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. 2020 Oct;16 Suppl 2(Suppl 2):e12950.
doi: 10.1111/mcn.12950. Epub 2020 Aug 24.

Triple trouble: Understanding the burden of child undernutrition, micronutrient deficiencies, and overweight in East Asia and the Pacific

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Triple trouble: Understanding the burden of child undernutrition, micronutrient deficiencies, and overweight in East Asia and the Pacific

Jessica L Blankenship et al. Matern Child Nutr. 2020 Oct.

Abstract

Young children in the East Asia and the Pacific region1 are failing to thrive, in large numbers, as indicated by stagnation in the decline of stunting, wasting, and micronutrient deficiencies and the fastest growing rates of overweight in the world. Eliminating the triple burden of malnutrition is essential to ensure that, as a matter of right, all children reach their full physical growth and development potential and actively contribute to equitable prosperity and the sustainable development of their communities and nations. Ending all forms of malnutrition will only be achieved through the implementation of effective policies and programmes soundly based on an understanding of the leading contextual drivers of child malnutrition. To address the lack of data on these drivers in the region, the UNICEF regional office for East Asia and the Pacific commissioned a series of papers in 2017-2019 to fill gaps in the current body of evidence on the triple burden of maternal and child malnutrition. This series includes analyses of the determinants of child malnutrition including maternal nutrition status, dietary quality of children, inequity, and poverty. Additionally, policy and programmatic actions associated with improved coverage and quality of nutrition interventions are reviewed. This overview paper summarizes the findings of these analyses and presents recommendations for the direction of future advocacy, policy, and programmatic actions to address the triple burden of malnutrition in East Asia and the Pacific.

Keywords: child dietary quality; maternal nutrition; micronutrient; overweight; stunting; wasting.

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Conflict of interest statement

J. L. B, C. R., and V. M. A. are members of the United Nations Children's Fund (UNICEF). The authors alone are responsible for the views expressed in this publication and declare that they have no conflicts of interest.

References

    1. Argaw, A. , Hanley‐Cook, G. , De Cok, N. , Kolsteren, P. , Huybregts, L. , & Lachat, C. (2019). Drivers of under‐five stunting trend in 14 low and middle income countries since the turn of the millennium: A multilevel pooled analysis of 50 demographic and health surveys. Nutrients, 11(10), 2485 10.3390/nu11102485 - DOI - PMC - PubMed
    1. Black, R. , Victora, C. , Walker, S. , Bhutta, A. , Christian, P. , de Onis, M. , & Group, t. M (2013). Maternal and child undernutrition and overweight in low‐income and middle‐income countries. Lancet, 382(9390), 427–451. - PubMed
    1. Blankenship, J. L. , Cashin, J. , Nguyen, T. T. , & Ip, H. (2020). Childhood stunting and wasting in Myanmar: Key drivers and implications for policies and programmes. Maternal & Child Nutrition, e12710 10.1111/mcn.12710 - DOI - PMC - PubMed
    1. Blankenship, J. L. , Gwavuya, S. , Palaniappan, U. , Alfred, J. , deBrum, F. , & Erasmus, W. (2020). High double burden of child stunting and maternal overweight in the Republic of the Marshall Islands. Maternal & Child Nutrition, e12832 10.1111/mcn.12832 - DOI - PMC - PubMed
    1. Branca, F. , Demaio, A. , Udomkesmalee, E. , Baker, P. , Aguayo, V. , Barquera, S. , & al., e. (2019, December 15). A new nutrition manifesto for a new nutrition reality. The Lancet., 395, 8–10. 10.1016/S0140-6736(19)32690-X - DOI - PubMed

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