The Double Burden of Obesity and Malnutrition in a Protracted Emergency Setting: A Cross-Sectional Study of Western Sahara Refugees
Publication Date
October 02, 2012
Journal
PLOS Medicine
Authors
Carlos S. Grijalva Eternod, Jonathan C. K. Wells, Mario Cortina Borja, Nuria Salse Ubach, et al
Volume
9
Issue
10
Pages
e1001320
DOI
https://dx.plos.org/10.1371/journal.pmed.1001320
Publisher URL
http://journals.plos.org/plosmedicine/article?id=10.1371%2Fjournal.pmed.1001320
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/23055833
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3462761
Europe PMC
http://europepmc.org/abstract/MED/23055833
Web of Science
000310579000002
Scopus
84868149464
Mendeley
http://www.mendeley.com/research/double-burden-obesity-malnutrition-protracted-emergency-setting-crosssectional-study-western-sahara
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Mendeley | Further Information

{"title"=>"The Double Burden of Obesity and Malnutrition in a Protracted Emergency Setting: A Cross-Sectional Study of Western Sahara Refugees", "type"=>"journal", "authors"=>[{"first_name"=>"Carlos S.", "last_name"=>"Grijalva-Eternod", "scopus_author_id"=>"35275054700"}, {"first_name"=>"Jonathan C.K.", "last_name"=>"Wells", "scopus_author_id"=>"55603815000"}, {"first_name"=>"Mario", "last_name"=>"Cortina-Borja", "scopus_author_id"=>"26643625100"}, {"first_name"=>"Nuria", "last_name"=>"Salse-Ubach", "scopus_author_id"=>"55440971000"}, {"first_name"=>"Mélody C.", "last_name"=>"Tondeur", "scopus_author_id"=>"8301113500"}, {"first_name"=>"Carmen", "last_name"=>"Dolan", "scopus_author_id"=>"56008855000"}, {"first_name"=>"Chafik", "last_name"=>"Meziani", "scopus_author_id"=>"55440621600"}, {"first_name"=>"Caroline", "last_name"=>"Wilkinson", "scopus_author_id"=>"52464700200"}, {"first_name"=>"Paul", "last_name"=>"Spiegel", "scopus_author_id"=>"7004420957"}, {"first_name"=>"Andrew J.", "last_name"=>"Seal", "scopus_author_id"=>"7005158903"}], "year"=>2012, "source"=>"PLoS Medicine", "identifiers"=>{"issn"=>"15491277", "isbn"=>"1549-1676 (Electronic)\\r1549-1277 (Linking)", "pmid"=>"23055833", "scopus"=>"2-s2.0-84868149464", "pui"=>"365953475", "doi"=>"10.1371/journal.pmed.1001320", "sgr"=>"84868149464"}, "id"=>"b1af68c9-6ec3-3ca7-b6e3-64009b6e42e7", "abstract"=>"BACKGROUND: Households from vulnerable groups experiencing epidemiological transitions are known to be affected concomitantly by under-nutrition and obesity. Yet, it is unknown to what extent this double burden affects refugee populations dependent on food assistance. We assessed the double burden of malnutrition among Western Sahara refugees living in a protracted emergency.\\n\\nMETHODS AND FINDINGS: We implemented a stratified nutrition survey in October-November 2010 in the four Western Sahara refugee camps in Algeria. We sampled 2,005 households, collecting anthropometric measurements (weight, height, and waist circumference) in 1,608 children (6-59 mo) and 1,781 women (15-49 y). We estimated the prevalence of global acute malnutrition (GAM), stunting, underweight, and overweight in children; and stunting, underweight, overweight, and central obesity in women. To assess the burden of malnutrition within households, households were first classified according to the presence of each type of malnutrition. Households were then classified as undernourished, overweight, or affected by the double burden if they presented members with under-nutrition, overweight, or both, respectively. The prevalence of GAM in children was 9.1%, 29.1% were stunted, 18.6% were underweight, and 2.4% were overweight; among the women, 14.8% were stunted, 53.7% were overweight or obese, and 71.4% had central obesity. Central obesity (47.2%) and overweight (38.8%) in women affected a higher proportion of households than did GAM (7.0%), stunting (19.5%), or underweight (13.3%) in children. Overall, households classified as overweight (31.5%) were most common, followed by undernourished (25.8%), and then double burden-affected (24.7%).\\n\\nCONCLUSIONS: The double burden of obesity and under-nutrition is highly prevalent in households among Western Sahara refugees. The results highlight the need to focus more attention on non-communicable diseases in this population and balance obesity prevention and management with interventions to tackle under-nutrition. Please see later in the article for the Editors' Summary.", "link"=>"http://www.mendeley.com/research/double-burden-obesity-malnutrition-protracted-emergency-setting-crosssectional-study-western-sahara", "reader_count"=>128, "reader_count_by_academic_status"=>{"Unspecified"=>8, "Professor > Associate Professor"=>4, "Librarian"=>2, "Student > Doctoral Student"=>6, "Researcher"=>17, "Student > Ph. D. Student"=>19, "Student > Postgraduate"=>12, "Student > Master"=>30, "Other"=>7, "Student > Bachelor"=>16, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>8, "Professor > Associate Professor"=>4, "Librarian"=>2, "Student > Doctoral Student"=>6, "Researcher"=>17, "Student > Ph. D. 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Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/299436", "https://ndownloader.figshare.com/files/299505", "https://ndownloader.figshare.com/files/299581"], "description"=>"<div><h3>Background</h3><p>Households from vulnerable groups experiencing epidemiological transitions are known to be affected concomitantly by under-nutrition and obesity. Yet, it is unknown to what extent this double burden affects refugee populations dependent on food assistance. We assessed the double burden of malnutrition among Western Sahara refugees living in a protracted emergency.</p> <h3>Methods and Findings</h3><p>We implemented a stratified nutrition survey in October–November 2010 in the four Western Sahara refugee camps in Algeria. We sampled 2,005 households, collecting anthropometric measurements (weight, height, and waist circumference) in 1,608 children (6–59 mo) and 1,781 women (15–49 y). We estimated the prevalence of global acute malnutrition (GAM), stunting, underweight, and overweight in children; and stunting, underweight, overweight, and central obesity in women. To assess the burden of malnutrition within households, households were first classified according to the presence of each type of malnutrition. Households were then classified as undernourished, overweight, or affected by the double burden if they presented members with under-nutrition, overweight, or both, respectively.</p> <p>The prevalence of GAM in children was 9.1%, 29.1% were stunted, 18.6% were underweight, and 2.4% were overweight; among the women, 14.8% were stunted, 53.7% were overweight or obese, and 71.4% had central obesity. Central obesity (47.2%) and overweight (38.8%) in women affected a higher proportion of households than did GAM (7.0%), stunting (19.5%), or underweight (13.3%) in children. Overall, households classified as overweight (31.5%) were most common, followed by undernourished (25.8%), and then double burden–affected (24.7%).</p> <h3>Conclusions</h3><p>The double burden of obesity and under-nutrition is highly prevalent in households among Western Sahara refugees. The results highlight the need to focus more attention on non-communicable diseases in this population and balance obesity prevention and management with interventions to tackle under-nutrition.</p> <p> <em>Please see later in the article for the Editors' Summary</em></p> </div>", "links"=>[], "tags"=>["obesity", "malnutrition", "protracted", "cross-sectional", "sahara", "refugees"], "article_id"=>119035, "categories"=>["Biotechnology", "Medicine", "Mathematics", "Ecology"], "users"=>["Carlos S. Grijalva-Eternod", "Jonathan C. K. Wells", "Mario Cortina-Borja", "Nuria Salse-Ubach", "Mélody C. Tondeur", "Carmen Dolan", "Chafik Meziani", "Caroline Wilkinson", "Paul Spiegel", "Andrew J. Seal"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.1001320.s001", "https://dx.doi.org/10.1371/journal.pmed.1001320.s002", "https://dx.doi.org/10.1371/journal.pmed.1001320.s003"], "stats"=>{"downloads"=>40, "page_views"=>42, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/The_Double_Burden_of_Obesity_and_Malnutrition_in_a_Protracted_Emergency_Setting_A_Cross_Sectional_Study_of_Western_Sahara_Refugees/119035", "title"=>"The Double Burden of Obesity and Malnutrition in a Protracted Emergency Setting: A Cross-Sectional Study of Western Sahara Refugees", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2012-10-02 02:30:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/564959"], "description"=>"<p>Proportions of households with a member affected by malnutrition in women and children, Western Sahara refugee camps.</p>", "links"=>[], "tags"=>["public health and epidemiology", "ecology", "pediatrics and child health", "women's health", "Non-clinical medicine"], "article_id"=>235441, "categories"=>["Biotechnology", "Medicine", "Mathematics", "Ecology"], "users"=>["Carlos S. Grijalva-Eternod", "Jonathan C. K. Wells", "Mario Cortina-Borja", "Nuria Salse-Ubach", "Mélody C. Tondeur", "Carmen Dolan", "Chafik Meziani", "Caroline Wilkinson", "Paul Spiegel", "Andrew J. Seal"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001320.g002", "stats"=>{"downloads"=>4, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Malnutrition_in_refugee_households_/235441", "title"=>"Malnutrition in refugee households.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-10-02 01:30:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/565171"], "description"=>"a<p>Non-pregnant, non-lactating women.</p><p>95% CI, 95% confidence interval; SD, standard deviation.</p>", "links"=>[], "tags"=>["nutrition", "indicators", "children"], "article_id"=>235659, "categories"=>["Biotechnology", "Medicine", "Mathematics", "Ecology"], "users"=>["Carlos S. Grijalva-Eternod", "Jonathan C. K. Wells", "Mario Cortina-Borja", "Nuria Salse-Ubach", "Mélody C. Tondeur", "Carmen Dolan", "Chafik Meziani", "Caroline Wilkinson", "Paul Spiegel", "Andrew J. Seal"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001320.t003", "stats"=>{"downloads"=>2, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Prevalence_of_nutrition_indicators_in_children_and_women_/235659", "title"=>"Prevalence of nutrition indicators in children and women.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-10-02 01:34:19"}
  • {"files"=>["https://ndownloader.figshare.com/files/565223"], "description"=>"a<p>Non-pregnant, non-lactating women.</p><p>95% CI, 95% confidence interval.</p>", "links"=>[], "tags"=>["characteristics", "surveyed", "sahara", "camps"], "article_id"=>235704, "categories"=>["Biotechnology", "Medicine", "Mathematics", "Ecology"], "users"=>["Carlos S. Grijalva-Eternod", "Jonathan C. K. Wells", "Mario Cortina-Borja", "Nuria Salse-Ubach", "Mélody C. Tondeur", "Carmen Dolan", "Chafik Meziani", "Caroline Wilkinson", "Paul Spiegel", "Andrew J. Seal"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001320.t002", "stats"=>{"downloads"=>1, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Comparison_of_sample_characteristics_between_the_four_surveyed_Western_Sahara_refugee_camps_strata_/235704", "title"=>"Comparison of sample characteristics between the four surveyed Western Sahara refugee camps (strata).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-10-02 01:35:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/565262"], "description"=>"<p>Household demographics in the four surveyed Western Sahara refugee camps (strata).</p>", "links"=>[], "tags"=>["demographics", "surveyed", "sahara", "camps"], "article_id"=>235749, "categories"=>["Biotechnology", "Medicine", "Mathematics", "Ecology"], "users"=>["Carlos S. Grijalva-Eternod", "Jonathan C. K. Wells", "Mario Cortina-Borja", "Nuria Salse-Ubach", "Mélody C. Tondeur", "Carmen Dolan", "Chafik Meziani", "Caroline Wilkinson", "Paul Spiegel", "Andrew J. Seal"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001320.t001", "stats"=>{"downloads"=>2, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Household_demographics_in_the_four_surveyed_Western_Sahara_refugee_camps_strata_/235749", "title"=>"Household demographics in the four surveyed Western Sahara refugee camps (strata).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-10-02 01:35:49"}
  • {"files"=>["https://ndownloader.figshare.com/files/565090"], "description"=>"<p>Proportion of households classified as normal, double burden, overweight, and undernourished in Western Sahara refugee camps. Overweight and the double burden in each stacked bar is based on two different indicators used to classify either obesity (BMI) or central obesity (WC).</p>", "links"=>[], "tags"=>["malnutrition"], "article_id"=>235574, "categories"=>["Biotechnology", "Medicine", "Mathematics", "Ecology"], "users"=>["Carlos S. Grijalva-Eternod", "Jonathan C. K. Wells", "Mario Cortina-Borja", "Nuria Salse-Ubach", "Mélody C. Tondeur", "Carmen Dolan", "Chafik Meziani", "Caroline Wilkinson", "Paul Spiegel", "Andrew J. Seal"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001320.g003", "stats"=>{"downloads"=>1, "page_views"=>13, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Double_burden_of_malnutrition_in_refugee_households_/235574", "title"=>"Double burden of malnutrition in refugee households.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-10-02 01:32:54"}
  • {"files"=>["https://ndownloader.figshare.com/files/564847"], "description"=>"<p>Scatterplot of the relationship between BMI (in kilograms/metre<sup>2</sup>; linear regression coefficient 0.22, constant 19.3) and WC (in centimetres; linear regression coefficient 0.60, constant 69.0) with age among Western Sahara refugee women.</p>", "links"=>[], "tags"=>["obesity", "women"], "article_id"=>235332, "categories"=>["Biotechnology", "Medicine", "Mathematics", "Ecology"], "users"=>["Carlos S. Grijalva-Eternod", "Jonathan C. K. Wells", "Mario Cortina-Borja", "Nuria Salse-Ubach", "Mélody C. Tondeur", "Carmen Dolan", "Chafik Meziani", "Caroline Wilkinson", "Paul Spiegel", "Andrew J. Seal"], "doi"=>"https://dx.doi.org/10.1371/journal.pmed.1001320.g001", "stats"=>{"downloads"=>2, "page_views"=>17, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Overweight_obesity_and_central_obesity_among_refugee_women_by_age_/235332", "title"=>"Overweight, obesity, and central obesity among refugee women by age.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-10-02 01:28:52"}

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Relative Metric

{"start_date"=>"2012-01-01T00:00:00Z", "end_date"=>"2012-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Medicine and health sciences", "average_usage"=>[312, 547, 668, 769, 861, 953, 1046, 1135, 1224, 1307, 1388, 1464, 1536, 1606, 1676, 1744, 1812, 1882, 1954, 2020, 2089, 2155, 2218, 2282, 2344]}, {"subject_area"=>"/Medicine and health sciences/Nutrition", "average_usage"=>[307, 546, 676, 780, 888, 986, 1099, 1202, 1282, 1376, 1468, 1552, 1627, 1713, 1774, 1875, 1944, 2011, 2079, 2133, 2210, 2282, 2358, 2422, 2480]}, {"subject_area"=>"/Medicine and health sciences/Physiology", "average_usage"=>[308, 535, 653, 754, 847, 930, 1020, 1103, 1188, 1268, 1351, 1420, 1487, 1550, 1614, 1679, 1757, 1830, 1898, 1961, 2024, 2086, 2150, 2216, 2266]}]}
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