ArticleAmerican journal of human biology : the official journal of the Human Biology Council2020
Water, food, and the dual burden of disease in Galápagos, Ecuador.
Article in American journal of human biology : the official journal of the Human Biology Council, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 57 citations in OpenAlex.
- Household Water and Food Insecurity Are Positively Associated with Poor Mental and Physical Health among Adults Living with HIV in Western Kenya.The Journal of nutrition · 2021Trial
- Poor Water Quality and Food Insecurity in Ecuador: Disparities in Exposure and Associations With Young Child Feeding Practices.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Water Insecurity Is Associated with Sugar-Sweetened Beverage Consumption in a Small-Scale Population in Lowland Bolivia Experiencing Lifestyle Changes.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Water and nutrition in a rapidly changing world: Introduction to the special issue.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Multivariate characterization of the nutritional diversity of traditional Ecuadorian foods.Frontiers in nutrition · 2026Article
- The Intersection of Tap Water Avoidance, Food Insecurity, and Sugar-Sweetened Beverage Intake Among U.S. Children and Adolescents Aged 2-17 Years.American journal of preventive medicine · 2026Article
- Nutritional Status and Fecal Microbiota in School Children from the Galapagos and the Andean Region.Microbial ecology · 2025Article
- Food and Water Insecurity and Functional Disability in Adults.JAMA network open · 2025Article
- Household food and water insecurity and its association with diarrhoea, respiratory illness, and stunting in Ecuadorian children under 5 years.Maternal & child nutrition · 2024Article
- Clinical and surgical physician's perception of nutrition knowledge.BMC primary care · 2024Article
- Household food insecurity and physical activity behaviour in Ecuadorian children and adolescents: findings from the Ecuador 2018 National Health and Nutrition Survey (ENSANUT-2018).Public health nutrition · 2024Article
- New frontiers in the measurement of energy metabolism.American journal of physiology. Endocrinology and metabolism · 2023Article
- Concurrence of water and food insecurities, 25 low- and middle-income countries.Bulletin of the World Health Organization · 2023Article
- Tap Water Avoidance Is Associated with Lower Food Security in the United States: Evidence from NHANES 2005-2018.Journal of the Academy of Nutrition and Dietetics · 2023Article
- Water Security and Nutrition: Current Knowledge and Research Opportunities.Advances in nutrition (Bethesda, Md.) · 2021Review
- Perspective: The Importance of Water Security for Ensuring Food Security, Good Nutrition, and Well-being.Advances in nutrition (Bethesda, Md.) · 2021Review
- Social inequalities in the surrounding areas of food deserts and food swamps in a Brazilian metropolis.International journal for equity in health · 2021Article
- Hydration in relation to water insecurity, heat index, and lactation status in two small-scale populations in hot-humid and hot-arid environments.American journal of human biology : the official journal of the Human Biology Council · 2021Article
- Maternal precarity and HPA axis functioning shape infant gut microbiota and HPA axis development in humans.PloS one · 2021Article
- Uncovering Burdens, Examining Needs, and Shedding Assumptions of Evidence-Based Social Support Programs for Mothers: A Descriptive Qualitative Study in a Remote Community.Global qualitative nursing researchArticle
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Authors and funding
5 authors at 2 institutions in 3 countries.
Funding
Abstract
objectiveRapid development in low- and middle-income countries (LMIC) has led to changes in diet that have outpaced water and sanitation improvements, contributing to a dual burden of overweight and noncommunicable disease risk factors (OWT/NCD) and undernutrition and infectious disease symptoms (UND/ID) within individuals and households. Yet, little work has examined the joint impact of water and food exposures on the development of the dual burden.
methodsWe use data from Ecuador's nationally representative Encuesta Nacional de Salud y Nutrición (ENSANUT-ECU) to test whether water access and quality and diet quality and security are associated with OWT/NCD and UND/ID among 1119 children and 1582 adults in Galápagos. Adjusted multinomial and logistic models were used to test the separate and joint associations between water and food exposures and the dual burden and its components at the individual and household levels.
resultsThe prevalence of the dual burden of OWT/NCD and UND/ID was 16% in children, 33% in adults, and 90% in households. Diet quality was associated with a higher risk of dual burden in individuals and households. Mild food insecurity was positively associated with the risk of dual burden at the household level. No water variable separately predicted the dual burden. Joint exposure to poor water access and food insecurity was associated with greater odds of dual burden in households.
conclusionOur results suggest that unhealthy diets and poor water quality contribute to the dual burden at the individual and household levels. Addressing both food and water limitations is important in LMIC.
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