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  • Community-based interventions targeting multiple forms of malnutrition among adolescents in low-income and middle-income countries: protocol for a scoping review

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Nutrition and metabolism
Protocol
Community-based interventions targeting multiple forms of malnutrition among adolescents in low-income and middle-income countries: protocol for a scoping review
  1. Adi Lukas Kurniawan1,
  2. Marijana Ranisavljev2,
  3. Uttara Partap3,
  4. Sachin Shinde3,4,
  5. Elisabetta Ferrero3,
  6. Sergej Ostojic5,6,
  7. Ntombizodumo Mkwanazi7,
  8. Deda Ogum Alangea8,
  9. Christine Neumann1,
  10. Shuyan Liu9,
  11. Till Bärnighausen1,10,
  12. Wafaie W. Fawzi3,11,12
  13. ARISE-NUTRINT collaborators
    1. 1Heidelberg Institute of Global Health, Heidelberg University Hospital, Heidelberg, Germany
    2. 2Faculty of Sport and Physical Education, University of Novi Sad, Novi Sad, Serbia
    3. 3Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
    4. 4Center for Inquiry into Mental Health, Pune, Maharashtra, India
    5. 5Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
    6. 6Department of Nutrition and Public Health, University of Agder, Kristiansand, Norway
    7. 7Research Division, University of KwaZulu-Natal, Durban, South Africa
    8. 8Department of Population, Family, and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana
    9. 9Department of Psychiatry and Psychotherapy, Charité - Universitätsmedizin Berlin, Berlin, Germany
    10. 10Africa Health Research Institute, Durban, South Africa
    11. 11Department of Nutrition, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
    12. 12Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, Massachusetts, USA
    1. Correspondence to Dr Sachin Shinde; sshinde{at}hsph.harvard.edu; Dr Adi Lukas Kurniawan; lukas.kurniawan{at}uni-heidelberg.de

    Abstract

    Background Adolescent malnutrition is a significant public health challenge in low-income and middle-income countries (LMICs), with long-term consequences for health and development. Community-based interventions have the potential to address multiple forms of malnutrition and improve the health outcomes of adolescents. However, there is a limited understanding of the content, implementation and effectiveness of these interventions. This scoping review aims to synthesise evidence on community-based interventions targeting multiple forms of malnutrition among adolescents in LMICs and describe their effects on nutrition and health.

    Methods and analysis A comprehensive search strategy will be implemented in multiple databases including MEDLINE (through PubMed), Embase, CENTRAL (through Cochrane Library) and grey literature, covering the period from 1 January 2000 to 14 July 2023. We will follow the Participants, Concept and Context model to design the search strategy. The inclusion criteria encompass randomised controlled trials and quasi-experimental studies focusing on adolescents aged 10–19 years. Various types of interventions, such as micronutrient supplementation, nutrition education, feeding interventions, physical activity and community environment interventions, will be considered. Two reviewers will perform data extraction independently, and, where relevant, risk of bias assessment will be conducted using standard Cochrane risk-of-bias tools. We will follow the PRISMA Extension for Scoping Reviews checklist while reporting results.

    Ethics and dissemination The scope of this scoping review is restricted to publicly accessible databases that do not require prior ethical approval for access. The findings of this review will be shared through publications in peer-reviewed journals, and presentations at international and regional conferences and stakeholder meetings in LMICs.

    Scoping review registration The final protocol was registered prospectively with the Open Science Framework on 19 July 2023 (https://osf.io/t2d78).

    • Adolescent
    • NUTRITION & DIETETICS
    • Health Education
    • Systematic Review
    • Anaemia

    Data availability statement

    Data sharing not applicable as no datasets generated and/or analysed for this study.

    https://creativecommons.org/licenses/by/4.0/

    This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.

    https://doi.org/10.1136/bmjopen-2023-078969

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      Data availability statement

      Data sharing not applicable as no datasets generated and/or analysed for this study.

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      Footnotes

      • Twitter @dedaogum

      • Collaborators ARISE-NUTRINT collaborators: Michael Laxy, Professorship of Public Health and Prevention, Technical University of Munich, Germany. Jacob Burns, Professorship of Public Health and Prevention, Technical University of Munich, Germany. Sara Pedron, Professorship of Public Health and Prevention, Technical University of Munich, Germany. Mary Mwanyika Sando, Africa Academy for Public Health, Tanzania. Ayoade Oduola, University of Ibadan Research Foundation, Nigeria. Mosa Moshabela, University of KwaZulu-Natal, South Africa. Ali Sié, National Institute of Public Health, Nouna Health Research Center, Burkina Faso. David Guwatudde, School of Public Health, Makerere University, Uganda. Yemane Berhane, Addis Continental Institute of Public Health, Ethiopia. Adom Manu, Department of Population, Family, and Reproductive Health, University of Ghana, Ghana. Jan A.C. Hontelez, Erasmus Universitair Medisch Centrum, The Netherlands. Magda Rosenmöller, Center for Research in Healthcare Innovation Management, IESE Business School, Spain. Irene Brandt, Heidelberg Institute of Global Health, Heidelberg University Hospital, Germany. Ina Danquah, Heidelberg Institute of Global Health, Heidelberg University Hospital, Germany. Matthias Kern, Heidelberg Institute of Global Health, Heidelberg University Hospital, Germany. Joy Mauti, Heidelberg Institute of Global Health, Heidelberg University Hospital, Germany. Shannon McMahon, Heidelberg Institute of Global Health, Heidelberg University Hospital, Germany. Japhet Killewo, Muhimbili University of Health and Allied Sciences, Tanzania. Hanna Y. Berhane, Department of Nutrition and Behavioral Sciences, Addis Continental Institute of Public Health, Ethiopia. Amani Tinkasimile, Africa Academy for Public Health, Tanzania. Mashavu Yussuf, Africa Academy for Public Health, Tanzania. Innocent Yusufu, Africa Academy for Public Health, Tanzania. Laetitia Paumard, Center for Research in Healthcare Innovation Management, IESE Business School, Spain. Millogo Ourohiré, National Institute of Public Health, Nouna Health Research Center, Burkina Faso. Erick Agure, Heidelberg Institute of Global Health, Heidelberg University Hospital, Germany. Jabulani Ncayiyana, College of Health Sciences, University of KwaZulu-Natal, South Africa. Bruno Sunguya, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Tanzania. Tiwatayo Lasebikan, Center for Research in Healthcare Innovation Management, IESE Business School, Spain. Marina Taonda, National Institute of Public Health, Nouna Health Research Center, Burkina Faso. Sylvain Somé, National Institute of Public Health, Nouna Health Research Center, Burkina Faso. Clarisse Dah, National Institute of Public Health, Nouna Health Research Center, Burkina Faso. Katian Napon, National Institute of Public Health, Nouna Health Research Center, Burkina Faso. Moussa Ouédraogo, National Institute of Public Health, Nouna Health Research Center, Burkina Faso.

      • Contributors SS conceived the idea, developed the methods and wrote the first draft of the manuscript. ALK, MR, UP and EF contributed to the methods and supported the drafting and editing of the manuscript. ALK and MR contributed meaningfully to the design of the search strategy. SO, NM, DOA, CN, SL, TB, WWF and ARISE-NUTRINT study collaborators supervised and reviewed the protocol. All authors revised and approved the final manuscript.

      • Funding This study was funded by the European Union Horizon 2022. Views and opinions expressed are however those of the author(s) only and do not necessarily reflect those of the European Union. Neither the European Union nor the granting authority can be held responsible for them.

      • Competing interests None declared.

      • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

      • Provenance and peer review Not commissioned; externally peer reviewed.

      • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.