Household Levels of Double Burden of Malnutrition in Low–Middle-income Countries: A Review

Bose, Anindya Sekhar; Mondal, Nitish; Sen, Jaydip

doi:10.1177/2277436x211043628

Cited by 5 publications

(1 citation statement)

References 130 publications

(165 reference statements)

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“…The global burden of the double burden of malnutrition (DBM) was 16% which is highly prevalent in Sub-Saharan countries ( 5 ). The DBM in households ranged from 1.71 to 17.12% in African countries ( 6 ), and 23% from further analysis of 2016 Ethiopian Demographic and Health Survey data (EDHS) ( 7 ).…”

Section: Introductionmentioning

confidence: 99%

Double burden of malnutrition and associated factors among mother–child pairs at household level in Bahir Dar City, Northwest Ethiopia: community based cross-sectional study design

Mekonnen,

Birhanu,

Menber

et al. 2024

Front. Nutr.

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IntroductionThe double burden of malnutrition refers to the simultaneous presence of under nutrition and overweight, obesity, or diet-related non-communicable diseases which might occur at the population, household, and individual level. The simultaneous presence of overweight/obese mothers with undernourished children in the same household, as well as overweight children with underweight mothers, holds particular significance. This phenomenon primarily impacts low-income and middle-income countries. The prevalence of double-burden malnutrition at the household level has increased significantly in sub-Saharan African countries. However, there is limited knowledge regarding the extent and factors associated with the double burden of malnutrition among mother–child pairs in Ethiopia. Consequently, the objective of this study was to assess the prevalence and determinants of the double burden of malnutrition among mother–child pairs at the household level in Bahir Dar City, Ethiopia.MethodIn the year 2021, a community-based cross-sectional study design was employed among 702 mother–child pairs in Bahir Dar City from February 28 to March 23. A multistage sampling technique was used to identify study participants who were interviewed using an interviewer-administered questionnaire. The nutritional status of children was evaluated using WHO Anthro Software. To determine the strength of the association, multivariable logistic regression analysis was performed, and adjusted odds ratios with their respective 95% confidence intervals were computed.ResultsThe prevalence of the double burden of malnutrition among mother–child pairs was 14.5% (95% CI: 12.8, 15.7%}. Participants who were in the richest wealth index were 2.72 {AOR = 2.72, 95% CI 2.01, 5.63} times more odds of double burden of malnutrition than the poorest. The odds of the double burden of malnutrition among children who had high dietary diversity decreased by 63% {AOR = 0.37, 95% CI 0.22, 0.61} than low dietary diversity. Food secure households were 1.96 {AOR = 1.96, 95% CI 1.13, 3.39} times more likely to have the double burden of malnutrition than food insecure households. The odds of the double burden of malnutrition among mothers who completed college and above decreased by 74% {AOR = 0.26 95% CI 0.121, 0.549} than those unable to read and write.Conclusions and recommendationThe magnitude of the double burden of malnutrition was lower than the Ethiopian Demographic and Health Survey. Wealth index, dietary diversity, food security, and educational status were significantly associated with the double burden of malnutrition. Therefore, it is recommended to implement public health interventions that target the identified associated factors in order to reduce the burden of double malnutrition.

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Section: Introductionmentioning

confidence: 99%

Double burden of malnutrition and associated factors among mother–child pairs at household level in Bahir Dar City, Northwest Ethiopia: community based cross-sectional study design

Mekonnen,

Birhanu,

Menber

et al. 2024

Front. Nutr.

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Concurrent Undernutrition and Overnutrition within Indian Families between 2006 and 2021

Dwivedi,

Puri,

Pant

et al. 2023

Current Developments in Nutrition

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WITHDRAWN: Double Burden of Malnutrition among households in Ethiopia: Systematic review and Meta-analysis

Belay,

Bogale,

Haile

et al. 2024

Preprint

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Introduction: The double burden of malnutrition coexists in communities, families, and individuals due to rapid changes in global food systems and increased urbanization. The occurrence of double-burden malnutrition at the household level has increased significantly in sub-Saharan African countries. The concurrent existence of overweight or obese mothers with undernourished (stunted, wasted, underweight) children in the same households embraces particular significance. However, the national evidence of the double burden of malnutrition among mother-child pairs has not yet been summarized by systematic review and meta-analysis. Therefore, this study aimed to assess the pooled prevalence of double burden of malnutrition at household level in Ethiopia, 2024. Methods: This systematic review and meta-analysis study was conducted using the advanced search of electronic databases and search engines, on the prevalence of double burden of malnutrition and associated factors at households in Ethiopia, published in English. The standardized JBI is used for data extraction after being generated on a Microsoft Excel spreadsheet and evaluating the quality of each article. The analysis was done through STATA V.17. Result: A total of 7 articles met the inclusion criteria among 56877 and 43770 mother-child pairs for systematic review and Meta-analysis respectively. The pooled prevalence of double burden of malnutrition among mother-child pairs was 8.30 (95% CI: 1.51, 15.09). The heterogeneity test for the pooled prevalence was very high (I2=99.91% and p value=0.00). Regarding the subgroup analysis of sample size, the pooled estimated prevalence of double burden of malnutrition was high from a sample size of less than 1000 mother-child pairs (11.69% (95% CI: 3.11, 2028)). The pooled estimates of the subgroup analysis of the data collected 8 years back were (8.61(1.11, 22.33)). Some factors affect the double burden of malnutrition among mother-child pairs were identified as residence, household size, housing quality, wealth index, household food security, mother’s age and educational status, and child’s age. Conclusion: The double burden of malnutrition among mother-child pairs in Ethiopia was highly emerging. Therefore, double-duty interventions should be used to address the double burden of malnutrition, considering different factors at the household level.

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Household Levels of Double Burden of Malnutrition in Low–Middle-income Countries: A Review

Cited by 5 publications

References 130 publications

Double burden of malnutrition and associated factors among mother–child pairs at household level in Bahir Dar City, Northwest Ethiopia: community based cross-sectional study design

Double burden of malnutrition and associated factors among mother–child pairs at household level in Bahir Dar City, Northwest Ethiopia: community based cross-sectional study design

Concurrent Undernutrition and Overnutrition within Indian Families between 2006 and 2021

WITHDRAWN: Double Burden of Malnutrition among households in Ethiopia: Systematic review and Meta-analysis

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