The double burden of chronic malnutrition and overweight and obesity in Ecuadorian mothers and children, 1986–2012

2018 ◽  
Vol 24 (3) ◽  
pp. 163-170 ◽  
Author(s):  
Wilma B Freire ◽  
William F Waters ◽  
Gabriela Rivas-Mariño ◽  
Philippe Belmont
Keyword(s):  
Public Health ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Global Public Health ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Chronic Malnutrition ◽  
The Past ◽  
Double Burden Of Malnutrition ◽  
Nationally Representative

Background: The simultaneous presence of undernutrition and over-nutrition represents a paradox in global public health and is of increasing concern in Ecuador, where chronic malnutrition and overweight and obesity occur in the context of demographic and epidemiologic transitions. Two overlapping trends are present in Ecuador; while levels of stunting have decreased slowly in the past three decades, increasing proportions of children <5 years and women of reproductive age suffer from overweight and obesity. Aim: To analyze stunting and overweight and obesity in children <5 and their mothers aged from 15 to 49 years in the context of demographic and household characteristics between 1986 and 2012. Methods: This study compares data from nationally-representative surveys conducted in Ecuador in 1986, 2004, and 2012, each of which collected information on children <5 and mothers aged 15–49 years. Results: The prevalence of chronic malnutrition in children <5 decreased at different rates among Ecuadorians who differ in terms of residence, socioeconomic status, and mothers’ level of education, while overweight and obesity increased dramatically in the same period. Conclusion: Chronic malnutrition in children <5 and overweight in children <5 and mothers 15–49 years represent a double burden of malnutrition in Ecuador. The phenomena differ in their effects, and, while the prevalence of stunting is declining in Ecuador as it is in many parts of the world, the problem of overweight and obesity has emerged in dramatic fashion, and currently represents an extraordinary challenge to public health.

scholarly journals Double Burden of Malnutrition among Chinese Women of Reproductive Age and Their Social Determinants

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3102
Author(s):  
Jingqi Song ◽  
Ji Zhang ◽  
Wafaie Fawzi ◽  
Yangmu Huang
Keyword(s):  
Normal Weight ◽  
Overweight And Obesity ◽  
Living Environment ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Community Factors ◽  
Wide Range ◽  
Double Burden Of Malnutrition ◽  
The Impact

This study aimed to examine the impact of a wide range of demographic, socioeconomic, and community factors on the double burden of malnutrition among women of reproductive age using longitudinal data. We used data about 11,348 women of reproductive age who participated in the China Health and Nutrition Survey (CHNS), a longitudinal survey, between 1989 and 2015. Nutritional outcomes were categorized into four groups, namely underweight, normal weight, overweight, and obesity, with normal weight as reference. A multinomial logit model was fitted due to geographic clustering and repeated observations of individuals. The prevalence of underweight decreased over time from 1991 but has tended to rise again since 2004, while the prevalence of overweight/obesity continued to rise between 1991 and 2015. Improved individual factors, socioeconomic status, and community urbanization reduced the risk of underweight but elevated the risk of overweight and obesity. The medium levels, rather than the highest levels, of household income and community urbanization are associated with a higher risk of overweight and obesity. The notable increase in underweight prevalence is a cause for concern to be addressed along with efforts to curb the rising tide of overweight. In order to enhance the nutritional status of women of reproductive age, it is essential to improving the community environment, levels of education, and living environment from a wider context. Long-term and targeted plans are urgently needed for nutrition improvements among the different populations.

scholarly journals The Prevalence and Risk Factors of Overweight and Obesity Among Women of Reproductive Age with Iron Deficiency Anaemia in Urban Bangladesh (P10-064-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Nazia Ali ◽  
Tanvir Huda ◽  
Sajia Islam ◽  
Michael Dibley ◽  
Masudur Rahman ◽  
...  
Keyword(s):  
Risk Factors ◽  
Iron Deficiency ◽  
Iron Deficiency Anaemia ◽  
Overweight And Obesity ◽  
Reproductive Age ◽  
Deficiency Anemia ◽  
Baseline Assessment ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Double Burden Of Malnutrition

Abstract Objectives This study aims to identify the prevalence and risk factors of overweight and obesity among women of reproductive age (15–49 years) with iron deficiency anaemia in urban Bangladesh. Methods We obtained data for this study from the baseline assessment of a randomized control trial conducted among women of reproductive age with iron deficiency anemia (Hb <12 g/dl & serum ferritin <30 μg/L). The trial was carried out in Mirpur, Dhaka, Bangladesh between December 2017 and January 2019. As part of the baseline assessment, we collected data on women's sociodemographic characteristics and reproductive history from 525 participants. We also measured the height, weight, and MUAC at the baseline. We estimated BMI using formula; weight in kilograms divided by the square of height in meters. As per the WHO classification, we considered women with BMI ≥25 kg/m2 to be overweight and ≥30 kg/m2 to be obese. A multivariable logistic regression model was used to ascertain the risk factors of overweight and obesity. Results Of the 525 study participants, 157 (30%; 95% CI 26.0 - 34.0) were overweight and 69 (13%; 95% CI 10.3 - 16.3) were obese. Bivariate analysis indicated that the age of women, parity, women's education, women's employment, marital status, husband's education and household wealth were associated with overweight and obesity. The multivariable analysis showed married women (OR 2.9; CI 1.0–8.3), women aged 40 to 49 years (OR 7.4; CI 2.4–22.9) and women from the higher social economic household (OR 5.8; CI 2.7‐12.4) has the highest risk of overweight and obesity. Both age and household socioeconomic status showed dose response relationship. Conclusions The prevalence of overweight and obesity among women of reproductive age with iron deficiency anemia in urban Bangladesh is three times higher than the WHO critical threshold of 15%. This highlights that Bangladesh is undergoing an epidemiologic transition characterized by the double burden of malnutrition. It is crucial that the policy makers understand what new interventions and policy initiatives are needed to address the double burden of malnutrition in the country. Funding Sources Saving Lives at Birth and Medical Research Council, UK. Supporting Tables, Images and/or Graphs

scholarly journals Association of frequency of television watching with overweight and obesity among women of reproductive age in India: Evidence from a nationally representative study

PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0221758 ◽  
Author(s):  
Rajat Das Gupta ◽  
Shams Shabab Haider ◽  
Ipsita Sutradhar ◽  
Mohammad Rashidul Hashan ◽  
Ibrahim Hossain Sajal ◽  
...  
Keyword(s):  
Overweight And Obesity ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Television Watching ◽  
Representative Study ◽  
Nationally Representative

scholarly journals EXAMINING THE DOUBLE BURDEN OF MALNUTRITION FOR PRESCHOOL CHILDREN AND WOMEN OF REPRODUCTIVE AGE IN LOW- AND MIDDLE-INCOME COUNTRIES: A SCOPING REVIEW PROTOCOL

2021 ◽  
Author(s):  
Jason Mulimba Were ◽  
SAVERIO STRANGES ◽  
Ishor Sharma ◽  
Juan-Camilo Vargas-Gonzalez ◽  
M. Karen Campbell
Keyword(s):  
Preschool Children ◽  
Scoping Review ◽  
Reproductive Age ◽  
World Health ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Double Burden Of Malnutrition ◽  
Low And Middle Income

Introduction: The majority of the populations in Low-and Middle-Income Countries (LMICs) are encountering the double burden of malnutrition (DBM): the coexistence of both undernutrition and overnutrition sequalae. With DBM being a new phenomenon in research, little is known about its etiology, operational definitions and risk factors influencing its manifestation. The proposed scoping review is aimed at mapping literature with regards to the DBM phenomenon among preschool children and women of reproductive age in LMICs who are among the most high-risk groups to encounter DBM. Methods: A comprehensive literature search will be conducted in the following electronic databases: MEDLINE, EMBASE, Scopus, CINAHL, LILACS and ProQuest Dissertations & Thesis Global. Additionally, searches in other government and institutional sources (World Health Organization website and university repositories) and forward and backward citation tracking of seminal articles will also be done. Two reviewers will independently conduct title and abstract screening and full text screening. Similarly, data extraction and coding will independently be done by two reviewers. Information extracted from included literature will be analysed qualitatively using thematic analysis approach and reported as per the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. Ethics and Dissemination: Ethical approval is not required for this study because the review is based on literature from publicly available sources. The dissemination of our findings will be done through presentations in relevant conferences and publication in a peer-reviewed journal.

scholarly journals Examining the double burden of malnutrition for preschool children and women of reproductive age in low-income and middle-income countries: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e054673
Author(s):  
Jason Mulimba Were ◽  
Saverio Stranges ◽  
Ishor Sharma ◽  
Juan Camilo Vargas-Gonzalez ◽  
M. Karen Campbell
Keyword(s):  
Preschool Children ◽  
Scoping Review ◽  
Low Income ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Double Burden ◽  
Middle Income ◽  
Middle Income Countries ◽  
Scoping Reviews ◽  
Double Burden Of Malnutrition

IntroductionThe majority of the populations in low-income and middle-income countries (LMICs) are encountering the double burden of malnutrition (DBM): the coexistence of both undernutrition and overnutrition sequalae. With DBM being a new phenomenon in research, little is known about its aetiology, operational definitions and risk factors influencing its manifestation. The proposed scoping review is aimed at mapping literature with regard to the DBM phenomenon among preschool children and women of reproductive age in LMICs who are among the most high-risk groups to encounter DBM.MethodsA comprehensive literature search will be conducted in the following electronic databases: MEDLINE, EMBASE, Scopus, CINAHL, LILACS and ProQuest Dissertations and Thesis Global. Additionally, searches in other government and institutional sources (WHO website and university repositories) and forward and backward citation tracking of seminal articles will also be done. Two reviewers will independently conduct title and abstract screening and full-text screening. Similarly, data extraction and coding will independently be done by two reviewers. Information extracted from included literature will be analysed qualitatively using thematic analysis approach and reported as per the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines.Ethics and disseminationEthical approval is not required for this study because the review is based on literature from publicly available sources. The dissemination of our findings will be done through presentations in relevant conferences and publication in a peer-reviewed journal.

scholarly journals Balancing the benefits and risks of public–private partnerships to address the global double burden of malnutrition

2011 ◽  
Vol 15 (3) ◽  
pp. 503-517 ◽  
Author(s):  
Vivica I Kraak ◽  
Paige B Harrigan ◽  
Mark Lawrence ◽  
Paul J Harrison ◽  
Michaela A Jackson ◽  
...  
Keyword(s):  
Public Health ◽  
Private Sector ◽  
Food System ◽  
Conflicts Of Interest ◽  
Grey Literature ◽  
Public Private Partnerships ◽  
Global Public Health ◽  
Public Health Nutrition ◽  
Double Burden ◽  
Double Burden Of Malnutrition

AbstractObjectiveTransnational food, beverage and restaurant companies, and their corporate foundations, may be potential collaborators to help address complex public health nutrition challenges. While UN system guidelines are available for private-sector engagement, non-governmental organizations (NGO) have limited guidelines to navigate diverse opportunities and challenges presented by partnering with these companies through public–private partnerships (PPP) to address the global double burden of malnutrition.DesignWe conducted a search of electronic databases, UN system websites and grey literature to identify resources about partnerships used to address the global double burden of malnutrition. A narrative summary provides a synthesis of the interdisciplinary literature identified.ResultsWe describe partnership opportunities, benefits and challenges; and tools and approaches to help NGO engage with the private sector to address global public health nutrition challenges. PPP benefits include: raising the visibility of nutrition and health on policy agendas; mobilizing funds and advocating for research; strengthening food-system processes and delivery systems; facilitating technology transfer; and expanding access to medications, vaccines, healthy food and beverage products, and nutrition assistance during humanitarian crises. PPP challenges include: balancing private commercial interests with public health interests; managing conflicts of interest; ensuring that co-branded activities support healthy products and healthy eating environments; complying with ethical codes of conduct; assessing partnership compatibility; and evaluating partnership outcomes.ConclusionsNGO should adopt a systematic and transparent approach using available tools and processes to maximize benefits and minimize risks of partnering with transnational food, beverage and restaurant companies to effectively target the global double burden of malnutrition.

scholarly journals Determinants of Domestic Violence in Women of Reproductive Age in Rwanda

2018 ◽  
Vol 10 (1) ◽  
pp. 101
Author(s):  
Faustin Habyarimana ◽  
Temesgen Zewotir ◽  
Shaun Ramroop
Keyword(s):  
Public Health ◽  
Domestic Violence ◽  
Mixed Model ◽  
Linear Mixed Model ◽  
Health Workers ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Wife Beating ◽  
Global Public Health ◽  
Women Of Reproductive Age

Domestic violence is a global public health problem. It is prevalent in both the developed world and developing countries. The objective of this study is to identify the factors that are associated with domestic violence against women of reproductive age in Rwanda. The data from the 2014/2015 Rwanda demographic and health survey were used. Generalized linear mixed model was used to account for random effects, overdispersion of residual and heterogeneity. The findings of this study revealed that wealth quintiles, education level of the husband or partner, polygamy, alcohol status of husband or partner, size of the family, number of sexual partners including the husband in the last 12 months, the province the victim lived in, the ownership of an asset in the form of a house or land and the societal attitude towards wife-beating, were the determinants of domestic violence in women of reproductive age. The findings of the risk factors in the current study can help the policy makers, public health workers and institutions in charge of gender monitoring in Rwanda to come up with effective strategies to reduce the domestic violence levels directed against women. 

scholarly journals Factors Associated with Overweight and Obesity among Reproductive Age Women of Kaski District, Nepal

2020 ◽  
Vol 10 (1) ◽  
pp. 1-7
Author(s):  
Narayan Tripathi ◽  
Arun Kumar Koirala ◽  
Rojana Dhakal
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Physical Activity Level ◽  
Married Women ◽  
Overweight And Obesity ◽  
Activity Level ◽  
Reproductive Age ◽  
Moderate Physical Activity ◽  
Women Of Reproductive Age ◽  
Factors Associated

Introduction: Overweight and obesity are associated with numerous comorbidities so they are of great public health concern. In Nepal, the proportion of overweight and obese women of reproductive age has been gradually increasing which marks obesity as a serious public health challenge. The study aimed to assess the factors associated with overweight and obesity among reproductive aged women residing in Pokhara metropolitan. Methods: A cross-sectional study was conducted among 278 married women of reproductive age at Pokhara metropolitan, Kaski district, Nepal using probability proportional to size sampling method. Face to face interview was conducted among respondents through pretested questionnaire. Similarly, height and weight were also measured. Based on anthropometric measurements, Body Mass Index was computed and defined according to the World Health Organization criteria. The association between overweight /obesity and the explanatory variables were assessed in bivariate analysis using the Chi-square test and the association was further explored by using multivariate logistic regression. Results: The prevalence of overweight and obesity was 49.6%; with 33.7% of overweight and 15.9 % of obesity. Factors associated with overweight/obesity were age (AOR= 13.85, 95% CI: 5.77-40.80), business as occupation (AOR=7.39, 95%CI: 2.25-14.17), fast food consumption of three or more times a week (AOR=3.42, 95%CI: 1.01-11.63), energy intake above the RDA (AOR=5.45; 95%CI: 2.19-13.55), low or moderate physical activity level (AOR=2.84; 95%CI: 1.18-6.83) and multiparity (AOR=17.80; 95%CI: 4.04-89.06). Conclusions: The study provides evidence that the prevalence of overweight, obesity is remarkably high in married women of reproductive age in Pokhara metropolitan. The study concluded older age, business as occupation, consumption of fast foods for three or more times per week, low or moderate physical activity level, energy intake above the RDA and multiparty had higher odds of being overweight/obesity. On the other hand fruits and vegetables consumption were found to be protective against overweight/obesity.

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