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Dynamics of the Double Burden of Malnutrition and the Changing Nutrition Reality

Citation

Popkin, Barry M.; Corvalan, Camila; & Grummer-Strawn, Laurence M. (2020). Dynamics of the Double Burden of Malnutrition and the Changing Nutrition Reality. Lancet, 395(10217), 65-74. PMCID: PMC7179702

Abstract

The double burden of malnutrition (DBM), defined as the simultaneous manifestation of both undernutrition and overweight and obesity, affects most low-income and middle-income countries (LMICs). This Series paper describes the dynamics of the DBM in LMICs and how it differs by socioeconomic level. This Series paper shows that the DBM has increased in the poorest LMICs, mainly due to overweight and obesity increases. Indonesia is the largest country with a severe DBM, but many other Asian and sub-Saharan African countries also face this problem. We also discuss that overweight increases are mainly due to very rapid changes in the food system, particularly the availability of cheap ultra-processed food and beverages in LMICs, and major reductions in physical activity at work, transportation, home, and even leisure due to introductions of activity-saving technologies. Understanding that the lowest income LMICs face severe levels of the DBM and that the major direct cause is rapid increases in overweight allows identifying selected crucial drivers and possible options for addressing the DBM at all levels.

URL

https://doi.org/10.1016/S0140-6736(19)32497-3

Reference Type

Journal Article

Journal Title

Lancet

Author(s)

Popkin, Barry M.
Corvalan, Camila
Grummer-Strawn, Laurence M.

Year Published

2020

Volume Number

395

Issue Number

10217

Pages

65-74

PMCID

PMC7179702

NIHMSID

NIHMS1570927

Reference ID

12582