Using quantitative data from a one-time survey followed by ethnographic research in two sites in India (Koraput district in Odisha and Wardha district in Maharashtra), this paper seeks to examine the conundrum of gender differentials in adolescent nutrition. While large-scale datasets, as from the National Institute of Nutrition (NIN), suggest that adolescent boys are slightly more undernourished than girls, micro-studies often contradict this finding. In this paper, the authors explore the possible explanatory factors for this divergence, located in household histories in specific agro-ecological settings.

Analysis reveals that behind every malnourished child, there is (in general) a history of undernourishment, including an impoverished household. The disadvantage is multiplied by the presence of a malnourished mother (sometimes a malnourished father), medical neglect, water scarcity and often a son preference that leads to the birth of several daughters before a son is born.

While acknowledging the importance of child malnutrition as a focus of development policy, the paper concludes with a need to pay attention to adolescents, both boys and girls, in order to ensure well-being in adult life.