Food Insecurity and Anthropometry in Adolescents: A Literature Review


  • Nikmah Utami Dewi Department of Community Nutrition, IPB University, Bogor, Indonesia; Nutrition Department, Faculty of Public Health, Tadulako University, Palu, Indonesia
  • Nurulfuadi Nurulfuadi Nutrition Department, Faculty of Public Health, Tadulako University, Palu, Indonesia
  • Ummu Aiman Nutrition Department, Faculty of Public Health, Tadulako University, Palu, Indonesia
  • Diah Ayu Hartini Nutrition Department, Faculty of Public Health, Tadulako University, Palu, Indonesia
  • Fendi Pradana Nutrition Department, Faculty of Public Health, Tadulako University, Palu, Indonesia
  • Bohari Bohari Nutrition Department, Faculty of Public Health, Tadulako University, Palu, Indonesia



Food insecurity, Anthropometry, Adolescents


BACKGROUND: The increased risk of malnutrition is affected by food insecurity. Studies in adolescents still show mixed results. 

AIM: This article aimed to evaluate the association between food insecurity and anthropometry measurements in studies involving adolescents. 

MATERIALS AND METHODS: The databases used to obtain the literature were PubMed, ScienceDirect, MEDLINE, and PubMed Central. The keywords used were food security, food insecurity, hunger, malnutrition, obesity, adolescence, adolescents, teenagers, teens, and youth in studies published from 2010 to 2019. A total of 12 articles were used in this review. 

RESULTS: The association between food insecurity and the incidence of malnutrition in adolescents in various regions is still diverse. Food insecurity had a negative correlation with BMI-for-age in three studies (33.3%), but one study (11.1%) showed the opposite result. Food insecurity was positively related to low height-for-age (stunting) in 50% of studies, while five other studies (55.6%) showed that food insecurity was not related to BMI-for-age or weight-for-age. Three studies (50%) showed that there was no association between food insecurity and height-for-age. 

CONCLUSION: Longitudinal studies, such as Cohort studies, need to be conducted to ensure the actual relationship between food insecurity and nutritional status in various regions.


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Food and Agricultural Organization of the United Nations. Rome Declaration on Food Security. Rome: Food and Agricultural Organization of the United Nations; 1996.

Murthy VH. Food insecurity: A public health issue. Public Health Rep. 2016;131(5):655-7. PMid:28123203

Maitra C. A Review of Studies Examining the Link between Food Insecurity and Malnutrition. Rome: Food and Agriculture Organization of the United Nations; 2018.

Dick B, Ferguson BJ. Health for the world’s adolescents: A second chance in the second decade. J Adolesc Health. 2015;56(1):3-6. PMid:25530601

UNICEF. The State of the World’s Children 2011: Adolescence-an Age of Opportunity. New York: UNICEF; 2011.

Mramba L, Ngari M, Mwangome M, Muchai L, Bauni E, Walker AS, et al. A growth reference for mid upper arm circumference for age among school age children and adolescents, and validation for mortality: Growth curve construction and longitudinal cohort study. BMJ. 2017;358:j3423. PMid:28774873

Spear BA. Adolescent growth and development. J Am Diet Assoc. 2002;102(3):S23-9. PMid:11902385

Matkovic V, Jelic T, Wardlaw GM, Ilich JZ, Goel PK, Wright JK, et al. Timing of peak bone mass in Caucasian females and its implication for the prevention of osteoporosis. Inference from a cross-sectional model. J Clin Invest. 1994;93(2):799-808. PMid:8113412

Clark CJ, Alonso A, Spencer RA, Pencina M, Williams K, Everson-Rose SA. Predicted long-term cardiovascular risk among young adults in the national longitudinal study of adolescent health. Am J Public Health. 2014;104(12):e108-15. PMid:25322295

Inge TH, King WC, Jenkins TM, Courcoulas AP, Mitsnefes M, Flum DR, et al. The effect of obesity in adolescence on adult health status. Pediatrics. 2013;132(6):1098-104. PMid:24249816

Must A, Phillips SM, Naumova EN. Occurrence and timing of childhood overweight and mortality: Findings from the Third Harvard Growth Study. J Pediatr. 2012;160(5):743-50. PMid:22183448

SPRING and Save the Children. Engaging Adolescents to Accelerate Progress on the First 1,000 Days. Arlington: Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) Project; 2018.

Pinhas-Hamiel O, Reichman B, Shina A, Derazne E, Tzur D, Yifrach D, et al. Sex differences in the impact of thinness, overweight, obesity, and parental height on adolescent height. J Adolesc Health. 2017;61(2):233-9. PMid:28457687

Elmadfa I, Meyer AL. Developing Suitable methods of nutritional status assessment: A continuous challenge. Adv Nutr. 2014;5(5):590S-8.

Gibson RS. Principles of Nutritional Assessment. Oxford: Oxford University Press; 2005.

De Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7. PMid:18026621

Candler T, Costa S, Heys M, Costello A, Viner RM. Prevalence of thinness in adolescent girls in low- and middle-income countries and associations with wealth, food security, and inequality. J Adolesc Health. 2017;60(4):447-54. PMid:28110865

Manyanga T, El-Sayed H, Doku DT, Randall JR. The prevalence of underweight, overweight, obesity and associated risk factors among school-going adolescents in seven African countries. BMC Public Health. 2014;14:887. PMid:25168589

Wolde M, Berhan Y, Chala A. Determinants of underweight, stunting and wasting among schoolchildren. BMC Public Health. 2015;15:8. PMid:25595201

Maehara M, Rah JH, Roshita A, Suryantan J, Rachmadewi A, Izwardy D. Patterns and risk factors of double burden of malnutrition among adolescent girls and boys in Indonesia. PLoS One. 2019;14(8):e0221273. PMid:31430324

Johnson RK, Lamb M, Anderson H, Pieters-Arroyo M, Anderson BT, Bolaños GA, et al. The global school-based student health survey as a tool to guide adolescent health interventions in rural Guatemala. BMC Public Health. 2019;19(1):226.

Cordeiro LS, Wilde PE, Semu H, Levinson FJ. Household food security is inversely associated with undernutrition among adolescents from Kilosa, Tanzania. J Nutr. 2012;142(9):1741-7. PMid:22810984

Caleyachetty R, Thomas GN, Kengne AP, Echouffo-Tcheugui JB, Schilsky S, Khodabocus J, et al. The double burden of malnutrition among adolescents: Analysis of data from the global schoolbased student health and health behavior in school-aged children surveys in 57 low- and middle-income countries. Am J Clin Nutr. 2018;108(2):414-24. PMid:29947727

Kimani-Murage EW. Exploring the paradox: Double burden of malnutrition in rural South Africa. Glob Health Action. 2013;6:19249. PMid:23364082

Belachew T, Lindstrom D, Hadley C, Gebremariam A, Kasahun W, Kolsteren P. Food insecurity and linear growth of adolescents in Jimma Zone, Southwest Ethiopia. Nutr J. 2013;12(1):55.

Kimani-Murage EW, Holding PA, Fotso JC, Ezeh AC, Madise NJ, Kahurani EN, et al. Food security and nutritional outcomes among urban poor orphans in Nairobi, Kenya. J Urban Health. 2011;88 Suppl 2(Suppl 2):S282-97. PMid:20945109

Bhawra J, Cooke MJ, Guo Y, Wilk P. The association of household food security, household characteristics and school environment with obesity status among off-reserve first nations and métis children and youth in Canada: Results from the 2012 Aboriginal Peoples Survey. Health Promot Chronic Dis Prev Can. 2017;37(3):77-86. PMid:28273035

Flórez KR, Katic BJ, López-Cevallos DF, Murillo R, Cancel-Tirado D, Aponte-Soto L, et al. The double burden of food insecurity and obesity among Latino youth: Understanding the role of generational status. Pediatr Obes. 2019;14(9):e12525. PMid:31022773

Eicher-Miller HA, Zhao Y. Evidence for the age-specific relationship of food insecurity and key dietary outcomes among US children and adolescents. Nutr Res Rev. 2018;31(1):98-113. PMid:29318982

Tariku A, Gonete KA, Bikes GA, Alemu K, Belew AK, Wassie MM, et al. Household food insecurity predisposes to undiversified diet in northwest Ethiopia: Finding from the baseline survey of nutrition project, 2016. BMC Res Notes. 2019;12(1):54.

Assumpção D, Barros MB, Fisberg RM, Carandina L, Goldbaum M, Cesar CL. Qualidade da dieta de adolescentes: Estudo de base populacional em Campinas, SP. Rev Bras Epidemiol. 2012;15(3):605-16.

Malhotra A, Passi SJ. Diet quality and nutritional status of rural adolescent girl beneficiaries of ICDS in North India. Asia Pac J Clin Nutr. 2007;16 Suppl 1:8-16.

Gutiérrez-Pliego LE, Camarillo-Romero ES, Montenegro-Morales LP, Garduño-García JJ. Dietary patterns associated with body mass index (BMI) and lifestyle in Mexican adolescents. BMC Public Health. 2016;16(1):850.

Doustmohammadian A. Nutritional status and dietary intake among adolescent girls. J Paramed Sci. 2013;4:72-7.

Fang A, Li K, Li H, Guo M, He J, Shen X, et al. Low habitual dietary calcium and linear growth from adolescence to young adulthood: Results from the China Health and Nutrition Survey. Sci Rep. 2017;7(1):9111. PMid:28831091

Ludwig DS, Pollack HA. Obesity and the economy: From crisis to opportunity. JAMA. 2009;301(5):533-5.

Drewnowski A, Specter S. Poverty and obesity: The role of energy density and energy costs. Am J Clin Nutr. 2004;79(1):6-16. PMid:14684391

Rao M, Afshin A, Singh G, Mozaffarian D. Do healthier foods and diet patterns cost more than less healthy options? A systematic review and meta-analysis. BMJ Open. 2013;3(12):e004277.

O’Brien M. Poverty, Policy and the State: The Changing Face of Social Security. Bristol: Policy Press; 2007.

Yin J, Xue HM, Chen YY, Zhang X, Quan LM, Gong YH, et al. Dietary energy density is positively associated with body composition of adults in Southwest China. Public Health Nutr. 2018;21(10):1827-34.

Gundersen C, Ziliak JP. Food insecurity and health outcomes. Health Aff (Millwood). 2015;34(11):1830-9. PMid:26526240

Nagata JM, Fiorella KJ, Salmen CR, Hickey MD, Mattah B, Magerenge R, et al. Around the table: Food insecurity, socioeconomic status, and instrumental social support among women living in a rural Kenyan Island Community. Ecol Food Nutr. 2015;54(4):358-69. PMid:25680030

Mortazavi Z, Dorosty AR, Eshraghian MR, Ghaffari M, Ansari-Moghaddam A, Mohammadi M. Household food insecurity in Southeastern Iran: Severity and related factors. Int J Food Sci. 2017;2017(12):1-7.

Ali B, Nasrin A, Parvin S, Azam J. The relationship between food security, dietary patterns, and socioeconomic status in Iranian pregnant women. Prog Nutr. 2019;21(1-S):261-9.

Nkomoki W, Bavorová M, Banout J. Factors associated with household food security in Zambia. Sustainability. 2019;11(9):2715.

Assefa H, Belachew T, Negash L. Socio-demographic factors associated with underweight and stunting among adolescents in Ethiopia. Pan Afr Med J. 2015;20:252. PMid:26161175

Radhika MS, Swetha B, Kumar BN, Krishna NB, Laxmaiah A. Dietary and nondietary determinants of nutritional status among adolescent girls and adult women in India. Ann N Y Acad Sci. 2018;1416(1):5-17.

Newton S, Braithwaite D, Akinyemiju TF. Socio-economic status over the life course and obesity: Systematic review and meta-analysis. PLoS One. 2017;12(5):e0177151. PMid:28510579




How to Cite

Dewi NU, Nurulfuadi N, Aiman U, Diah Ayu Hartini, Fendi Pradana, Bohari B. Food Insecurity and Anthropometry in Adolescents: A Literature Review. Open Access Maced J Med Sci [Internet]. 2020 Oct. 16 [cited 2021 Sep. 20];8(F):234-40. Available from:



Systematic Review Article


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