A systematic review of the prevalence and predictors of the double burden of malnutrition within households
A systematic review of the prevalence and predictors of the double burden of malnutrition within households
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DOI：
10.1017/s0007114517000812
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发表时间：
2017-04-01
影响因子：
3.6
通讯作者：
Umezaki, Masahiro
中科院分区：
文献类型：
--
作者：
Kosaka, Satoko;Umezaki, Masahiro
最近，人们越来越注意到家庭内营养不良的双重负担。我们提供了一个关于这一现象的文献综述，通过回顾以往的研究，双负担家庭的患病率和相关因素，以及所使用的研究方法。从电子数据库PubMed和Web of Science中识别研究，使用相同的检索词。共有35篇文章符合合格标准，提取了367组患病率数据。在2000年或之后发表的文章中，共有34篇; 24篇使用了二手数据，25篇关注母子配对。儿童的年龄从0岁到19岁不等。所有的研究都使用BMI作为成年人的营养指标。对于儿童，年龄别身高是最常用的，而年龄别体重、身高别体重和年龄别BMI也在多项研究中使用。报告的全国双重负担家庭流行率按国家和年份从0.0%到26.8%不等;然而，由于营养不良和超重人口的组合、年龄范围、营养指标和分界点的差异，很少有研究具有直接可比性。虽然许多报告侧重于非洲国家，但也有少数报告涉及亚洲国家。虽然经常对城市居住、收入和教育进行评估，但饮食和体育活动等中间因素在营养状况中的作用仍不清楚。建议未来的研究使用可比较的指标和截止点，涉及亚洲国家，并调查个人的饮食和身体活动。
Recently, increasing attention has been paid to the emergence of the double burden of malnutrition within households. We provide an overview of the literature regarding this phenomenon by reviewing previous studies of the prevalence of double-burden households and associated factors together with the research methods used. Studies were identified from the electronic databases PubMed and Web of Science, using the same search terms for both. A total of thirty-five articles met the eligibility criteria, and 367 sets of prevalence data were extracted. In all, thirty-four articles were published in 2000 or later; twenty-four used secondary data and twenty-five focused on mother-child pairs. The ages of children varied from 0 to 19 years. All the studies used BMI as a nutritional indicator for adults. For children, height-for-age was most frequently used, whereas weight-for-age, weight-for-height and BMI-for-age were also used in multiple studies. The reported national prevalence of double-burden households varied from 0.0 to 26.8 % by country and year; however, few studies were directly comparable, because of differences in the combinations of undernourished and overweight persons, age ranges, nutritional indicators and cut-off points. Whereas many focused on African countries, a few involved Asian countries. Although urban residence, income and education were frequently assessed, the role of intermediate factors in nutritional status, such as diet and physical activity, remains unclear. It is recommended that future studies use comparable indicators and cut-off points, involve Asian countries, and investigate individual diet and physical activity.