Prevalence and trends in the childhood dual burden of malnutrition in low- and middle-income countries, 1990-2012.

Journal Article (Journal Article)


To describe trends in country- and individual-level dual burden of malnutrition in children <5 years, and age-stratified (<2 years, ≥2 years) country-level trends, in thirty-six low- and middle-income countries (LMIC).


Using repeated cross-sectional nationally representative data, we calculated the prevalence of malnutrition (stunting, wasting, overweight) at each survey wave, annualized rates of prevalence change for each country over time, and trends before and after 2000, for all children <5 years and separately for those SettingDemographic and Health Surveys from thirty-six LMIC between 1990 and 2012.


Children <5 years.


Overall malnutrition prevalence decreased in children <5 years, driven by stunting decreases. Stunting rates decreased in 78 % of countries, wasting rates decreased in 58 % of countries and overweight rates increased in 36 % of countries. Rates of change differed for children ConclusionsThe dual burden exists in children <5 years on both country and individual levels, indicating a shift is needed in policies and programmes to address both sides of malnutrition. Children <2 years should be identified as a high-risk demographic.

Full Text

Duke Authors

Cited Authors

  • Tzioumis, E; Kay, MC; Bentley, ME; Adair, LS

Published Date

  • June 2016

Published In

Volume / Issue

  • 19 / 8

Start / End Page

  • 1375 - 1388

PubMed ID

  • 26905921

Pubmed Central ID

  • PMC5470367

Electronic International Standard Serial Number (EISSN)

  • 1475-2727

International Standard Serial Number (ISSN)

  • 1368-9800

Digital Object Identifier (DOI)

  • 10.1017/s1368980016000276


  • eng