Quantifying Overlapping Forms of Malnutrition Across Latin America: A Systematic Literature Review and Meta-Analysis of Prevalence Estimates

IF 8 1区 医学 Q1 NUTRITION & DIETETICS Advances in Nutrition Pub Date : 2024-03-15 DOI:10.1016/j.advnut.2024.100212
Diana Sagastume , Antonio Barrenechea-Pulache , Andrea Ruiz-Alejos , Katja Polman , Lenka Beňová , Manuel Ramírez-Zea , José L Peñalvo
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Abstract

Estimating the prevalence of double burden of malnutrition (DBM) is challenging in the Latin American and Caribbean (LAC) region where various DBM typologies (e.g., obesity and stunting) are heterogeneous and estimates are scattered across literature This study aimed to assess the prevalence of DBM typologies in the LAC region. We searched PubMed, Embase, Scopus, and Web of Science to identify studies on the prevalence of DBM published between 1 January, 2000, and 23 January, 2023. Outcomes were the prevalence of the identified DBM typologies at the household, individual, or across life course levels. Random-effect meta-analyses of proportions were used to estimate pooled period prevalence for all outcomes. Heterogeneity was explored using meta-regressions. From 754 records identified, 60 (8%) studies were eligible, with a median of 4379 individuals. Studies reported data from 27 LAC countries collected between 1988 and 2017. Most studies used nationally representative surveys (68%) and scored as low risk of bias (70%). We identified 17 DBM typologies for which 360 estimates were analyzed. The prevalence of the identified DBM typologies ranged between 0% and 24%, with the DBM typology of “adult with overweight and child with anemia” having the highest prevalence (24.3%; 95% CI: 18.8%, 30.2%). The most frequently reported DBM typology was “adult with overweight and child with stunting,” with a prevalence of 8.5% (95% CI: 7.7, 9.3). All prevalences carried large heterogeneity (I2>90%), modestly explained by subregions and countries. DBM across the life course could not be estimated owing to insufficient estimates. In conclusion, using available data, our study suggests that the burden of DBM in the LAC region ranges between 0% and 24%. In the most frequent DBM typologies, overweight was a common contributor. Substantial progress can be made in curbing the burden of DBM in the LAC region through strategies addressing excess weight within these population groups. This study was registered at PROSPERO as CRD42023406755.

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量化拉丁美洲营养不良的重叠形式:系统文献综述和流行率估算的元分析。
背景:在拉丁美洲和加勒比地区(LAC),估算双重营养不良负担(DBM)的发生率具有挑战性,因为该地区的各种双重营养不良负担类型(如肥胖和发育迟缓)不尽相同,估算结果也散见于各种文献中:我们旨在评估拉丁美洲和加勒比地区 DBM 类型的流行情况:我们检索了 PubMed、Embase、Scopus 和 Web of Science,以确定 2000 年 1 月 1 日至 2023 年 1 月 23 日期间发表的有关 DBM 流行率的研究。研究结果为家庭、个人或整个生命过程中已确定的 DBM 类型的流行率。使用比例随机效应荟萃分析来估算所有结果的集合时期流行率。使用元回归法探讨了异质性。PROSPERO-CRD42023406755.Results:在已确定的 754 条记录中,有 60 项(8%)研究符合条件,研究对象的中位数为 4 379 人。研究报告的数据来自 27 个拉丁美洲和加勒比国家,收集时间为 1988 年至 2017 年。大多数研究采用了具有全国代表性的调查(68%),偏倚风险较低(70%)。我们确定了 17 种 DBM 类型,并对 360 个估计值进行了分析。已确定的 DBM 类型的流行率介于 0%-24% 之间,其中 "成人超重、儿童贫血 "的 DBM 类型流行率最高(24.3% [95%CI 18.8-30.2])。最常见的 DBM 类型是 "成人超重,儿童发育迟缓",患病率为 8.5% [7.7-9.3]。所有患病率都存在较大的异质性(I2>90%),分地区和国家的差异不大。由于估计不足,无法估计整个生命过程中的DBM:利用现有数据,我们的研究表明,拉丁美洲和加勒比地区的 DBM 负担介于 0% 和 24% 之间。在最常见的罹患慢性阻塞性肺病的类型中,超重是常见的致病因素。通过解决这些人群体重超标问题的策略,可以在减轻拉丁美洲和加勒比地区的DBM负担方面取得重大进展。
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来源期刊
Advances in Nutrition
Advances in Nutrition 医学-营养学
CiteScore
17.40
自引率
2.20%
发文量
117
审稿时长
56 days
期刊介绍: Advances in Nutrition (AN/Adv Nutr) publishes focused reviews on pivotal findings and recent research across all domains relevant to nutritional scientists and biomedical researchers. This encompasses nutrition-related research spanning biochemical, molecular, and genetic studies using experimental animal models, domestic animals, and human subjects. The journal also emphasizes clinical nutrition, epidemiology and public health, and nutrition education. Review articles concentrate on recent progress rather than broad historical developments. In addition to review articles, AN includes Perspectives, Letters to the Editor, and supplements. Supplement proposals require pre-approval by the editor before submission. The journal features reports and position papers from the American Society for Nutrition, summaries of major government and foundation reports, and Nutrient Information briefs providing crucial details about dietary requirements, food sources, deficiencies, and other essential nutrient information. All submissions with scientific content undergo peer review by the Editors or their designees prior to acceptance for publication.
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