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1.2 resetting the australian table session 1. heather grieve

The double burden of malnutrition: a rising tide in the region

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1.2 resetting the australian table session 1. heather grieve

  1. 1. The double burden of malnutrition: a rising tide in the region Source: Heather Grieve and Asian Development Bank, 2007 Heather Grieve Senior Nutrition Specialist Australian Embassy Timor-Leste and the Office of his Excellency the President of the Republic of Timor-Leste
  2. 2. • The situation where undernutrition (stunting, wasting, underweight and micro nutrient deficiencies) co-exists with overweight and obesity within the same country, population, household, or individual • Many low middle income countries (LMIC) are experiencing early signs of the DBM and others are more advanced The double burden of malnutrition (DBM)
  3. 3. The traditional diet in LMICs was mostly plant based foods ,low in fats and sugars. With increasing incomes a “nutrition transition” is occurring, in which diets are higher in processed foods, high in fats and sugars . The nutrition transition ‘Receding famine’ ‘Nutrition related non- communicable disease’ ‘Policy and behaviour change’ Many LMICs are in the ‘receding famine/’nutrition-related non- communicable disease (NCDs) phase. The change in diet and lifestyles is associated with an increase in the prevalence of overweight, obesity and NCDs and in many countries :the ‘double burden of malnutrition’ Many high income countries are in the policy/behaviour change phase and are promoting healthy food and physical activity and health promoting environments Source; Popkin et al (2001)
  4. 4. Trends in prevalence of malnutrition in children (<5 years):1990-2015 South East Asia Source: WHO,2013 DBM trends in children (<5 years): South East Asia
  5. 5. Trends in prevalence of malnutrition in women of reproductive age (aged 20 - 49 years) 1990-2008 : Asia DBM trends in women of reproductive age: South East Asia
  6. 6. Trends in prevalence of malnutrition in children (<5 years):1990-2015 Oceania (excluding Australia and New Zealand) Source: WHO,2013 DBM trends in children (<5 years):Oceania
  7. 7. Trends in prevalence of malnutrition in women of reproductive age ( aged 20- 49 years):1990-2008 Oceania (excluding Australia and New Zealand) DBM trends in women of reproductive age: Oceania
  8. 8. Indonesia –a classic example of the nutrition transition and DBM in a low- middle income country
  9. 9. 0 500 1000 1500 2000 2500 3000 3500 4000 2300 2350 2400 2450 2500 2550 2600 2650 2700 2750 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 GDPpercapita KCalperpersonperday Kcal GDP/ capita Changes in Gross Domestic Product (GDP) per capita and energy (Kcal) supply per person per day (2002-2011) Source: World Bank and FAOSTAT The nutrition transition: Indonesia
  10. 10. 0 500 1000 1500 2000 2500 3000 1991 2001 2011 Kcalperdayperperson Alcoholic beverages and stimulants Fruits, vegetables, pulses and treenuts Animal products Sugar crops, sugar and sweeteners Starchy Roots Oil crops and vegetable oils Cereals - Excluding Beer Changes in energy supply (Kcal per day per person) Source :FAOSTAT The nutrition transition: Indonesia
  11. 11. Source: 1995: MICS;1997 CDC; 2000: NHSS; 2004: SKRT; 2007: Riskesdas; 2010: Riskesdas; Changes in the prevalence of malnutrition in children (< 5 years) The double burden of malnutrition: Indonesia
  12. 12. Source: 1995: MICS;1997 CDC; 2000: NHSS; 2004: SKRT; 2007: Riskesdas; 2010: Riskesdas; Changes in the prevalence of malnutrition in women of reproductive age (aged 15-49 years) The double burden of malnutrition: Indonesia
  13. 13. Source:WHO,2010 Estimated NCD risk factors (2008) The double burden of malnutrition: Indonesia
  14. 14. 0 50 100 150 200 250 300 350 400 450 Men Women Cardiovascular diseases and diabetes Cancers Chronic respiratory disease Other Source: WHO, 2011 Estimated age standardised NCD deaths per 100,000 people, Indonesia (2008) In 2008 an estimated 582,000 men and 481,700 women died from NCD related deaths The double burden of malnutrition: Indonesia
  15. 15. Thank you !

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