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Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review

机译:发展中国家营养不良双重负担相关性的社会生态学模型:叙事综述

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摘要

(1) Background: The double burden of malnutrition (DBM) is a complex problem involving the coexistence of under- and over-nutrition within the same individual, household or population. This review aimed to discuss the correlates of the double burden of malnutrition through the socio-ecological model (SEM); (2) Methods: The PubMed database was systematically searched for peer-reviewed articles related to the double burden of malnutrition. Information on correlates of the double burden of malnutrition was extracted for analysis and discussion in alignment with the levels of the socio-ecological model.; (3) Results and Discussion: The correlates of the double burden of malnutrition identified from previous literature were: Race/genetics; maternal short stature; breastfeeding status; low maternal education; family size; household food security; household dietary diversity; and rural and urban settings. In the absence of evidence linking factors in a certain level of the SEM and the double burden of malnutrition, we employed correlates of overweight status and obesity to complete this narrative. Potential intervention strategies were proposed in alignment with the targets and settings identified, based on the socio-ecological approach; (4) Conclusions: The double burden of malnutrition is a public health phenomenon associated with a variety of socio-ecological determinants. An integrated approach is needed to address the root causes of malnutrition in all its forms, and at all life stages.
机译:(1)背景:营养不良(DBM)的双重负担是一个复杂的问题,涉及同一个人,家庭或人口内的和过度营养的共存。该审查旨在通过社会生态模型(SEM)讨论营养不良双重负担的关联; (2)方法:系统地搜索了PubMed数据库,以获得与营养不良双重负担有关的同伴审查的文章。提取有关营养不良双重负担的信息,以分析和讨论与社会生态模型的级别对齐。 (3)结果与讨论:以前文学中鉴定的营养不良双重负担的关联是:种族/遗传学;产妇矮个身材;母乳喂养状态;低产妇教育;家庭规模;家庭粮食安全;家庭饮食多样性;和农村和城市环境。在没有证据表明在SEM的一定程度和营养不良的双重负担的情况下,我们就业超重地位和肥胖的关联来完成这一叙述。根据社会生态方法,提出了与确定的目标和环境一致的潜在干预策略; (4)结论:营养不良的双重负担是与各种社会生态决定因素相关的公共卫生现象。需要一种综合方法来解决所有形式的营养不良的根本原因,并在所有的阶段。

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