Double burden of malnutrition among child-mother pairs in the North African nutrition transition context: Magnitude, and associated factors of the household-level co-occurrence of child anaemia and mother excess adiposity

2018 ◽  
Vol 66 ◽  
pp. S350-S351
Author(s):  
S. Sassi ◽  
P. Traissac ◽  
M.M. Abassi ◽  
A. Gartner ◽  
F. Delpeuch ◽  
...  
Keyword(s):  
Associated Factors ◽  
Nutrition Transition ◽  
North African ◽  
Double Burden ◽  
Household Level ◽  
The North ◽  
Excess Adiposity ◽  
Double Burden Of Malnutrition

scholarly journals Intra-household double burden of malnutrition in a North African nutrition transition context: magnitude and associated factors of child anaemia with mother excess adiposity

2018 ◽  
Vol 22 (1) ◽  
pp. 44-54 ◽  
Author(s):  
Sonia Sassi ◽  
Mohamed Mehdi Abassi ◽  
Pierre Traissac ◽  
Houda Ben Gharbia ◽  
Agnès Gartner ◽  
...  
Keyword(s):  
Associated Factors ◽  
Nutrition Transition ◽  
Significant Proportion ◽  
Multinomial Regression ◽  
Cross Sectional Survey ◽  
Double Burden ◽  
Anaemic Child ◽  
Excess Adiposity ◽  
Obese Mother ◽  
Double Burden Of Malnutrition

AbstractObjectiveIn the Middle East and North Africa region, the nutrition transition has resulted in drastic increases in excess adiposity, particularly among women, while some types of undernutrition remain prevalent, especially among pre-school children. We assessed the magnitude, nature and associated factors of the within-household co-occurrence of anaemia in children and excess adiposity in mothers.DesignCross-sectional survey using stratified two-stage random cluster sampling to survey households with women aged 20–49 years. BMI≥25·0 kg/m2 defined overweight and BMI≥30·0 kg/m2 obesity, while anaemia for children was defined as Hb<110 g/l. The associations between child anaemia and mother excess adiposity, and sociodemographic and lifestyle factors were estimated by multinomial regression.SettingGreater Tunis area, Tunisia, in 2009–2010.SubjectsChildren aged 6–59 months living with their 20–49-year-old mothers (437 child–mother pairs).ResultsThe most prevalent double burden of malnutrition in child–mother pairs by far was the anaemic child and overweight mother (24·4 %; 95 % CI 20·1, 29·3 %). A significant proportion of pairs were anaemic child and obese mother (14·4 %; 95 % CI 11·0, 18·5 %). The co-occurrence of anaemia in child and excess adiposity in mother was neither synergetic nor antagonistic (P=0·59 and 0·40 for anaemia–overweight and anaemia–obesity, respectively). This double burden was more frequent among child–mother pairs with younger children, with mothers of higher parity and higher energy intakes.ConclusionsThe high prevalence of anaemic child and overweight or obese mother requires special attention e.g. through interventions which simultaneously target both types of malnutrition within the same household.

scholarly journals Household-level double burden of malnutrition in Ethiopia: a comparison of Addis Ababa and the rural district of Kersa

2021 ◽  
pp. 1-15
Author(s):  
Lilia Bliznashka ◽  
Mia M Blakstad ◽  
Yemane Berhane ◽  
Amare W Tadesse ◽  
Nega Assefa ◽  
...  
Keyword(s):  
Associated Factors ◽  
Addis Ababa ◽  
Rural Households ◽  
Demographic Factors ◽  
Household Wealth ◽  
Housing Quality ◽  
Rural Setting ◽  
Double Burden ◽  
Household Level ◽  
Double Burden Of Malnutrition

Abstract Objective: To examine the prevalence of and factors associated with different forms of household-level double burden of malnutrition (DBM) in Ethiopia. Design: We defined DBM using anthropometric measures for adult overweight (BMI ≥ 25 kg/m2), child stunting (height-for-age Z-score <-2 sd) and overweight (weight-for-height Z-score ≥2 sd). We considered sixteen biological, environmental, behavioural and socio-demographic factors. Their association with DBM forms was assessed using generalised linear models. Setting: We used data from two cross-sectional studies in an urban (Addis Ababa, January–February 2018), and rural setting (Kersa District, June–September 2019). Participants: Five hundred ninety-two urban and 862 rural households with an adult man, adult woman and child <5 years. Results: In Addis Ababa, overweight adult and stunted child was the most prevalent DBM form (9 % (95 % CI 7, 12)). Duration of residence in Addis Ababa (adjusted OR (aOR) 1·03 (95 % CI 1·00, 1·06)), Orthodox Christianity (aOR 1·97 (95 % CI 1·01, 3·85)) and household size (aOR 1·24 (95 % CI 1·01, 1·54)) were associated factors. In Kersa, concurrent child overweight and stunting was the most prevalent DBM form (11 % (95 % CI 9, 14)). Housing quality (aOR 0·33 (95 % CI 0·20, 0·53)), household wealth (aOR 1·92 (95 % CI 1·18, 3·11) and sanitation (aOR 2·08 (95 % CI 1·07, 4·04)) were associated factors. After adjusting for multiple comparisons, only housing quality remained a significant factor. Conclusions: DBM prevalence was low among urban and rural Ethiopian households. Environmental, socio-economic and demographic factors emerged as potential associated factors. However, we observed no common associated factors among urban and rural households.

The nutrition transition and the double burden of malnutrition

2018 ◽  
Vol 28 (4) ◽  
pp. 345-350
Author(s):  
M. Batal ◽  
L. Steinhouse ◽  
H. Delisle
Keyword(s):  
Nutrition Transition ◽  
Double Burden ◽  
Double Burden Of Malnutrition

scholarly journals Nutrition Transition & Double Burden of Malnutrition in Africa: A Case Study of Four Selected Countries with Different Income Levels (P10-074-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Kilee Kimmel ◽  
Teresia Mbogori ◽  
Mengxi Zhang ◽  
Jayanthi Kandiah ◽  
Youfa Wang
Keyword(s):  
South Africa ◽  
Economic Status ◽  
Nutrition Transition ◽  
Overweight And Obesity ◽  
Sub Saharan Africa ◽  
World Health ◽  
Nutrition Status ◽  
Older Children ◽  
Double Burden ◽  
Double Burden Of Malnutrition

Abstract Objectives Disease and lifestyle patterns have been changing rapidly worldwide including Africa due to recent changes in economic growth and urbanization. However, research related to the effects of these changes on nutrition status in Africa is limited. This study investigated the shifts in nutritional status (undernutrition, overweight, obesity) in children and adults in 4 carefully selected low-, middle- and high income countries in Africa, identified factors associated with the shifts, and provided recommendations for future work. Methods Malawi, Kenya, Ghana, and South Africa were selected based on their economic status, population size, urbanization, etc. Nationally representative data was obtained from sources such as 2017 Global Nutrition Report, Demographic Health Surveys (DHSs), Food and Agriculture Organization Corporate Statistical Database (FAOSTAT), and World Health Organization (WHO). The prevalence of underweight, overweight and obesity (ov/ob), and some ratios were assessed and compared across the countries between 1998 and 2016. Results Varied nutrition status and shifts were observed among the countries during 1998–2016. Countries with the higher economic status also had higher prevalence and faster increasing trends of ov/ob. South Africa had the highest GDP and highest ov/ob rates in children <5, children 5-18, and adults >18 (13.3%, 24.7%, and 51.9% respectively). Malawi, with the lowest GDP, had the highest stunting rate (37%). In each country, but most notably in South Africa, trends indicated the increasing ov/ob rate (11.8%) was much greater than the declining underweight rate (2.4%). Slight declines in overweight in children under 5 years were observed in Malawi, Kenya, and Ghana, which might be due to reduced stunting rates. Sex differences existed in older children and adults, with higher rates of ov/ob in females and undernutrition among males. Conclusions Nutrition shifts, heavily influenced by economic development, are rapidly occurring in sub-Saharan Africa. The double-burden of malnutrition posts prioritization challenges for policymakers. Because undernutrition is now a declining issue, the focus should be shifted towards prevention of obesity, at least in higher income countries in Africa. Funding Sources The study is funded in part by a center grant from the US National Institutes of Health (NIH, U54HD070725).

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 Gender inequalities in excess adiposity and anaemia combine in a large double burden of malnutrition gap detrimental to women in an urban area in North Africa

2016 ◽  
Vol 19 (8) ◽  
pp. 1428-1437 ◽  
Author(s):  
Pierre Traissac ◽  
Jalila El Ati ◽  
Agnès Gartner ◽  
Houda Ben Gharbia ◽  
Francis Delpeuch
Keyword(s):  
Gender Equity ◽  
Gender Inequality ◽  
North Africa ◽  
Gender Gap ◽  
Household Wealth ◽  
Professional Activity ◽  
Gender Inequalities ◽  
Double Burden ◽  
Excess Adiposity ◽  
Double Burden Of Malnutrition

AbstractObjectiveThe nutrition transition has exacerbated the gender gap in health in the Middle East and North Africa region as the increase in excess adiposity has been much higher among women than men. This is not exclusive of the persistence of anaemia, generally also more prevalent among women. We assessed the magnitude and sociodemographic factors associated with gender inequality vis-à-vis the double burden of excess adiposity and anaemia.DesignCross-sectional study, stratified two-stage cluster sample. BMI (=weight/height2) ≥25·0 kg/m2 defined overweight and BMI≥30·0 kg/m2 obesity. Anaemia was defined as Hb <120 g/l for women, <130 g/l for men. Gender inequalities vis-à-vis the within-subject coexistence of excess adiposity and anaemia were assessed by women v. men relative prevalence ratios (RPR). Their variation with sociodemographic characteristics used models including gender × covariate interactions.SettingGreater Tunis area in 2009–2010.SubjectsAdults aged 20–49 years (women, n 1689; men, n 930).ResultsGender inequalities in excess adiposity were high (e.g. overweight: women 64·9 % v. men 48·4 %; RPR=2·1; 95 % CI 1·6, 2·7) and much higher for anaemia (women 38·0 % v. men 7·2 %; RPR=8·2; 95 % CI 5·5, 12·4). They were striking for overweight and anaemia (women 24·1 % v. men 3·4 %; RPR=16·2; 95 % CI 10·3, 25·4). Gender inequalities in overweight adjusted for covariates increased with age but decreased with professional activity and household wealth score; gender inequality in anaemia or overweight and anaemia was more uniformly distributed.ConclusionsWomen were much more at risk than men, from both over- and undernutrition perspectives. Both the underlying gender-related and sex-linked biological determinants of this remarkable double burden of malnutrition inequality must be addressed to promote gender equity in health.

scholarly journals Animal source foods for the alleviation of double burden of malnutrition in countries undergoing nutrition transition

2019 ◽  
Vol 9 (4) ◽  
pp. 32-38 ◽  
Author(s):  
Teena Dasi ◽  
Kiruthika Selvaraj ◽  
Raghu Pullakhandam ◽  
Bharati Kulkarni
Keyword(s):  
Nutrition Transition ◽  
Double Burden ◽  
Animal Source Foods ◽  
Animal Source ◽  
Double Burden Of Malnutrition

scholarly journals The Double Burden of Malnutrition in Countries Passing through the Economic Transition

2018 ◽  
Vol 72 (Suppl. 3) ◽  
pp. 47-54 ◽  
Author(s):  
Andrew M. Prentice
Keyword(s):  
Economic Transition ◽  
Nutrition Transition ◽  
Absolute Number ◽  
Obese People ◽  
Double Burden ◽  
Middle Income ◽  
Poor Countries ◽  
Double Burden Of Malnutrition ◽  
Pass Through ◽  
Wealth Of Nations

Undernutrition in both its acute and chronic forms (wasting and stunting) is strongly inversely correlated with the wealth of nations. Consequently, as many low- and middle-income countries (LMICs) achieve economic advancement and pass through the so-called “nutrition transition,” their rates of undernutrition decline. Many countries successfully achieved the Millennium Development Goal of halving undernutrition and whole continents have been transformed in recent decades. The exception is Africa where the slower rates of decline in the prevalence of undernutrition has been overtaken by population growth so that the absolute number of stunted children is rising. In many regions, economic transition is causing a rapid increase in the number of overweight and obese people. The rapidity of this rise is such that many nations bear the simultaneous burdens of under- and overnutrition; termed the “double burden” of malnutrition. This double burden, accompanied as it is by the unfinished agenda of high levels of infectious diseases, is crippling the health systems of many LMICs and thus requires urgent attention. Although the prognosis looks threatening for many poor countries, they have the advantage of being able to learn from the mistakes made by other nations that have passed through the transition before them. Concerted action across many arms of government would achieve huge future dividends in health and wealth for any nations that can grasp the challenge.

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