Cut Novianti Rachmi1,2, Mu Li3, Louise Alison Baur2,3. 1. Department of Public Health, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia. cut.novianti@unpad.ac.id; cutnovianti@gmail.com. 2. Discipline of Child & Adolescent Health, The Children's Hospital at Westmead (University of Sydney Clinical School), Sydney, Australia. 3. Sydney School of Public Health, The University of Sydney, Sydney, Australia.
Abstract
BACKGROUND AND OBJECTIVES: The double burden of malnutrition (DBM) - a combination of undernutrition and overnutrition - is a problem faced by many countries. This study aimed to comprehensively review the DBM in ASEAN (Association of South East Asian Nations) countries, including levels (population [including country, city, or any community], household, or individual), types (the type of undernutrition and overweight), and prevalence. METHODS AND STUDY DESIGN: Data were sourced from four electronic databases, Medline via OvidSP, Scopus, Global Health via OvidSP and Web of Science, from January 1990 until May 2017. We only included studies that reported prevalence of DBM, were published in English language peer-reviewed journals and were available in full text. Studies were formally assessed against a published critical appraisal tool to produce a robust narrative review. RESULTS: We included 48 studies in the review from eight countries. No study was found from Singapore or Brunei Darussalam. Most studies were from Indonesia and there was only one study from Lao PDR. There were a range of criteria for anthropometry used in these studies, hence comparison is impossible. DBM happened at community, household, and individual levels, with different types of undernutrition (stunting/ underweight/wasting/thinness) in combination with overweight/obesity. At the household level, DBM ranged from 5.0% in Vietnam to 30.6% in Indonesia. CONCLUSIONS: ASEAN countries may need to strengthen surveillance using WHO standards to improve the comparability of data, further develop strategies to address under- or overweight issues and investigate potential "double-duty actions" as suggested by the World Health Organization.
BACKGROUND AND OBJECTIVES: The double burden of malnutrition (DBM) - a combination of undernutrition and overnutrition - is a problem faced by many countries. This study aimed to comprehensively review the DBM in ASEAN (Association of South East Asian Nations) countries, including levels (population [including country, city, or any community], household, or individual), types (the type of undernutrition and overweight), and prevalence. METHODS AND STUDY DESIGN: Data were sourced from four electronic databases, Medline via OvidSP, Scopus, Global Health via OvidSP and Web of Science, from January 1990 until May 2017. We only included studies that reported prevalence of DBM, were published in English language peer-reviewed journals and were available in full text. Studies were formally assessed against a published critical appraisal tool to produce a robust narrative review. RESULTS: We included 48 studies in the review from eight countries. No study was found from Singapore or Brunei Darussalam. Most studies were from Indonesia and there was only one study from Lao PDR. There were a range of criteria for anthropometry used in these studies, hence comparison is impossible. DBM happened at community, household, and individual levels, with different types of undernutrition (stunting/ underweight/wasting/thinness) in combination with overweight/obesity. At the household level, DBM ranged from 5.0% in Vietnam to 30.6% in Indonesia. CONCLUSIONS: ASEAN countries may need to strengthen surveillance using WHO standards to improve the comparability of data, further develop strategies to address under- or overweight issues and investigate potential "double-duty actions" as suggested by the World Health Organization.
Authors: Sirinya Phulkerd; Cut Novianti Rachmi; Mohd Jamil Sameeha; Elaine Q Borazon; Anne-Marie Thow; Helen Trevena; Adila Fahmida Saptari; Yong Kang Cheah; Che Aniza Che Wel; Vanessa T Marquez; Teeranong Sakulsri; Natjera Thongcharoenchupong; Bee Koon Poh Journal: Int J Environ Res Public Health Date: 2022-01-04 Impact factor: 3.390