The effect of nutrition-specific and nutrition-sensitive interventions on the double burden of malnutrition in low-income and middle-income countries: a systematic review

The Lancet Global Health, Journal Year: 2024, Volume and Issue: 12(3), P. e419 - e432

Published: Jan. 30, 2024

BackgroundLow-income and middle-income countries (LMICs) experiencing nutrition transition face an increasing double burden of malnutrition (DBM). WHO has urged the identification risks opportunities in interventions to mitigate DBM, but robust evidence is missing. This review summarises effect nutrition-specific nutrition-sensitive on undernutrition overnutrition LMICs.MethodsWe searched four major databases grey literature for publications English, French, Portuguese, Spanish from Jan 1, 2000, Aug 14, 2023. Eligible studies evaluated or both overnutrition, employing study designs (individually randomised, cluster non-randomised trials; interrupted time series; controlled before–after; prospective cohort studies). Studies were synthesised narratively, classified as DBM-beneficial, potentially DBM-neutral, DBM-harmful, using vote counting. registered with PROSPERO (CRD42022320131).FindingsWe identified 26 evaluating 20 (maternal child health [MCH] school-based programmes) six (conditional cash transfers other social policies) interventions. Seven eight MCH providing food-based nutritional supplements indicated possible DBM-harmful effects, associated increased maternal overweight. Most programmes that target behavioural change considered DBM-beneficial. Two conditional suggested DBM-beneficial effects children, whereas one harmful A a family planning service education reform revealed long-term obesity.InterpretationThere considerable scope repurpose existing reduce growing DBM LMICs. In settings undergoing rapid transition, specific policy attention required ensure supplement-based do not unintentionally increase Consistent reporting outcomes all essential expand base identify promote maximising benefits minimising harms DBM.FundingPresident's Scholarship (Imperial College London) National Institute Health Care Research.TranslationsFor French translations abstract see Supplementary Materials section.

Language: Английский

---

Health psychology and climate change: time to address humanity’s most existential crisis

Health Psychology Review, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 31

Published: Feb. 6, 2024

Climate change is an ongoing and escalating health emergency. It threatens the wellbeing of billions people, through extreme weather events, displacement, food insecurity, pathogenic diseases, societal destabilisation, armed conflict. dwarfs all other challenges studied by psychologists. The greenhouse gas emissions driving climate disproportionately originate from actions wealthy populations in Global North are tied to excessive energy use overconsumption driven pursuit economic growth. Addressing this crisis requires significant transformations individual behaviour change. Most these changes will benefit not only stability but yield public co-benefits. Because their unique expertise skills, psychologists urgently needed crafting mitigation responses. We propose specific ways which at career stages can contribute, within spheres research, teaching, policy making, organisations as private citizens. As psychologists, we cannot sit back leave scientists. a emergency that results human behaviour; hence it our power responsibility address it.

Language: Английский

---

The effectiveness of food system policies to improve nutrition, nutrition-related inequalities and environmental sustainability: a scoping review

Food Security, Journal Year: 2023, Volume and Issue: 15(5), P. 1313 - 1344

Published: Aug. 3, 2023

Abstract A global transformation of food systems is needed, given their impact on the three interconnected pandemics undernutrition, obesity and climate change. scoping review was conducted to synthesise effectiveness system policies/interventions improve nutrition, nutrition inequalities environmental sustainability, identify double- or triple-duty potentials (their tackling simultaneously two all these outcomes). When available, effects nutritional vulnerabilities women’s empowerment were described. The studied derived from a compilation international recommendations. literature search according PRISMA extension for reviews. total 196 reviews included in analysis. interventions identified sustainable agriculture practices school programmes. Labelling, reformulation, in-store nudging fiscal measures showed double-duty potential across outcomes. Labelling also incentivises reformulation by industry. Some (i.e., programmes, measures) reduce socio-economic differences diets, whereas labelling may be more effective among women higher groups. trade-off that healthy provision increase waste. Overall, multi-component found most inequalities. Policies combining sustainability objectives are few mainly information type labelling). Little evidence available policies/interventions’ effect empowerment. Current research fails provide good-quality policies/interventions, particular supply chains domain. Research fill this knowledge gap needed.

Language: Английский

---

Changes in Children’s Adherence to Sustainable Healthy Diets During the Implementation of Chile’s Food Labelling and Advertising Law: A Longitudinal Study (2016–2019)

Nutrients, Journal Year: 2025, Volume and Issue: 17(6), P. 1041 - 1041

Published: March 16, 2025

Objectives: This longitudinal study measured changes in adherence to sustainable healthy diets 698 Chilean children (aged 3–6 years at baseline) over the period that Chile’s Food Labelling and Advertising Law was implemented. Methods: Dietary data were collected annually from 2016 2019 applying single multiple-pass 24 h dietary recalls children’s primary caretakers. The Planetary Health Diet Index for Children Adolescents (PHDI-C) used quantify where higher scores indicate better adherence. Linear mixed models fitted estimate change PHDI-C total individual component 2019. Results: Mean score decreased 50.1 points 46.3 46.1 2018 2019, respectively (p-value < 0.001), suggesting overall low time. Intake of legumes, fruits, dark green vegetables, red orange vegetable oils decreased, while intake palm oil, meats, animal fats increased, resulting small but significant declines eight scores. Whole cereal consumption dairy products added sugars improvements three Conclusions: Aside decrease sugar intake, all observed this consistent with trends described among transitioning pre-school age school age. might have contributed reducing further research is required establish causality.

Language: Английский

---

Measurement and evaluation of community engagement in complex, chronic medical conditions: HIV and obesity as exemplar conditions

Obesity Reviews, Journal Year: 2025, Volume and Issue: unknown

Published: March 24, 2025

Objective To systematically review, describe, and compare quantitative measures of community engagement in obesity HIV prevention research. Materials & Methods A systematic review adhering to PRISMA PROSPERO guidelines was conducted, searching seven databases. Screening quality assessment were carried out by four reviewers independently. Studies included if they explicitly used for or quantitatively measured engagement. Extracted data descriptions engagement, measurement constructs, statistical results. Results Of 8922 studies screened title abstract 1326 full text, 13 from 42 prevention. The a range terms highlighting differing approaches challenges measurement. Quantitative varied across the studies. When change over time analyzed, an increase generally found, when association between health tested, positive found. Conclusion Despite diverse approaches, drawing parallels offers new pathways strengthen evaluations through iteration existing two fields.

Language: Английский

---

Including climate change in community-based obesity prevention interventions: a qualitative exploration of the perspectives of Australian funders

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: April 24, 2025

Language: Английский

---

Are climate-change actions present in community-based obesity prevention interventions? Development and application of the DoublE-duty actions in CommunIty-baSed obesity InterVEntions (DECISIVE) framework

Journal of Public Health, Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 8, 2024

Abstract Aim Community-based obesity prevention interventions (CBOPIs) target the causes of obesity. Actions implemented in CBOPIs could simultaneously impact both climate change and obesity, making them a potentially important approach. To date, limited work has been undertaken to identify categorise double-duty actions (those that influence change) CBOPIs. The prevalence is currently unknown. This paper outlines development application DoublE-duty CommunIty-baSed InterVEntions (DECISIVE) framework address this gap. Subjects methods A scoping review focusing on was performed, results informed DECISIVE. DECISIVE applied studies included Cochrane children, published unpublished data completed intervention. Results identified one study systematic which contributed lists nine actions, plus an ‘Other’ action. Each action’s potential summarised example strategies are provided. Reduce availability consumption ultra-processed foods most prevalent action when applying studies. Conclusion first recognise holds implications for community stakeholders who may be able better identify, incorporate, promote actions. enhance stakeholder acceptability, feasibility, value-for-money interventions.

Language: Английский

---

Chilean children’s adherence to sustainable healthy diets and its associations with sociodemographic and anthropometric factors: a cross-sectional study

European Journal of Nutrition, Journal Year: 2024, Volume and Issue: unknown

Published: June 3, 2024

Abstract Purpose To describe adherence to sustainable healthy diets among a sample of 958 Chilean pre-schoolers (3–6 years) and explore associations between child maternal sociodemographic anthropometric characteristics. Methods Children’s was calculated from single multiple-pass 24-h dietary recalls using the Planetary Health Diet Index for children adolescents (PHDI-C). Higher PHDI-C scores (max score = 150 points) represent greater adherence. Adjusted linear regression models were fitted Results Children obtained low total (median 50.0 [IQR 39.5–59.8] points). This resulted consumption nuts & peanuts , legumes vegetables, whole cereals, vegetable oils ; lack balance dark green red orange vegetables inadequate tubers potatoes eggs white meats excess dairy products palm oil added sugars . Mean significantly higher (50.6 [95%CI 49.6, 51.7] vs 47.3 45.0, 49.5]) whose mothers ≥ 25 years compared those with younger mothers. Positive observed fruits education, age, weight status, while negative education. Scores component lower girls. Conclusion Adherence this associated being younger.

Language: Английский

---

Health Psychology and Climate Change: Time to address humanity’s most existential crisis

Published: March 22, 2023

Climate change is an ongoing and escalating health emergency. It threatens the wellbeing of billions people, through extreme weather events, displacement, food insecurity, pathogenic diseases, societal destabilisation, armed conflict. dwarfs all other challenges studied by psychologists. The greenhouse gas emissions driving climate disproportionately originate from actions wealthy populations in Global North are tied to excessive energy use overconsumption driven pursuit economic growth. Addressing this crisis requires significant transformations individual behaviour change. Most these changes will benefit not only stability but yield public co-benefits. Because their unique expertise skills, psychologists urgently needed crafting mitigation responses. We propose specific ways which at career stages can contribute, within spheres research, teaching, policy making, organisations as private citizens. As psychologists, we cannot sit back leave scientists. a emergency that results human behaviour; hence it our power responsibility address it.

Language: Английский

---

Temporal trends in the visual impairment burden attributable to high fasting plasma glucose levels: a population-based study

Acta Diabetologica, Journal Year: 2024, Volume and Issue: 61(9), P. 1151 - 1159

Published: May 22, 2024

Language: Английский

---