Trends and Patterns of Stunting and the Double Burden of Child Under-Nutrition in Malawi: Should Policy Makers Ditch the Underweight Measure and Focus on Stunting?

2019 ◽  
Author(s):  
Lana Chikhungu
Keyword(s):  
Double Burden ◽  
Policy Makers ◽  
Under Nutrition

scholarly journals EXPLORATION OF THE HEALTH IMPACT OF DOUBLE BURDEN OF MALNUTRITION AMONG BANGLADESHI WOMEN

2017 ◽  
Vol 3 (4) ◽  
pp. 138-141
Author(s):  
Mehedi Hasan ◽  
Ipsita Sutradhar
Keyword(s):  
Nutritional Status ◽  
Birth Outcome ◽  
Health Impact ◽  
Health Conditions ◽  
Double Burden ◽  
Policy Makers ◽  
Under Nutrition ◽  
Poor Birth Outcome ◽  
Double Burden Of Malnutrition ◽  
To Come

Double burden of malnutrition (DBM) is a growing concern, which refers to the coexistence of under nutrition and over nutrition within the same population. The recent increase in the prevalence of overweight and existing prevalence of underweight among Bangladeshi women clearly indicates the advent of a double burden of malnutrition in Bangladesh. Women’s nutritional status is extremely important for a nation because it affects not only their own health but also the health of their children. Both under nutrition and over nutrition have the potential to make women vulnerable to various adverse health conditions as well as adverse obstetric experience and poor birth outcome. It is a timely need for policy makers of this country to come up with specific interventions for both undernourished and overnourished women considering all these factors.

scholarly journals Towards a Multi-Dimensional Index of Child Growth to Combat the Double Burden of Malnutrition

2019 ◽  
Vol 75 (2) ◽  
pp. 123-126 ◽  
Author(s):  
Hinke Haisma ◽  
Gretel Pelto ◽  
Sridhar Venkatapuram ◽  
Sepideh Yousefzadeh ◽  
Lybrich Kramer ◽  
...  
Keyword(s):  
Child Nutrition ◽  
Task Force ◽  
Focal Point ◽  
Child Growth ◽  
Causal Chain ◽  
Added Value ◽  
Double Burden ◽  
Policy Makers ◽  
Double Burden Of Malnutrition ◽  
Nutritional Sciences

Background: There is growing awareness in the field of public health that combatting the double burden of malnutrition requires approaches that address its multi-dimensional origin, rather than focusing primarily on the biomedical domain. Current frameworks of malnutrition like the UNICEF conceptual framework, and the Lancet Series 2013 framework have been instrumental in understanding the determinants of malnutrition and developing appropriate interventions. However, these frameworks fail to explicitly address issues of agency, that is, about being able to pursue one’s goal. The capability approach as originally developed by Amartya Sen includes agency in the causal chain. Summary and key Messages: In the past 5 years, the International Union of Nutritional Sciences Task Force “Towards a multi-dimensional index for child growth and development” has developed a capability framework for child growth, and conducted empirical research applying this framework. The working group discussed what would be needed to further develop the approach and explained the added value to international organisations and policy makers. We suggest developing an index of advantage that will be a proxy for a child’s agency. We hypothesise that such an index will explain much of the variance in studying inequalities in child nutrition and thus call for action to improve this focal point.

The economic and nutrition transition in Equatorial Guinea coincided with a double burden of over- and under nutrition

2010 ◽  
Vol 8 (1) ◽  
pp. 80-87 ◽  
Author(s):  
Estefanía Custodio ◽  
Miguel Ángel Descalzo ◽  
Jesús Roche ◽  
Laura Molina ◽  
Ignacio Sánchez ◽  
...  
Keyword(s):  
Nutrition Transition ◽  
Equatorial Guinea ◽  
Double Burden ◽  
Under Nutrition

scholarly journals Die voedingsoorgang in Suid-Afrika: ’n Uitdaging vir verbeterde voeding en die verligting van armoede

2011 ◽  
Vol 30 (1) ◽  
Author(s):  
Hester H. Vorster
Keyword(s):  
South Africa ◽  
Developing Countries ◽  
Nutritional Status ◽  
Nutrition Transition ◽  
Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Noncommunicable Diseases ◽  
High Morbidity ◽  
Double Burden ◽  
Under Nutrition

Developing countries, including South Africa, are lagging behind in reaching the United Nations’ Millennium Development Goals (MDGs). These countries are at present experiencing a nutrition transition that is an outcome of economic development, urbanisation and acculturation. In this article, the nutritional situation in South Africa based on anthropometric characteristics of its population, is briefly reviewed. The vicious cycle between poverty, undernutrition and an increased vulnerability for over-nutrition and related noncommunicable diseases (NCDs) is explained and hypothesised to be a major determinant of the coexistence of under-nutrition and over-nutrition in developing countries. In South Africa the coexistence of under-nutrition and over-nutrition underlies a double burden of high morbidity and mortality from both infectious and noncommunicable diseases, which is further exacerbated by the human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) pandemic. Clearly, it would be difficult to escape this intergenerational vicious circle of poverty and malnutrition, without optimising the nutritional status of all women who plan to become pregnant. There are many psychological reasons, apart from nutrition transition, why people eat more than they need to, including an inherent partiality for refined, sweet, salty and fatty foods. A conceptual framework, based on the constitutional right to food and nutrition security, is proposed to guide policy makers to plan holistic, integrated, transdisciplinary and multisectorial interventions to address under-nutrition and over-nutrition simultaneously.Individuals should be empowered, facilitated and motivated by appropriate education and training programmes and by strategies to improve socio-economic situations to be able to buy or produce food and to make healthy choices. This food environment will be created only if there is a common agenda, or even legislation, to improve the nutritional status in multisectorial and transdisciplinary programmes. The Directorate of Nutrition in the South African Department of Health has an excellent integrated nutrition strategy, but lacks the required implementation capacity. More public health nutritionists should be trained and other health professionals should be better equipped to implement nutritional interventions in all poverty alleviation and health promotion programmes.

scholarly journals Nutritional status and prevalence of anemia in rural adolescents

2017 ◽  
Vol 4 (4) ◽  
pp. 1245
Author(s):  
Ezhilarasu Ramalingam ◽  
Sivaraman Thirumalaikumarasamy ◽  
Balakrishnan Nadesan ◽  
Mani Madhavan Sachithanantha Mooorthi
Keyword(s):  
Nutritional Status ◽  
Adolescent Girls ◽  
Rural Adolescents ◽  
Age Group ◽  
Cross Sectional Survey ◽  
Community Based ◽  
Cross Sectional ◽  
Policy Makers ◽  
Under Nutrition ◽  
Prevalence Of Anemia

Background: In developing countries like India, the adolescents constituting one fourth of population are not given the due importance in terms of resource allocation on health care or research. Thus, painting a lopsided picture of adolescent’s health and nutritional status is not truly reflective of ground realities. The objective of this study was to assess the nutritional status of the adolescent community residing in rural block and the prevalence of anemia among these adolescents.Methods: The study was a community based cross sectional survey among adolescents of 10 to 19 years of both sexes, from October 2004 to March 2006. Nutritional status, hemoglobin and prevalence of anemia were observed.Results: Under nutrition was found to be a significant problem in both sexes of rural adolescents. Anemia was more common in female than in male in both school going and non-school going.Conclusions: The significant number of anemic is in the middle adolescent age group, could be explained by the fact that menarche is attained around 12 years and the first few cycles are irregular with increased blood loss. So, any policy towards low birth weight and neonatal mortality needs the policy makers to make a note of this alarming trend of anemia among adolescent girls. 

scholarly journals Assessment of Adult Weight Status by Body Mass index (BMI) and the Association with Socio-Demographic Factors and Commonly Eaten Foods in Indonesia Between 2014–2015

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 729-729
Author(s):  
Salima Taylor ◽  
Katie Fisher ◽  
Ryan Simpson ◽  
Elena Naumova
Keyword(s):  
Weight Status ◽  
Multinomial Logistic Regression ◽  
Demographic Factors ◽  
Total Sample ◽  
Healthy Weight ◽  
Obesity Prevalence ◽  
Research Experience ◽  
Double Burden ◽  
Policy Makers ◽  
Socio Demographic Factors

Abstract Objectives Factors associated with the double burden of underweight and overweight/obesity are not well investigated in Indonesia. Insufficient information leaves policy makers without tools to develop coherent, impactful legislation on these issues. We aim to describe and explain the association between weight status, socio-demographic factors, and food consumption patterns in Indonesia. Methods We used the 5th Wave of the Indonesia Family Life Survey (IFLS) collected in 2014/15. From the total sample (50,148), we included only adults aged ≥20 years (27,496). We converted BMI into three categories: underweight (BMI < 18.5), healthy weight (18.5 ≤ BMI ≤ 25), overweight/obese (BMI > 25). Sociodemographic factors included location, education, sex, age category, and frequency of commonly eaten food items. We examined associations using multinomial logistic regression models (α < 0.05). Results Urban residents were less likely to be underweight (RRR = 0.90 [0.82, 0.98]; P = 0.014) and more likely to be overweight/obesity (RRR = 1.38 [1.31, 1.46]; P < 0.001) than rural residents. University educated respondents were nearly half as likely of being underweight (RRR = 0.58 [0.46, 0.72]; P < 0.001) but more than twice as likely of being overweight/obesity (RRR = 2.15 [1.82, 2.53]; P < 0.001) compared to uneducated respondents. Women were 25% less likely to be underweight (RRR = 0.76 [0.70, 0.83]; P < 0.001) but over twice as likely of being overweight/obesity (RRR = 2.40 [2.28, 2.54]; P = 0.001) compared to men. Those 40 – 49 and 50 – 59 years were over twice as likely of being overweight/obese (RRR = 2.49 [2.30, 2.71]; P < 0.001; RRR = 2.40 [2.19, 2.65]; P < 0.001, respectively) compared to those 20 –29 years. Interestingly, high rice consumption (≥4 servings/week) was associated with decreased risk of both underweight and overweight/obesity (RRR = 0.62 [0.38, 0.98]; P = 0.043 and RRR = 0.69 [0.49, 0.96]; P = 0.27, respectively). Conclusions Since 2007, underweight prevalence has decreased in Indonesia from 14.4% to 9.8%, while overweight/obesity prevalence increased from 17.9% to 34.4%. Closer examination of the factors driving over- and under-nutrition in Indonesia can inform policy makers of specific target populations for existing national food subsidy programs. Funding Sources NSF IRES US-Indonesian Research Experience #1,826,939.

Household Levels of Double Burden of Malnutrition in Low–Middle-income Countries: A Review

2021 ◽  
pp. 2277436X2110436
Author(s):  
A. Bose ◽  
N. Mondal ◽  
J. Sen
Keyword(s):  
Infant Health ◽  
Health Conditions ◽  
Double Burden ◽  
Middle Income ◽  
Household Level ◽  
Middle Income Countries ◽  
Under Nutrition ◽  
Low Middle Income Countries ◽  
Wide Range ◽  
Double Burden Of Malnutrition

Malnutrition is characterised by both over-nutrition and under-nutrition. Over-nutrition is defined as excessive intake of energy and/or macronutrients. Both over-nutrition and under-nutrition are associated with a wide range of detrimental health conditions. Under-nutrition can contribute to high mortality, morbidity and poor infant health conditions; lead to delayed physical and mental development among children; and cause poor physical productivity and reproductive outcomes among adults. Over-nutrition remains the main risk factor for non-communicable diseases such as hypertension, cardiovascular diseases, type 2 diabetes and certain types of cancers. The world has witnessed a global obesity epidemic with levels rising at alarming rates in the low-middle-income countries. The higher prevalence of obesity is often accompanied by under-nutrition, and these two health issues coexist at household levels. This is termed as ‘Double Burden of Malnutrition’. The objectives of the present article are to account for the evidences, causes and risk factors of household level of double burden of malnutrition in the low-middle-income countries.

The Double-Burden Effect: Does the Combination of Informal Care and Work Cause Adverse Health Outcomes Among Females in China?

2020 ◽  
Vol 32 (9) ◽  
pp. 1222-1232 ◽  
Author(s):  
Lu Chen ◽  
Hongli Fan ◽  
Lanlan Chu
Keyword(s):  
Informal Care ◽  
Fixed Effects ◽  
Nutrition Survey ◽  
Double Burden ◽  
Policy Makers ◽  
Adverse Health Outcomes ◽  
Health And Nutrition ◽  
Health Decline ◽  
Channel Analysis ◽  
The Impact

Objective: This study investigates the impact of informal care and work stress on women’s health and further disentangles this effect through intensity and channel analysis. Method: This research uses the 2000–2015 China Health and Nutrition Survey and employs the propensity score matching model with fixed effects. Results: The care and work burden significantly increases the probability of women suffering from chronic diseases, being underweight or overweight, and self-reporting poor health by 0.63%, 1.69%, and 2.35%, respectively. This double-burden effect is exacerbated as the care and work hours increase. Women who care for more than 20 hr and work for more than 50 hr per week experience the most serious health decline. We further find that the double burden leads to health deterioration through channels of reduced exercise and increased psychological stress. Discussion: This study provides a reliable decision-making basis for policy makers to formulate strategies for informal caregivers in China.

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