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Undernutrition and obesity – the nutritional paradox – is becoming more common in countries around the world. This is highlighted in a report by Jafar and colleagues from Pakistan. In two surveys conducted about 10 years apart, the first in 1990–1994 and the second 2004–2005, the percentage of children 5 to 14 years of age who were underweight remained about the same 29.7% and 27.9%. Unfortunately, the percentage of children who were overweight nearly doubled, increasing from 3.0% to 5.7%. In an accompanying perspective, Corvalan, Dangour and Uauy argue that the obesity epidemic has not spared low-income countries, particularly South Asia, as these countries have experienced unparalleled urbanisation and adoption of energy-dense processed foods. Sadly, the twin threats to health as an adult, being malnourished as an infant and obese as an adolescent, are flourishing.
See pages 361 and 373
Using the Millennium Cohort Study, a research group from UCL
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