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Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017

journal contribution
submitted on 2024-07-14, 10:11 and posted on 2024-07-14, 10:12 authored by LBD Double Burden of Malnutrition Collaborators, Damaris K. Kinyoki, Jennifer M. Ross, Alice Lazzar-Atwood, Sandra B. Munro, Lauren E. Schaeffer, Mahdieh Abbasalizad-Farhangi, Masoumeh Abbasi, Hedayat Abbastabar, Ahmed Abdelalim, Amir Abdoli, Mohammad Abdollahi, Ibrahim Abdollahpour, Rizwan Suliankatchi Abdulkader, Nebiyu Dereje Abebe, Teshome Abuka Abebo, Kedir Hussein Abegaz, Hassan Abolhassani, Lucas Guimarães Abreu, Michael R. M. Abrigo, Abdelrahman I. Abushouk, Manfred Mario Kokou Accrombessi, Dilaram Acharya, Maryam Adabi, Akindele Olupelumi Adebiyi, Isaac Akinkunmi Adedeji, Victor Adekanmbi, Abiodun Moshood Adeoye, Olatunji O. Adetokunboh, Davoud Adham, Posi Emmanuel Aduroja, Shailesh M. Advani, Mohsen Afarideh, Mohammad Aghaali, Anurag Agrawal, Tauseef Ahmad, Keivan Ahmadi, Sepideh Ahmadi, Muktar Beshir Ahmed, Rushdia Ahmed, Olufemi Ajumobi, Chalachew Genet Akal, Temesgen Yihunie Akalu, Tomi Akinyemiju, Blessing Akombi, Ziyad Al-Aly, Samiah Alam, Genet Melak Alamene, Turki M. Alanzi, Jacqueline Elizabeth Alcalde Rabanal, Niguse Meles Alema, Beriwan Abdulqadir Ali, Muhammad Ali, Mehran Alijanzadeh, Cyrus Alinia, Vahid Alipour, Hesam Alizade, Syed Mohamed Aljunid, Afshin Almasi, Amir Almasi-Hashiani, Hesham M. Al-Mekhlafi, Rajaa M. Al-Raddadi, Khalid Altirkawi, Nelson Alvis-Guzman, Nelson J. Alvis-Zakzuk, Azmeraw T. Amare, Adeladza Kofi Amegah, Saeed Amini, Mostafa Amini Rarani, Fatemeh Amiri, Arianna Maever Loreche Amit, Nahla Hamed Anber, Catalina Liliana Andrei, Fereshteh Ansari, Alireza Ansari-Moghaddam, Zelalem Alamrew Anteneh, Carl Abelardo T. Antonio, Ernoiz Antriyandarti, Davood Anvari, Razique Anwer, Seth Christopher Yaw Appiah, Jalal Arabloo, Morteza Arab-Zozani, Ephrem Mebrahtu Araya, Zohreh Arefi, Olatunde Aremu, Johan Ärnlöv, Afsaneh Arzani, Mehran Asadi-Aliabadi, Ali A. Asadi-Pooya, Samaneh Asgari, Babak Asghari, Alebachew Fasil Ashagre, Anemaw A. Asrat, Bahar Ataeinia, Hagos Tasew Atalay, Desta Debalkie Atnafu, Maha Moh’d Wahbi Atout, Marcel Ausloos, Euripide F. G. A. Avokpaho, Ashish Awasthi, Beatriz Paulina Ayala Quintanilla, Martin Amogre Ayanore, Yared A. Asmare Aynalem, Abbas Azadmehr, Samad Azari, Ghasem Azarian, Zelalem Nigussie Azene, Ebrahim Babaee, Alaa Badawi, Ashish D. Badiye, Mohamad Amin Bahrami, Atif Amin A. Baig, Ahad Bakhtiari, Shankar M. Bakkannavar, Senthilkumar Balakrishnan, Ayele Geleto Bali, Maciej Banach, Palash Chandra Banik, Zahra Baradaran-Seyed, Adhanom Gebreegziabher Baraki, Miguel A. Barboza, Till Winfried Bärnighausen, Lingkan Barua, Huda Basaleem, Sanjay Basu, Mohsen Bayati, Mulat Tirfie Bayih, Habtamu Wondifraw Baynes, Neeraj Bedi, Masoud Behzadifar, Meysam Behzadifar, Yibeltal Alemu Bekele, Derrick A. Bennett, Dessalegn Ajema Berbada, Kidanemaryam Berhe, Abadi Kidanemariam Berhe, Adam E. Berman, Robert S. Bernstein, Reshmi Bhageerathy, Dinesh Bhandari, Pankaj Bharadwaj, Natalia V. Bhattacharjee, Krittika Bhattacharyya, Ali Bijani, Boris Bikbov, Ver Bilano, Nigus Bililign, Muhammad Shahdaat Bin Sayeed, Setognal Birara, Minuye Biniam Biniam Birhane, Minyichil Birhanu, Raaj Kishore Biswas, Zebenay Workneh Bitew, Kassawmar Angaw Bogale, Somayeh Bohlouli, Srinivasa Rao Bolla, Archith Boloor, Antonio M. Borzì, Shiva Borzouei, Oliver J. Brady, Nicola Luigi Bragazzi, Dejana Braithwaite, Nikolay Ivanovich Briko, Gabrielle Britton, Shyam S. Budhathoki, Sharath Burugina Nagaraja, Reinhard Busse, Zahid A. Butt, Lucero Cahuana-Hurtado, Luis Alberto Cámera, Ismael R. Campos-Nonato, Jorge Cano, Josip Car, Rosario Cárdenas, Juan J. Carrero, Félix Carvalho, João Mauricio Castaldelli-Maia, Carlos A. Castañeda-Orjuela, Franz Castro, Ester Cerin, Collins Chansa, Jaykaran Charan, Pranab Chatterjee, Vijay Kumar Chattu, Bal Govind Chauhan, Ali Reza Chavshin, Mohammad Chehrazi, Tesfaye Yitna Chichiabellu, Ken Lee Chin, Devasahayam J. Christopher, Dinh-Toi Chu, Flavia M. Cicuttini, Michael L. Collison, Michael A. Cork, Natalie Cormier, Paolo Angelo Cortesi, Vera M. Costa, Abel Fekadu Fekadu Dadi, Baye Dagnew, Saad M. A. Dahlawi, Giovanni Damiani, Amira Hamed Darwish, Ahmad Daryani, Jai K. Das, Rajat Das Gupta, Claudio Dávila-Cervantes, Nicole Davis Weaver, Diego De Leo, Jan-Walter De Neve, Feleke Mekonnen Demeke, Asmamaw Bizuneh Demis, Dereje Bayissa Demissie, Gebre Teklemariam Demoz, Edgar Denova-Gutiérrez, Kebede Deribe, Rupak Desai, Beruk Berhanu Desalegn, Assefa Desalew, Aniruddha Deshpande, Sagnik Dey, Samath Dhamminda Dharmaratne, Preeti Dhillon, Meghnath Dhimal, Govinda Prasad Dhungana, Mostafa Dianati Nasab, Daniel Diaz, Zahra Sadat Dibaji Forooshani, Girmaye Deye Dinsa, Isaac Oluwafemi Dipeolu, Shirin Djalalinia, Hoa Thi Do, Huyen Phuc Do, Paul Narh Doku, Fariba Dorostkar, Leila Doshmangir, Manisha Dubey, Bereket Duko Adema, Susanna J. Dunachie, Bruce B. Duncan, Ewerton Cousin, Andre R. Durães, Lucas Earl, Hamed Ebrahimzadeh Leylabadlo, Aziz Eftekhari, Iman El Sayed, Maysaa El Sayed Zaki, Maha El Tantawi, Iffat Elbarazi, Demelash Abewa Elemineh, Shaimaa I. El-Jaafary, Ziad El-Khatib, Aisha Elsharkawy, Yasser Mohamed El-Sherbiny, Iqbal R. F. Elyazar, Mohammad Hassan Emamian, Shymaa Enany, Daniel Adane Endalew, Melese Linger Endalifer, Khalil Eskandari, Sharareh Eskandarieh, Saman Esmaeilnejad, Alireza Esteghamati, Arash Etemadi, Atkilt Esaiyas Etisso, Jessica Fanzo, Mohammad Farahmand, Anwar Faraj, Sajjad Farashi, Mohammad Fareed, Andrea Farioli, Andre Faro, Farshad Farzadfar, Hossein Farzam, Syeda Sadia Fatima, Nazir Fattahi, Nelsensius Klau Fauk, Ali Akbar Fazaeli, Netsanet Fentahun, Tomas Y. Ferede, Seyed-Mohammad Fereshtehnejad, Eduarda Fernandes, João C. Fernandes, Garumma Tolu Feyissa, Irina Filip, Florian Fischer, Carsten Flohr, Nataliya A. Foigt, Morenike Oluwatoyin Folayan, Artem Alekseevich Fomenkov, Masoud Foroutan, Jana Förster, Joel Msafiri Francis, Takeshi Fukumoto, Reta Tsegaye Gayesa, Biniyam Sahiledengle Geberemariyam, Tsegaye Tewelde Gebrehiwot, Hadush Gebremariam, Kidane Tadesse Gebremariam, Ketema Bizuwork Bizuwork Gebremedhin, Gebreamlak Gebremedhn Gebremeskel, Assefa Ayalew Ayalew Gebreslassie, Gebretsadkan G. G. Gebretsadik, Getnet Azeze Gedefaw, Yilma Chisha Dea Geramo, Hailay Abrha Gesesew, Birhanu Geta, Agegnehu Bante Getenet, Kebede Embaye Gezae, Fatemeh Ghaffarifar, Mansour Ghafourifard, Alireza Ghajar, Mahsa Ghajarzadeh, Ahmad Ghashghaee, Hesam Ghiasvand, Asadollah Gholamian, Syed Amir Gilani, Tiffany K. Gill, Ibrahim Abdelmageed Ginawi, Srinivas Goli, Nelson G. M. Gomes, Sameer Vali Gopalani, Houman Goudarzi, Alessandra C. Goulart, Arunkumar Govindakarnavar, Ayman Grada, Michal Grivna, Rafael Alves Guimarães, Rashid Abdi Guled, Yuming Guo, Rahul Gupta, Rajeev Gupta, Nima Hafezi-Nejad, Michael Tamene Haile, Arvin Haj-Mirzaian, Arya Haj-Mirzaian, Brian J. Hall, Iman Halvaei, Randah R. Hamadeh, Yadollah Hamidi, Demelash Woldeyohannes Handiso, Graeme J. Hankey, Hamidreza Haririan, Ninuk Hariyani, Ahmed I. Hasaballah, Md. Mehedi Hasan, Milad Hasankhani, Edris Hasanpoor, Amir Hasanzadeh, Maryam Hashemian, Soheil Hassanipour, Hamid Yimam Hassen, Rasmus Havmoeller, Corinna Hawkes, Khezar Hayat, Desta Haftu Hayelom, Behnam Heidari, Reza Heidari-Soureshjani, Delia Hendrie, Andualem Henok, Nathaniel J. Henry, Mario Herrero, Claudiu Herteliu, Fatemeh Heydarpour, Hagos D. de Hidru, Chi Linh Hoang, Hans W. Hoek, Michael K. Hole, Ramesh Holla, Gillian Hollerich, Enayatollah Homaie Rad, Sung Hwi Hong, Praveen Hoogar, Masako Horino, Naznin Hossain, Mostafa Hosseini, Mehdi Hosseinzadeh, Mihaela Hostiuc, Sorin Hostiuc, Mowafa Househ, Mohamed Hsairi, Guoqing Hu, Tanvir M. Huda, Ayesha Humayun, Bing-Fang Hwang, Segun Emmanuel Ibitoye, Olayinka Stephen Ilesanmi, Milena D. Ilic, Mohammad Hasan Imani-Nasab, Leeberk Raja Inbaraj, Usman Iqbal, Seyed Sina Naghibi Irvani, Sheikh Mohammed Shariful Islam, Chidozie C. D. Iwu, Chinwe Juliana Iwu, Neda Izadi, Jalil Jaafari, Anelisa Jaca, Farhad Jadidi-Niaragh, Nader Jafari Balalami, Morteza Jafarinia, Mohammad Ali Jahani, Mihajlo Jakovljevic, Amir Jalali, Farzad Jalilian, Achala Upendra Jayatilleke, Panniyammakal Jeemon, Fyezah Jehan, Ensiyeh Jenabi, Ravi Prakash Jha, Vivekanand Jha, John S. Ji, Peng Jia, Oommen John, Yetunde O. John-Akinola, Kimberly B. Johnson, Jost B. Jonas, Nitin Joseph, Farahnaz Joukar, Jacek Jerzy Jozwiak, Suresh Banayya Jungari, Mikk Jürisson, Ali Kabir, Zubair Kabir, Amaha Kahsay, Molla Kahssay, Hamed Kalani, Leila L. Kalankesh, Rohollah Kalhor, Zahra Kamiab, Tanuj Kanchan, Umesh Kapil, Neeti Kapoor, Manoochehr Karami, Behzad Karami Matin, André Karch, Mohd A. Karim, Surendra Karki, Amir Kasaeian, Gebremicheal Gebreslassie Kasahun, Habtamu Kebebe Kasaye, Tesfaye Dessale Kassa, Hagazi Gebremedhin Kassaye, Nicholas J. Kassebaum, Ali Kazemi Karyani, Andre Pascal Kengne, Daniel Bekele Ketema, Yousef Saleh Khader, Morteza Abdullatif Khafaie, Mojtaba Khaksarian, Nauman Khalid, Ibrahim A. Khalil, Rovshan Khalilov, Asad Khan, Ejaz Ahmad Khan, Md Nuruzzaman Khan, Mohammad Saud Khan, Muhammad Shahzeb Khan, Khaled Khatab, Amir Khater, Mona M. Khater, Mahalqua Nazli Khatib, Maryam Khayamzadeh, Maryam Khazaei-Pool, Mohammad Khazaei, Salman Khazaei, Mohammad Taghi Khodayari, Mohammad Hossein Khosravi, Roba Khundkar, Ali Kiadaliri, Neda Kianipour, Daniel N. Kiirithio, Yun Jin Kim, Ruth W. Kimokoti, Adnan Kisa, Sezer Kisa, Tufa Kolola, Hamidreza Komaki, Shivakumar K. M. Kondlahalli, Ali Koolivand, Parvaiz A. Koul, Ai Koyanagi, Moritz U. G. Kraemer, Kewal Krishan, Kris J. Krohn, Nuworza Kugbey, Manasi Kumar, Pushpendra Kumar, Vivek Kumar, Om P. Kurmi, Oluwatosin Kuti, Carlo La Vecchia, Ben Lacey, Deepesh P. Lad, Aparna Lal, Dharmesh Kumar Lal, Faris Hasan Lami, Prabhat Lamichhane, Justin J. Lang, Van C. Lansingh

A double burden of malnutrition occurs when individuals, household members or communities experience both undernutrition and overweight. Here, we show geospatial estimates of overweight and wasting prevalence among children under 5 years of age in 105 low- and middle-income countries (LMICs) from 2000 to 2017 and aggregate these to policy-relevant administrative units. Wasting decreased overall across LMICs between 2000 and 2017, from 8.4% (62.3 (55.1–70.8) million) to 6.4% (58.3 (47.6–70.7) million), but is predicted to remain above the World Health Organization’s Global Nutrition Target of <5% in over half of LMICs by 2025. Prevalence of overweight increased from 5.2% (30 (22.8–38.5) million) in 2000 to 6.0% (55.5 (44.8–67.9) million) children aged under 5 years in 2017. Areas most affected by double burden of malnutrition were located in Indonesia, Thailand, southeastern China, Botswana, Cameroon and central Nigeria. Our estimates provide a new perspective to researchers, policy makers and public health agencies in their efforts to address this global childhood syndemic.

Author Correction: Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017: https://doi.org/10.1038/s41591-020-0972-7, published online 02 July 2022.

Other Information

Published in: Nature Medicine
License: https://creativecommons.org/licenses/by/4.0
See article on publisher's website: https://dx.doi.org/10.1038/s41591-020-0807-6

Funding

Bill & Melinda Gates Foundation (OPP1132415).

History

Language

  • English

Publisher

Springer Nature

Publication Year

  • 2020

License statement

This Item is licensed under the Creative Commons Attribution 4.0 International License.

Institution affiliated with

  • Hamad Bin Khalifa University
  • College of Science and Engineering - HBKU
  • Hamad Medical Corporation
  • Hamad General Hospital - HMC

Related Datasets

Institute for Health Metrics and Evaluation (IHME). Low- and Middle-Income Country Childhood Overweight and Wasting Geospatial Estimates 2000-2017. Seattle, United States of America: Institute for Health Metrics and Evaluation (IHME), 2020. https://doi.org/10.6069/AQSN-ER59 Institute for Health Metrics and Evaluation (IHME) : ihmeuw/lbd. (2020).DBM - LMICs - 2020. Last modified 2020. GitHub Repository. https://github.com/ihmeuw/lbd/tree/dbm-lmic-2020

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