The Double Burden of Undernutrition and Overnutrition in Developing Countries: an Update
The Double Burden of Undernutrition and Overnutrition in Developing Countries: an Update
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DOI：
10.1007/s13679-015-0170-y
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发表时间：
2015-09-01
影响因子：
8.8
通讯作者：
Abdullah, Asnawi
中科院分区：
文献类型：
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作者：
Abdullah, Asnawi
许多发展中国家在过去几十年中在营养状况方面取得了显著改善。然而，普遍存在的营养不良仍然是一个严重问题。与此同时，肥胖症的流行率正在大幅上升，在一些国家已接近发达国家。本文提供了发展中国家营养不良双重负担（DBMN）的最新情况。选择并分析了100个国家（低收入、中低收入和中上收入国家），为了支持分析，对当前已发表的研究进行了系统综述。结果表明，DBMN已经存在于几乎所有发展中国家，DBMN比率（即，超重/体重不足）随着人均收入的增加而增加。DBMN可以在社区、家庭或个人中表现出来。除了常见因素外，幼儿期营养不良被认为是大多数发展中国家肥胖率上升的另一个重要驱动因素。有人提出了一个终生办法，以防止营养不足和营养过剩，并应将其纳入发展中国家保健系统的发展，以控制双重负担。
Many developing countries have achieved a remarkable improvement in nutrition status in the past decades. However, the prevalence of undernutrition remains a serious problem. At the same time, the prevalence of obesity is increasing substantially, and in some countries, it has approached that of developed countries. This article provides an update on this double burden of malnutrition (DBMN) in developing nations. One hundred countries (lower, middle lower, and upper-middle income countries) were selected and analysed, and to support the analysis, a systematic review of current published studies was performed. The results show that DBMN already exists in almost all developing countries and that the DBMN ratio (i.e., overweight/underweight) has increased as income per capita has increased. DBMN may manifest within the community, household, or individual. In addition to common factors, poor nutrition in early childhood is suggested as another important driving factor behind the rising obesity rate in most developing countries. A lifecourse approach has been proposed to prevent undernutrition and overnutrition and should be integrated into the development of health systems to control double burden in developing countries.