{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:05:30Z","timestamp":1787061930530,"version":"build-2736575974"},"reference-count":79,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T00:00:00Z","timestamp":1732752000000},"content-version":"unspecified","delay-in-days":332,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Nutr Sci"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Combating the double burden of malnutrition (DBM) in adolescents is a critical public health challenge in low-income countries like Ethiopia. However, past efforts have lacked focus and exhibited diverse governance strategies. Therefore, this study assesses the effect of selected double-duty interventions (DDIs) on DBM among adolescents in Central Ethiopia. The DBM status (thinness, normal, overweight\/obesity) was determined using WHO AnthroPlus software. A two-arm parallel cluster randomised controlled trial was used among 708 adolescents (356 for the intervention group [IG] and 352 for the control group [CG]) from 13 October 2022 to 30 June 2023. The intervention\u2019s effect was analysed through difference-in-difference (DID) analysis and a multivariable multinomial generalised estimating equation (GEE) model with significance set at\n                    <jats:italic>P<\/jats:italic>\n                    &lt; 0.05. The overall DBM prevalence decreased by nearly 7% (4.7% for thinness, 2.2% for overweight\/obesity) in the DID analysis. After adjusting for possible confounders, the GEE model indicated that adolescents in the IG were 34% less likely to have higher DBM than those in the CG (AOR = 0.66, 95% CI [0.46, 0.94]). Additionally, the probability of DBM decreased by 59% at the end line compared to baseline measurements (AOR = 0.41, 95% CI [0.03, 0.92]). Adolescents in the category of time and IG interaction were 44% less likely to have increased DBM (AOR = 0.56, 95% [CI 0.02, 0.38]). Thus, this study underscores the effectiveness of selected DDIs in addressing DBM among adolescents using a health belief model. These results advocate for the integration of DDI strategies into existing nutrition guidelines, programmes, and policies.\n                  <\/jats:p>\n                  <jats:p>The trial was registered prospectively in ClinicalTrials.gov with registration number NCT05574842.<\/jats:p>","DOI":"10.1017\/jns.2024.68","type":"journal-article","created":{"date-parts":[[2024,11,28]],"date-time":"2024-11-28T02:16:18Z","timestamp":1732760178000},"source":"Crossref","is-referenced-by-count":4,"title":["Effect of double-duty interventions on double burden of malnutrition among adolescents in Debre Berhan Regiopolitan City, Ethiopia: a cluster randomised controlled trial"],"prefix":"10.1017","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9237-117X","authenticated-orcid":false,"given":"Lemma","family":"Getacher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9161-1509","authenticated-orcid":false,"given":"Beyene Wondafrash","family":"Ademe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5455-9457","authenticated-orcid":false,"given":"Tefera","family":"Belachew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2024,11,28]]},"reference":[{"key":"S2048679024000685_ref4","volume-title":"Guideline: Implementing Effective Actions for Improving Adolescent Nutrition","year":"2018"},{"key":"S2048679024000685_ref40","volume-title":"Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services","year":"2017"},{"key":"S2048679024000685_ref10","volume-title":"International Food Policy Research Institute. 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