Urbanicity and the diets and nutritional status of adolescents and their mothers in Vietnam

dc.creatorNguyen, Phuong Hong
dc.creatorMaasen, Kim
dc.creatorTalsma, Elise F.
dc.creatorZagré, Rock Romaric
dc.creatorGune, Soyra
dc.creatorTran, Lan Mai
dc.creatorTruong, Mai Tuyet
dc.creatorHoang, Nga Thu
dc.creatorVuong, Ngoc Ho Thi
dc.creatorFretes, Gabriela
dc.creatorBrouwer, Inge D.
dc.creatorRuel, Marie T.
dc.creatorLeroy, Jef L.
dc.date2026-07
dc.date2026-06-26T19:30:03Z
dc.date.accessioned2026-06-27T14:59:16Z
dc.descriptionBackground Urbanization catalyzes significant shifts in diets worldwide, yet its impact on adolescent diets and nutrition is poorly understood. Objectives We examined the association between urbanicity and diets and nutritional status among Vietnamese adolescents and their mothers. Methods We assessed diets using a multipass 24-h recall (15% repeated) and collected anthropometric data from 2861 adolescents and their mothers (n = 2664) in rural, peri-urban and urban areas. We calculated the Global Diet Quality Score (GDQS: total 0–49; healthy: 0–32; unhealthy: 0–17) and risk categories. We estimated usual intakes (National Cancer Institute’s method) and the mean probability of adequacy (MPA) for 11 micronutrients. We compared outcomes across areas using regression models adjusted for school-level clustering. Results GDQS healthy was higher in the urban area (adolescents 7.5, mothers 9.5) than in the rural area (6.6 and 7.7). GDQS unhealthy was comparable across areas (∼11 in adolescents and mothers). Adolescent and maternal diets in the rural area were most likely to fall in the GDQS high-risk category for nutrient inadequacy and non-communicable diseases(23% and 11%). MPA was low across all areas for both adolescents and mothers (≤40%). The prevalence of overweight/obesity was highest in urban areas among adolescents (29%) and similar across areas among mothers (15%–19%). Conclusions Urbanicity was positively associated with healthier diets due to greater healthy food consumption, but also with higher risks of adolescent overweight/obesity. Differences by study area, however, were small and diet healthiness was low across all settings. Innovative school and food environment interventions and policies are needed to promote greater consumption of healthy foods and limit unhealthy food intake among Vietnamese adolescents and their mothers, and to prevent and control rising overweight/obesity.
dc.identifierhttps://hdl.handle.net/10568/183523
dc.identifier.urihttp://hdl.handle.net/123456789/91268
dc.languageen
dc.publisherElsevier
dc.relationhttps://doi.org/10.1016/j.cdnut.2026.109402
dc.rightsOpen Access
dc.sourceNguyen, Phuong Hong; Maasen, Kim; Talsma, Elise F.; Zagré, Rock Romaric; Gune, Soyra; et al. 2026. Urbanicity and the diets and nutritional status of adolescents and their mothers in Vietnam. Journal of Nutrition 156(7): 101624. https://doi.org/10.1016/j.tjnut.2026.101624
dc.subjecturbanism
dc.subjectdiet
dc.subjecthealthy diets
dc.subjectnutritional status
dc.subjectadolescents
dc.subjectnutrient intake
dc.subjecttrace elements
dc.subjectrural areas
dc.titleUrbanicity and the diets and nutritional status of adolescents and their mothers in Vietnam
dc.typeJournal Article

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