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Double burden of undernutrition and obesity in Uruguay.
Am J Clin Nutr 2014; 100(6):1659S-62SAJ

Abstract

BACKGROUND

Uruguay is at an advanced stage of the epidemiologic transition; like other Latin American countries, it bears a nutritional double burden composed of undernutrition and overweight or obesity.

OBJECTIVES

The aim was to estimate whether a double burden of nutritional problems exists in Uruguay and to identify if governmental programs and policies for nutrition take this double burden into account.

DESIGN

Existing studies were reviewed, and other data were processed specifically for the purpose of this article. Several data sources were used to include a broad, comprehensive population range.

RESULTS

The prevalence of stunting in children aged <2 y is 10.9%. There is a high frequency of obesity, which increases with age (9.5% in children <2 y old, 18.8% in those aged 6 y, 20.4% in those aged 11 y, 26.6% in those aged 13-15 y, and 35.3% in adults). In addition, 13.8% of women start pregnancy underweight and the rate of obesity increases during pregnancy from 36.7% at the beginning to 46.5% at the end. Anemia is very frequent in the selected population we examined, as follows: 31% of children <2 y old and 20.9% of pregnant women in their third trimester. An obese mother with a stunted child are present in 6.3% of households; 1.9% of stunted children are obese at age 6 y and 3.1% are obese at the age of 11. Multiple logistic analysis applied to children <2 y showed an association between stunting and obesity (OR: 2.0; 95% CI: 1.2, 3.6).

CONCLUSIONS

The data suggest that there is a nutritional double burden in Uruguay. This nutritional burden is similar to that of other countries in the region. This important public issue should be tackled, and it should be addressed in early infancy.

Authors+Show Affiliations

From the Department of Preventive Medicine, Faculty of Medicine, University of the Republic (UdelaR), Montevideo, Uruguay (CS); and the Program for Nutrition, Ministry of Public Health, Montevideo, Uruguay (XM).From the Department of Preventive Medicine, Faculty of Medicine, University of the Republic (UdelaR), Montevideo, Uruguay (CS); and the Program for Nutrition, Ministry of Public Health, Montevideo, Uruguay (XM).

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25411309

Citation

Severi, Cecilia, and Ximena Moratorio. "Double Burden of Undernutrition and Obesity in Uruguay." The American Journal of Clinical Nutrition, vol. 100, no. 6, 2014, 1659S-62S.
Severi C, Moratorio X. Double burden of undernutrition and obesity in Uruguay. Am J Clin Nutr. 2014;100(6):1659S-62S.
Severi, C., & Moratorio, X. (2014). Double burden of undernutrition and obesity in Uruguay. The American Journal of Clinical Nutrition, 100(6), 1659S-62S. doi:10.3945/ajcn.114.083808.
Severi C, Moratorio X. Double Burden of Undernutrition and Obesity in Uruguay. Am J Clin Nutr. 2014;100(6):1659S-62S. PubMed PMID: 25411309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Double burden of undernutrition and obesity in Uruguay. AU - Severi,Cecilia, AU - Moratorio,Ximena, Y1 - 2014/10/29/ PY - 2014/11/21/entrez PY - 2014/11/21/pubmed PY - 2015/2/24/medline KW - double burden KW - overweight/obesity KW - programs review KW - undernutrition SP - 1659S EP - 62S JF - The American journal of clinical nutrition JO - Am. J. Clin. Nutr. VL - 100 IS - 6 N2 - BACKGROUND: Uruguay is at an advanced stage of the epidemiologic transition; like other Latin American countries, it bears a nutritional double burden composed of undernutrition and overweight or obesity. OBJECTIVES: The aim was to estimate whether a double burden of nutritional problems exists in Uruguay and to identify if governmental programs and policies for nutrition take this double burden into account. DESIGN: Existing studies were reviewed, and other data were processed specifically for the purpose of this article. Several data sources were used to include a broad, comprehensive population range. RESULTS: The prevalence of stunting in children aged <2 y is 10.9%. There is a high frequency of obesity, which increases with age (9.5% in children <2 y old, 18.8% in those aged 6 y, 20.4% in those aged 11 y, 26.6% in those aged 13-15 y, and 35.3% in adults). In addition, 13.8% of women start pregnancy underweight and the rate of obesity increases during pregnancy from 36.7% at the beginning to 46.5% at the end. Anemia is very frequent in the selected population we examined, as follows: 31% of children <2 y old and 20.9% of pregnant women in their third trimester. An obese mother with a stunted child are present in 6.3% of households; 1.9% of stunted children are obese at age 6 y and 3.1% are obese at the age of 11. Multiple logistic analysis applied to children <2 y showed an association between stunting and obesity (OR: 2.0; 95% CI: 1.2, 3.6). CONCLUSIONS: The data suggest that there is a nutritional double burden in Uruguay. This nutritional burden is similar to that of other countries in the region. This important public issue should be tackled, and it should be addressed in early infancy. SN - 1938-3207 UR - https://www.unboundmedicine.com/medline/citation/25411309/Double_burden_of_undernutrition_and_obesity_in_Uruguay_ L2 - https://academic.oup.com/ajcn/article-lookup/doi/10.3945/ajcn.114.083808 DB - PRIME DP - Unbound Medicine ER -