Assessing adolescent diet and physical activity behaviour, knowledge and awareness in low- and middle-income countries: A systematised review of quantitative epidemiological tools
BMC Public Health
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Muzenda, T., Kamkuemah, M., Battersby, J., & Oni, T. Assessing adolescent diet and physical activity behaviour, knowledge and awareness in low- and middle-income countries: A systematised review of quantitative epidemiological tools. BMC Public Health https://doi.org/10.17863/CAM.83469
Purpose: Quantitative epidemiological tools are routinely used to assess adolescent diet and physical activity (PA) constructs (behaviour, knowledge, and awareness) as risk factors for non-communicable diseases. This study sought to synthesize evidence on the quantitative epidemiological tools that have been used to assess adolescent diet and PA constructs in low to middle-income countries (LMIC). Methods: A systematised review was conducted using 3 databases (EbscoHost, Scopus and Web of Science). Results: We identified 292 LMIC studies assessing adolescent diet and PA. Identified studies predominantly explored behavioural (90%) constructs with a paucity of studies investigating knowledge and awareness. The majority of studies used subjective (94%) and self-administered (78%) tools. Only 39% of LMIC studies used tools validated for their contexts. Conclusions: The findings highlight the need for more contextual tools for assessing adolescent diet and PA in LMICs. Diet and PA measurement tools used in future research will need to incorporate measures of knowledge and awareness for a more comprehensive understanding of the epidemiology of diet and PA in adolescents. Furthermore, there is a need for more evidence on the reliability and validity of these tools for use, in both cross sectional and longitudinal studies, in LMIC contexts.
This study was funded by Urban Food Systems Governance for NCD Prevention in South Africa, Kenya and Namibia (Nourishing Spaces) IDRC, Canada Project [grant number 108458]. TO is supported by the National Institute for Health Research (NIHR) [grant number 16/137/34] using UK aid from the UK Government to support global health research. The views expressed in this publication are those of the authors and not necessarily those of the NIHR or the UK Department of Health and Social Care. MK was supported by the South African National Research Foundation (NRF) under joint funding with the German Academic Exchange Service (DAAD) for her PhD.
Department of Health (via National Institute for Health Research (NIHR)) (16/137/34)
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This record's DOI: https://doi.org/10.17863/CAM.83469
This record's URL: https://www.repository.cam.ac.uk/handle/1810/336040
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Licence URL: https://creativecommons.org/licenses/by/4.0/