Wells JC, Sawaya AL, Wibaek R, Mwangome M, Poullas MS, Yajnik CS, Demaio A. The double burden of malnutrition: aetiological pathways and consequences for health. Lancet. 2020;395:75–88.

Article  PubMed  Google Scholar 

Wrottesley SV, Pedro TM, Fall CH, Norris SA. A review of adolescent nutrition in South Africa: transforming adolescent lives through nutrition initiative. South African J Clin Nutr. 2020;33(4):94–132.

Article  Google Scholar 

KNBS and ICF. Kenya Demographic and Health Survey 2022. Demogr Heal Surv 2022. 2023.

Popkin BM, Ng SW. The nutrition transition to a stage of high obesity and noncommunicable disease prevalence dominated by ultra-processed foods is not inevitable. Obes Rev. 2022;23:e13366.

Article  PubMed  Google Scholar 

Reardon T, Tschirley D, Liverpool-Tasie LSO, Awokuse T, Fanzo J, Minten B, et al. The processed food revolution in African food systems and the double burden of malnutrition. Global Food Secur. 2021;28:100466.

Article  Google Scholar 

Popkin BM, Corvalan C, Grummer-Strawn LM. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet. 2020;395:65–74.

Article  PubMed  Google Scholar 

Turner C, Aggarwal A, Walls H, Herforth A, Drewnowski A, Coates J, e al. Concepts and critical perspectives for food environment research: a global framework with implications for action in low-and middle-income countries. Global Food Secur. 2018;18:93–101.

Article  Google Scholar 

Green MA, Pradeilles R, Laar A, Osei-Kwasi H, Bricas N, Coleman N, et al. Investigating foods and beverages sold and advertised in deprived urban neighbourhoods in Ghana and Kenya: a cross-sectional study. BMJ Open. 2020;10:e035680.

Article  PubMed  PubMed Central  Google Scholar 

Kimenju. The nutrition transition, supermarkets , and nutritional outcomes in developing countries. PhD Thesis. 2014.

World bank. Urban Development [Internet]. 2023. [cited 2023 Dec 10]. Available from: https://www.worldbank.org/en/topic/urbandevelopment/overview

World Bank Group. Population living in slums (% of urban population) - Sub-saharan Africa [Internet]. 2024 [cited 2023 Dec 10]. Available from: https://data.worldbank.org/indicator/EN.POP.SLUM.UR.ZS?locations=ZG&view=chart

UN-HABITAT. Urbanisation in Kenya [Internet]. Nairobi, Kenya; 2023. [cited 2023 Dec 10]. Available from: https://unhabitat.org/kenya

Peters R, Amugsi DA, Mberu B, Ensor T, Hill AJ, Newell JN, Elsey H. Nutrition transition, overweight and obesity among rural-to-urban migrant women in Kenya. Public Health Nutr. 2019;22:3200–10.

Article  PubMed  PubMed Central  Google Scholar 

World Bank. Population living in slums (% of urban population): Kenya [Internet]. 2023. [cited 2023 Dec 10]. Available from: https://data.worldbank.org/indicator/EN.POP.SLUM.UR.ZS?locations=KE

UN-Habitat. Slum Almanac 2015/2016. Tracking improvement in the lives of slum dwellers. Particip Slum Upgrad Program [Internet]. 2016. [cited 2023 Dec 10]. Available from: https://unhabitat.org/slum-almanac-2015-2016-0

World Health Organization (WHO). Why invest in adolescent health [Internet]. Geneva.; 2019. [cited 2023 Dec 10] Available from: https://www.who.int/maternal_child_adolescent/topics/adolescence/why-invest/en/

Roberts K, Cade J, Dawson J, Holdsworth M. Empirically derived dietary patterns in UK adults are associated with sociodemographic characteristics, lifestyle, and diet quality. Nutrients. 2018;10:177.

Article  PubMed  PubMed Central  Google Scholar 

Hu FB. Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol. 2002;13:3–9.

Article  CAS  PubMed  Google Scholar 

Tucker KL. Dietary patterns, approaches, and multicultural perspective. Appl Physiol Nutr Metab. 2010;35:211–8.

Article  PubMed  Google Scholar 

African Population and Health Research Center & United States Agency for International Development. Urban Health Assessment: Nutrition and Water Sanitation and Hygiene (WASH) Challenges Facing Children and Adolescents in Urban Slums in Nairobi [Internet]. Nairobi, Kenya; 2019. Available from: https://aphrc.org/publication/urban-health-assessment-nutrition-and-water-sanitation-and-hygiene-wash-challenges-facing-children-and-adolescents-in-urban-slums-in-nairobi/

Ministry of Health Kenya. Kenya National Nutrition Action Plan 2018–2022. 2018;(December 2018):1–37. Available from: https://scalingupnutrition.org/wp-content/uploads/2020/10/Kenya-National-Nutrition-Action-Plan-2018-22.pdf

Wamukoya M, Kadengye DT, Iddi S, Chikozho C. The Nairobi Urban Health and Demographic Surveillance of slum dwellers, 2002–2019: Value, processes, and challenges. Glob Epidemiol. 2020;

HealthyFoodAfrica. Healthy Food Africa Project [Internet]. 2024. [cited 2024 October 12] Available from: https://healthyfoodafrica.eu/

Emina J, Beguy D, Zulu EM, Ezeh AC, Muindi K, Elung’Ata P, et al. Monitoring of health and demographic outcomes in poor urban settlements: evidence from the Nairobi Urban Health and Demographic Surveillance System. J Urban Heal. 2011;88:200–18.

Article  Google Scholar 

Rapando C, Josephat Nyagero FW. Obesity, feeding habits associated with overweight and Public, amongst secondary School students in Private and Kenya, schools in Langata Nairobi. Int J Sci Res Publ. 2017;7(5):1–8.

Google Scholar 

NHANES. Anthropometry procedures manual. Natl Heal Nutr Exam Surv. 2007;3(1):3–10.

Google Scholar 

World Health Organization. World Health Organization (WHO). Growth reference data for 5–19 years. WHO. 2007.

Steinfeldt L, Anand J, Murayi T. Food reporting patterns in the USDA automated multiple-pass method. Proc Food Sci. 2013;2:145–56.

Article  Google Scholar 

Esther Anono, Hanna Walsh, Noora Kanerva, David Mubasu, Victor Okoth, Bill Clinton, Aliisa Hyvonen, Sophie Ochola, Maijaliisa Erkkola VO and MF. Photographic Food Atlas for Kenyan Adolescents (9–14 years). Nairobi, Kenya.

FAO/Government of Kenya. Kenya Food Composition Tables [Internet]. Nairobi, Kenya; 2018. Available from: https://kilimo.go.ke/wp-content/uploads/2021/01/KENYA-FOOD-COMPOSITION-TABLES-2018.pdf

Banna JC, McCrory MA, Fialkowski MK, Boushey C. Examining plausibility of self-reported energy intake data: considerations for method selection. Front Nutr. 2017;4:45.

Article  PubMed  PubMed Central  Google Scholar 

Boateng D, Galbete C, Nicolaou M, Meeks K, Beune E, Smeeth L, et al. Dietary patterns are associated with predicted 10-year risk of cardiovascular disease among Ghanaian populations: The Research on Obesity and Diabetes in African Migrants (RODAM) study. J Nutr. 2019;149:755–69.

Article  PubMed  PubMed Central  Google Scholar 

Smith ADAC, Emmett PM, Newby PK, Northstone K. Dietary patterns obtained through principal components analysis: the effect of input variable quantification. Br J Nutr. 2013;109:1881–91.

Article  CAS  PubMed  Google Scholar 

Rutstein SO. Steps to constructing the new DHS wealth index. Rockville, MD ICF Int. 2015.

Story M, Neumark-Sztainer D, French S. Individual and environmental influences on adolescent eating behaviors. J Am Diet Assoc. 2002;102:S40–51.

Article  PubMed  Google Scholar 

Ministry of Health; Kenyan National Bureau of Statistics; World Health Organization. Kenya STEPwise Survey for Non Communicable Diseases Risk Factors 2015 Report. Public Health. 2015;5(7):8–210. Available from: http://aphrc.org/wp-content/uploads/2016/04/Steps-Report-NCD-2015.pdf

WHO. WHO Guidelines on physical activity and sedentary behaviour. Routledge Handbook of Youth Sport. 2016. 1–582 p.

Mickey RM, Greenland S. The impact of confounder selection criteria on effect estimation. Am J Epidemiol. 1989;129:125–37.

Article  CAS  PubMed  Google Scholar 

Nyanhanda T, Mwanri L, Mude W. Double burden of malnutrition: a population level comparative cross-sectional study across three sub-Saharan African countries—Malawi. Namibia and Zimbabwe: Int J Environ Res Public Health; 2023.

Google Scholar 

Thurstans S, Opondo C, Seal A, Wells J, Khara T, Dolan C, et al. Boys are more likely to be undernourished than girls: a systematic review and meta-analysis of sex differences in undernutrition. BMJ Glob Health. 2020;5(12):e004030.

Article  PubMed  PubMed Central  Google Scholar 

Darling AM, Sunguya B, Ismail A, Manu A, Canavan C, Assefa N, et al. Gender differences in nutritional status, diet and physical activity among adolescents in eight countries in sub-Saharan Africa. Trop Med Int Heal. 2020;25:33–43.

Article  Google Scholar 

Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3–21.

Article  PubMed  Google Scholar 

Kanerva N, Wachira LJ, Uusi-Ranta N, Anono EL, Walsh HM, Erkkola M, et al. Wealth and sedentary time are associated with dietary patterns among preadolescents in Nairobi City, Kenya. J Nutr Educ Behav. 2023;55:322–30.

Article  PubMed  Google Scholar 

Nel JH, Steyn NP. The nutrition transition and the double burden of malnutrition in sub-saharan african countries: How do these countries compare with the recommended LANCET COMMISSION Global Diet? Int J Environ Res Public Health. 2022;19:16791.

Article  PubMed  PubMed Central  Google Scholar 

Ochola S, Masibo PK. Dietary intake of schoolchildren and adolescents in developing countries. Ann Nutr Metab. 2014;64:24–40.

Article  CAS  PubMed  Google Scholar 

Wachira LJ, Muthuri S, Ochola S, Onywera V, Tremblay M. Association between dietary behaviours and weight status of school children: results from the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE)-Kenya. Child Adolesc Obes. 2021;4(1):1–22.

Article  Google Scholar 

Madzorera I, Bromage S, Mwanyika-Sando M, Vandormael A, Sherfi H, Worku A, et al. Dietary intake and quality for young adolescents in sub-Saharan Africa: Status and influencing factors. Matern Child Nutr. 2023;2023:13463.

Article  Google Scholar 

Peltzer K, Pengpid S. Fruits and vegetables consumption and associated factors among in-school adolescents in seven African countries. Int J Public Health. 2010;55:669–78.

Article  PubMed  Google Scholar 

Ministry of Education, Ministry of Health, Ministry of Agriculture L and F. NATIONAL SCHOOL MEALS AND NUTRITION STRATEGY(2017–2022). 2017;64. Available from: https://www.wfp.org/publications/2018-national-school-meals-and-nutrition-strategy-2017-2022-kenya

Downs SM, Fox EL, Mutuku V, Muindi Z, Fatima T, Pavlovic I, et al. Food environments and their influence on food choices: a case study in informal settlements in Nairobi. Kenya Nutrients. 2022;14(13):1–16.