scholarly journals The Double Burden of Malnutrition: The Obesity /Under Nutrition Paradox, Non Communicable Diseases and the Challenge of Early Prevention Public Policies

Author(s):  
Marianella Herrera Cuenca
2020 ◽  
Vol 3 (2) ◽  
pp. 48
Author(s):  
Isnaeni Rofiqoch

Non-Communicable Diseases (NCD) is one of the causes of death in the world. Indonesia is a developing country that is facing a double burden of diseases, namely infectious diseases and non-communicable diseases. NCD can appear without symptoms and show no clinical signs, so many people are not aware of the dangers of NCD disease. The purpose of this comunity service is to provide counseling about NCD and measure blood pressure in an effort to detect NCD Early.This community service uses counseling as a method to increases partner knowledge in early detection of NCD. The average of partners knowledge increase by 42.6%. This is calculated by comparing the pre test average value of 5.70 and the post test average value of 8.20. Implementation of community service can increase the knowledge of the elderly posyandu group of Sokaraja Kulon Village so that the participants have the desire to prevent NCD and find out blood pressure from blood pressure measurement results in order to reduce the causes of non-communicable diseases (NCD) and have the intention to inform knowledge about Non-Communicable Diseases (NCD) to Family, Relatives and Communities.Keywords :Early Detection,Non-Communicable Diseases


2017 ◽  
Vol 3 (4) ◽  
pp. 138-141
Author(s):  
Mehedi Hasan ◽  
Ipsita Sutradhar

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.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1451-1451 ◽  
Author(s):  
Mika Matsuzaki ◽  
Sabri Bromage ◽  
Carolina Batis ◽  
Teresa Fung ◽  
Yanping Li ◽  
...  

Abstract Objectives India has been undergoing a rapid nutrition transition, resulting in the co-existence of undernutrition and nutrition-related non-communicable diseases (NCD). There is a need to develop and validate a diet quality assessment tool to assess risks for the double burden of disease. Methods We included 2915 non-pregnant and non-lactating women (15–49 years) from two Indian cohorts: The Andhra Pradesh Children and Parent Study and the Indian Migration Study. Using dietary data collected from FFQs, we developed a novel diet metric, the Global Diet Quality Score (GDQS). We categorized foods into 25 groups based on similarity of nutrient intake and intake patterns. Each category was assigned a positive or negative score based on prior evidence on their associations with undernutrition and NCD. Scores were calculated from the frequency and intake amounts for each category with higher scores corresponding to better diet quality (maximum total points of 49). We evaluated associations between the GDQS (overall, positive submetric, and negative submetric) and overall nutrient adequacy (>6/12 nutrients intake being adequate), individual micro and macronutrients, BMI, hemoglobin, systolic and diastolic blood pressure (SBP and DBP), high density lipoprotein (HDL), and total cholesterol (TC). Results The mean (SD) of the GDQS was 24 (4) points. In energy-adjusted models, positive associations were found between the overall GDQS and intakes of calcium, fiber, folate, iron, MUFA, protein, PUFA, SFA, total fat, and zinc in energy-adjusted models (r = 0.15–0.33, P < 0.001). Adjusted for age, GDQS was positively associated with overall nutrient adequacy. Quintile analyses showed that GDQS was positively associated with the odds of being overweight, obese and high SBP. Lower intake of foods in the GDQS negative submetric was associated with lower odds of having BMI ≥ 30 kg/m2 (OR = 0.66 (95% CI: 0.56–0.77), TC ≥200 mg/dL (0.87 (0.78–0.97), and DBP ≥ 80 mmHg (0.82 (0.74–0.92). Conclusions Among Indian women, the overall GDQS was positively associated with overall nutrient adequacy. Both the overall and negative submetric were associated with several NCD risk markers. Future studies should validate these metrics against incident diabetes and cardiovascular disease. Funding Sources Intake - Center for Dietary Assessment at FHI Solutions.


2019 ◽  
Vol 78 (4) ◽  
pp. 506-512 ◽  
Author(s):  
Victor O. Owino

Africa is experiencing a sharp rise in non-communicable diseases (NCD) related to rapid globalisation and urbanisation leading to shifts in dietary and lifestyle patterns characterised by increased energy intake and physical inactivity. However, unlike more resource-endowed regions, Africa has a double burden of disease: NCD co-exist with infectious diseases including lower respiratory tract infections, HIV/AIDS and diarrhoeal diseases. The African economy is also relatively weaker, making it difficult to cope with this burden. It is postulated that NCD will soon overtake infectious diseases as the number one cause of death in the African region. The recognition of NCD as diseases and obesity as a related risk factor is weak in Africa, compounded by stigma associated with wasting in HIV/AIDS and obesity being perceived as a sign of wealth, achievement and care. There is also a dearth of data on overweight and obesity in the region and little knowledge that infant feeding practices, such as breast-feeding, are linked to reduced risk of NCD in both children and mothers. While complex multi-sectoral approaches to address this NCD menace are needed, Africa may benefit from taking simple initial steps to address NCD risk factors including: (1) behaviour change communication to challenge perceptions on NCD; (2) promoting and protecting breast-feeding; (3) formulating policies and regulations limiting wide availability of unhealthy foods; (4) mainstream nutrition education in school curricula and (5) collection of accurate data based on indicators that can reflect the double burden of disease and malnutrition; and fostering multi-sectoral actions against NCD.


2014 ◽  
Vol 5 (1) ◽  
pp. 46-50 ◽  
Author(s):  
SM Rashed-ul Islam ◽  
Farhana Rahman ◽  
Md Mahmudur Rahman Siddiqui

Unlike many low and middle income countries, double burden diseases are serious problem in Bangladesh. Recently, proper understanding and the need for joint interventions against both infectious diseases and non-communicable diseases (NCD's) has been gradually arising. Cardiovascular diseases (CVD's), diabetes, cancers and chronic lung disease are the most frequent NCD's whereas acute respiratory diseases, diarrhoea, neonatal sepsis and malaria are considered as infectious disease so far. Excess calories intake and unhygienic conditions are the most common risk factors, along with genetic predisposition and lifestyle choices. In addition, under nutrition in childhood also affects the human development in many aspects. The key controls of the situations are primary prevention through maintaining healthy life style during all phase of life. Action should focus controlling the risk factors in a unified fashion. Intervention at all levels of society, from communities to governments, private organizations and nongovernmental groups, is crucial for prevention by intensifying awareness of people about a perfect and healthy lifestyle. DOI: http://dx.doi.org/10.3329/akmmcj.v5i1.18844 Anwer Khan Modern Medical College Journal Vol. 5, No. 1: January 2014, Pages 46-50


2020 ◽  
Vol 18 (2) ◽  
pp. 43-44
Author(s):  
Iftikhar Ahmad

Obesity is rapidly becoming a major public health problem in many parts of the world, including Pakistan. Developed world is viewing a huge switchover from acute and communicable diseases to the chronic and non-communicable diseases. However many developing countries including Pakistan, experience the double burden of communicable and non-communicable diseases.


2019 ◽  
Vol 12 (1) ◽  
pp. 1-2
Author(s):  
Maria H Hegelund ◽  
Daniel Faurholt-Jepsen ◽  
Ib C Bygbjerg

Abstract As strategies targeting undernutrition and infections become increasingly successful in low- and middle-income countries (LMICs), a second challenge has appeared, namely premature onset of non-communicable diseases (NCDs). In LMICs, NCDs are often related to exposure to undernutrition and infections. As NCDs strike societies and individuals with impaired resistance or a deficient health (care) state, why not label such diseases ‘opportunistic’, in analogy with opportunistic infections attacking individuals with HIV? We propose the concept of opportunistic NCDs, hoping that fighting against infections, and for better maternal and child health, is becoming acknowledged as essential for the early prevention of NCDs.


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