title: Africa in transition: growth trends in children and implications for nutrition.
abstract: The aims of this paper were to: (1) review the literature and examine contemporary child growth in terms of stunting prevalence across Africa; (2) discuss child stunting within the context of economic growth and adult obesity, and (3) elucidate the implications for child nutrition. It is evident that stunting in under-5-year-old children still plagues Africa and has not decreased as expected in line with the concomitant improvement in economic development over the past decade. Persisting and possibly widening inequality ensures that not all segments of the population, in particular the most vulnerable, benefit equally from economic growth. Of concern is the association between the increasing economic progress across Africa and the rising adult obesity, especially amongst females. More and more African countries are now afflicted with a double burden of malnutrition. The implication for child nutrition is that African countries need not only apply a multisectoral approach to accelerate the reduction in stunting levels, but also to arrest and prevent obesity.
authors.affiliation: MRC/Wits Developmental Pathways for Health Research Unit, Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
authors.forename: Shane A
authors.initials: SA
authors.lastname: Norris
authors.forename: Stephanie
authors.initials: S
authors.lastname: Wrottesley
authors.forename: Rihlat Said
authors.initials: RS
authors.lastname: Mohamed
authors.forename: Lisa K
authors.initials: LK
authors.lastname: Micklesfield
mesh_terms: D000328:Adult; D000349:Africa / Q000453:epidemiology; D002648:Child; D015362:Child Nutrition Disorders / Q000453:epidemiology; D002664:Child Nutritional Physiological Phenomena; D057217:Economic Development / Q000639:trends; D005260:Female; D006130:Growth Disorders / Q000453:epidemiology*; D006801:Humans; D008297:Male; D009752:Nutritional Status; D009765:Obesity / Q000453:epidemiology*; D015995:Prevalence; D012959:Socioeconomic Factors