Adolescence is a critical life-stage that is characterised not only by considerable physical growth and development but also by changes in mind and spirit. It involves the adolescent moving from the socio-cultural environment of the child through to that of the adult, which for many can be challenging and traumatic. As a result it deserves to be a focus of public health nutrition research and practice.
In this issue a number of papers focus on public health nutrition issues pertinent to adolescence. In a life-stage characterised by significant growth and development and the associated changes in body composition, it is not surprising that adolescence is a focus of research relating to overweight and obesity. Reddy et al.(Reference Reddy, Resnicow, James, Kambaran, Omardien and MBewu1) report on data from a South African survey of 9224 adolescent school-aged children and describe differences in the distribution of overweight and obesity by sex, racial heritage and socio-economic status. In a country in nutrition transition experiencing both forms of malnutrition, they conclude that ongoing surveillance of malnutrition mindful of gender, racial and socio-economic disparities is important.
Data on what adolescents eat is clearly an important source of intelligence to inform the development, implementation and evaluation of effective public health nutrition interventions in this group. Joyce et al.(Reference Joyce, Wallace, McCarthy and Gibney2) present data on fat intakes from two Irish population samples which identify a low level of compliance with recommendations regarding SFA intake among children, adolescents and adults. Baldini et al.(Reference Baldini, Pasqui, Bordoni and Maranesi3) report on a study that suggests the diets of young people in Spain and Italy are moving away from the traditional Mediterranean dietary pattern considered by many to be health-promoting. This implies that adolescence may be an important life-stage for public health nutrition intervention.
Adolescence is characterised by heightened personal awareness of body image associated with changes in body shape, pubescence and increasing sexuality. Is it any surprise therefore those adolescents under- and over-report issues such as body weight and related dietary practices in societies that overly emphasise beauty in its physical dimension? Vance et al.(Reference Vance, Woodruff, McCargar, Husted and Hanning4) report on Canadian data comparing energy intake with estimated BMR to find evidence of under-reporting of energy intake among both genders but greater among females and increasingly so with increasing weight status. Vagstrand et al.(Reference Vagstrand, Lindroos and Linne5) describe that misreporting of energy intake is not limited to under-reporting among Swedish teenagers and their mothers.
These studies reinforce the view that caution needs to be exercised when relying on self-reported dietary data among young adults, particularly in the context of body weight.
