Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

LBD Double Burden Malnutr, Damaris K. Kinyoki, Jennifer M. Ross, Alice Lazzar-Atwood, Sandra B. Munro, Lauren E. Schaeffer, Natalia V. Bhattacharjee, Michael L. Collison, Michael A. Cork, Natalie Cormier, Nicole Davis Weaver, Aniruddha Deshpande, Samath Dhamminda Dharmaratne, Lucas Earl, Nathaniel J. Henry, Gillian Hollerich, Kimberly B. Johnson, Nicholas J. Kassebaum, Kris J. Krohn, Ian D. LetourneauLaurie B. Marczak, Benjamin K. Mayala, Ali H. Mokdad, Jonathan F. Mosser, Christopher J. L. Murray, Mohsen Naghavi, Aaron E. Osgood-Zimmerman, Brandon V. Pickering, David M. Pigott, Sarah E. Ray, Alyssa N. Sbarra, Megan F. Schipp, John VanderHeide, Haidong Wang, Kirsten E. Wiens, Ashkan Afshin, Simon I. Hay, Damaris K. Kinyoki, Ali H. Mokdad, Christopher J. L. Murray, Mohsen Naghavi, David M. Pigott, Benn Sartorius, Haidong Wang, Azmeraw T. Amare, Florian Fischer, Muhammad Shahzeb Khan, Kerem Shuval, Yeshambel T. Nigatu, Maarten J. Postma, Zhi-Jiang Zhang

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Abstract

A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.

Original languageEnglish
Pages (from-to)750-759
Number of pages10
JournalNature Medicine
Volume26
Issue number5
DOIs
Publication statusPublished - May-2020

Keywords

  • DOUBLE BURDEN
  • MALNUTRITION
  • OBESITY
  • GROWTH
  • MODELS
  • TRENDS
  • UNDERNUTRITION
  • PREVALENCE
  • MORTALITY
  • AFRICA

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