title: The nutritional dual-burden in developing countries--how is it assessed and what are the health implications?
abstract: This paper focuses on the phenomenon of the nutritional dual-burden in the developing world. Nutritional dual-burden is defined as the coexistence of under-and-over nutrition in the same population/group, the same household/family, or the same person. In this paper we aim: a) to describe the different types of nutritional dual-burden, b) to identify the anthropometric indicators generally used to classify the nutritional dual-burden, c) to focus our attention on a dual-burden group (the Maya from Merida, Yucatan, Mexico), d) to illustrate problems in the categorization of the dual-burden, and e) to suggest possible health implications. Our results show that, for our sample, the prevalence of individual dual-burden among children is very low, but is very high among the mothers and for mother-child pairs (household dual-burden). Most importantly, the criteria used to assess the nutritional status of the individuals and of the families will play an important role in the estimated prevalence of nutritional dual-burden, and this will have practical impacts for health intervention programs.
authors: Loughborough University, Centre for Global Health and Human Development, SSEHS, Loughborough, UK. M.I.O.Varela-Silva@lboro.ac.uk
authors: Maria Inês
authors: MI
authors: Varela-Silva
authors: Federico
authors: F
authors: Dickinson
authors: Hannah
authors: H
authors: Wilson
authors: Hugo
authors: H
authors: Azcorra
authors: Paula Louise
authors: PL
authors: Griffiths
authors: Barry
authors: B
authors: Bogin
mesh_terms: D000886:Anthropometry / Q000379:methods; D002648:Child; D015362:Child Nutrition Disorders / Q000453:epidemiology*; D003906:Developing Countries / Q000706:statistics & numerical data*; D005192:Family Health / Q000706:statistics & numerical data; D006304:Health Status; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D009035:Mothers / Q000706:statistics & numerical data*; D009765:Obesity / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors