Risk Factors of Malnutrition among In-School Children and Adolescents in Developing Countries: A Scoping Review
Mustapha Amoadu1, Susanna Aba Abraham2, Abdul Karim Adams1
1Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast PMB TF0494, Ghana.
Insights
Malnutrition in developing countries affects school children due to poverty, poor sanitation, and health issues. Addressing this requires integrated policies for poverty, health, and gender equity.
Area of Science:
- Public Health
- Nutrition Science
- Development Studies
Background:
- Child malnutrition is a critical issue in developing nations, impacting education and health.
- Socio-economic, environmental, and health factors significantly influence malnutrition in school-aged children.
- Understanding these determinants is crucial for effective interventions.
Purpose of the Study:
- To synthesize evidence on the multifaceted aspects of child malnutrition within educational settings in developing countries.
- To identify key socio-economic, environmental, and health-related factors contributing to malnutrition.
- To highlight the impacts of malnutrition on health and academic performance.
Main Methods:
- Systematic literature review following Arksey and O'Malley's framework.
- Searched major databases (PubMed, CENTRAL, JSTOR, Scopus) and additional sources.
- Included reference list checking of eligible papers.
Main Results:
- Low family income, size, parental employment, and education are significant socio-economic determinants.
- Rural/urban residence, sanitation, and living conditions are key environmental influences.
- Poor nutrition knowledge, unhealthy diets, deficiencies, low physical activity, and illnesses increase malnutrition risk.
Conclusions:
- Malnutrition severely impacts children's general health, nutrient status, and morbidity.
- It negatively affects school attendance, cognitive abilities, and academic achievement.
- Comprehensive policies addressing poverty, health literacy, and gender equity are essential, aligning with Sustainable Development Goals.
Abstract:
Malnutrition among in-school children is a complex issue influenced by socio-economic, environmental, and health-related factors, posing significant challenges to their well-being and educational trajectories in developing countries. This review synthesized evidence on the multifaceted aspects of child malnutrition within the educational setting in developing countries. This review followed the six steps outlined by Arksey and O'Malley's framework. Four main databases (PubMed, CENTRAL, JSTOR, and Scopus) were searched. Additional searches were conducted in WHO Library, ProQuest, HINARI, Google Scholar, and Google. Reference lists of eligible papers were checked. This review found that low family income, varying family sizes, parental employment status, and educational levels significantly impact malnutrition among in-school children and adolescents. Environmental elements, including rural/urban residence, household sanitation, and living conditions, also influence malnutrition. In addition, nutrition knowledge, dietary habits, nutrient deficiencies, physical activity, and prevalent health conditions compound the risk of malnutrition. This study underscores the extensive health impact of malnutrition on general health, specific nutrient deficiencies, fetal/maternal health concerns, and overall morbidity. Also, malnutrition affects school performance and attendance, impacting cognitive abilities, and academic achievements. Addressing these challenges requires comprehensive policy actions aligned with Sustainable Development Goals, emphasizing poverty alleviation, health literacy, and gender equity.
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