TY - JOUR
T1 - Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017
AU - LBD Double Burden Malnutr
AU - Kinyoki, Damaris K.
AU - Ross, Jennifer M.
AU - Lazzar-Atwood, Alice
AU - Munro, Sandra B.
AU - Schaeffer, Lauren E.
AU - Bhattacharjee, Natalia V.
AU - Collison, Michael L.
AU - Cork, Michael A.
AU - Cormier, Natalie
AU - Weaver, Nicole Davis
AU - Deshpande, Aniruddha
AU - Dharmaratne, Samath Dhamminda
AU - Earl, Lucas
AU - Henry, Nathaniel J.
AU - Hollerich, Gillian
AU - Johnson, Kimberly B.
AU - Kassebaum, Nicholas J.
AU - Krohn, Kris J.
AU - Letourneau, Ian D.
AU - Marczak, Laurie B.
AU - Mayala, Benjamin K.
AU - Mokdad, Ali H.
AU - Mosser, Jonathan F.
AU - Murray, Christopher J. L.
AU - Naghavi, Mohsen
AU - Osgood-Zimmerman, Aaron E.
AU - Pickering, Brandon V.
AU - Pigott, David M.
AU - Ray, Sarah E.
AU - Sbarra, Alyssa N.
AU - Schipp, Megan F.
AU - VanderHeide, John
AU - Wang, Haidong
AU - Wiens, Kirsten E.
AU - Afshin, Ashkan
AU - Hay, Simon I.
AU - Kinyoki, Damaris K.
AU - Mokdad, Ali H.
AU - Murray, Christopher J. L.
AU - Naghavi, Mohsen
AU - Pigott, David M.
AU - Sartorius, Benn
AU - Wang, Haidong
AU - Amare, Azmeraw T.
AU - Fischer, Florian
AU - Khan, Muhammad Shahzeb
AU - Shuval, Kerem
AU - Nigatu, Yeshambel T.
AU - Postma, Maarten J.
AU - Zhang, Zhi-Jiang
PY - 2020/5
Y1 - 2020/5
N2 - 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.
AB - 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.
KW - DOUBLE BURDEN
KW - MALNUTRITION
KW - OBESITY
KW - GROWTH
KW - MODELS
KW - TRENDS
KW - UNDERNUTRITION
KW - PREVALENCE
KW - MORTALITY
KW - AFRICA
U2 - 10.1038/s41591-020-0807-6
DO - 10.1038/s41591-020-0807-6
M3 - Article
VL - 26
SP - 750
EP - 759
JO - Nature Medicine
JF - Nature Medicine
SN - 1078-8956
IS - 5
ER -