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Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target

OBJECTIVE: To examine trends and projections of underweight (Body Mass Index, BMI < 18.5 kg/m(2)) and overweight (BMI ≥ 25.0 kg/m(2)) in women of reproductive age in 55 low- and middle-income countries (LMICs). METHODS: We used data from 2,337,855 women aged 15–49 years from nationally representa...

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Autores principales: Hasan, Md. Mehedi, Ahmed, Saifuddin, Soares Magalhaes, Ricardo J., Fatima, Yaqoot, Biswas, Tuhin, Mamun, Abdullah A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8152189/
https://www.ncbi.nlm.nih.gov/pubmed/34040202
http://dx.doi.org/10.1038/s41430-021-00945-y
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author Hasan, Md. Mehedi
Ahmed, Saifuddin
Soares Magalhaes, Ricardo J.
Fatima, Yaqoot
Biswas, Tuhin
Mamun, Abdullah A.
author_facet Hasan, Md. Mehedi
Ahmed, Saifuddin
Soares Magalhaes, Ricardo J.
Fatima, Yaqoot
Biswas, Tuhin
Mamun, Abdullah A.
author_sort Hasan, Md. Mehedi
collection PubMed
description OBJECTIVE: To examine trends and projections of underweight (Body Mass Index, BMI < 18.5 kg/m(2)) and overweight (BMI ≥ 25.0 kg/m(2)) in women of reproductive age in 55 low- and middle-income countries (LMICs). METHODS: We used data from 2,337,855 women aged 15–49 years from nationally representative Demographic and Health Survey conducted between 1990 and 2018. Bayesian linear regression analyses were performed. RESULTS: During 1990–2018, the prevalence of underweight decreased in 35 countries and overweight increased in 50 countries. The highest underweight increase was in Morocco (5.5%) and overweight in Nepal (12.4%). In 2030, >20% of women in eight LMICs will be underweight, with Madagascar (36.8%), Senegal (32.2%), and Burundi (29.2%) projected to experience the highest burden of underweight. Whereas >50% of women in 22 LMICs are projected to be overweight, with Egypt (94.7%), Jordan (75.0%), and Pakistan (74.1%) projected to have the highest burden of overweight. 24 LMICs are projected to experience the double burden of malnutrition (both underweight and overweight >20%) in 2030. Noticeable variations in underweight and overweight were observed across wealth, residence, education, and age of women, with a higher rate of overweight in high-income, high-education, and urban women. These inequalities have widened in many countries and are projected to continue. The probability of eradicating overweight and underweight is nearly 0% for all countries by 2030, except Egypt is on track to eradicate underweight. CONCLUSIONS: Although the prevalence of underweight declined, this decline has been superseded by the dramatic increase of overweight. None of the 55 LMICs is likely to eradicate malnutrition in women by 2030.
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spelling pubmed-81521892021-05-28 Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target Hasan, Md. Mehedi Ahmed, Saifuddin Soares Magalhaes, Ricardo J. Fatima, Yaqoot Biswas, Tuhin Mamun, Abdullah A. Eur J Clin Nutr Article OBJECTIVE: To examine trends and projections of underweight (Body Mass Index, BMI < 18.5 kg/m(2)) and overweight (BMI ≥ 25.0 kg/m(2)) in women of reproductive age in 55 low- and middle-income countries (LMICs). METHODS: We used data from 2,337,855 women aged 15–49 years from nationally representative Demographic and Health Survey conducted between 1990 and 2018. Bayesian linear regression analyses were performed. RESULTS: During 1990–2018, the prevalence of underweight decreased in 35 countries and overweight increased in 50 countries. The highest underweight increase was in Morocco (5.5%) and overweight in Nepal (12.4%). In 2030, >20% of women in eight LMICs will be underweight, with Madagascar (36.8%), Senegal (32.2%), and Burundi (29.2%) projected to experience the highest burden of underweight. Whereas >50% of women in 22 LMICs are projected to be overweight, with Egypt (94.7%), Jordan (75.0%), and Pakistan (74.1%) projected to have the highest burden of overweight. 24 LMICs are projected to experience the double burden of malnutrition (both underweight and overweight >20%) in 2030. Noticeable variations in underweight and overweight were observed across wealth, residence, education, and age of women, with a higher rate of overweight in high-income, high-education, and urban women. These inequalities have widened in many countries and are projected to continue. The probability of eradicating overweight and underweight is nearly 0% for all countries by 2030, except Egypt is on track to eradicate underweight. CONCLUSIONS: Although the prevalence of underweight declined, this decline has been superseded by the dramatic increase of overweight. None of the 55 LMICs is likely to eradicate malnutrition in women by 2030. Nature Publishing Group UK 2021-05-26 2022 /pmc/articles/PMC8152189/ /pubmed/34040202 http://dx.doi.org/10.1038/s41430-021-00945-y Text en © The Author(s), under exclusive licence to Springer Nature Limited 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Hasan, Md. Mehedi
Ahmed, Saifuddin
Soares Magalhaes, Ricardo J.
Fatima, Yaqoot
Biswas, Tuhin
Mamun, Abdullah A.
Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target
title Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target
title_full Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target
title_fullStr Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target
title_full_unstemmed Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target
title_short Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target
title_sort double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: progress achieved and opportunities for meeting the global target
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8152189/
https://www.ncbi.nlm.nih.gov/pubmed/34040202
http://dx.doi.org/10.1038/s41430-021-00945-y
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