Adherence
Obesity-related mortality and DALYs are highest in low-to-middle Socio-Demographic Index (SDI) countries, whereas malnutrition burden is concentrated in low SDI countries, creating a distinct geographic and socioeconomic split in the double burden of disease.
Public health in developing nations must anticipate the 'nutrition transition.' As economies grow, access to food increases, but often shifts toward unhealthy, obesity-driving diets. Policies must simultaneously address undernutrition and prevent the rise of obesity, as the burden of obesity-related death peaks in middle-income countries, not the wealthiest ones.
The disparities in disease burden reveal the entrenched sex-regional-socioeconomic precursors, with obesity-related death rates rising with the level of social development, but only up to a point—high SDI countries demonstrated the lowest obesity-related deaths.
Why this rating
Based on comprehensive GBD 2019 data across 204 countries.
Source
Trends and predictions of malnutrition and obesity in 204 countries and territories: an analysis of the Global Burden of Disease Study 2019
Bryan Chong et al. · EClinicalMedicine · 2023
DOI 10.1016/j.eclinm.2023.101850
More from this paper
- Global efforts to reduce malnutrition have been more than offset by a rapidly rising obesity burden, resulting in a widening 'double burden' of disease where obesity-related disability-adjusted life years (DALYs) now vastly exceed malnutrition-related DALYs.Good
- Females bear a disproportionately higher burden of malnutrition-related mortality and DALYs compared to males, while males experience higher obesity-related DALYs, indicating sex-specific vulnerabilities in the double burden of disease.Good
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