2026-05-17T00:18:21Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/191382025-05-05T11:56:22Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608
Repisalud
author
Sagastume, Diana
author
Barrenechea-Pulache, Antonio
author
Ruiz-Alejos, Andrea
author
Polman, Katja
author
Beňová, Lenka
author
Ramírez-Zea, Manuel
author
Peñalvo, Jose L
funder
Institute of Tropical Medicine Antwerp (Bélgica)
2024-04-12T10:51:36Z
2024-04-12T10:51:36Z
2024-03-15
Adv Nutr. 2024 Mar 15;15(5):100212.
10.1016/j.advnut.2024.100212
2156-5376
Advances in nutrition (Bethesda, Md.)
38493876
http://hdl.handle.net/20.500.12105/19138
Estimating the prevalence of double burden of malnutrition (DBM) is challenging in the Latin American and Caribbean (LAC) region where various DBM typologies (e.g., obesity and stunting) are heterogeneous and estimates are scattered across literature This study aimed to assess the prevalence of DBM typologies in the LAC region. We searched PubMed, Embase, Scopus, and Web of Science to identify studies on the prevalence of DBM published between 1 January, 2000, and 23 January, 2023. Outcomes were the prevalence of the identified DBM typologies at the household, individual, or across life course levels. Random-effect meta-analyses of proportions were used to estimate pooled period prevalence for all outcomes. Heterogeneity was explored using meta-regressions. From 754 records identified, 60 (8%) studies were eligible, with a median of 4379 individuals. Studies reported data from 27 LAC countries collected between 1988 and 2017. Most studies used nationally representative surveys (68%) and scored as low risk of bias (70%). We identified 17 DBM typologies for which 360 estimates were analyzed. The prevalence of the identified DBM typologies ranged between 0% and 24%, with the DBM typology of "adult with overweight and child with anemia" having the highest prevalence (24.3%; 95% CI: 18.8%, 30.2%). The most frequently reported DBM typology was "adult with overweight and child with stunting," with a prevalence of 8.5% (95% CI: 7.7, 9.3). All prevalences carried large heterogeneity (I2>90%), modestly explained by subregions and countries. DBM across the life course could not be estimated owing to insufficient estimates. In conclusion, using available data, our study suggests that the burden of DBM in the LAC region ranges between 0% and 24%. In the most frequent DBM typologies, overweight was a common contributor. Substantial progress can be made in curbing the burden of DBM in the LAC region through strategies addressing excess weight within these population groups. This study was registered at PROSPERO as CRD42023406755.
eng
Malnutrition
Double burden of malnutrition
Latin America
The Caribbean
Systematic review
Meta-analysis
Stunting
Obesity
Quantifying Overlapping Forms of Malnutrition Across Latin America: A Systematic Literature Review and Meta-Analysis of Prevalence Estimates
review article
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QuantifyingOverlappingFormsMalnutrition_2024.pdf
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Supplementary_QuantifyingOverlappingFormsMalnutrition_2024.pdf
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QuantifyingOverlappingFormsMalnutrition_2024.pdf.txt
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