| Resumen: |
Adolescent girls in low-and-middle-income countries (LMIC) have poor nutrition profiles, including high risks for undernutrition, overweight/obesity, and micronutrient deficiencies. To better understand the current dietary intake and practices of adolescents in LMIC, we undertook a large-scale systematic review. We identified 288 studies which passed the inclusion and exclusion criteria. Foods were grouped according to an adapted version of the Food and Nutrition Technical Assistance (FANTA III) Minimum Dietary Diversity Guide for Women. We found that the diet quality of adolescent girls in LMIC is generally poor. Fruit and vegetable intake is vastly inadequate, and girls are consuming high-fat and calorie-rich foods that are likely to be contributing to the rise in overweight and obesity, especially among younger adolescents (10–14 years). In South Asia and Africa, protein intake is inadequate and fat intake is low—factors which may contribute to the prevalence of underweight in these regions. Overall, breakfast skipping and snacking are highly prevalent among adolescent girls of all ages. Along with obesity prevention initiatives, school-based policies should be mandated to limit the availability of unhealthy foods throughout the day. School meal programs should be considered for vulnerable or low-income populations. |
