scholarly journals The double burden of malnutrition : a study of food security, physical activity and nutritional status among women and children in Narok County, Kenya

2014 ◽  
Author(s):  
S.J. Keino
Keyword(s):  
Physical Activity ◽  
Food Security ◽  
Nutritional Status ◽  
Double Burden ◽  
Women And Children ◽  
Double Burden Of Malnutrition

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 Double burden of malnutrition and obesity in children and adolescents from North Korean refugee families

PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241963
Author(s):  
So-Young Kim ◽  
Seong-Woo Choi
Keyword(s):  
Nutritional Status ◽  
Children And Adolescents ◽  
Z Score ◽  
Double Burden ◽  
North Korean Refugee ◽  
Refugee Families ◽  
Double Burden Of Malnutrition ◽  
Nutritional Status Of Children ◽  
Weight Data ◽  
Height For Age

This study assessed the nutritional status of children and adolescents from North Korean refugee (NKR) families who have settled and are living in South Korea (SK). Among the 547 individuals who participated in the study, 526 were ultimately included after excluding 21 with missing height or weight data. Their nutritional status was estimated using the 2017 Korean National Growth Charts for children and adolescents. Stunting, underweight, wasting, and obesity were defined as a height-for-age z-score < −2.0, weight-for-age z-score < −2.0, weight-for-height z-score < −2.0, and body mass index z-score > 2.0, respectively. The overall prevalence of stunting, underweight, wasting, and obesity was 7.0%, 6.8%, 5.3%, and 9.1%, respectively. Meanwhile, the prevalence of stunting, underweight, wasting, and obesity was 5.4%, 7.0%, 7.6%, and 10.3% for individuals settled in SK for <5 years and 6.1%, 6.1%, 0.0%, and 13.3% for those living in SK for ≥5 years, respectively. Therefore, children and adolescents from NKR families experience the double burden of malnutrition and obesity.

scholarly journals A systematic review of the prevalence and predictors of the double burden of malnutrition within households

2017 ◽  
Vol 117 (8) ◽  
pp. 1118-1127 ◽  
Author(s):  
Satoko Kosaka ◽  
Masahiro Umezaki
Keyword(s):  
Physical Activity ◽  
Secondary Data ◽  
Asian Countries ◽  
African Countries ◽  
Eligibility Criteria ◽  
Double Burden ◽  
Search Terms ◽  
Diet And Physical Activity ◽  
Double Burden Of Malnutrition

AbstractRecently, increasing attention has been paid to the emergence of the double burden of malnutrition within households. We provide an overview of the literature regarding this phenomenon by reviewing previous studies of the prevalence of double-burden households and associated factors together with the research methods used. Studies were identified from the electronic databases PubMed and Web of Science, using the same search terms for both. A total of thirty-five articles met the eligibility criteria, and 367 sets of prevalence data were extracted. In all, thirty-four articles were published in 2000 or later; twenty-four used secondary data and twenty-five focused on mother–child pairs. The ages of children varied from 0 to 19 years. All the studies used BMI as a nutritional indicator for adults. For children, height-for-age was most frequently used, whereas weight-for-age, weight-for-height and BMI-for-age were also used in multiple studies. The reported national prevalence of double-burden households varied from 0·0 to 26·8 % by country and year; however, few studies were directly comparable, because of differences in the combinations of undernourished and overweight persons, age ranges, nutritional indicators and cut-off points. Whereas many focused on African countries, a few involved Asian countries. Although urban residence, income and education were frequently assessed, the role of intermediate factors in nutritional status, such as diet and physical activity, remains unclear. It is recommended that future studies use comparable indicators and cut-off points, involve Asian countries, and investigate individual diet and physical activity.

Double burden of underweight and overweight among Indian adults: spatial patterns and social determinants

2021 ◽  
pp. 1-29
Author(s):  
Pravat Bhandari ◽  
Ezra Gayawan ◽  
Suryakant Yadav
Keyword(s):  
Nutritional Status ◽  
Sample Size ◽  
Spatial Patterns ◽  
Spatial Clustering ◽  
Double Burden ◽  
Adult Men ◽  
Northern India ◽  
Double Burden Of Malnutrition ◽  
Index Weight ◽  
Socio Economic Factors

Abstract Objective: This study explores the spatial patterns of underweight and overweight among adult men and women in districts of India and identifies the micro-geographical locations where the risks of underweight and overweight are simultaneously prevalent, after accounting for demographic and socio-economic factors. Design: We relied on body mass index (weight [kg]/height squared [m2]), a measure of nutritional status among adult individuals, from the 2015-16 National Family and Health Survey. Underweight was defined as <18.5 kg/m2 and overweight as ≥25.0 kg/m2. Setting: We adopted Bayesian structured additive quantile regression to model the underlying spatial structure in underweight and overweight burden. Participants: Men aged 15-54 years (sample size: 108,092) and women aged 15-49 years (sample size: 642,002). Results: About 19.7% of men and 22.9% of women were underweight, and 19.6% of men and 20.6% of women were overweight. Results indicate that malnutrition burden in adults exhibit geographical divides across the country. Districts located in the central, western and eastern regions show higher risks of underweight. There is evidence of substantial spatial clustering of districts with higher risk of overweight in southern and northern India. While finding a little evidence on double burden of malnutrition among population groups, we identified a total of 66 double burden districts. Conclusions: This study demonstrates that the geographic burden of overweight in Indian adults is yet to surpass that of underweight, but the coexistence of double burden of underweight and overweight in selected regions presents a new challenge for improving nutritional status and necessitates specialized policy initiatives.

scholarly journals Nutritional status of Tajik children and women: Transition towards a double burden of malnutrition

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Tanja Barth‐Jaeggi ◽  
Lizelle Zandberg ◽  
Mutribjon Bahruddinov ◽  
Sabine Kiefer ◽  
Sherali Rahmarulloev ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Double Burden ◽  
Double Burden Of Malnutrition

scholarly journals Double Burden of Malnutrition and Nutrition Transition in Asia: A Case Study of 4 Selected Countries with Different Socioeconomic Development

2020 ◽  
Vol 11 (6) ◽  
pp. 1663-1670
Author(s):  
Liwang Gao ◽  
Ashok Bhurtyal ◽  
Junxiang Wei ◽  
Parveen Akhtar ◽  
Liang Wang ◽  
...  
Keyword(s):  
Economic Development ◽  
Preschool Children ◽  
Nutritional Status ◽  
Health Survey ◽  
Economic Status ◽  
Overweight And Obesity ◽  
Demographic And Health Survey ◽  
Double Burden ◽  
Double Burden Of Malnutrition ◽  
Childbearing Women

ABSTRACT Disease burden and lifestyle patterns have changed rapidly worldwide, especially in some Asian countries over the past 2 decades. However, cross-country comparative research is limited. This study investigated the nutritional status of preschool children and childbearing women in China, India, Nepal, and Pakistan selected based on their socioeconomic status, population size, and urbanization. Nationally representative data were used from the China National Nutrition and Health Surveillance Report, India National Family Health Survey, Nepal Demographic and Health Survey, Pakistan Demographic and Health Survey, the WHO repository, and the World Bank. The prevalence of underweight, overweight, and obesity and some ratios were compared. These rates varied across these 4 countries and were associated with their economic development levels. China's economic status and prevalence of childhood overweight/obesity (11.5%) were highest; India's economic status was higher than that of Nepal and Pakistan, but had higher rates of stunting, wasting, and underweight (38.4%, 21.0%, and 35.7%, respectively) in preschool children. Pakistan had the highest prevalence of overweight/obesity among childbearing women (52.4% in all, 63.0% in urban areas). Nepal had the lowest economic status and overweight/obesity rate in preschool children (1.2%). In general, the prevalence of overweight/obesity was higher in urban than in rural areas, except among childbearing women in China. Nutritional status and health burden are heavily influenced by economic development. The double burden of malnutrition poses prioritization challenges for policymakers and public health efforts. Prevention of obesity is urgently needed, at least in higher-income countries in Asia.

Nutritional status, physical activity and associated nutrition knowledge of primary school learners

2020 ◽  
Vol 26 (2) ◽  
pp. 115-125 ◽  
Author(s):  
Tavonga M Muderedzwa ◽  
Tonderayi M Matsungo
Keyword(s):  
Physical Activity ◽  
Nutritional Status ◽  
Primary School ◽  
Nutrition Education ◽  
Primary Schools ◽  
Dietary Diversity ◽  
Nutrition Knowledge ◽  
World Health ◽  
Categorical Variables ◽  
Double Burden

Background: Nutrition education has the potential to improve eating habits, physical activity and nutritional status of schoolchildren. Aim: This study aimed to determine the nutritional status, physical activity levels and the associated nutrition knowledge of primary school learners aged 9–14 years in Harare, Zimbabwe. Methods: A cross-sectional survey was conducted among learners ( n = 368) from eight primary schools. A self-administered questionnaire was used to collect sociodemographic, nutrition knowledge and physical activity data. The weights and heights were measured using World Health Organization (WHO) standards. Pearson chi-square and Fisher’s exact tests were used to assess association between categorical variables. Binary logistic regression was used to explore the determinants of wasting and overweight. The level of significance was set at p < 0.05. Results: Overweight, wasting and stunting affected 25.8%, 6.3% and 3% of the learners, respectively. Only 52.7% of the learners achieved the WHO recommended 60 minutes of physical activity. The mean±standard deviation nutrition knowledge score of the learners was 70.3±10.9%. Stunted children were more likely to be wasted (odds ratio (OR) = 4.38; 95% confidence interval (CI) 1.07–17.8; p = 0.039). Inadequate dietary diversity score (OR = 0.44; 95% CI 0.22–0.87; p = 0.018) and using non-active forms of transportation (OR = 2.69; 95% CI 1.52–4.76; p = 0.001) were a significant predictor of overweight among the learners. Conclusions: Overweight was the leading form of malnutrition, coexisting with undernutrition, reflecting the presence of a ‘double burden of malnutrition’. Therefore, comprehensive and multi-sectoral interventions to improve healthy eating and physical activity are warranted.

scholarly journals Dietary patterns and physical inactivity, two contributing factors to the double burden of malnutrition among adults in Burkina Faso, West Africa

2014 ◽  
Vol 3 ◽  
Author(s):  
Augustin N. Zeba ◽  
Hélène F. Delisle ◽  
Genevieve Renier
Keyword(s):  
Physical Activity ◽  
Dietary Intake ◽  
Low Income ◽  
Dietary Patterns ◽  
Sedentary Time ◽  
Nutritional Deficiencies ◽  
Contributing Factors ◽  
Double Burden ◽  
Urban Cluster ◽  
Double Burden Of Malnutrition

AbstractA population-based cross-sectional study was carried out in the northern neighbourhoods of Ouagadougou (Burkina Faso), to examine the relationship of nutritional deficiencies and cardiometabolic risk factors (CMRF) with lifestyle in adults. We randomly selected 330 households stratified by income tertile. In each income stratum, 110 individuals aged 25–60 years and having lived in Ouagadougou for at least 6 months were randomly selected. We performed anthropometric, dietary intake and physical activity measurements, and blood sample collection. Cluster analysis of dietary intake identified two dietary patterns: ‘urban’ (29 % of subjects) and ‘traditional’ (71 %). The ‘urban’ cluster exhibited a higher intake of fat and sugar, whereas a higher intake of plant protein, complex carbohydrate and fibre was observed in the ‘traditional’ pattern. Female sex, low income and lack of education were associated with the ‘traditional’ cluster, as well as Fe and vitamin A deficiency. CMRF prevalence (abdominal obesity, hypertension, hyperglycaemia, dyslipidaemia) was similar in both clusters. Subjects in the ‘traditional’ cluster spent more time in physical activity and had less sedentary time than those in the ‘urban’ cluster. ‘Traditional’ dietary pattern, low income, female sex and sedentary time were significant contributing factors to the double burden of malnutrition. The rapid nutrition transition is reflected in this co-occurrence of CMRF and nutritional deficiencies. This stresses the need for prevention strategies addressing both ends of the nutrition spectrum.

scholarly journals Double Burden of Malnutrition Among Elderly People in Bangladesh: Evidence from the National Nutrition Surveillance Study

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 840-840
Author(s):  
Hasan Hasan ◽  
Abu Ahmed Shamim ◽  
Md Mokbul Hossain ◽  
Abu Abdullah Mohammad Hanif ◽  
Moyazzam Hossaine ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elderly People ◽  
Fruits And Vegetables ◽  
Overweight And Obesity ◽  
Health Concern ◽  
Family Welfare ◽  
Cluster Sampling ◽  
Double Burden ◽  
Double Burden Of Malnutrition ◽  
Weighted Prevalence

Abstract Objectives Double burden of malnutrition (DBM), referred as the coexistence of undernutrition and overnutrition, is an evolving public health concern. There is a paucity of data about DBM among elderly people in Bangladesh. In the recently completed round of the national nutrition surveillance (NNS 2018–2019), we assessed the prevalence and determinants of DBM among elderly people. Methods In the NNS, we collected data from 30,005 persons in 6 population groups from 82 clusters (57 rural, 15 non-slum urban, and 10 slums) selected using multistage cluster sampling. We collected socio-demographic, life-style and anthropometric data from 4817 respondents aged &gt;60 years. Underweight was defined as body mass index (BMI) &lt;18.5 kg/m2 and overweight/obesity as BMI ≥ 23 kg/m2. Results The weighted prevalence of underweight was 26.8%, and was higher among elderly aged ≥70 years (34.4%), male (28.5%), non-diabetic (28.5%), rural residents (27.1%) and with inadequate fruits and vegetables consumption (27.1%). The weighted prevalence of overweight was 27.0%, and was higher among elderly aged 60–69 years (29.8%), female (30.8), diabetic (51.0%), urban residents (48.2%), with poor physical activity (31.3%), and with inadequate fruits and vegetables consumption (27.4%). As education and wealth status increased, the prevalence of underweight decreased and the prevalence of overweight and obesity increased. In multivariable logistic regression, male gender (AOR: 1.33, 95% CI: 1.18,1.51), being non-diabetic (AOR: 1.50, 95% CI: 1.23,1.82), having no education (AOR: 1.73, 95% CI: 1.35,2.22), and having adequate physical activity (AOR: 1.19, 95% CI: 1.05,1.35) were associated with underweight. However, urban residency (AOR: 1.73, 95% CI: 1.41,2.12), 60–69 years age (AOR: 1.59, 95% CI: 1.36,1.85), being female (AOR: 1.81, 95% CI: 1.56,2.10), having diabetes (AOR: 2.52, 95% CI:2.07,3.08), being Muslim (AOR: 1.25, 95% CI: 1.04,1.53), and having inadequate physical activity (AOR: 1.36, 95% CI: 1.18,1.57) were associated with overweight. Conclusions The overall prevalence of undernutrition and overnutrition is very high among elderly population in Bangladesh. The government together with national and international organizations should implement population-based interventions to prevent and control DBM. Funding Sources Ministry of Health and Family Welfare, Bangladesh.

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