Long-Term Health Outcomes of the Double Burden of Malnutrition during Childhood: A Systematic Review of Longitudinal Evidence.

IF 4.9 2区 医学 Q1 NUTRITION & DIETETICS
Caroline Z Rodrigues, Thamires Guarnieri, Angela C B Trude, Bárbara H Lourenço
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引用次数: 0

Abstract

Context: The double burden of malnutrition (DBM) is described as the coexistence of under- and overnutrition at the population, household, or individual levels, and is most prevalent in developing countries. DBM during childhood can result in lifelong health issues, yet longitudinal evidence is limited.

Objective: To systematically review longitudinal evidence on the occurrence of DBM during childhood and its association with long-term health outcomes, at the household (HHDBM) and individual (INDBM) levels.

Data sources: Peer-reviewed studies were searched in PubMed, Scopus, Web of Science, PsycINFO, and Biblioteca Virtual em Saúde. Non-peer-reviewed studies were searched in Open Access Theses and Dissertations and medRxiv.

Data extraction: Data were extracted on study characteristics, DBM prevalence over time, and measures of association with outcomes, if available. The methodological quality of individual studies was assessed using the Joanna Briggs Institute critical appraisal tools.

Data analysis: The search strategies for HHDBM and INDBM yielded 753 and 1630 studies, respectively. After full-text review and quality appraisal, 8 HHDBM and 5 INDBM studies were eligible for data extraction. Studies were categorized as "association studies" and "panel data studies" and then subdivided by DBM level. The quality score of included studies ranged from 68% to 94%, meeting the minimum acceptable range of 60%. Evidence indicated that DBM exposure was associated with higher occurrences of excess weight, behavioral disorders, and poorer neurocognitive performance during adolescence. Conducted between 1991 and 2019, studies in Egypt, Peru, Portugal, Indonesia, Brazil, and 11 Asian countries showed an increase in HHDBM. One study from Colombia reported a decrease. From 1991 to 2020, INDBM prevalence decreased in Indonesia and Vietnam, increased in South Africa, and remained stable in Brazil.

Conclusions: Longitudinal evidence on DBM, particularly its long-term health associations, remains limited. More longitudinal studies are needed to examine its occurrence and consequences at both household and individual levels.

Systematic review registration: The review protocol was registered on the PROSPERO platform under registration CRD42023392381.

儿童时期营养不良双重负担的长期健康结果:纵向证据的系统回顾
背景:营养不良的双重负担(DBM)被描述为在人口、家庭或个人层面上营养不足和营养过剩并存,在发展中国家最为普遍。儿童期DBM可导致终身健康问题,但纵向证据有限。目的:在家庭(HHDBM)和个人(INDBM)水平上系统地回顾儿童期DBM发生及其与长期健康结局的关联的纵向证据。数据来源:同行评议的研究在PubMed, Scopus, Web of Science, PsycINFO和Biblioteca Virtual em Saúde中搜索。在开放获取论文和论文和medRxiv中检索了非同行评议的研究。数据提取:提取研究特征、DBM随时间的患病率以及与结果相关的测量数据(如果有的话)。使用乔安娜布里格斯研究所的关键评估工具评估个体研究的方法学质量。数据分析:HHDBM和indm的搜索策略分别获得753篇和1630篇研究。经全文审阅和质量评价,8项HHDBM和5项INDBM研究符合数据提取条件。研究分为“关联研究”和“面板数据研究”,然后按DBM水平细分。纳入研究的质量评分从68%到94%不等,达到60%的最低可接受范围。有证据表明,DBM暴露与青春期超重、行为障碍和神经认知表现较差的发生率较高有关。1991年至2019年期间,在埃及、秘鲁、葡萄牙、印度尼西亚、巴西和11个亚洲国家进行的研究表明,HHDBM有所增加。哥伦比亚的一项研究报告了下降。从1991年到2020年,INDBM患病率在印度尼西亚和越南下降,在南非上升,在巴西保持稳定。结论:关于DBM的纵向证据,特别是其长期健康关联,仍然有限。需要更多的纵向研究来检查其在家庭和个人层面的发生和后果。系统综述注册:综述方案在PROSPERO平台注册,注册号CRD42023392381。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nutrition reviews
Nutrition reviews 医学-营养学
CiteScore
12.20
自引率
1.60%
发文量
121
审稿时长
6-12 weeks
期刊介绍: Nutrition Reviews is a highly cited, monthly, international, peer-reviewed journal that specializes in the publication of authoritative and critical literature reviews on current and emerging topics in nutrition science, food science, clinical nutrition, and nutrition policy. Readers of Nutrition Reviews include nutrition scientists, biomedical researchers, clinical and dietetic practitioners, and advanced students of nutrition.
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