SynthesisObesity reviews : an official journal of the International Association for the Study of Obesity2018
Double burden of diseases worldwide: coexistence of undernutrition and overnutrition-related non-communicable chronic diseases.
Synthesis in Obesity reviews : an official journal of the International Association for the Study of Obesity, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
58 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of overweight and obesity in incarcerated individuals in developed and developing countries: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Double Burden of Malnutrition in the Asia-Pacific Region-A Systematic Review and Meta-analysis.Journal of epidemiology and global health · 2020Pooled it
- An Ecological Study of Neighborhood Food Retail Environment and Obesity Prevalence in Urban Slums of Bhopal, India.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Prevalence and determinants of undernutrition among lactating mothers in Jimma Town, Ethiopia: a community-based cross-sectional study using Bayesian logistic regressionmodel.BMC women's health · 2026Article
- Article
- Prevalence and determinants of obesity among women aged 15-49 years in the Ashanti region, Ghana: Analysis of the 2022 Ghana demographic and health survey.SAGE open medicine · 2026Article
- Hidden Hunger in Pediatric Obesity: Redefining Malnutrition Through Macronutrient Quality and Micronutrient Deficiency.Nutrients · 2025Review
- Trends in the double burden of malnutrition among Indonesian adults, 2007 to 2023.Scientific reports · 2025Article
- Non-Linear Socioeconomic Inequality in the Distribution of Food Outlets in Metropolitan Melbourne and Regional Victoria, Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- Estimating double burden of malnutrition among rural and urban children in Amazonia using Bayesian latent models.Frontiers in public health · 2025Article
- Nutritional assessment of adolescents: A cross-sectional study from public schools of North India.PloS one · 2025Article
- Exploring the potential utility of a single-item perceived diet quality measure.Nutrition research and practice · 2024Article
- Prevalence and sociodemographic factors associated with double burden of malnutrition among children under 5: a cross-sectional analysis of NFHS-4 data in India.BMJ public health · 2024Article
- The association between the body roundness index and the risk of chronic kidney disease in US adults.Frontiers in medicine · 2024Article
- Urban-rural disparity in body mass index: is dietary knowledge a mechanism? Evidence from the China Health and Nutrition Survey 2004-2015.Journal of global health · 2023Article
- Child Nutrition Outcomes and Maternal Nutrition-Related Knowledge in Rural Localities of Mbombela, South Africa.Children (Basel, Switzerland) · 2023Article
- Restricting child-directed ads is effective, but adding a time-based ban is better: evaluating a multi-phase regulation to protect children from unhealthy food marketing on television.The international journal of behavioral nutrition and physical activity · 2023Article
- The coexistence of stunting and overweight or obesity in Ethiopian children: prevalence, trends and associated factors.BMC pediatrics · 2023Article
- The biomedical securitization of global health.Globalization and health · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
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 (β [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.
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