PMID- 25558987 OWN - NLM STAT- MEDLINE DCOM- 20160729 LR - 20221207 IS - 2047-6310 (Electronic) IS - 2047-6302 (Print) IS - 2047-6302 (Linking) VI - 10 IP - 6 DP - 2015 Dec TI - Recent trends in the prevalence of under- and overweight among adolescent girls in low- and middle-income countries. PG - 428-35 LID - 10.1111/ijpo.12000 [doi] AB - BACKGROUND: Most studies of childhood malnutrition in low- and middle-income countries (LMICs) focus on children <5 years, with few focusing on adolescence, a critical stage in development. OBJECTIVE: This study aimed to evaluate recent trends in the prevalence of under- and overweight among girls (15-18 years) in LMICs. METHODS: Data are from Demographic and Health Surveys (53 countries) and national surveys conducted in Indonesia, China, Vietnam, Brazil and Mexico. The most recent surveys with sample sizes >/=50 when stratified by rural-urban status were included: 46.6% of countries had a survey conducted in the past 5 years, while the most recent survey for 10.3% of countries was over 10 years old. The overall rural sample size was 94,857 and urban sample size was 81,025. Under- and overweight were defined using the International Obesity Task Force (IOTF) sex- and age-specific body mass index cut points. RESULTS: South Asia had the highest prevalence of underweight; nearly double that of East Asia and the Pacific and sub-Saharan Africa, and increasing annually by 0.66% in rural areas. Latin America and the Caribbean had the highest regional prevalence of overweight in both rural and urban settings, and this prevalence is increasing annually by about 0.50%. In urban areas, 38% of countries had both an under- and overweight prevalence >/=10%. CONCLUSIONS: There is substantial variation across and within regions in the burden of under- and overweight, with increasing dual burdens in urban areas. Innovative public health interventions capable of addressing both ends of the malnutrition spectrum are urgently needed. CI - (c) 2014 World Obesity. FAU - Jaacks, L M AU - Jaacks LM AD - Department of Nutrition, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. FAU - Slining, M M AU - Slining MM AD - Department of Health Sciences, Furman University, Greenville, SC, USA. FAU - Popkin, B M AU - Popkin BM AD - Department of Nutrition, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. LA - eng GR - D43 TW009077/TW/FIC NIH HHS/United States GR - P2C HD050924/HD/NICHD NIH HHS/United States GR - R24 HD050924/HD/NICHD NIH HHS/United States GR - 5 R24 HD050924/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150105 PL - England TA - Pediatr Obes JT - Pediatric obesity JID - 101572033 SB - IM MH - Adolescent MH - Adolescent Nutritional Physiological Phenomena MH - *Asian People MH - *Black People MH - Body Mass Index MH - Developing Countries/*statistics & numerical data MH - Female MH - Health Surveys MH - Humans MH - *Native Hawaiian or Other Pacific Islander MH - Overweight/*epidemiology MH - Poverty MH - Prevalence MH - *Public Health MH - Thinness/*epidemiology MH - *White People PMC - PMC4492920 MID - NIHMS644512 OTO - NOTNLM OT - Adolescents OT - dual burden OT - overweight OT - underweight COIS- Conflicts of interest The authors have no conflicts of interest to declare. EDAT- 2015/01/07 06:00 MHDA- 2016/07/30 06:00 PMCR- 2016/12/01 CRDT- 2015/01/07 06:00 PHST- 2014/06/02 00:00 [received] PHST- 2014/10/16 00:00 [revised] PHST- 2014/10/26 00:00 [accepted] PHST- 2015/01/07 06:00 [entrez] PHST- 2015/01/07 06:00 [pubmed] PHST- 2016/07/30 06:00 [medline] PHST- 2016/12/01 00:00 [pmc-release] AID - 10.1111/ijpo.12000 [doi] PST - ppublish SO - Pediatr Obes. 2015 Dec;10(6):428-35. doi: 10.1111/ijpo.12000. Epub 2015 Jan 5.