ArticleBMC public health2020
Socio-demographic patterning of the individual-level double burden of malnutrition in a rural population in South India: a cross-sectional study.
Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 23 citations in OpenAlex.
- Feasibility of tuberculosis drug-induced liver injury screening under programme settings in Southern India.Public health action · 2026Article
- Dietary habits and nutritional status of adolescent girls in environmentally vulnerable coastal areas of Bangladesh.Journal of health, population, and nutrition · 2026Article
- Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe.African journal of primary health care & family medicine · 2025Article
- Risk factors for the intra-individual double burdens of malnutrition among reproductive-age women in India: a secondary analysis of three rounds of the National Family and Health Survey.BMJ public health · 2025Article
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- Spatial clustering of overweight/obesity among women in India: Insights from the latest National Family Health Survey.PloS one · 2024Article
- Article
- Prevalence and factors associated with the coexistence of overweight/obesity and anaemia among women of reproductive age in Guinea.Public health nutrition · 2023Article
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- Intraindividual double burden of malnutrition among women (15-49 years) in India, Myanmar, and Nepal: evidence from the recent Demographic and Health Surveys.European journal of clinical nutrition · 2023Article
- The co-occurrence of overweight/obesity and anaemia among adult women, adolescent girls and children living in fifty-two low- and middle-income countries.Public health nutrition · 2022Article
- Article
- The prevalence and correlates of the double burden of malnutrition among women in Ghana.PloS one · 2020Article
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5 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThe double burden of malnutrition is the co-occurrence of undernutrition (e.g. underweight, stunting, and micronutrient deficiencies) and over-nutrition (e.g. obesity, type 2 diabetes, and cardiovascular disease) at the population, household, or individual level. The objectives of this study were to determine the extent and determinants of individual-level co-morbid anemia and overweight and co-morbid anemia and diabetes in a population in rural Tamil Nadu, South India.
methodsWe undertook a cross-sectional study of adults (n = 753) in a rural region of Tamil Nadu, South India. A survey assessed socio-demographic factors, physical activity levels, and dietary intake. Clinical measurements included body-mass index, an oral glucose tolerance test, and blood hemoglobin assessments. Multivariable logistic regression analyses were used to determine associations between risk factors and two co-morbid double burden pairings: (1) anemia and overweight, and (2) anemia and diabetes.
resultsPrevalence of co-morbid anemia and overweight was 23.1% among women and 13.1% among men. Prevalence of co-morbid anemia and diabetes was 6.2% among women and 6.3% among men. The following variables were associated with co-morbid anemia and overweight in multivariable models [odds ratio (95% confidence interval)]: female sex [2.3 (1.4, 3.85)], high caste [3.2 (1.34, 7.49)], wealth index [1.1 (1.00, 1.12)], rurality (0.7 [0.56, 0.85]), tobacco consumption [0.6 (0.32, 0.96)], livestock ownership [0.5 (0.29, 0.89)], and energy-adjusted meat intake [1.8 (0.61, 0.94)]. The following variables were associated with co-morbid anemia and diabetes in multivariable models: age [1.1 (1.05, 1.11)], rurality [0.8 (0.57, 0.98)], and family history of diabetes [4.9 (1.86, 12.70).
conclusionThis study determined the prevalence and factors associated with individual-level double burden of malnutrition. Women in rural regions of India may be particularly vulnerable to individual-level double burden of malnutrition and should be a target population for any nutrition interventions to address simultaneous over- and undernutrition.
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