Varela-Silva Maria Inês, Dickinson Federico, Wilson Hannah, Azcorra Hugo, Griffiths Paula Louise, Bogin Barry
Loughborough University, Centre for Global Health and Human Development, SSEHS, Loughborough, UK.
Coll Antropol. 2012 Mar;36(1):39-45.
This paper focuses on the phenomenon of the nutritional dual-burden in the developing world. Nutritional dual-burden is defined as the coexistence of under-and-over nutrition in the same population/group, the same household/family, or the same person. In this paper we aim: a) to describe the different types of nutritional dual-burden, b) to identify the anthropometric indicators generally used to classify the nutritional dual-burden, c) to focus our attention on a dual-burden group (the Maya from Merida, Yucatan, Mexico), d) to illustrate problems in the categorization of the dual-burden, and e) to suggest possible health implications. Our results show that, for our sample, the prevalence of individual dual-burden among children is very low, but is very high among the mothers and for mother-child pairs (household dual-burden). Most importantly, the criteria used to assess the nutritional status of the individuals and of the families will play an important role in the estimated prevalence of nutritional dual-burden, and this will have practical impacts for health intervention programs.
本文聚焦于发展中世界的营养双重负担现象。营养双重负担被定义为在同一人群/群体、同一家庭/家族或同一个人身上同时存在营养不足和营养过剩的情况。在本文中，我们旨在：a) 描述营养双重负担的不同类型；b) 确定通常用于对营养双重负担进行分类的人体测量指标；c) 将注意力集中在一个双重负担群体（来自墨西哥尤卡坦州梅里达的玛雅人）上；d) 说明双重负担分类中的问题；e) 提出可能的健康影响。我们的结果表明，对于我们的样本，儿童个体双重负担的患病率非常低，但母亲以及母婴对（家庭双重负担）中的患病率非常高。最重要的是，用于评估个体和家庭营养状况的标准将在营养双重负担的估计患病率中发挥重要作用，这将对健康干预计划产生实际影响。
