scholarly journals Double Burden of Malnutrition in Rural West Java: Household-Level Analysis for Father-Child and Mother-Child Pairs and the Association with Dietary Intake

Nutrients ◽  
2015 ◽  
Vol 7 (10) ◽  
pp. 8376-8391 ◽  
Author(s):  
Makiko Sekiyama ◽  
Hong Jiang ◽  
Budhi Gunawan ◽  
Linda Dewanti ◽  
Ryo Honda ◽  
...  
Keyword(s):  
Dietary Intake ◽  
West Java ◽  
Double Burden ◽  
Household Level ◽  
Double Burden Of Malnutrition ◽  
Level Analysis

scholarly journals Double burden of malnutrition at household level: A comparative study among Bangladesh, Nepal, Pakistan, and Myanmar

PLoS ONE ◽  
2019 ◽  
Vol 14 (8) ◽  
pp. e0221274 ◽  
Author(s):  
Asibul Islam Anik ◽  
Md. Mosfequr Rahman ◽  
Md. Mostafizur Rahman ◽  
Md. Ismail Tareque ◽  
Md. Nuruzzaman Khan ◽  
...  
Keyword(s):  
Comparative Study ◽  
Double Burden ◽  
Household Level ◽  
Double Burden Of Malnutrition

scholarly journals Intra-Individual Double Burden of Malnutrition among Adults in China: Evidence from the China Health and Nutrition Survey 2015

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2811
Author(s):  
Qiumin Huang ◽  
Liusen Wang ◽  
Hongru Jiang ◽  
Huijun Wang ◽  
Bing Zhang ◽  
...  
Keyword(s):  
Body Weight ◽  
Dietary Intake ◽  
Weight Status ◽  
Micronutrient Deficiency ◽  
Dietary Intakes ◽  
Chinese Adults ◽  
Nutrition Survey ◽  
Double Burden ◽  
Health And Nutrition ◽  
Double Burden Of Malnutrition

Few studies have focused on quantifying the double burden of malnutrition (DBM) phenomenon in China. We aimed to clarify the prevalence of DBM among Chinese adults as well as to examine whether usual daily dietary micronutrient status varies by body mass index (BMI) categories. In this study, a sample of 6602 adults aged 18–59 years from the China Health and Nutrition Survey (CHNS) was analyzed. Information was obtained on dietary intake and anthropometric measurements. Dietary intakes of 11 micronutrients were estimated based on the data collected by three consecutive days of 24 h recalls combined with the weighing of household seasonings. Dietary micronutrient deficiency was defined according to the cutoff of the Chinese estimated average requirement (EARs). 44% of Chinese adults faced the problem of DBM, of which nearly 40% experienced overweight/obesity and micronutrient deficiency simultaneously. Comparable percentages (>50%) of Chinese adults had dietary intake less than the Chinese EARs for key micronutrients including retinol, thiamin, riboflavin, vitamin C, calcium, selenium, zinc, and magnesium, and the percentages varied by body weight status. More than 80% participants had at least two selected vitamin or mineral deficiencies in all BMI categories. These findings indicate that Chinese adults have a high DBM and micronutrient inadequacies prevail among and within gender and all BMI categories. All body weight groups need advice on the changing needs for dietary variety to ensure optimal health.

scholarly journals Double Burden of Malnutrition in Rural Ecuador: Adult Overweight and Child Stunting Co-occur at the Community but Not the Household Level (P10-075-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Gwenyth Lee ◽  
Cynthia Gutierrez ◽  
Andrew Jones ◽  
Nancy Castro ◽  
William Cevallos ◽  
...  
Keyword(s):  
Case Control ◽  
Community Level ◽  
Double Burden ◽  
Mixed Effect ◽  
Children Under Five ◽  
Household Level ◽  
Child Stunting ◽  
Under Five ◽  
Double Burden Of Malnutrition ◽  
Over Time

Abstract Objectives Northern coastal Ecuador has seen rapid market integration since the initiation of a road system in the late 1990 s connecting the region to the Andean mountains. We previously demonstrated that, between 2003 and 2013, living in a relatively remote (less accessible) community was protective against stunting in children under five. Our objectives were to characterize trends in BMI among rural adults over the same period, and to examine the co-occurrence of adult overweight or obesity (OB/OW) and child stunting. Methods Adult anthropometry was collected through a series of case-control studies repeated over a decade across thirty communities (N = 2053). Anthropometry was measured for all children under five in every community (N = 4170). Logistic and mixed-effect Poisson models, weighted to account for the case-control sampling design, were used to estimate the prevalence of OW/OB over time, to examine individual- and household-level risk factors associated with adult OW/OB, and to examine the co-occurrence of adult OW/OB and under-five stunting within households. Results Among men, OW/OB increased over time (35.0% in 2003 to 52.9% by 2013) and was most common in the least remote versus the most remote communities (46.2% versus 26.9% across the study period). Among women, OW/OB was more prevalent (65.4%), but was not associated with community remoteness and did not increase over time. At the community level, the prevalence of under-five stunting was correlated with the prevalence of OW/OB among men (Spearman's ρ = 0.56, P = 0.002) but not women (Spearman's ρ = 0.16, P = 0.404). However, the presence of a stunted child under five within the household was not associated with adult OW/OB (odds ratio 0.87, P = 0.151). Conclusions Changes in food environments and livelihoods due to the presence of roads may have driven increasing OW/OB among men over the study period. The positive association between adult male OW/OB and child stunting at the community level, but not at the household level, suggests that strategies to address the double burden of malnutrition that target the community (e.g., the food environment) are more likely to be effective than interventions targeted to households alone. Funding Sources This project was supported by the National Institutes of Health [R01-AI050038].

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 Various forms of double burden of malnutrition problems exist in rural Kenya

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Andrea Fongar ◽  
Theda Gödecke ◽  
Matin Qaim
Keyword(s):  
Developing Countries ◽  
Rural Areas ◽  
Micronutrient Deficiency ◽  
Double Burden ◽  
Household Level ◽  
Individual Level ◽  
Child Undernutrition ◽  
Rural Kenya ◽  
Double Burden Of Malnutrition ◽  
The Individual

Abstract Background The coexistence of overweight/obesity and undernutrition is often referred to as the double burden of malnutrition (DB). DB was shown to exist in many developing countries, especially in urban areas. Much less is known about DB in rural areas of developing countries. Also, the exact definition of DB varies between studies, making comparison difficult. The objective of this study is to analyse DB problems in rural Kenya, using and comparing different DB definitions and measurement approaches. Methods Food intake and anthropometric data were collected from 874 male and female adults and 184 children (< 5 years) through a cross-section survey in rural areas of Western Kenya. DB at the individual level is defined as a person suffering simultaneously from overweight/obesity and micronutrient deficiency or stunting. DB at the household level is defined as an overweight/obese adult and an undernourished child living in the same household, using underweight, stunting, wasting, and micronutrient deficiency as indicators of child undernutrition. Results DB at the individual level is found in 19% of the adults, but only in 1% of the children. DB at the household level is relatively low (1–3%) when using wasting or underweight as indicators of child undernutrition, but much higher (13–17%) when using stunting or micronutrient deficiency as indicators. Conclusion Various forms of DB problems exist in rural Kenya at household and individual levels. Prevalence rates depend on how exactly DB is defined and measured. The rise of overweight and obesity, even in rural areas, and their coexistence with different forms of undernutrition are challenges for food and nutrition policies.

scholarly journals Socioeconomic status and the double burden of malnutrition in Cambodia between 2000 to 2014: overweight mothers and stunted children

2021 ◽  
pp. 1-26
Author(s):  
Michelle K. Nakphong ◽  
Hiram Beltrán-Sánchez
Keyword(s):  
Socioeconomic Status ◽  
Maternal Employment ◽  
Household Survey ◽  
Household Wealth ◽  
Demographic And Health Surveys ◽  
Double Burden ◽  
Household Level ◽  
Child Stunting ◽  
Double Burden Of Malnutrition ◽  
The Impact

ABSTRACT Objective: The Cambodian population has experienced an increase in the proportion of stunted children who have overweight mothers during a period of rapid social and economic growth. We aimed to identify socioeconomic factors associated with this household-level double burden over time. Design: We used data from four Cambodia Demographic and Health Surveys from 2000 to 2014 to study the impact of socioeconomic status (SES) on the link between child stunting and overweight mothers in two periods 2000-2005 vs. 2010-2014. We hypothesized that SES would be a primary factor associated with this phenomenon. Participants: We included 14,988 children under age 5, among non-pregnant mothers aged 15-49 years of age and conducted analysis on a subsample of 1,572 children with overweight mothers. Setting: Nationally-representative household survey across all regions. Results: SES factors, specifically household wealth and maternal employment in service or manual occupations (in 2010-2014), are the main drivers of stunting among children of overweight mothers. Children with overweight mothers in the poorest households are more than twice as likely to be stunted than in the richest in both periods (2000-2005: aOR=2.53, 95%CI: 1.25, 5.13; 2010-2014: aOR=2.61, 95%CI: 1.43, 4.77), adjusting for other SES factors, indicating that despite decreasing income inequality, the poorest continue to bear excess risk of a double burden of malnutrition. Maternal short stature also doubled the likelihood of child stunting in both periods, which suggests intergenerational transmission of adversity and physical underdevelopment. Conclusions: Socioeconomic inequalities should be addressed to reduce disparities in the household-level double burden of malnutrition.

Sign in / Sign up

Export Citation Format

Share Document