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Review article | DOI: https://doi.org/10.31579/2637-8914/318
1M.Sc. Students, Department of Nutrition and Dietetics, School of Allied Health Science, Sharda University, Greater Noida, Ophidia.
2Assistant Professor, Department of Nutrition and Dietetics, School of Allied Health Science, Sharda University, Greater Noida, Ophidia.
*Corresponding Author: Neelesh Kumar Maurya, Assistant Professor, Department of Nutrition and Dietetics, School of Allied Health Science.
Citation: Salisu S. Ajingi, Bhawani, Sushmita Singh, Neelesh Kumar Maurya, (2025), Assessment of Nutritional Status of Adolescents: A Comprehensive Review, J. Nutrition and Food Processing, 8(7); DOI:10.31579/2637-8914/318
Copyright: © 2025, Neelesh Kumar Maurya. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 22 April 2025 | Accepted: 30 April 2025 | Published: 07 May 2025
Keywords: adolescence; undernutrition; overnutrition; micronutrient deficiencies;growth; dietary assessment; nutrition policy
Adolescence represents a critical phase of human development, marked by accelerated physical, cognitive, and psychosocial growth, necessitating heightened nutritional requirements. This review explores global and regional adolescent nutritional issues, highlighting the complex interplay of undernutrition, overnutrition, and micronutrient deficiencies. With nutritional inadequacies prevalent across both low-middle-income and high-income countries, assessment methods ranging from anthropometric and dietary evaluations to biochemical and clinical analysis provide essential tools for diagnosing and managing adolescent malnutrition. The analysis emphasizes gender-specific nutritional needs and physiological changes unique to this age group. Furthermore, it addresses the broad implications of poor adolescent nutrition, including impaired growth, delayed puberty, increased risk for chronic diseases like diabetes and cardiovascular conditions, and compromised academic and psychological outcomes. Global disparities reveal that while undernutrition and anemia dominate in resource-poor settings, obesity and related non-communicable diseases are more common in urban and affluent populations. Socioeconomic status, cultural norms, and food environments heavily influence adolescent diets, underscoring the need for comprehensive interventions. Programs such as school feeding schemes, nutrition education, and multi-sectoral policies—spearheaded by governments and supported by global entities like WHO and UNICEF—play a vital role in addressing these challenges. Ultimately, this review underscores the need for targeted, evidence-based strategies to optimize adolescent nutritional health and long-term well-being.
1.1 Background of the Study
Adolescence, defined by the World Health Organization as the age between 10 and 19 years, represents a crucial transitional period from childhood to adulthood [1]. It is a time of significant physical, psychological, and emotional growth. Adolescents undergo dramatic changes in body composition, hormonal activity, cognitive development, and social responsibilities. These rapid developments require proportionately higher nutritional intake to support the body’s changing needs [2].
Nutrient demands during adolescence increase more than at any other life stage apart from infancy. Adolescents need more energy, protein, iron, calcium, and other micronutrients to support bone growth, muscle development, and hormonal changes [3]. For example, energy requirements can reach up to 2,400 kcal/day depending on activity levels, and calcium needs are highest during adolescence to support peak bone mass accumulation [4].
Yet, despite these increased needs, adolescents around the world are vulnerable to a wide range of nutritional issues. In many low- and middle-income countries (LMICs), particularly in South Asia and Sub-Saharan Africa, undernutrition remains common, with iron-deficiency anemia being one of the most prevalent health problems among adolescent girls [5]. Simultaneously, urbanization and changes in dietary patterns have led to increasing rates of overweight and obesity among adolescents globally [6].
India exemplifies the dual burden of malnutrition. The National Family Health Survey-5 (NFHS-5) found that approximately 23% of adolescent females and 20% of adolescent males are underweight, while 21% of females and 19% of males are overweight or obese [7]. This coexistence of undernutrition and overnutrition has triggered an alarming rise in non-communicable diseases (NCDs) such as diabetes and hypertension during adolescence and early adulthood [8]. More concerning is the fact that many of these health issues begin to take root during adolescence but go undetected due to a lack of regular nutritional screening. Poor nutrition during these years can have long-term effects on physical and cognitive development, productivity, and chronic disease risk in adulthood [9]. Therefore, addressing nutritional status early is critical for improving long-term health outcomes.
This review aims to:
Adolescence marks a phase of growth second only to infancy in terms of the rate and magnitude of development. During this period, individuals experience a growth spurt characterized by increased height, weight, lean body mass, and bone density. Puberty initiates hormonal changes that also influence metabolism and nutritional requirements [10].
The biological changes differ between males and females. Boys typically experience a greater increase in muscle mass, requiring more energy and protein. In contrast, girls have increased needs for iron due to the onset of menstruation and higher fat deposition, which affects body composition and metabolism [11].
3.1 Macronutrient Requirements
Energy needs vary widely during adolescence based on age, sex, and activity levels. Boys generally require more calories than girls due to higher lean mass. The recommended daily energy intake ranges from 2,200 to 2,800 kcal/day for boys and 1,800 to 2,200 kcal/day for girls aged 14 to 18 [12].
Protein intake supports tissue repair, muscle development, and enzyme production. Adolescents are advised to consume 0.85 grams of protein per kilogram of body weight per day [13]. Sources such as dairy, eggs, legumes, and lean meat are essential to meet this need.
Carbohydrates should provide 45%–65% of total energy intake, focusing on whole grains and fiber-rich foods to support gut health. Fats should not exceed 35% of energy intake and should primarily come from unsaturated sources to avoid increasing cardiovascular risk [14].
3.2 Micronutrient Requirements
Micronutrients such as calcium, iron, zinc, and vitamin D play crucial roles in adolescent growth and immune function. Calcium and vitamin D are essential for bone growth and skeletal mineralization. Adolescents need about 1,300 mg of calcium and 600 IU of vitamin D daily [15].
Iron is particularly important, especially for girls, to compensate for menstrual blood loss. The recommended dietary allowance (RDA) for iron is 15 mg/day for girls and 11 mg/day for boys aged 14–18 years [16]. Iron-rich foods include leafy greens, red meat, and iron-fortified cereals.
Other essential micronutrients include folate (critical for DNA synthesis), zinc (supports immune function and enzyme activity), and vitamin A (important for vision and epithelial health) [17]. Deficiencies in these nutrients can delay growth, reduce immunity, and impair cognitive function.
3.3 Gender-Specific Nutritional Considerations
Biological sex significantly influences nutritional needs during adolescence. Girls face higher risk of iron-deficiency anemia due to menstruation and are more likely to experience calcium deficiency due to hormonal shifts. They also may restrict food intake due to body image concerns, increasing the risk of undernutrition [18].
Boys may have higher caloric and protein needs due to muscle mass gain but may also be prone to unhealthy eating patterns, especially in urban environments, including high consumption of processed foods [19].
Overall, meeting gender-specific needs through balanced diets and nutritional education is critical to prevent both deficiency-related and diet-related chronic conditions.
Accurate nutritional assessment is fundamental in identifying malnutrition, evaluating growth patterns, and designing interventions during adolescence. This age group undergoes rapid physiological and psychosocial changes that influence nutritional status. To comprehensively evaluate adolescent health, multiple assessment methods are used, each offering unique insights into dietary intake, body composition, and nutrient deficiencies.
4.1 Anthropometric Assessment
Anthropometric measures are the cornerstone of nutritional evaluation and are widely used due to their non-invasive, cost-effective nature. These include Body Mass Index (BMI), height-for-age, weight-for-age, and skinfold thickness assessments.
BMI is calculated by dividing weight (kg) by the square of height (m²). It is a key indicator of underweight, overweight, or obesity. However, in adolescents, BMI must be interpreted relative to age and sex due to ongoing growth and development. Thus, BMI-for-age percentiles are utilized.
Height-for-age and weight-for-age are vital for assessing stunting and underweight conditions, respectively. These indicators help identify chronic and acute malnutrition. Skinfold thickness, measured using calipers at specific sites (e.g., triceps, subscapular), estimates body fat percentage. This is especially useful when evaluating body composition changes due to sports, hormonal changes, or dietary habits.
Growth references like the World Health Organization (WHO) and Centers for Disease Control and Prevention (CDC) growth charts are commonly used to compare an adolescent’s anthropometric data with standardized percentiles. WHO charts are more applicable for global use, while CDC references are based on U.S. populations and are typically used in clinical practice in the United States [20].
Although anthropometric tools are easy to apply in large populations, they have limitations in terms of accuracy if not properly standardized or calibrated. Moreover, they do not provide direct information about micronutrient status or dietary quality.
4.2 Dietary Assessment Methods
Understanding an adolescent’s food intake is crucial to evaluating their nutrient adequacy or excess. Dietary assessment methods include:
In the 24-hour recall method, individuals list all food and beverages consumed in the previous 24 hours. This method is interviewer-administered, making it detailed but dependent on memory and interviewer skill.
FFQs assess the frequency of consumption of specific food items over a week or month. They are ideal for capturing usual intake and dietary patterns. However, they may overestimate intake and are dependent on literacy and food list appropriateness.
Diet history combines a 24-hour recall with information on typical eating patterns, meal frequency, and seasonal food variations. It gives a more holistic view of habitual diet but is time-consuming and requires trained professionals to administer accurately.
Advantages of dietary methods:
Limitations:
Despite their drawbacks, these tools are indispensable in community-based nutritional surveillance and school health programs.
4.3 Biochemical Assessment
Biochemical or laboratory-based assessments are vital for identifying subclinical deficiencies not visible in anthropometry or clinical observation.
Hemoglobin levels are the most common biomarker for assessing anemia. A low hemoglobin level, especially when paired with low serum ferritin, indicates iron deficiency anemia, which is highly prevalent in adolescents—particularly girls post-menarche.
Vitamin D and calcium levels are key indicators of bone health. Deficiency in vitamin D can impair calcium absorption and affect peak bone mass acquisition during adolescence, leading to future osteoporosis risks.
Lipid profiles are used to assess cardiovascular risk, especially in overweight or obese adolescents. Elevated LDL cholesterol or triglycerides can be early indicators of metabolic disorders linked to diet and physical inactivity.
Biochemical tests provide objective, quantitative results and are essential for clinical diagnosis. However, they are often resource-intensive, requiring laboratory infrastructure, trained personnel, and sometimes fasting samples.
Routine biochemical screenings can play a role in targeted school health programs, particularly in at-risk populations or regions with known micronutrient deficiencies [22].
4.4 Clinical Assessment
Clinical assessment involves the identification of visible signs and symptoms of malnutrition or nutrient deficiencies through physical examination.
Some key physical signs include:
This method is particularly useful in field or school settings where laboratory facilities are unavailable. However, clinical signs often appear only in moderate or severe deficiencies, limiting its ability to detect early or subclinical malnutrition.
Moreover, some signs are non-specific, making differential diagnosis challenging without supporting biochemical data. Despite these limitations, clinical evaluation remains a quick screening tool for health workers and pediatricians [23].
4.5 Functional Indicators
Functional assessments evaluate how nutritional status affects physiological and cognitive functions. While not always a direct measure of nutrient levels, these indicators can reveal functional impairments linked to nutrition.
Examples include:
These assessments are particularly valuable in school health programs, sports training centers, and public health research.
One major advantage of functional indicators is their focus on real-world implications of nutritional status, such as learning ability and sports performance. However, they can be influenced by non-nutritional factors like stress, sleep, and socio-economic status, so interpretation must be contextual [24].
5.Nutritional Challenges and Global Trends in Adolescent Health
Adolescence is a critical period characterized by rapid growth and development, necessitating adequate nutrition to support physical, cognitive, and emotional maturation. However, adolescents worldwide face significant nutritional challenges, including undernutrition, overnutrition, micronutrient deficiencies, and the influence of socio-economic and cultural factors on dietary habits.
5.1 Under-nutrition: Causes, Prevalence, and Outcomes
Undernutrition among adolescents remains a pressing concern, particularly in low- and middle-income countries (LMICs). Factors contributing to undernutrition include food insecurity, poor dietary diversity, infectious diseases, and inadequate health services. In many LMICs, adolescents enter this life stage already undernourished, with high rates of stunting and thinness persisting into adolescence. For instance, a study highlighted that 19% of adolescent girls in certain regions remained undernourished over two decades, with anemia prevalence at 45% Undernutrition during adolescence can lead to delayed puberty, impaired cognitive development, reduced physical capacity, and increased susceptibility to infections [25-31].
5.2 Over-nutrition: Rising Obesity and Non-Communicable Disease Risk
Conversely, overnutrition, characterized by overweight and obesity, is escalating globally among adolescents, driven by sedentary lifestyles and increased consumption of energy-dense, nutrient-poor foods. The global prevalence of high BMI among adolescents aged 10–19 years rose from 8.36% in 1990 to 17.64% in 2021, with higher rates observed in high-income countries [29-32]. Overweight and obese adolescents are more likely to remain obese into adulthood and are at increased risk of developing non-communicable diseases (NCDs) such as type 2 diabetes, cardiovascular diseases, and certain cancers (32-35).
5.3 Micronutrient Deficiencies: Iron, Calcium, Vitamin D, Folic Acid
Micronutrient deficiencies are prevalent among adolescents, affecting growth, immunity, and overall health. Iron deficiency anemia is common, particularly among adolescent girls due to menstruation and inadequate dietary intake. Vitamin D deficiency, resulting from limited sun exposure and low dietary intake, impairs bone health and immune function. Calcium deficiency during adolescence can compromise peak bone mass acquisition, increasing the risk of osteoporosis later in life. Folate deficiency, often due to poor dietary intake, can lead to megaloblastic anemia and, in pregnant adolescents, increase the risk of neural tube defects in offspring [29-31].
5.4 Socio-economic and Cultural Influences on Adolescent Diets
Socio-economic status and cultural practices significantly influence adolescent dietary behaviors. In many cultures, adolescents' food choices are dictated by caregivers, with meals determined by food affordability and accessibility. Economic constraints can limit access to diverse and nutrient-rich foods, leading to reliance on inexpensive, energy-dense, and nutrient-poor options. Cultural norms and practices, such as communal eating and food taboos, can also affect dietary diversity and nutrient intake. Additionally, exposure to marketing of unhealthy foods and beverages further influences adolescents' food preferences and consumption patterns [32-35].
6. Global and Regional Trends
6.1 Comparative Analysis Between High-Income and Low-Middle-Income Countries
Nutritional challenges among adolescents exhibit distinct patterns across different economic contexts. In high-income countries (HICs), overnutrition is more prevalent, with higher rates of overweight and obesity due to sedentary lifestyles and consumption of processed foods. In contrast, LMICs face a dual burden of malnutrition, with persistent undernutrition coexisting with rising rates of overweight and obesity. This nutrition transition in LMICs is attributed to urbanization, economic development, and shifts towards Westernized diets
6.2 Nutritional Disparities Based on Urban vs. Rural Settings
Urban-rural disparities in adolescent nutrition are evident, with rural adolescents often experiencing higher rates of undernutrition due to limited access to diverse foods, healthcare, and education. For example, a study found that the prevalence of undernutrition was 10.9% among rural adolescents compared to 5.1% among their urban counterparts (36-39). Conversely, urban adolescents may have greater exposure to processed foods and sedentary lifestyles, increasing the risk of overweight and obesity. These disparities highlight the need for context-specific interventions addressing the unique challenges of each setting.
6.3 School-Based Nutritional Status Reports
Schools play a pivotal role in shaping adolescents' dietary behaviors and nutritional status. School-based nutrition interventions, including meal programs, nutrition education, and promotion of physical activity, have shown promise in improving dietary habits and reducing malnutrition. A systematic review of school-based nutrition interventions emphasized their effectiveness in promoting healthy dietary practices, food preferences, lifestyle behaviors, and knowledge among schoolchildren and adolescents [38]. However, the success of such programs depends on adequate resources, community involvement, and integration into broader public health strategies.
7.Health Consequences of Poor Adolescent Nutrition and Strategic Interventions
Adolescence is a pivotal period marked by rapid physical, cognitive, and emotional development. Adequate nutrition during this stage is crucial; however, poor nutritional status can lead to significant health consequences, both immediate and long-term.
7.1 Impact on Growth and Pubertal Development
Nutritional status plays a critical role in growth and the timing of pubertal development. Undernutrition can delay the onset of puberty and impair linear growth, leading to stunting and reduced adult height. A study highlighted that severe primary or secondary malnutrition can delay the onset and progression of puberty, emphasizing the importance of adequate nutrition during adolescence [30]. Furthermore, deficiencies in essential nutrients such as iron, calcium, and zinc can disrupt hormonal balances necessary for normal pubertal progression [31].
7.2 Long-term Effects on Adult Health
Poor nutrition during adolescence has been linked to increased risks of chronic diseases in adulthood. Early-life malnutrition can lead to metabolic adaptations that predispose individuals to obesity, type 2 diabetes, and cardiovascular diseases later in life [32]. A systematic review found that exposure to severe malnutrition or famine in childhood was consistently associated with increased risk of cardiovascular disease, hypertension, impaired glucose metabolism, and metabolic syndrome in later life [33]. These findings underscore the long-term health implications of inadequate nutrition during formative years.
7.3 Psychological and Academic Performance Impacts
Nutritional deficiencies can adversely affect cognitive development and academic performance. Iron deficiency anemia, for instance, has been associated with reduced attention span, memory deficits, and lower academic achievement [34]. A study reported that being underweight reduces the academic performance of children by 68%, highlighting the profound impact of nutritional status on learning outcomes [35]. Moreover, malnutrition can lead to psychological issues such as depression and anxiety, further hindering academic performance and social interactions [36].
8. Intervention and Policy Approaches
Addressing adolescent malnutrition requires comprehensive strategies involving school-based programs, nutritional education, and collaborative efforts from governments and international organizations.
8.1 School Feeding Programs
School feeding programs have been effective in improving the nutritional status of adolescents. These programs provide regular meals, enhancing dietary intake and reducing micronutrient deficiencies. For example, the Akshaya Patra Foundation in India implements the Mid-Day Meal Scheme, serving over 2.25 million children across various states, thereby improving nutrition and educational outcomes [37]. Similarly, a study in Tanzania demonstrated that combining school meals with nutrition education and community workshops significantly reduced undernutrition and obesity among adolescents [38].
8.2 Nutritional Education and Awareness
Educating adolescents about healthy eating habits is crucial for fostering long-term behavioral changes. School-based nutrition education programs have been shown to improve dietary behaviors, food preferences, and lifestyle choices among adolescents [39]. These programs often include interactive sessions, cooking demonstrations, and curriculum integration to engage students effectively. Moreover, involving parents and communities in these educational initiatives can reinforce positive dietary practices at home.
8.3 Government and NGO Roles
Governments and non-governmental organizations (NGOs) play vital roles in implementing and scaling up nutrition interventions. In India, the Rajiv Gandhi Scheme for Empowerment of Adolescent Girls (SABLA) aims to improve the health and nutrition status of adolescent girls through supplementation, health check-ups, and vocational training [40]. NGOs like the Akshaya Patra Foundation collaborate with government programs to enhance reach and efficiency. These partnerships are essential for mobilizing resources, ensuring program sustainability, and addressing region-specific nutritional challenges.
8.4 WHO and UNICEF Adolescent Nutrition Frameworks
International organizations such as WHO and UNICEF provide frameworks and guidelines to support adolescent nutrition initiatives. UNICEF's Nutrition Strategy 2020–2030 emphasizes the importance of providing nutritious foods in schools, promoting healthy food environments, and integrating nutrition education into school curricula [41]. Additionally, WHO advocates for comprehensive school health programs that include nutrition services, health education, and supportive policies to create conducive environments for adolescent health [42]. These frameworks guide countries in developing context-specific strategies to combat adolescent malnutrition effectively.
| Nutrient | ICMR-NIN 2020 (India) | NIH/USDA DRIs (USA) |
| Energy (kcal/day) | Boys:2750 Girls: 2330 | Boys:2800 Girls: 2200 |
| Protein (g/day) | Boys:78 Girls: 65 | Boys:52 Girls: 46 |
| Calcium (mg/day) | 1000 | 1300 |
| Iron (mg/day) | Boys:17 Girls: 26 | Boys:11 Girls: 15 |
| Vitamin A (µg/day) | 1000 | Boys:900 Girls: 700 |
| Vitamin C (mg/day) | 40 | Boys:75 Girls: 65 |
| Folate (µg/day) | 300 | 400 |
| Zinc (mg/day) | Boys:12 Girls: 9 | Boys:11 Girls: 9 |
| Magnesium (mg/day) | Boys:410 Girls: 360 | Boys:410 Girls: 360 |
| Vitamin D (IU/day) | 600 | 600 |
. Table 1: Recommended Dietary Allowances (RDA) for Adolescents (14–18 years): ICMR-NIN 2020 vs. NIH/USDA Guidelines (41,42).
| Challenge | Causes | Outcomes |
| Iron-deficiency anemia | Poor iron intake, menstruation (girls), low bioavailability | Fatigue, poor academic performance, weakened immunity |
| Calcium and Vitamin D deficiency | Inadequate dairy intake, limited sun exposure | Poor bone development, increased fracture risk |
| Overnutrition/Obesity | High junk food intake, sedentary lifestyle | Increased risk of diabetes, cardiovascular issues, social stigma |
| Protein-energy malnutrition | Economic limitations, poor diet diversity | Stunted growth, delayed puberty, muscle wasting |
| Micronutrient deficiencies | Low fruit/vegetable intake, poor dietary education | Weak immunity, skin problems, vision issues |
Table 2: Nutritional Challenges and Causes in Adolescents (48-54)
| Program | Country | Focus Areas | Observed Impacts |
| POSHAN Abhiyaan | India | Nutrition education, growth monitoring, anemia control | Improved awareness, reduced anemia in girls in some states |
| Mid-Day Meal Scheme (MDMS) | India | Free school meals with fortified nutrients | Improved school attendance, better hemoglobin levels |
| MyPlate Initiative | USA | Balanced diet promotion, visual dietary guidance | Increased awareness of food groups among adolescents |
| Supplemental Nutrition Assistance Program (SNAP) | USA | Food purchasing support for low-income families | Reduced food insecurity, improved access to healthy foods |
| Weekly Iron and Folic Acid Supplementation (WIFS) | India | Weekly supplements, deworming, health education | Reduced incidence of iron-deficiency anemia |
Table 3: Adolescent Nutrition Policy Frameworks (54-59)
Adolescents (14–18 years) have distinct nutritional needs essential for growth, development, and long-term health. A comparative analysis of dietary recommendations from ICMR-NIN 2020 (India) and NIH/USDA DRIs (USA) reveals both similarities and key differences. Energy and protein needs are higher in Indian guidelines, with ICMR recommending 2750 kcal/day for boys and 2330 kcal/day for girls, compared to 2800 and 2200 kcal/day in the U.S. Protein needs also vary significantly, with India advising 78 g/day for boys and 65 g/day for girls, in contrast to 52 g and 46 g in the U.S. This reflects a higher emphasis on protein sufficiency in the Indian context [37-42].
Calcium and iron show the most significant differences. The U.S. recommends 1300 mg/day of calcium for optimal bone growth, while India suggests 1000 mg/day. Iron recommendations are higher in India, especially for girls (26 mg/day) due to menstruation and higher anemia prevalence, compared to 15 mg/day in the U.S. For vitamins, discrepancies in Vitamin C and Folate are notable, with the U.S. recommendations being substantially higher [41,42].
Despite these guidelines, adolescents face serious nutritional challenges. Iron-deficiency anemia, particularly among girls, remains widespread due to poor intake and low bioavailability. Calcium and Vitamin D deficiencies arise from inadequate dairy consumption and limited sunlight exposure. Overnutrition is increasingly common due to high junk food intake and sedentary behavior, while undernutrition still exists due to poverty and low diet diversity. These challenges can result in stunted growth, delayed development, or long-term health issues [45-57].
To address these issues, both India and the U.S. have implemented nutrition policy frameworks. India’s POSHAN Abhiyaan and WIFS focus on anemia control and education, while programs like MDMS provide fortified school meals. In the U.S., MyPlate promotes dietary awareness and SNAP ensures food access, showing promising impacts in adolescent health outcomes.
Adolescent nutrition stands at the crossroads of current health challenges and future public health outcomes. This review affirms that poor nutrition during this transformative phase not only impedes immediate physical and cognitive development but also lays the groundwork for adult-onset chronic diseases, psychological impairments, and socioeconomic disadvantages. The dual burden of malnutrition—undernutrition in low-resource settings and overnutrition in more affluent environments—calls for contextualized responses that acknowledge regional dietary trends, urban-rural disparities, and cultural food practices. A multifaceted approach to nutritional assessment, incorporating anthropometric, dietary, biochemical, clinical, and functional indicators, is essential to accurately capture the health status of adolescents. Such data-driven assessments are crucial in guiding policy formulation and programmatic interventions. The review further highlights the promise of school-based interventions, nutrition education, and health-promoting policy frameworks in mitigating adolescent nutritional challenges. Effective models, such as India’s Mid-Day Meal Scheme and UNICEF’s global nutrition strategy, demonstrate that structured, multi-stakeholder approaches can significantly improve health outcomes and educational engagement among youth. Importantly, empowering adolescents through education and community participation fosters sustainable dietary behaviors that transcend adolescence into adulthood. Moving forward, policy efforts must focus on scaling successful models, bridging implementation gaps, and ensuring equitable access to nutrition services across all adolescent demographics. Stronger collaborations between governments, NGOs, educational institutions, and international organizations are imperative. Investing in adolescent nutrition is not only a moral obligation but a strategic imperative for human capital development, societal well-being, and economic productivity in the decades to come.
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I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
