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The double burden of malnutrition in indigenous and nonindigenous Guatemalan populations.
Am J Clin Nutr 2014; 100(6):1644S-51SAJ

Abstract

BACKGROUND

As the prevalence of obesity increases in developing countries, the double burden of malnutrition (DBM) has become a public health problem, particularly in countries such as Guatemala with a high concentration of indigenous communities where the prevalence of stunting remains high.

OBJECTIVE

The aim was to describe and analyze the prevalence of DBM over time (1998-2008) in indigenous and nonindigenous Guatemalan populations.

DESIGN

We used 3 National Maternal and Child Health Surveys conducted in Guatemala between 1998 and 2008 that include anthropometric data from children aged 0-60 mo and women of reproductive age (15-49 y). We assessed the prevalence of childhood stunting and both child and adult female overweight and obesity between 1998 and 2008. For the year 2008, we assessed the prevalence of DBM at the household (a stunted child and an overweight mother) and individual (stunting/short stature and overweight or anemia and overweight in the same individual) levels and compared the expected and observed prevalence rates to test if the coexistence of the DBM conditions corresponded to expected values.

RESULTS

Between 1998 and 2008, the prevalence of childhood stunting decreased in both indigenous and nonindigenous populations, whereas overweight and obesity in women increased faster in indigenous populations than in nonindigenous populations (0.91% compared with 0.38%/y; P-trend < 0.01). In 2008, the prevalence of stunted children was 28.8 percentage points higher and of overweight women 4.6 percentage points lower in indigenous compared with nonindigenous populations (63.7% compared with 34.9% and 46.7% compared with 51.3%, respectively). DBM at the household and individual levels was higher in indigenous populations and was higher in geographic areas in which most of the population was indigenous, where there was also a greater prevalence of stunting and DBM at the individual level, both in women and children.

CONCLUSIONS

In Guatemala, DBM is more prevalent in indigenous than in nonindigenous populations at the household and individual levels. To enhance effectiveness, current strategies of national policies and programs should consider DBM and focus on indigenous populations.

Authors+Show Affiliations

From the Centro de Investigación del INCAP para la Prevención de las Enfermedades Crónicas (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala (MR-Z, RC-F, and RK), and the Instituto Nacional de Salud Pública, Cuernavaca, Mexico (MFK-L).From the Centro de Investigación del INCAP para la Prevención de las Enfermedades Crónicas (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala (MR-Z, RC-F, and RK), and the Instituto Nacional de Salud Pública, Cuernavaca, Mexico (MFK-L).From the Centro de Investigación del INCAP para la Prevención de las Enfermedades Crónicas (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala (MR-Z, RC-F, and RK), and the Instituto Nacional de Salud Pública, Cuernavaca, Mexico (MFK-L).From the Centro de Investigación del INCAP para la Prevención de las Enfermedades Crónicas (CIIPEC), Institute of Nutrition of Central America and Panama (INCAP), Guatemala City, Guatemala (MR-Z, RC-F, and RK), and the Instituto Nacional de Salud Pública, Cuernavaca, Mexico (MFK-L).

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25411307

Citation

Ramirez-Zea, Manuel, et al. "The Double Burden of Malnutrition in Indigenous and Nonindigenous Guatemalan Populations." The American Journal of Clinical Nutrition, vol. 100, no. 6, 2014, 1644S-51S.
Ramirez-Zea M, Kroker-Lobos MF, Close-Fernandez R, et al. The double burden of malnutrition in indigenous and nonindigenous Guatemalan populations. Am J Clin Nutr. 2014;100(6):1644S-51S.
Ramirez-Zea, M., Kroker-Lobos, M. F., Close-Fernandez, R., & Kanter, R. (2014). The double burden of malnutrition in indigenous and nonindigenous Guatemalan populations. The American Journal of Clinical Nutrition, 100(6), 1644S-51S. doi:10.3945/ajcn.114.083857.
Ramirez-Zea M, et al. The Double Burden of Malnutrition in Indigenous and Nonindigenous Guatemalan Populations. Am J Clin Nutr. 2014;100(6):1644S-51S. PubMed PMID: 25411307.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The double burden of malnutrition in indigenous and nonindigenous Guatemalan populations. AU - Ramirez-Zea,Manuel, AU - Kroker-Lobos,Maria F, AU - Close-Fernandez,Regina, AU - Kanter,Rebecca, Y1 - 2014/10/29/ PY - 2014/11/21/entrez PY - 2014/11/21/pubmed PY - 2015/2/24/medline KW - Guatemala KW - anemia KW - double burden KW - indigenous KW - malnutrition KW - obesity KW - stunting SP - 1644S EP - 51S JF - The American journal of clinical nutrition JO - Am. J. Clin. Nutr. VL - 100 IS - 6 N2 - BACKGROUND: As the prevalence of obesity increases in developing countries, the double burden of malnutrition (DBM) has become a public health problem, particularly in countries such as Guatemala with a high concentration of indigenous communities where the prevalence of stunting remains high. OBJECTIVE: The aim was to describe and analyze the prevalence of DBM over time (1998-2008) in indigenous and nonindigenous Guatemalan populations. DESIGN: We used 3 National Maternal and Child Health Surveys conducted in Guatemala between 1998 and 2008 that include anthropometric data from children aged 0-60 mo and women of reproductive age (15-49 y). We assessed the prevalence of childhood stunting and both child and adult female overweight and obesity between 1998 and 2008. For the year 2008, we assessed the prevalence of DBM at the household (a stunted child and an overweight mother) and individual (stunting/short stature and overweight or anemia and overweight in the same individual) levels and compared the expected and observed prevalence rates to test if the coexistence of the DBM conditions corresponded to expected values. RESULTS: Between 1998 and 2008, the prevalence of childhood stunting decreased in both indigenous and nonindigenous populations, whereas overweight and obesity in women increased faster in indigenous populations than in nonindigenous populations (0.91% compared with 0.38%/y; P-trend < 0.01). In 2008, the prevalence of stunted children was 28.8 percentage points higher and of overweight women 4.6 percentage points lower in indigenous compared with nonindigenous populations (63.7% compared with 34.9% and 46.7% compared with 51.3%, respectively). DBM at the household and individual levels was higher in indigenous populations and was higher in geographic areas in which most of the population was indigenous, where there was also a greater prevalence of stunting and DBM at the individual level, both in women and children. CONCLUSIONS: In Guatemala, DBM is more prevalent in indigenous than in nonindigenous populations at the household and individual levels. To enhance effectiveness, current strategies of national policies and programs should consider DBM and focus on indigenous populations. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/25411307/The_double_burden_of_malnutrition_in_indigenous_and_nonindigenous_Guatemalan_populations_ L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.114.083857 DB - PRIME DP - Unbound Medicine ER -