ArticlePloS one2023
Double burden of malnutrition in Afghanistan: Secondary analysis of a national survey.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- South Asia-specific adaptation of Mediterranean diet principles: a mixed-methods review for practical and sustainable dietary habits.Frontiers in nutrition · 2025Pooled it
- Food Environments and Food Security Among Mothers and Children in Northeast Brazil: The Role of Social and Housing Conditions.International journal of environmental research and public health · 2026Article
- Defining double burden of malnutrition across individual, household and population level: A narrative review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026Review
- Minimum acceptable diet and contributing factors among children aged 6-23 months in Afghanistan: insights from the 2022-2023 Multiple Indicator Cluster Survey.BMC nutrition · 2025Article
- Food-related behaviors of rural (Asaase Kooko) and peri-urban (Kaadjanor) households in Ghana.Frontiers in nutrition · 2025Article
- Thyroid function and iodine intake: global recommendations and relevant dietary trends.Nature reviews. Endocrinology · 2024Review
- Prevalence of stunting and its correlates among children under 5 in Afghanistan: the potential impact of basic and full vaccination.BMC pediatrics · 2024Article
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Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReports about the magnitude of co-existence of under- and over-nutrition is limited in Afghanistan. This study aimed to assess the prevalence of double burden of malnutrition (DBM) at individual and household level in Afghanistan.
methodsThis study was done based on the Afghanistan National Nutrition Survey 2013, which included a representative sample of 126,890 individuals (including more than 18,000 households) throughout Afghanistan. Intra-individual DBM was defined as the co-existence of "overweight/obese" and "stunting or micronutrient deficiencies" (including anemia, vitamin A deficiency, vitamin D deficiency and iodine deficiency). At the household level, DBM was considered as having at least one household member as overweight/obese and at least one another member of that household as undernourished (stunted, wasted, underweight or any micronutrient deficiency). SPSS and Stata software were used in the current analysis. Cross-tabulations was used to estimate the prevalence and its 95% confidence interval(CI). This study was ethically approved at Tehran University of Medical sciences.
resultsThe overall prevalence of intra-individual DBM was 12.5% (95% CI: 12.1; 12.9). Among the whole study participants at individual level of DBM, 11.7% (11.3; 12.1) of individuals had overweight along with stunting simultaneously and 20.5% (18.8; 22.4) had overweight and micronutrient deficiencies at the same time at individual level. The household level of DBM was found among 28.6% (95% CI: 27.9; 29.4) of households; such that 27.3% (26.6; 28.1) of households had at least one member with overweight and another member with stunting or wasting or underweight. Co-existence of overweight and micronutrient deficiencies at the same household was seen in 38.3% (35.5; 41.2).
conclusionThis study demonstrated a high prevalence of DBM at individual and household level in Afghanistan. Therefore, developing appropriate national macro-policies and strategies and designing appropriate programs such as public awareness programs, subsidization, food assistance programs, food fortification and dietary supplementation should be implemented by the ministry of public health, inter- related organs and international health agencies to reduce the burden of this problem in this country.
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