{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T04:54:47Z","timestamp":1791089687042,"version":"4.1.0"},"reference-count":31,"publisher":"King Faisal Specialist Hospital and Research Centre","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Saudi Med"],"published-print":{"date-parts":[[2026,9]]},"abstract":"\n BACKGROUND:<\/jats:title>\n Adolescence is a critical period of growth and development during which nutritional deficiencies may adversely affect health outcomes throughout adulthood.<\/jats:p>\n <\/jats:sec>\n \n OBJECTIVES:<\/jats:title>\n To determine the prevalence of stunting and thinness among adolescents in Jazan city, Saudi Arabia, using the WHO AnthroPlus growth reference, and to identify associated sociodemographic factors.<\/jats:p>\n <\/jats:sec>\n \n DESIGN:<\/jats:title>\n School-based cross-sectional study<\/jats:p>\n <\/jats:sec>\n \n SETTING:<\/jats:title>\n Governmental intermediate schools in Jazan city, Saudi Arabia, between January and May 2023<\/jats:p>\n <\/jats:sec>\n \n PATIENTS AND METHODS:<\/jats:title>\n A total of 324 adolescents aged 13\u201316 years were enrolled using a multistage cluster sampling technique. Sociodemographic data were collected using a data collection form. Anthropometric measurements, including height and weight, were obtained according to standardized World Health Organization (WHO) protocols. Height-for-age z-scores (HAZ) and body mass index-for-age z-scores (BMIZ) were calculated using WHO AnthroPlus software. Binary logistic regression analyses were performed to identify factors associated with stunting and thinness.<\/jats:p>\n <\/jats:sec>\n \n MAIN OUTCOME MEASURES:<\/jats:title>\n Prevalence of stunting (HAZ <\u22122 standard deviations, SD), severe stunting (HAZ <\u22123 SD), and thinness (BMIZ <\u22122 SD), and their associations with sociodemographic characteristics.<\/jats:p>\n <\/jats:sec>\n \n SAMPLE SIZE:<\/jats:title>\n A total of 324 adolescents were included in the final analysis.<\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n The mean HAZ for the study population was \u22120.74\u00b11.08. Stunting (HAZ <\u22122 SD) was identified in 40 adolescents (12.3%; 95% CI: 9.0%\u201316.0%), including 6 adolescents with severe stunting (1.9%; 95% CI: 0.6%\u20133.4%). The mean BMIZ was 0.69\u00b11.30, and thinness (BMIZ <\u22122 SD) was observed in 14 adolescents (4.3%; 95% CI: 2.2%\u20136.5%). Increasing age was independently associated with higher odds of stunting (AOR 1.61, 95% CI 1.12\u20132.30;\n P<\/jats:italic>\n =.010).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n Stunting remains a significant public health concern among adolescents in Jazan city despite the relatively low prevalence of thinness. Increasing age was independently associated with higher odds of stunting.<\/jats:p>\n <\/jats:sec>\n \n LIMITATIONS:<\/jats:title>\n The cross-sectional design precludes causal inference. The study included only governmental schools from Jazan city, which may limit generalizability.<\/jats:p>\n <\/jats:sec>","DOI":"10.5144\/0256-4947.2026.349","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T04:44:41Z","timestamp":1791089081000},"page":"349-357","source":"Crossref","is-referenced-by-count":0,"title":["Stunting and thinness among adolescents residing in Jazan City, Saudi Arabia: a school-based cross-sectional study using WHO AnthroPlus"],"prefix":"10.5144","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0921-6508","authenticated-orcid":true,"given":"Ebtihal Elameen","family":"Eltyeb","sequence":"first","affiliation":[{"name":"From the Pediatrics Department, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Ali","family":"Al-Makramani","sequence":"additional","affiliation":[{"name":"From the Pediatrics Department, College of Medicine, Jazan University, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3134","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)02140-1"},{"key":"e_1_3_4_3_2","unstructured":"World Health Organization 2005. 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