Factors affecting the micronutrient status of adolescent girls living in complex agro-aquatic ecological zones of Bangladesh

Ara, Gulshan; Little, David C.; Mamun, Abdullah Al; Roos, Baukje de; Grieve, Eleanor; Khanam, Mansura; Hasan, S. M. Tafsir; Ireen, Santhia; Ali, Samira Dilruba; Boitchi, Anika Bushra; Dijkhuizen, Marjoleine A.; Ahmed, Tahmeed; Roos, Nanna

doi:10.1038/s41598-023-33636-8

Cited by 4 publications

(1 citation statement)

References 52 publications

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“…Micronutrients deficiency generally is associated with global insufficient feeding, i.e. malnutrition, but with regional specificities [4]. Studies conducted under the authority of World Health Organization [5] and UNICEF [6] have shown the efficacy of food fortification programs.…”

Section: Introductionmentioning

confidence: 99%

Micronutrient deficiency and supplements in schoolchildren and teenagers

Berger,

Shenkin

2024

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Purpose of review The essential micronutrients are corner stones in the functional and physical development. Early deficiency has life-long consequences. While awareness about iron deficiency is relatively high, it remains lower for other micronutrients. This review aims at reporting on recent data and attracting attention to the high prevalence of micronutrient deficiencies in school-age and adolescent individuals. Recent findings Iron deficiency anaemia remains highly prevalent worldwide and the most frequent deficiency but can be corrected with simple tools ranging from food fortification, nutritional intervention, and to supplements. The link between micronutrient (MN) deficiency and neurobehavioral disorders is increasingly established and is worrying even in Western countries. Paediatric individuals are prone to imbalanced diets and picky eating behaviour, and their diets may then become incomplete: the highest risk for deficiency is observed for iron, zinc and vitamin D. Summary There is not much new information, but rather confirmation of the importance of health policies. Well conducted randomized controlled trials confirm that deficiencies can be corrected efficiently including with food fortification, and result in clinical benefits. Individual complementation should be considered in children and adolescents with proven deficiency.

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Section: Introductionmentioning

confidence: 99%

Micronutrient deficiency and supplements in schoolchildren and teenagers

Berger,

Shenkin

2024

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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Heavy metal quantification in chicken meat and egg: An emerging food safety concern

Hossain,

Ahmed,

Rabin

et al. 2024

Journal of Food Composition and Analysis

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Adolescent girls in aquaculture ecozones at risk of nutrient deficiency in Bangladesh development and validation of an integrated metric

et al. 2023

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Background This study developed and validated an integrated metric that enhances understanding of linkages between agro-ecological and socio-economic factors that are important for explaining nutritional wellbeing in relation to fish consumption; especially among adolescent girls who are at risk of nutritional deficiency in Bangladesh. Currently, there is no metric that takes account of environmental, cultural and economic contexts when considering fish consumption and dietary health from a policy perspective. Methods The study was designed as a bi-seasonal survey, repeated in the same population of adolescent girls recruited during the dry and wet seasons. Sampling was stratified by five settings (four aqua-agroecological zones and one processing plant community), with 60 girls recruited in each. Associations between candidate predictors (salinity, diet diversity, religion, socio-economic status and women’s autonomy score) and dependent variables representing nutritional outcomes (anthropometry, omega-3 index and micronutrient levels) were explored in multivariable regressions. The fitted model with its predictors was validated, and a risk score derived from responses to a few short questions on religion, salinity zone, female autonomy, diet diversity and tilapia consumption. Results The omega-3 index showed the clearest distinction between seasons, by salinity and religion. Higher female autonomy, religion (being Hindu rather than Muslim), geographical location (living in a high or mid-saline area), and a higher dietary diversity were the strongest predictors of whole blood omega-3 index. The c-index for the prognostic model was 0.83 and 0.76 in the wet and dry season respectively, indicating good predictive accuracy. There appeared to be a clear trend in risk scores differentiating between those ‘chronically at risk’ and those ‘never at risk’. Conclusions Observational data on different aquaculture-ecozones defined by salinity enabled us to establish linkages between seasonal fish intake, religion, diet diversity, female autonomy and nutritional wellbeing. The purpose of the metric is to reveal these specific linkages in practice. This tool should improve targeting of timely, preventative and cost-effective nutritional interventions to adolescent girls most at-risk from low omega-3 levels in communities where seafood is produced.

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Factors affecting the micronutrient status of adolescent girls living in complex agro-aquatic ecological zones of Bangladesh

Cited by 4 publications

References 52 publications

Micronutrient deficiency and supplements in schoolchildren and teenagers

Micronutrient deficiency and supplements in schoolchildren and teenagers

Heavy metal quantification in chicken meat and egg: An emerging food safety concern

Adolescent girls in aquaculture ecozones at risk of nutrient deficiency in Bangladesh development and validation of an integrated metric

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