Double burden of diseases worldwide: coexistence of undernutrition and overnutrition-related non-communicable chronic diseases

作者：Min, Jungwon; Zhao, Yaling; Slivka, Lauren; Wang, Youfa^*

来源：Obesity Reviews, 2018, 19(1): 49-61.

DOI：10.1111/obr.12605

• Double burden
• obesity
• undernutrition
• worldwide

ObjectiveThis systematic examination and meta-analysis examined the scope and variation of the worldwide double burden of diseases and identified related socio-demographic factors. @@@ DesignWe searched PubMed for studies published in English from January 1, 2000, through September 28, 2016, that reported on double disease burden. Twenty-nine studies from 18 high-income, middle-income and low-income countries met inclusion criteria and provided 71 obesity-undernutrition ratios, which were included in meta-regression analysis. @@@ ResultsAll high-income countries had a much higher prevalence of obesity than undernutrition (i.e. all the obesity/undernutrition ratios >1); 55% of the ratios in lower middle-income and low-income countries were <1, but only 28% in upper middle-income countries. Meta-analysis showed a pooled obesity-undernutrition ratio of 4.3 (95% CI=3.1-5.5), which varied by country income level, subjects' age and over time. The average ratio was higher in high-income rather than that in lower middle-income and low-income countries ( [SE]=10.8 [2.6]), in adults versus children (7.1 [2.2]) and in data collected since 2000 versus before 2000 (5.2 [1.5]; all P values<0.05). @@@ ConclusionsThere are considerable differences in the obesity versus undernutrition ratios and in their prevalence by country income level, age groups and over time, which may be a consequence of the cumulative exposure to an obesogenic environment.

• 出版日期2018-1
• 单位西安交通大学