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-- × sign up to innocenti news close sign-up keep up to date keep up to date connect connect menu research adolescent wellbeing child rights governance child rights in the digital age children and migration children in high income countries humanitarian research longitudinal research for children education family and parenting support multi-dimensional child poverty social protection – cash transfers violence affecting children conference & meetings research experts archive publications innocenti discussion papers innocenti report card innocenti research briefs innocenti research reports innocenti working papers miscellanea other publication series journal articles innocenti blog posts multi-media research watch data visualizations innocenti podcasts innocenti videos research facilitation ethical research and children best of unicef research impact evaluation adolescent research briefs innocenti research digest on adolescence child rights research tools evidence gap map about us how we work history our staff employment opportunities contact us faqs press centre what's new archive innocenti e-newsletter media resources for journalists embargoed press materials journalist registration unicef.org a second chance for adolescents: “catching up” growth beyond first 1,000 days (23 july 2018) undernutrition has made stunted growth and the delayed onset of puberty common in many regions. however, stunting recovery interventions may enable undernourished young people to catch-up on height and other developmental markers. the potential for a ‘catch-up’ growth window in adolescence has been suggested for some time but has not yet been substantiated. a new working paper published by unicef innocenti, the intricate relationship between chronic undernutrition, impaired linear growth and delayed puberty , explores this important opportunity. adolescent girls react during a nutrition counselling session at the anganwadi center in maharashtra, india. chronic undernutrition is characterized by long-term exposure to food of insufficient quality and inadequate quantity. in a state of chronic food insufficiency, the human body conserves energy by prioritizing essential metabolic processes resulting in impaired growth and delayed reproductive maturation. as the human capital of the future, drivers of economic growth, and parents of the next generation, adolescents are an incredibly important group. therefore, addressing undernutrition in young adolescents is critical. with 15–20% of total height and 45% of adult bone mass achieved during adolescence, this phase may be the final opportunity to influence adult height and mitigate stunting. growth and development during adolescence are susceptible to nutritional, environmental and hormonal factors and, subsequently, possible modifications. with 15–20% of total height and 45% of adult bone mass achieved during adolescence, this phase may be the final opportunity to influence adult height and mitigate stunting. knowledge gaps, including adolescent-specific evidence and the long-term effects of undernourishment, inhibit progress in this area. to address this gap, unicef innocenti conducted a workshop bringing together humanitarian and adolescence experts from around the globe. this working paper serves a summary of the biological-centered discussion that took place in the workshop, and outlines knowledge gaps and opportunities. the paper provides a review of key literature on catch-up growth during adolescence, including: catch-up growth from longitudinal cohorts in lmics; catch-up growth of children born small-for-gestational age; and catch-up growth through a change in environment. biological mechanisms - including puberty onset, the hormonal consequences of undernutrition, and bone growth – are also considered. a boy has his height and weight measured in south phnom penh, cambodia. the study finds an association between undernutrition, impaired linear growth and delayed puberty. it also acknowledges that puberty is the period in which catch-up growth may (or may not) take place. however, these findings are limited due to uncertainties about the biological mechanisms of growth and adolescent-specific influences on linear growth. difficulties in determining catch-up growth during adolescence arise from incomplete data on the subject. despite the available evidence on catch-up growth in adolescence, there is still a lack of high-quality data, particularly for adolescent boys. methodological inconsistencies in definitions and reference populations make comparison between studies difficult. the practicality of collecting individual-specific puberty and growth measures, for example breast development or long bone fusion, further compounds the issue of incomplete data. without a global standard to identify catch-up growth in adolescence, mainstreaming results remains a challenge. the paper calls for increased collaboration among stakeholders and consensus on research methods in order to strengthen existing findings. without more robust evidence, interventions aimed at ameliorating stunting will be compromised. this working paper is one of various pieces of research being conducted on the long-term effects of humanitarian crises including the analysis of genocides in cambodia and rwanda on well-being of adolescents and a piece on the knowledge gaps and possible solutions to measure long term effects of crises. this series will also include a final piece on data collection improvements required to capture the long-term effects of undernutrition and to identify more specifically the vulnerabilities of adolescents. best of unicef research 2018 winners list published (11 july 2018) now in its sixth edition, best of unicef research continues to be a fertile source of inspiring, rigorous and influential evidence. each year, unicef’s office of research—innocenti invites unicef offices around the world – including country offices, regional offices, national committees, and headquarters - to submit recent examples of research for children. the aim is to bring attention to work that contributes to shifting policy agendas and has a high potential for impact on policies and programmes that benefit children. fourteen-year-old amina hassan (name changed) in the ifo refugee camp near the kenya-somalia border. amina has never attended school and was married off by her parents at age 12. showcasing some of the most innovative and rigorous research coming out of unicef, the winners cover a range of topics, locations, cultures and levels of economic development. following an internal review of 105 eligible submissions, unicef innocenti staff identified 12 finalists which were then independently reviewed by an external panel of international experts. acknowledging their strong conceptualization, sound methodology, originality and potential for impact, the panel selected the following winners: fgm/c and child marriage among the rendille, maasai, pokot, samburu and somali communities in kenya produced by unicef kenya with the ministry of health, ministry of labour and social protection and unfpa. the panel commended this piece for its grounded inquiry through its exploration of local perceptions. prioritizing understanding over condemnation, the study takes a step towards working with communities rather than against them to expedite the eradication of harmful practices. one of the study’s main strengths is its comprehensive mixed methods approach. this allowed for a detailed and thoughtful discussion including considerations about gender, ethnicity and religion. understanding child multidimensional poverty in egypt produced by the ministry of social solidarity (moss), the central agency for public mobilization and statistics (capmas), and unicef egypt. this innovative report provides evidence to inform integrated interventions to address child poverty. using a life-course approach and focusing on the child as the unit of analysis, the report effecti
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