Joseph J. Zilber School of Public Health, University of Wisconsin Milwaukee, Milwaukee, Wisconsin, USA.
Department of Public Health, Universidad del Norte, Barranquilla, Colombia.
Crit Rev Food Sci Nutr. 2022;62(25):6961-6972. doi: 10.1080/10408398.2021.1908954. Epub 2021 Apr 10.
The double burden of malnutrition (DBM) at the household level has been defined as the coexistence of underweight children and overweight mothers within the same household. The objective of the scoping review was to identify and understand factors associated with DBM. We conducted the scoping review of published, peer-reviewed journal articles in two major databases used in public health research (PubMed and Web of Science). A total of 70 articles met the eligibility criteria. The following factors were identified: mother's age, height, educational level, occupation, food intake, breastfeeding, family income, family size, and urbanization type. Overall, results were heterogeneous. Two scenarios have been identified. The first scenario is those obese women with a job, having a sufficient income, a high educational level, the ability to purchase food, and live either in rural or urban areas. The second scenario is obese women without a job, having an insufficient income, a low educational level, without the ability to purchase food, and live either in rural or urban areas. The DBM at the household level is a complex public health problem. There is a need for target-specific interventions to address child undernutrition and maternal overweight/obesity simultaneously.
家庭层面的营养不良双重负担（DBM）被定义为同一家庭中存在体重不足的儿童和超重的母亲。本综述的目的是确定和理解与 DBM 相关的因素。我们在两个用于公共卫生研究的主要数据库（PubMed 和 Web of Science）中对已发表的同行评审期刊文章进行了范围综述。共有 70 篇文章符合入选标准。确定了以下因素：母亲的年龄、身高、教育水平、职业、食物摄入、母乳喂养、家庭收入、家庭规模和城市化类型。总体而言，结果存在异质性。确定了两种情况。第一种情况是那些有工作、有足够收入、高教育水平、有能力购买食物、居住在农村或城市地区的肥胖妇女。第二种情况是没有工作、收入不足、教育水平低、没有购买食物能力、居住在农村或城市地区的肥胖妇女。家庭层面的 DBM 是一个复杂的公共卫生问题。需要有针对性的干预措施来同时解决儿童营养不足和母亲超重/肥胖问题。
