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The double burden of malnutrition in individuals: identifying key challenges and re-thinking research focus

The double burden of malnutrition in individuals: identifying key challenges and re-thinking research focus
The double burden of malnutrition in individuals: identifying key challenges and re-thinking research focus

The ‘double burden of malnutrition’ is a global health challenge that increasingly affects populations in both low- and middle-income countries (LMICs). This phenomenon refers to the coexistence of undernutrition and overweight or obesity, as well as other diet-related non-communicable diseases, in the same population, household or even individual. While noteworthy progress has been made in reducing undernutrition in some parts of the world, in many of these areas, the prevalence of overweight and obesity is increasing, particularly in urban areas, resulting in greater numbers of people who were undernourished in childhood and have overweight or obesity in adulthood. This creates a complex and challenging situation for research experts and policymakers who must simultaneously address the public health burdens of undernutrition and overweight/obesity. This review identifies key challenges and limitations in the current research on the double burden of malnutrition in individuals, including the need for a more comprehensive and nuanced understanding of the drivers of malnutrition, the importance of context-specific interventions and the need for greater attention to the food environment and food systems. We advocate for the re-evaluation of research strategies and focus, with a greater emphasis on multidisciplinary and systems approaches and greater attention to the synergistic relationship between the biological, environmental, commercial and socio-economic determinants of malnutrition. Addressing these key challenges can enable us to better comprehend and tackle the multifaceted and dynamic issues of the double burden of malnutrition, particularly in individuals and work towards more effective and sustainable solutions.

adults, children, double burden of malnutrition, low to middle-income countries, obesity, undernutrition
1471-9827
132-145
Kiosia, Agklinta
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Dagbasi, Aygul
e5b824ff-cb1f-4528-bc5b-2313102f9b00
Berkley, James A.
faa94c98-0c5e-46ce-957f-2d1913c126b9
Wilding, John P.H.
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Prendergast, Andrew J.
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Li, Jia V.
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Swann, Jon
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Mathers, John C.
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Kerac, Marko
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Morrison, Douglas
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Drake, Lesley
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Briend, Andre
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Maitland, Kathryn
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Frost, Gary
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Kiosia, Agklinta
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Dagbasi, Aygul
e5b824ff-cb1f-4528-bc5b-2313102f9b00
Berkley, James A.
faa94c98-0c5e-46ce-957f-2d1913c126b9
Wilding, John P.H.
659023b0-0586-4eb4-b689-82fdc448d530
Prendergast, Andrew J.
7572b0e9-fa3c-40c4-a35d-e15d763b16d1
Li, Jia V.
46f81e27-4442-44b4-817b-b33c5b530ad8
Swann, Jon
7c11a66b-f4b8-4dbf-aa17-ad8b0561b85c
Mathers, John C.
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Kerac, Marko
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Morrison, Douglas
d2836975-79a0-4bdd-b636-a9d024557ce8
Drake, Lesley
01902e52-f822-4979-8ed4-ca03d6b9ee06
Briend, Andre
c8b6b22a-2aac-4011-a1a2-1fbd94fecb78
Maitland, Kathryn
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Frost, Gary
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Kiosia, Agklinta, Dagbasi, Aygul, Berkley, James A., Wilding, John P.H., Prendergast, Andrew J., Li, Jia V., Swann, Jon, Mathers, John C., Kerac, Marko, Morrison, Douglas, Drake, Lesley, Briend, Andre, Maitland, Kathryn and Frost, Gary (2024) The double burden of malnutrition in individuals: identifying key challenges and re-thinking research focus. Nutrition Bulletin, 49 (2), 132-145. (doi:10.1111/nbu.12670).

Record type: Review

Abstract

The ‘double burden of malnutrition’ is a global health challenge that increasingly affects populations in both low- and middle-income countries (LMICs). This phenomenon refers to the coexistence of undernutrition and overweight or obesity, as well as other diet-related non-communicable diseases, in the same population, household or even individual. While noteworthy progress has been made in reducing undernutrition in some parts of the world, in many of these areas, the prevalence of overweight and obesity is increasing, particularly in urban areas, resulting in greater numbers of people who were undernourished in childhood and have overweight or obesity in adulthood. This creates a complex and challenging situation for research experts and policymakers who must simultaneously address the public health burdens of undernutrition and overweight/obesity. This review identifies key challenges and limitations in the current research on the double burden of malnutrition in individuals, including the need for a more comprehensive and nuanced understanding of the drivers of malnutrition, the importance of context-specific interventions and the need for greater attention to the food environment and food systems. We advocate for the re-evaluation of research strategies and focus, with a greater emphasis on multidisciplinary and systems approaches and greater attention to the synergistic relationship between the biological, environmental, commercial and socio-economic determinants of malnutrition. Addressing these key challenges can enable us to better comprehend and tackle the multifaceted and dynamic issues of the double burden of malnutrition, particularly in individuals and work towards more effective and sustainable solutions.

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Accepted/In Press date: 18 March 2024
e-pub ahead of print date: 4 April 2024
Published date: 31 May 2024
Additional Information: Publisher Copyright: © 2024 The Authors. Nutrition Bulletin published by John Wiley & Sons Ltd on behalf of British Nutrition Foundation.
Keywords: adults, children, double burden of malnutrition, low to middle-income countries, obesity, undernutrition

Identifiers

Local EPrints ID: 494318
URI: http://eprints.soton.ac.uk/id/eprint/494318
ISSN: 1471-9827
PURE UUID: 1655ab9e-cebd-4e66-a343-6bd3a6c24709
ORCID for Jon Swann: ORCID iD orcid.org/0000-0002-6485-4529

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Date deposited: 03 Oct 2024 16:43
Last modified: 05 Oct 2024 02:05

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Contributors

Author: Agklinta Kiosia
Author: Aygul Dagbasi
Author: James A. Berkley
Author: John P.H. Wilding
Author: Andrew J. Prendergast
Author: Jia V. Li
Author: Jon Swann ORCID iD
Author: John C. Mathers
Author: Marko Kerac
Author: Douglas Morrison
Author: Lesley Drake
Author: Andre Briend
Author: Kathryn Maitland
Author: Gary Frost

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