Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

LBD Double Burden of Malnutrition Collaborators; Abel Fekadu Fekadu Dadi

doi:10.1038/s41591-020-0807-6

Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

LBD Double Burden of Malnutrition Collaborators, Abel Fekadu Fekadu Dadi

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Abstract

A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.

Original language	English
Pages (from-to)	750-759
Number of pages	33
Journal	Nature Medicine
Volume	26
Issue number	5
DOIs	https://doi.org/10.1038/s41591-020-0807-6
Publication status	Published - 1 May 2020
Externally published	Yes

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10.1038/s41591-020-0807-6

47287124-oaFinal published version, 22.9 MBLicence: CC BY

Cite this

@article{77f80580ca7e4d008e10dc9f4c7a4a7d,

title = "Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017",

abstract = "A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization{\textquoteright}s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.",

author = "{LBD Double Burden of Malnutrition Collaborators} and Kinyoki, {Damaris K.} and Ross, {Jennifer M.} and Alice Lazzar-Atwood and Munro, {Sandra B.} and Schaeffer, {Lauren E.} and Mahdieh Abbasalizad-Farhangi and Masoumeh Abbasi and Hedayat Abbastabar and Ahmed Abdelalim and Amir Abdoli and Mohammad Abdollahi and Ibrahim Abdollahpour and Abdulkader, {Rizwan Suliankatchi} and Abebe, {Nebiyu Dereje} and Abebo, {Teshome Abuka} and Abegaz, {Kedir Hussein} and Hassan Abolhassani and Abreu, {Lucas Guimar{\~a}es} and Abrigo, {Michael R.M.} and Abushouk, {Abdelrahman I.} and Accrombessi, {Manfred Mario Kokou} and Dilaram Acharya and Maryam Adabi and Adebiyi, {Akindele Olupelumi} and Adedeji, {Isaac Akinkunmi} and Victor Adekanmbi and Adeoye, {Abiodun Moshood} and Adetokunboh, {Olatunji O.} and Davoud Adham and Aduroja, {Posi Emmanuel} and Advani, {Shailesh M.} and Mohsen Afarideh and Mohammad Aghaali and Anurag Agrawal and Tauseef Ahmad and Keivan Ahmadi and Sepideh Ahmadi and Ahmed, {Muktar Beshir} and Rushdia Ahmed and Olufemi Ajumobi and Akal, {Chalachew Genet} and Akalu, {Temesgen Yihunie} and Tomi Akinyemiju and Blessing Akombi and Ziyad Al-Aly and Samiah Alam and Alamene, {Genet Melak} and Alanzi, {Turki M.} and Rabanal, {Jacqueline Elizabeth Alcalde} and Alema, {Niguse Meles} and Ali, {Beriwan Abdulqadir} and Muhammad Ali and Mehran Alijanzadeh and Cyrus Alinia and Vahid Alipour and Hesam Alizade and Aljunid, {Syed Mohamed} and Afshin Almasi and Amir Almasi-Hashiani and Al-Mekhlafi, {Hesham M.} and Al-Raddadi, {Rajaa M.} and Khalid Altirkawi and Nelson Alvis-Guzman and Alvis-Zakzuk, {Nelson J.} and Amare, {Azmeraw T.} and Amegah, {Adeladza Kofi} and Saeed Amini and Rarani, {Mostafa Amini} and Fatemeh Amiri and Amit, {Arianna Maever Loreche} and Anber, {Nahla Hamed} and Andrei, {Catalina Liliana} and Fereshteh Ansari and Alireza Ansari-Moghaddam and Anteneh, {Zelalem Alamrew} and Antonio, {Carl Abelardo T.} and Ernoiz Antriyandarti and Davood Anvari and Razique Anwer and Appiah, {Seth Christopher Yaw} and Jalal Arabloo and Morteza Arab-Zozani and Araya, {Ephrem Mebrahtu} and Zohreh Arefi and Olatunde Aremu and Johan {\"A}rnl{\"o}v and Afsaneh Arzani and Mehran Asadi-Aliabadi and Asadi-Pooya, {Ali A.} and Samaneh Asgari and Babak Asghari and Ashagre, {Alebachew Fasil} and Asrat, {Anemaw A.} and Bahar Ataeinia and Atalay, {Hagos Tasew} and Atnafu, {Desta Debalkie} and Atout, {Maha Moh{\textquoteright}d Wahbi} and Marcel Ausloos and Avokpaho, {Euripide F.G.A.} and Ashish Awasthi and Quintanilla, {Beatriz Paulina Ayala} and Ayanore, {Martin Amogre} and Aynalem, {Yared A.Asmare} and Abbas Azadmehr and Samad Azari and Ghasem Azarian and Azene, {Zelalem Nigussie} and Ebrahim Babaee and Alaa Badawi and Badiye, {Ashish D.} and Bahrami, {Mohamad Amin} and Baig, {Atif Amin A.} and Ahad Bakhtiari and Bakkannavar, {Shankar M.} and Senthilkumar Balakrishnan and Bali, {Ayele Geleto} and Maciej Banach and Banik, {Palash Chandra} and Zahra Baradaran-Seyed and Baraki, {Adhanom Gebreegziabher} and Barboza, {Miguel A.} and B{\"a}rnighausen, {Till Winfried} and Lingkan Barua and Huda Basaleem and Sanjay Basu and Mohsen Bayati and Bayih, {Mulat Tirfie} and Baynes, {Habtamu Wondifraw} and Neeraj Bedi and Masoud Behzadifar and Meysam Behzadifar and Bekele, {Yibeltal Alemu} and Bennett, {Derrick A.} and Berbada, {Dessalegn Ajema} and Kidanemaryam Berhe and Berhe, {Abadi Kidanemariam} and Berman, {Adam E.} and Bernstein, {Robert S.} and Reshmi Bhageerathy and Dinesh Bhandari and Pankaj Bharadwaj and Bhattacharjee, {Natalia V.} and Krittika Bhattacharyya and Ali Bijani and Boris Bikbov and Ver Bilano and Nigus Bililign and Sayeed, {Muhammad Shahdaat Bin} and Setognal Birara and Birhane, {Minuye Biniam Biniam} and Minyichil Birhanu and Biswas, {Raaj Kishore} and Bitew, {Zebenay Workneh} and Bogale, {Kassawmar Angaw} and Somayeh Bohlouli and Bolla, {Srinivasa Rao} and Archith Boloor and Borz{\`i}, {Antonio M.} and Shiva Borzouei and Brady, {Oliver J.} and Bragazzi, {Nicola Luigi} and Dejana Braithwaite and Briko, {Nikolay Ivanovich} and Gabrielle Britton and Budhathoki, {Shyam S.} and Nagaraja, {Sharath Burugina} and Reinhard Busse and Butt, {Zahid A.} and Lucero Cahuana-Hurtado and C{\'a}mera, {Luis Alberto} and Campos-Nonato, {Ismael R.} and Jorge Cano and Josip Car and Rosario C{\'a}rdenas and Carrero, {Juan J.} and F{\'e}lix Carvalho and Castaldelli-Maia, {Jo{\~a}o Mauricio} and Casta{\~n}eda-Orjuela, {Carlos A.} and Franz Castro and Ester Cerin and Collins Chansa and Jaykaran Charan and Pranab Chatterjee and Chattu, {Vijay Kumar} and Chauhan, {Bal Govind} and Chavshin, {Ali Reza} and Mohammad Chehrazi and Chichiabellu, {Tesfaye Yitna} and Chin, {Ken Lee} and Christopher, {Devasahayam J.} and Chu, {Dinh Toi} and Cicuttini, {Flavia M.} and Collison, {Michael L.} and Cork, {Michael A.} and Natalie Cormier and Cortesi, {Paolo Angelo} and Costa, {Vera M.} and Dadi, {Abel Fekadu Fekadu} and Baye Dagnew and Dahlawi, {Saad M.A.} and Giovanni Damiani and Darwish, {Amira Hamed} and Ahmad Daryani and Das, {Jai K.} and Gupta, {Rajat Das} and Claudio D{\'a}vila-Cervantes and {Davis Weaver}, Nicole and Leo, {Diego De} and Neve, {Jan Walter De} and Demeke, {Feleke Mekonnen} and Demis, {Asmamaw Bizuneh} and Demissie, {Dereje Bayissa} and Demoz, {Gebre Teklemariam} and Edgar Denova-Guti{\'e}rrez and Kebede Deribe and Rupak Desai and Desalegn, {Beruk Berhanu} and Assefa Desalew and Aniruddha Deshpande and Sagnik Dey and Dharmaratne, {Samath Dhamminda} and Preeti Dhillon and Meghnath Dhimal and Dhungana, {Govinda Prasad} and Nasab, {Mostafa Dianati} and Daniel Diaz and Forooshani, {Zahra Sadat Dibaji} and Dinsa, {Girmaye Deye} and Dipeolu, {Isaac Oluwafemi} and Shirin Djalalinia and Do, {Huyen Phuc} and Do, {Huyen Phuc} and Doku, {Paul Narh} and Fariba Dorostkar and Leila Doshmangir and Manisha Dubey and Adema, {Bereket Duko} and Dunachie, {Susanna J.} and Duncan, {Bruce B.} and Dur{\~a}es, {Andre R.} and Lucas Earl and Leylabadlo, {Hamed Ebrahimzadeh} and Aziz Eftekhari and {El Sayed}, Iman and {El Sayed Zaki}, Maysaa and {El Tantawi}, Maha and Iffat Elbarazi and Elemineh, {Demelash Abewa} and El-Jaafary, {Shaimaa I.} and Ziad El-Khatib",

note = "Funding Information: This study was funded by the Bill & Melinda Gates Foundation. Co-authors employed by the Bill & Melinda Gates Foundation provided feedback on initial maps and drafts of this manuscript. Otherwise, the funders of the study had no role in study design, data collection, data analysis, data interpretation, writing of the final report or the decision to publish. The corresponding author had full access to all data in the study and had final responsibility for the decision to submit for publication. Dr Uddin reports personal fees from Deakin University Institute for Physical Activity and Nutrition, Australia, outside the submitted work. Dr Lorkowski reports personal fees from Akcea Therapeutics, Amedes MVZ f{\"u}r Laboratoriumsdiagnostik und Mikrobiologie, AMGEN, Berlin-Chemie, Boehringer Ingelheim Pharma, Daiichi Sankyo, MSD Sharp & Dohme, Novo Nordisk, Sanofi-Aventis, Synlab, Unilever and Upfield, as well as nonfinancial support from Preventicus outside the submitted work. Prof. Postma reports grants and personal fees from various pharmaceutical industries, all outside the submitted work. Prof. Postma holds stocks in Ingress Health and Pharmacoeconomics Advice Groningen and is advisor to Asc Academics, all pharmacoeconomic consultancy companies. Dr Remuzzi reports personal fees and nonfinancial support from Alnylam, personal fees and nonfinancial support from Boehringer Ingelheim, personal fees and nonfinancial support from Handock Inc., personal fees and nonfinancial support from Inception Sciences Canada and personal fees and nonfinancial support from Achillion, outside the submitted work. Dr. Jakovljevic reports grants from Ministry of Education Science and Technological Development of the Republic of Serbia outside the submitted work. Dr Flohr reports grants from European Union IMI grant scheme (Horizon 2020) outside the submitted work. Dr Jozwiak reports personal fees from ALAB LABORATORIA, Publisher Copyright: {\textcopyright} 2020, The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.",

year = "2020",

month = may,

day = "1",

doi = "10.1038/s41591-020-0807-6",

language = "English",

volume = "26",

pages = "750--759",

journal = "Nature Medicine",

issn = "1078-8956",

publisher = "Nature Publishing Group",

number = "5",

}

TY - JOUR

T1 - Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

AU - LBD Double Burden of Malnutrition Collaborators

AU - Kinyoki, Damaris K.

AU - Ross, Jennifer M.

AU - Lazzar-Atwood, Alice

AU - Munro, Sandra B.

AU - Schaeffer, Lauren E.

AU - Abbasalizad-Farhangi, Mahdieh

AU - Abbasi, Masoumeh

AU - Abbastabar, Hedayat

AU - Abdelalim, Ahmed

AU - Abdoli, Amir

AU - Abdollahi, Mohammad

AU - Abdollahpour, Ibrahim

AU - Abdulkader, Rizwan Suliankatchi

AU - Abebe, Nebiyu Dereje

AU - Abebo, Teshome Abuka

AU - Abegaz, Kedir Hussein

AU - Abolhassani, Hassan

AU - Abreu, Lucas Guimarães

AU - Abrigo, Michael R.M.

AU - Abushouk, Abdelrahman I.

AU - Accrombessi, Manfred Mario Kokou

AU - Acharya, Dilaram

AU - Adabi, Maryam

AU - Adebiyi, Akindele Olupelumi

AU - Adedeji, Isaac Akinkunmi

AU - Adekanmbi, Victor

AU - Adeoye, Abiodun Moshood

AU - Adetokunboh, Olatunji O.

AU - Adham, Davoud

AU - Aduroja, Posi Emmanuel

AU - Advani, Shailesh M.

AU - Afarideh, Mohsen

AU - Aghaali, Mohammad

AU - Agrawal, Anurag

AU - Ahmad, Tauseef

AU - Ahmadi, Keivan

AU - Ahmadi, Sepideh

AU - Ahmed, Muktar Beshir

AU - Ahmed, Rushdia

AU - Ajumobi, Olufemi

AU - Akal, Chalachew Genet

AU - Akalu, Temesgen Yihunie

AU - Akinyemiju, Tomi

AU - Akombi, Blessing

AU - Al-Aly, Ziyad

AU - Alam, Samiah

AU - Alamene, Genet Melak

AU - Alanzi, Turki M.

AU - Rabanal, Jacqueline Elizabeth Alcalde

AU - Alema, Niguse Meles

AU - Ali, Beriwan Abdulqadir

AU - Ali, Muhammad

AU - Alijanzadeh, Mehran

AU - Alinia, Cyrus

AU - Alipour, Vahid

AU - Alizade, Hesam

AU - Aljunid, Syed Mohamed

AU - Almasi, Afshin

AU - Almasi-Hashiani, Amir

AU - Al-Mekhlafi, Hesham M.

AU - Al-Raddadi, Rajaa M.

AU - Altirkawi, Khalid

AU - Alvis-Guzman, Nelson

AU - Alvis-Zakzuk, Nelson J.

AU - Amare, Azmeraw T.

AU - Amegah, Adeladza Kofi

AU - Amini, Saeed

AU - Rarani, Mostafa Amini

AU - Amiri, Fatemeh

AU - Amit, Arianna Maever Loreche

AU - Anber, Nahla Hamed

AU - Andrei, Catalina Liliana

AU - Ansari, Fereshteh

AU - Ansari-Moghaddam, Alireza

AU - Anteneh, Zelalem Alamrew

AU - Antonio, Carl Abelardo T.

AU - Antriyandarti, Ernoiz

AU - Anvari, Davood

AU - Anwer, Razique

AU - Appiah, Seth Christopher Yaw

AU - Arabloo, Jalal

AU - Arab-Zozani, Morteza

AU - Araya, Ephrem Mebrahtu

AU - Arefi, Zohreh

AU - Aremu, Olatunde

AU - Ärnlöv, Johan

AU - Arzani, Afsaneh

AU - Asadi-Aliabadi, Mehran

AU - Asadi-Pooya, Ali A.

AU - Asgari, Samaneh

AU - Asghari, Babak

AU - Ashagre, Alebachew Fasil

AU - Asrat, Anemaw A.

AU - Ataeinia, Bahar

AU - Atalay, Hagos Tasew

AU - Atnafu, Desta Debalkie

AU - Atout, Maha Moh’d Wahbi

AU - Ausloos, Marcel

AU - Avokpaho, Euripide F.G.A.

AU - Awasthi, Ashish

AU - Quintanilla, Beatriz Paulina Ayala

AU - Ayanore, Martin Amogre

AU - Aynalem, Yared A.Asmare

AU - Azadmehr, Abbas

AU - Azari, Samad

AU - Azarian, Ghasem

AU - Azene, Zelalem Nigussie

AU - Babaee, Ebrahim

AU - Badawi, Alaa

AU - Badiye, Ashish D.

AU - Bahrami, Mohamad Amin

AU - Baig, Atif Amin A.

AU - Bakhtiari, Ahad

AU - Bakkannavar, Shankar M.

AU - Balakrishnan, Senthilkumar

AU - Bali, Ayele Geleto

AU - Banach, Maciej

AU - Banik, Palash Chandra

AU - Baradaran-Seyed, Zahra

AU - Baraki, Adhanom Gebreegziabher

AU - Barboza, Miguel A.

AU - Bärnighausen, Till Winfried

AU - Barua, Lingkan

AU - Basaleem, Huda

AU - Basu, Sanjay

AU - Bayati, Mohsen

AU - Bayih, Mulat Tirfie

AU - Baynes, Habtamu Wondifraw

AU - Bedi, Neeraj

AU - Behzadifar, Masoud

AU - Behzadifar, Meysam

AU - Bekele, Yibeltal Alemu

AU - Bennett, Derrick A.

AU - Berbada, Dessalegn Ajema

AU - Berhe, Kidanemaryam

AU - Berhe, Abadi Kidanemariam

AU - Berman, Adam E.

AU - Bernstein, Robert S.

AU - Bhageerathy, Reshmi

AU - Bhandari, Dinesh

AU - Bharadwaj, Pankaj

AU - Bhattacharjee, Natalia V.

AU - Bhattacharyya, Krittika

AU - Bijani, Ali

AU - Bikbov, Boris

AU - Bilano, Ver

AU - Bililign, Nigus

AU - Sayeed, Muhammad Shahdaat Bin

AU - Birara, Setognal

AU - Birhane, Minuye Biniam Biniam

AU - Birhanu, Minyichil

AU - Biswas, Raaj Kishore

AU - Bitew, Zebenay Workneh

AU - Bogale, Kassawmar Angaw

AU - Bohlouli, Somayeh

AU - Bolla, Srinivasa Rao

AU - Boloor, Archith

AU - Borzì, Antonio M.

AU - Borzouei, Shiva

AU - Brady, Oliver J.

AU - Bragazzi, Nicola Luigi

AU - Braithwaite, Dejana

AU - Briko, Nikolay Ivanovich

AU - Britton, Gabrielle

AU - Budhathoki, Shyam S.

AU - Nagaraja, Sharath Burugina

AU - Busse, Reinhard

AU - Butt, Zahid A.

AU - Cahuana-Hurtado, Lucero

AU - Cámera, Luis Alberto

AU - Campos-Nonato, Ismael R.

AU - Cano, Jorge

AU - Car, Josip

AU - Cárdenas, Rosario

AU - Carrero, Juan J.

AU - Carvalho, Félix

AU - Castaldelli-Maia, João Mauricio

AU - Castañeda-Orjuela, Carlos A.

AU - Castro, Franz

AU - Cerin, Ester

AU - Chansa, Collins

AU - Charan, Jaykaran

AU - Chatterjee, Pranab

AU - Chattu, Vijay Kumar

AU - Chauhan, Bal Govind

AU - Chavshin, Ali Reza

AU - Chehrazi, Mohammad

AU - Chichiabellu, Tesfaye Yitna

AU - Chin, Ken Lee

AU - Christopher, Devasahayam J.

AU - Chu, Dinh Toi

AU - Cicuttini, Flavia M.

AU - Collison, Michael L.

AU - Cork, Michael A.

AU - Cormier, Natalie

AU - Cortesi, Paolo Angelo

AU - Costa, Vera M.

AU - Dadi, Abel Fekadu Fekadu

AU - Dagnew, Baye

AU - Dahlawi, Saad M.A.

AU - Damiani, Giovanni

AU - Darwish, Amira Hamed

AU - Daryani, Ahmad

AU - Das, Jai K.

AU - Gupta, Rajat Das

AU - Dávila-Cervantes, Claudio

AU - Davis Weaver, Nicole

AU - Leo, Diego De

AU - Neve, Jan Walter De

AU - Demeke, Feleke Mekonnen

AU - Demis, Asmamaw Bizuneh

AU - Demissie, Dereje Bayissa

AU - Demoz, Gebre Teklemariam

AU - Denova-Gutiérrez, Edgar

AU - Deribe, Kebede

AU - Desai, Rupak

AU - Desalegn, Beruk Berhanu

AU - Desalew, Assefa

AU - Deshpande, Aniruddha

AU - Dey, Sagnik

AU - Dharmaratne, Samath Dhamminda

AU - Dhillon, Preeti

AU - Dhimal, Meghnath

AU - Dhungana, Govinda Prasad

AU - Nasab, Mostafa Dianati

AU - Diaz, Daniel

AU - Forooshani, Zahra Sadat Dibaji

AU - Dinsa, Girmaye Deye

AU - Dipeolu, Isaac Oluwafemi

AU - Djalalinia, Shirin

AU - Do, Huyen Phuc

AU - Doku, Paul Narh

AU - Dorostkar, Fariba

AU - Doshmangir, Leila

AU - Dubey, Manisha

AU - Adema, Bereket Duko

AU - Dunachie, Susanna J.

AU - Duncan, Bruce B.

AU - Durães, Andre R.

AU - Earl, Lucas

AU - Leylabadlo, Hamed Ebrahimzadeh

AU - Eftekhari, Aziz

AU - El Sayed, Iman

AU - El Sayed Zaki, Maysaa

AU - El Tantawi, Maha

AU - Elbarazi, Iffat

AU - Elemineh, Demelash Abewa

AU - El-Jaafary, Shaimaa I.

AU - El-Khatib, Ziad

N1 - Funding Information: This study was funded by the Bill & Melinda Gates Foundation. Co-authors employed by the Bill & Melinda Gates Foundation provided feedback on initial maps and drafts of this manuscript. Otherwise, the funders of the study had no role in study design, data collection, data analysis, data interpretation, writing of the final report or the decision to publish. The corresponding author had full access to all data in the study and had final responsibility for the decision to submit for publication. Dr Uddin reports personal fees from Deakin University Institute for Physical Activity and Nutrition, Australia, outside the submitted work. Dr Lorkowski reports personal fees from Akcea Therapeutics, Amedes MVZ für Laboratoriumsdiagnostik und Mikrobiologie, AMGEN, Berlin-Chemie, Boehringer Ingelheim Pharma, Daiichi Sankyo, MSD Sharp & Dohme, Novo Nordisk, Sanofi-Aventis, Synlab, Unilever and Upfield, as well as nonfinancial support from Preventicus outside the submitted work. Prof. Postma reports grants and personal fees from various pharmaceutical industries, all outside the submitted work. Prof. Postma holds stocks in Ingress Health and Pharmacoeconomics Advice Groningen and is advisor to Asc Academics, all pharmacoeconomic consultancy companies. Dr Remuzzi reports personal fees and nonfinancial support from Alnylam, personal fees and nonfinancial support from Boehringer Ingelheim, personal fees and nonfinancial support from Handock Inc., personal fees and nonfinancial support from Inception Sciences Canada and personal fees and nonfinancial support from Achillion, outside the submitted work. Dr. Jakovljevic reports grants from Ministry of Education Science and Technological Development of the Republic of Serbia outside the submitted work. Dr Flohr reports grants from European Union IMI grant scheme (Horizon 2020) outside the submitted work. Dr Jozwiak reports personal fees from ALAB LABORATORIA, Publisher Copyright: © 2020, The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

PY - 2020/5/1

Y1 - 2020/5/1

N2 - A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.

AB - A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.

UR - http://www.scopus.com/inward/record.url?scp=85084142866&partnerID=8YFLogxK

U2 - 10.1038/s41591-020-0807-6

DO - 10.1038/s41591-020-0807-6

M3 - Article

C2 - 32313249

AN - SCOPUS:85084142866

VL - 26

SP - 750

EP - 759

JO - Nature Medicine

JF - Nature Medicine

SN - 1078-8956

IS - 5

ER -

Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

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