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


Damaris K. Kinyoki, University of Washington School of Medicine
Jennifer M. Ross, University of Washington, Seattle
Alice Lazzar-Atwood, Institute for Health Metrics and Evaluation
Sandra B. Munro, Institute for Health Metrics and Evaluation
Lauren E. Schaeffer, Institute for Health Metrics and Evaluation
Mahdieh Abbasalizad-Farhangi, Tabriz University of Medical Sciences
Masoumeh Abbasi, Kermanshah University of Medical Sciences
Hedayat Abbastabar, Advanced Diagnostic and Interventional Radiology Research Center
Ahmed Abdelalim, Cairo University
Amir Abdoli, Jahrom University of Medical Science
Mohammad Abdollahi, The Institute of Pharmaceutical Sciences (TIPS)
Ibrahim Abdollahpour, Isfahan University of Medical Sciences
Rizwan Suliankatchi Abdulkader, Ministry of Health Saudi Arabia
Nebiyu Dereje Abebe, Addis Ababa University
Teshome Abuka Abebo, Hawassa University
Kedir Hussein Abegaz, Madda Walabu University
Hassan Abolhassani, Karolinska University Hospital
Lucas Guimarães Abreu, Universidade Federal de Minas Gerais
Michael R.M. Abrigo, Philippine Institute for Development Studies
Abdelrahman I. Abushouk, Ain Shams University
Manfred Mario Kokou Accrombessi, Bénin Clinical Research Institute (IRCB)
Dilaram Acharya, Dongguk University, Gyeongju
Maryam Adabi, Hamedan University of Medical Sciences
Akindele Olupelumi Adebiyi, University of Ibadan
Isaac Akinkunmi Adedeji, Olabisi Onabanjo University
Victor Adekanmbi, Cardiff University
Abiodun Moshood Adeoye, University of Ibadan
Olatunji O. Adetokunboh, Stellenbosch University
Davoud Adham, Ardabil University of Medical Sciences
Posi Emmanuel Aduroja, University of Ibadan
Shailesh M. Advani, National Institutes of Health (NIH)
K. Khatab, Ohio University

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© 2020, The Author(s). 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.