title: Prevalence and determinants of the dual burden of malnutrition at the household level in Puna and Quebrada of Humahuaca, Jujuy, Argentina.
abstract: The objective of the present study was to identify households in which overweight and underweight coexisted (dual burden of malnutrition) and explore the factors that could be contributing to the dual burden of malnutrition at the household level in this population.
  
  
  
  Cross-sectional nutritional survey.
  
  
  
  After applying the exclusion criteria, 136 households were included. Mothers were classified as normal weight or overweight/obese based on body mass index (BMI) cut-off points and children and adolescents were classified as stunted or not based on height-for-age z-score. Households with an obese mother and a stunted children or adolescent were categorized as dual burden households.
  
  
  
  The prevalence of dual burden household was 12%. Compared with other households, dual burden households tended to have more people living in the house, and the educational level of the head of household was lower. Individuals living in dual burden households showed overall lower energy intakes and were more likely to have inadequate intakes of calcium and iron.
  
  
  
  The nutrition transition in this community might be one of the leading causes of the observed dual burden of malnutrition. The results presented here indicate the need to consider whether programs that focus on only one type of nutritional problem come might actually exacerbate the other.
authors: Instituto Superior de Investigaciones Biológicas INSIBIO. Departamento Bioquímica de la Nutrición. Facultad de Bioquímica, Química y Farmacia. Universidad Nacional de Tucuman-CONICET. Tucumán. Argentina.. nsamman@fbqf.unt.edu.ar.
authors: M N
authors: MN
authors: Bassett
authors: Unidad de Investigación del Hospital Universitario Son Espases. Palma de Mallorca. España. Departamento de Epidemiología y Bioestadística. Escuela de Salud Pública del Imperial College London de Londres. Reino Unido.. nsamman@fbqf.unt.edu.ar.
authors: D
authors: D
authors: Romaguera
authors: Centro de Investigación de Tecnología de Alimentos de la Facultad de Ingeniería de la Universidad Nacional de Jujuy. San Salvador de Jujuy. Argentina.. nsamman@fbqf.unt.edu.ar.
authors: M A
authors: MA
authors: Giménez
authors: Centro de Investigación de Tecnología de Alimentos de la Facultad de Ingeniería de la Universidad Nacional de Jujuy. San Salvador de Jujuy. Argentina.. nsamman@fbqf.unt.edu.ar.
authors: M O
authors: MO
authors: Lobo
authors: Instituto Superior de Investigaciones Biológicas INSIBIO. Departamento Bioquímica de la Nutrición. Facultad de Bioquímica, Química y Farmacia. Universidad Nacional de Tucuman-CONICET. Tucumán. Argentina. Centro de Investigación de Tecnología de Alimentos de la Facultad de Ingeniería de la Universidad Nacional de Jujuy. San Salvador de Jujuy. Argentina.. nsamman@fbqf.unt.edu.ar.
authors: N C
authors: NC
authors: Samman
mesh_terms: D000293:Adolescent; D000328:Adult; D001118:Argentina / Q000453:epidemiology; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000150:complications / Q000453:epidemiology*; D008875:Middle Aged; D009749:Nutrition Surveys; D050177:Overweight / Q000150:complications / Q000453:epidemiology; D015995:Prevalence; D013851:Thinness / Q000150:complications / Q000453:epidemiology; D055815:Young Adult