {DBM}. {R}esults {T}wo {DP}s 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). {A}dolescents from {M}athare (the largest slum) were more likely to adhere to the traditional {DP} ({RRR} = 3.43; 95% {CI} 1.85-6.37). {C}ultural background ({L}uo) 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}. {T}he transitioning {DP} had a positive (non-linear) association with overweight/obesity in girls ({RRR} = 2.79; 95% {CI} 1.16-6.71). {T}he {DP}s were not associated with thinness or stunting. {C}onclusion {T}he {DP}s indicate various stages of nutrition transition of adolescent diets, which are influenced by cultural background, neighbourhood and duration of stay in the slum. {T}ransitioning {DP} may expose adolescents to the risks of overweight/obesity in the long-term.},
  keywords = {{D}ietary patterns ; {A}dolescents ; {D}ouble burden of malnutrition ; {O}verweight/obesity ; {N}utrition transition ; {U}ndernutrition ; {U}rban ; {S}lums ; {K}enya ; {KENYA}},
  booktitle = {},
  journal = {{J}ournal of {H}ealth {P}opulation and {N}utrition},
  volume = {43},
  numero = {1},
  pages = {181 [14 p.]},
  ISSN = {1606-0997},
  year = {2024},
  DOI = {10.1186/s41043-024-00664-7},
  URL = {https://www.documentation.ird.fr/hor/fdi:010092062},
}