The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines

Introduction: Double burden of malnutrition (DBM) is a fast-evolving public health challenge. The rising prevalence of obesity and diet-related non-communicable diseases alongside persistent nutritional deficiencies are compelling problems in many developing countries. However, there is limited evid...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Aileen R. de Juras, Wan-Chen Hsu, Susan C. Hu
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	double burden of malnutrition underweight micronutrient deficiency overweight obesity cardiometabolic risk factors Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/18f85a2209ee40278faa75afce945e54
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:18f85a2209ee40278faa75afce945e54
record_format	dspace
spelling	oai:doaj.org-article:18f85a2209ee40278faa75afce945e542021-11-15T04:41:36ZThe Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines2296-861X10.3389/fnut.2021.760437https://doaj.org/article/18f85a2209ee40278faa75afce945e542021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnut.2021.760437/fullhttps://doaj.org/toc/2296-861XIntroduction: Double burden of malnutrition (DBM) is a fast-evolving public health challenge. The rising prevalence of obesity and diet-related non-communicable diseases alongside persistent nutritional deficiencies are compelling problems in many developing countries. However, there is limited evidence on the coexistence of these conditions in the same individual among community-dwelling adults. This cross-sectional study describes the various forms of DBM and examines the determinants of DBM at the individual level among adults in the Philippines.Materials and Methods: A nationwide dataset from the 2013 Philippine National Nutrition Survey was used. The final study sample consisted of 17,157 adults (8,596 men and 8,561 non-pregnant and non-lactating women). This study focused on three DBM types within adults: (#1) Underweight and at least one cardiometabolic risk factor (Uw + ≥1 CMRF), (#2) Anemia and at least one cardiometabolic risk factor (An + ≥1 CMRF), (#3) Vitamin A deficiency or iodine insufficiency and at least one cardiometabolic risk factor (Other MND + ≥1 CMRF). The total double burden of malnutrition was also evaluated as the sum of the aforementioned three types. Logistic regression models were used to assess associations between socio-demographic and lifestyle factors and DBM.Results: The prevalence of the three types of DBM were: type #1, 8.1%; type #2, 5.6%; type #3, 20.6%, and the total DBM prevalence was 29.4%. Sex, age, educational attainment, employment status, wealth quintile, and alcohol drinking were the risk factors for DBM. In contrast, marital status, smoking, and physical activity were associated with the different DBM types.Conclusion: The study findings contribute to the current state of knowledge on the broad spectrum of individual-level DBM. Understanding the disparities of this phenomenon could guide integrated actions directed to the concomitance of malnutrition in various forms and cardiometabolic disease risks.Aileen R. de JurasAileen R. de JurasWan-Chen HsuSusan C. HuFrontiers Media S.A.articledouble burden of malnutritionunderweightmicronutrient deficiencyoverweightobesitycardiometabolic risk factorsNutrition. Foods and food supplyTX341-641ENFrontiers in Nutrition, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	double burden of malnutrition underweight micronutrient deficiency overweight obesity cardiometabolic risk factors Nutrition. Foods and food supply TX341-641
spellingShingle	double burden of malnutrition underweight micronutrient deficiency overweight obesity cardiometabolic risk factors Nutrition. Foods and food supply TX341-641 Aileen R. de Juras Aileen R. de Juras Wan-Chen Hsu Susan C. Hu The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines
description	Introduction: Double burden of malnutrition (DBM) is a fast-evolving public health challenge. The rising prevalence of obesity and diet-related non-communicable diseases alongside persistent nutritional deficiencies are compelling problems in many developing countries. However, there is limited evidence on the coexistence of these conditions in the same individual among community-dwelling adults. This cross-sectional study describes the various forms of DBM and examines the determinants of DBM at the individual level among adults in the Philippines.Materials and Methods: A nationwide dataset from the 2013 Philippine National Nutrition Survey was used. The final study sample consisted of 17,157 adults (8,596 men and 8,561 non-pregnant and non-lactating women). This study focused on three DBM types within adults: (#1) Underweight and at least one cardiometabolic risk factor (Uw + ≥1 CMRF), (#2) Anemia and at least one cardiometabolic risk factor (An + ≥1 CMRF), (#3) Vitamin A deficiency or iodine insufficiency and at least one cardiometabolic risk factor (Other MND + ≥1 CMRF). The total double burden of malnutrition was also evaluated as the sum of the aforementioned three types. Logistic regression models were used to assess associations between socio-demographic and lifestyle factors and DBM.Results: The prevalence of the three types of DBM were: type #1, 8.1%; type #2, 5.6%; type #3, 20.6%, and the total DBM prevalence was 29.4%. Sex, age, educational attainment, employment status, wealth quintile, and alcohol drinking were the risk factors for DBM. In contrast, marital status, smoking, and physical activity were associated with the different DBM types.Conclusion: The study findings contribute to the current state of knowledge on the broad spectrum of individual-level DBM. Understanding the disparities of this phenomenon could guide integrated actions directed to the concomitance of malnutrition in various forms and cardiometabolic disease risks.
format	article
author	Aileen R. de Juras Aileen R. de Juras Wan-Chen Hsu Susan C. Hu
author_facet	Aileen R. de Juras Aileen R. de Juras Wan-Chen Hsu Susan C. Hu
author_sort	Aileen R. de Juras
title	The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines
title_short	The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines
title_full	The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines
title_fullStr	The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines
title_full_unstemmed	The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines
title_sort	double burden of malnutrition at the individual level among adults: a nationwide survey in the philippines
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/18f85a2209ee40278faa75afce945e54
work_keys_str_mv	AT aileenrdejuras thedoubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines AT aileenrdejuras thedoubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines AT wanchenhsu thedoubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines AT susanchu thedoubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines AT aileenrdejuras doubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines AT aileenrdejuras doubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines AT wanchenhsu doubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines AT susanchu doubleburdenofmalnutritionattheindividuallevelamongadultsanationwidesurveyinthephilippines
_version_	1718428791635705856

The Double Burden of Malnutrition at the Individual Level Among Adults: A Nationwide Survey in the Philippines

Ejemplares similares