Cargando…

The Double Burden of Malnutrition: A Systematic Review of Operational Definitions

BACKGROUND: Despite increasing research on the double burden of malnutrition (DBM; i.e., coexisting over- and undernutrition), there is no global consensus on DBM definitions. OBJECTIVES: To identify published operational DBM definitions, measure their frequency of use, and discuss implications for...

Descripción completa

Detalles Bibliográficos
Autores principales: Davis, Jennie N, Oaks, Brietta M, Engle-Stone, Reina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456307/
https://www.ncbi.nlm.nih.gov/pubmed/32885132
http://dx.doi.org/10.1093/cdn/nzaa127
_version_ 1783575774586994688
author Davis, Jennie N
Oaks, Brietta M
Engle-Stone, Reina
author_facet Davis, Jennie N
Oaks, Brietta M
Engle-Stone, Reina
author_sort Davis, Jennie N
collection PubMed
description BACKGROUND: Despite increasing research on the double burden of malnutrition (DBM; i.e., coexisting over- and undernutrition), there is no global consensus on DBM definitions. OBJECTIVES: To identify published operational DBM definitions, measure their frequency of use, and discuss implications for future assessment. METHODS: Following a structured search of peer-reviewed articles with terms describing “overnutrition” [e.g., overweight/obesity (OW/OB)] and “undernutrition” (e.g., stunting, micronutrient deficiency), we screened 1920 abstracts, reviewed 500 full texts, and extracted 623 operational definitions from 239 eligible articles. RESULTS: We organized three identified DBM dimensions (level of assessment, target population, and forms of malnutrition) into a framework for building operational DBM definitions. Frequently occurring definitions included coexisting: 1) OW/OB and thinness, wasting, or underweight (n = 289 occurrences); 2) OW/OB and stunting (n = 161); 3) OW/OB and anemia (n = 74); and 4) OW/OB and micronutrient deficiency (n = 73). CONCLUSIONS: Existing DBM definitions vary widely. Putting structure to possible definitions may facilitate selection of fit-for-purpose indicators to meet public health priorities.
format Online
Article
Text
id pubmed-7456307
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-74563072020-09-02 The Double Burden of Malnutrition: A Systematic Review of Operational Definitions Davis, Jennie N Oaks, Brietta M Engle-Stone, Reina Curr Dev Nutr REVIEW BACKGROUND: Despite increasing research on the double burden of malnutrition (DBM; i.e., coexisting over- and undernutrition), there is no global consensus on DBM definitions. OBJECTIVES: To identify published operational DBM definitions, measure their frequency of use, and discuss implications for future assessment. METHODS: Following a structured search of peer-reviewed articles with terms describing “overnutrition” [e.g., overweight/obesity (OW/OB)] and “undernutrition” (e.g., stunting, micronutrient deficiency), we screened 1920 abstracts, reviewed 500 full texts, and extracted 623 operational definitions from 239 eligible articles. RESULTS: We organized three identified DBM dimensions (level of assessment, target population, and forms of malnutrition) into a framework for building operational DBM definitions. Frequently occurring definitions included coexisting: 1) OW/OB and thinness, wasting, or underweight (n = 289 occurrences); 2) OW/OB and stunting (n = 161); 3) OW/OB and anemia (n = 74); and 4) OW/OB and micronutrient deficiency (n = 73). CONCLUSIONS: Existing DBM definitions vary widely. Putting structure to possible definitions may facilitate selection of fit-for-purpose indicators to meet public health priorities. Oxford University Press 2020-07-21 /pmc/articles/PMC7456307/ /pubmed/32885132 http://dx.doi.org/10.1093/cdn/nzaa127 Text en Copyright © The Author(s) on behalf of the American Society for Nutrition 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle REVIEW
Davis, Jennie N
Oaks, Brietta M
Engle-Stone, Reina
The Double Burden of Malnutrition: A Systematic Review of Operational Definitions
title The Double Burden of Malnutrition: A Systematic Review of Operational Definitions
title_full The Double Burden of Malnutrition: A Systematic Review of Operational Definitions
title_fullStr The Double Burden of Malnutrition: A Systematic Review of Operational Definitions
title_full_unstemmed The Double Burden of Malnutrition: A Systematic Review of Operational Definitions
title_short The Double Burden of Malnutrition: A Systematic Review of Operational Definitions
title_sort double burden of malnutrition: a systematic review of operational definitions
topic REVIEW
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7456307/
https://www.ncbi.nlm.nih.gov/pubmed/32885132
http://dx.doi.org/10.1093/cdn/nzaa127
work_keys_str_mv AT davisjennien thedoubleburdenofmalnutritionasystematicreviewofoperationaldefinitions
AT oaksbriettam thedoubleburdenofmalnutritionasystematicreviewofoperationaldefinitions
AT englestonereina thedoubleburdenofmalnutritionasystematicreviewofoperationaldefinitions
AT davisjennien doubleburdenofmalnutritionasystematicreviewofoperationaldefinitions
AT oaksbriettam doubleburdenofmalnutritionasystematicreviewofoperationaldefinitions
AT englestonereina doubleburdenofmalnutritionasystematicreviewofoperationaldefinitions