Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.

<h4>Background</h4>Undernutrition is one of the serious health problems among adolescents in India where 253 million adolescents are in the age group of 10-19 years. Since adolescents represent the next generation of adults, it is important to understand the nutritional status of adolesc...

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Main Authors: Jayashree Parida, Lopamudra Jena Samanta, Jagatdarshi Badamali, Prasant Kumar Singh, Prasanna Kumar Patra, Bijay Kumar Mishra, Sanghamitra Pati, Harpreet Kaur, Subhendu Kumar Acharya
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0263032
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author Jayashree Parida
Lopamudra Jena Samanta
Jagatdarshi Badamali
Prasant Kumar Singh
Prasanna Kumar Patra
Bijay Kumar Mishra
Sanghamitra Pati
Harpreet Kaur
Subhendu Kumar Acharya
author_facet Jayashree Parida
Lopamudra Jena Samanta
Jagatdarshi Badamali
Prasant Kumar Singh
Prasanna Kumar Patra
Bijay Kumar Mishra
Sanghamitra Pati
Harpreet Kaur
Subhendu Kumar Acharya
author_sort Jayashree Parida
collection DOAJ
description <h4>Background</h4>Undernutrition is one of the serious health problems among adolescents in India where 253 million adolescents are in the age group of 10-19 years. Since adolescents represent the next generation of adults, it is important to understand the nutritional status of adolescents. Even though several studies have been carried out in different states in India on adolescent undernutrition (stunting, wasting /underweight), there is no study or review that estimated the national pooled prevalence of adolescent undernutrition and its determinants. Therefore, this review aims to determine the pooled prevalence and determinants of undernutrition (stunting, underweight/wasting) among Indian adolescents.<h4>Methods</h4>A systematic review of eligible articles will be conducted using preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. A comprehensive searching of the literature will be made in Pub Med, EMBASE, SCOPUS, Google, Google Scholar, and Cochrane databases. The quality of the articles included in the review will be evaluated using the Newcastle-Ottawa Scale (NOS) for observational studies in meta-analyses. The pooled prevalence and odds ratio of the associated risk factors or determinants with their 95% confidence interval will be computed using STATA version 16 software. The existence of heterogeneity among studies will be assessed by computing p-values of Higgins's I2 test statistics and Cochran's Q-statistics based on chi-square with a 5% level of significance among reported prevalence. Sensitivity analysis and subgroup analysis will be conducted based on study quality to investigate the possible sources of heterogeneity. Publication bias will be assessed through visual examination of funnel plots and objectively by Egger's regression test. This review protocol has been registered at PROSPERO (CRD42021286814).<h4>Discussion</h4>By collecting and summarizing information on adolescent undernutrition can be a step towards a better understanding of the prevalence of nutritional status of Indian adolescents and how the associated factors influence the prevalence of undernutrition. This review will provide directions for further research and healthcare practitioners. This summarized finding at the national level will provide impetus to build nutritional strategies and proper healthcare services to fight against undernutrition among the most ignored population.
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spelling doaj.art-9810791439704adb93e6f3380763aebf2023-08-20T05:31:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01171e026303210.1371/journal.pone.0263032Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.Jayashree ParidaLopamudra Jena SamantaJagatdarshi BadamaliPrasant Kumar SinghPrasanna Kumar PatraBijay Kumar MishraSanghamitra PatiHarpreet KaurSubhendu Kumar Acharya<h4>Background</h4>Undernutrition is one of the serious health problems among adolescents in India where 253 million adolescents are in the age group of 10-19 years. Since adolescents represent the next generation of adults, it is important to understand the nutritional status of adolescents. Even though several studies have been carried out in different states in India on adolescent undernutrition (stunting, wasting /underweight), there is no study or review that estimated the national pooled prevalence of adolescent undernutrition and its determinants. Therefore, this review aims to determine the pooled prevalence and determinants of undernutrition (stunting, underweight/wasting) among Indian adolescents.<h4>Methods</h4>A systematic review of eligible articles will be conducted using preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines. A comprehensive searching of the literature will be made in Pub Med, EMBASE, SCOPUS, Google, Google Scholar, and Cochrane databases. The quality of the articles included in the review will be evaluated using the Newcastle-Ottawa Scale (NOS) for observational studies in meta-analyses. The pooled prevalence and odds ratio of the associated risk factors or determinants with their 95% confidence interval will be computed using STATA version 16 software. The existence of heterogeneity among studies will be assessed by computing p-values of Higgins's I2 test statistics and Cochran's Q-statistics based on chi-square with a 5% level of significance among reported prevalence. Sensitivity analysis and subgroup analysis will be conducted based on study quality to investigate the possible sources of heterogeneity. Publication bias will be assessed through visual examination of funnel plots and objectively by Egger's regression test. This review protocol has been registered at PROSPERO (CRD42021286814).<h4>Discussion</h4>By collecting and summarizing information on adolescent undernutrition can be a step towards a better understanding of the prevalence of nutritional status of Indian adolescents and how the associated factors influence the prevalence of undernutrition. This review will provide directions for further research and healthcare practitioners. This summarized finding at the national level will provide impetus to build nutritional strategies and proper healthcare services to fight against undernutrition among the most ignored population.https://doi.org/10.1371/journal.pone.0263032
spellingShingle Jayashree Parida
Lopamudra Jena Samanta
Jagatdarshi Badamali
Prasant Kumar Singh
Prasanna Kumar Patra
Bijay Kumar Mishra
Sanghamitra Pati
Harpreet Kaur
Subhendu Kumar Acharya
Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.
PLoS ONE
title Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.
title_full Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.
title_fullStr Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.
title_full_unstemmed Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.
title_short Prevalence and determinants of undernutrition among adolescents in India: A protocol for systematic review and meta-analysis.
title_sort prevalence and determinants of undernutrition among adolescents in india a protocol for systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0263032
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