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.

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.

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.

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.

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.

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.

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