ReviewLancet (London, England)2020
Double-duty actions: seizing programme and policy opportunities to address malnutrition in all its forms.
Review in Lancet (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05574842 (Effect of Double Duty Interventions on Double Burden of Malnutrition, Dietary Diversity Score, and Frequency of Morbidity Among Secondary School Adolescents in Central Ethiopia), which is not on this map. Cited by 235 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Effect of Double Duty Interventions on Double Burden of Malnutrition, Dietary Diversity Score, and Frequency of Morbidity Among Secondary School Adolescents in Central Ethiopia: Cluster Randomized Controlled Trial
Who cites it
235 citing papers in PubMed, 8 syntheses or guidelines pooled it, 419 citations in OpenAlex.
- Impacts of rising food prices on nutritional outcomes and mortality of children in low and middle-income countries: a systematic review.BMJ global health · 2026Pooled it
- Promoting healthy school food environments and nutrition in Canada: a systematic review of interventions, policies, and programs.Nutrition reviews · 2025Pooled it
- The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries: a systematic review.The Lancet. Global health · 2024Pooled it
- Infant fat mass and later child and adolescent health outcomes: a systematic review.Archives of disease in childhood · 2024Pooled it
- Sustainable Diets and Cancer: a Systematic Review.Current nutrition reports · 2022Pooled it
- The relationship between wasting and stunting in young children: A systematic review.Maternal & child nutrition · 2022Pooled it
- Factors influencing obesogenic behaviours of adolescent girls and women in low- and middle-income countries: A qualitative evidence synthesis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021Pooled it
- Pooled it
- The effect of individualized breastfeeding support on exclusive breastfeeding in the first 6 months, occurrence of breast problems and breastfeeding self-efficacy: randomized controlled study.BMC pregnancy and childbirth · 2026Trial
- Effect of a Behavioral Change Communication Strategy Coupled With Small-Quantity Lipid-Based or Micro-Nutrient Supplements on Stunting and Obesity in Children in Baja Verapaz, Guatemala: Results From a Cluster Randomized Controlled Trial.Maternal & child nutrition · 2025Trial
- Trial
- Effect of double duty interventions on the frequency of morbidity among adolescents in Debre Berhan Regiopolitan City, Ethiopia: a cluster randomized controlled trial.BMC public health · 2025Trial
- Effect of double duty interventions on dietary diversity score of adolescents using a cluster randomized controlled trial in Debre Berhan Regiopolitan City, Ethiopia.Scientific reports · 2025Trial
- Effect of double-duty interventions on double burden of malnutrition among adolescents in Debre Berhan Regiopolitan City, Ethiopia: a cluster randomised controlled trial.Journal of nutritional science · 2024Trial
- Developing the NOMI framework for food and nutrition security in a climate-exposed delta: qualitative evidence from the Indian Sundarbans.Dialogues in health · 2026Article
- Environmental and Individual Influences on Adolescent Diets in an Urban Informal Settlement in Kenya: Perspectives from Adolescents and Influential Adults.Current developments in nutrition · 2026Article
- Exploratory Spatial and Temporal Analysis of the Territorial Coexistence of Undernutrition and Excess Weight Among Children Under Five Years of Age in Peru, 2014-2024.International journal of environmental research and public health · 2026Article
- Retrofitting fiscal policies to reduce the double burden of malnutrition in Peru: A system dynamics modelling study.PLoS medicine · 2026Article
- The Double Burden of Malnutrition in Bangladesh: Policy Architecture, Implementation Realities, and Future Directions.Current developments in nutrition · 2026Article
- Patterns of the triple burden of childhood malnutrition in Ecuador by age, sex, ethnicity, and poverty: a cross-sectional population survey.Lancet regional health. Americas · 2026Article
175 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
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- Commented on by
- Erratum issued
Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
Abstract
Actions to address different forms of malnutrition are typically managed by separate communities, policies, programmes, governance structures, and funding streams. By contrast, double-duty actions, which aim to simultaneously tackle both undernutrition and problems of overweight, obesity, and diet-related non-communicable diseases (DR-NCDs) have been proposed as a way to effectively address malnutrition in all its forms in a more holisitic way. This Series paper identifies ten double-duty actions that have strong potential to reduce the risk of both undernutrition, obesity, and DR-NCDs. It does so by summarising evidence on common drivers of different forms of malnutrition; documenting examples of unintended harm caused by some undernutrition-focused programmes on obesity and DR-NCDs; and highlighting examples of double-duty actions to tackle multiple forms of malnutrition. We find that undernutrition, obesity, and DR-NCDs are intrinsically linked through early-life nutrition, diet diversity, food environments, and socioeconomic factors. Some evidence shows that programmes focused on undernutrition have raised risks of poor quality diets, obesity, and DR-NCDs, especially in countries undergoing a rapid nutrition transition. This Series paper builds on this evidence to develop a framework to guide the design of double-duty approaches and strategies, and defines the first steps needed to deliver them. With a clear package of double-duty actions now identified, there is an urgent need to move forward with double-duty actions to address malnutrition in all its forms.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.