Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe
Background: Rapid urbanisation in low- and middle-income countries (LMICs) has intensified the double burden of malnutrition, where undernutrition and overnutrition coexist in the same population Aim: This study aimed to examine the point prevalence rate and risk factors of the double burden of mal...
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AOSIS
2025-03-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
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| Online Access: | https://phcfm.org/index.php/phcfm/article/view/4834 |
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| author | Simbarashe Kasanzu Joconiah Chirenda Anesu Marume |
| author_facet | Simbarashe Kasanzu Joconiah Chirenda Anesu Marume |
| author_sort | Simbarashe Kasanzu |
| collection | DOAJ |
| description | Background: Rapid urbanisation in low- and middle-income countries (LMICs) has intensified the double burden of malnutrition, where undernutrition and overnutrition coexist in the same population
Aim: This study aimed to examine the point prevalence rate and risk factors of the double burden of malnutrition among adults in urban Zimbabwe.
Setting: The study was conducted in Zimbabwe’s two metropolitan provinces (Harare and Bulawayo).
Methods: A cross-sectional study of 348 urban adults explored associations between dietary intake, socio-demographics and anthropometrics using means, frequencies, and logistic regression.
Results: Obesity prevalence was 23.6%, and underweight prevalence was 8.6%. Men had higher odds of being underweight than women (Adjusted Odds Ratio 2.30, 95% CI 1.20–4.41), while high household income increased the odds of obesity (Adjusted Odds Ratio 2.90, 95% CI 1.47–5.60). A fruit and vegetable-rich diet reduced the odds of obesity by 47% (Adjusted Odds Ratio 0.53, 95% CI 0.26–0.89), whereas a diet dominated by staples and sugary foods increased the risk of obesity.
Conclusion: Obesity and underweight were common among urban adults in Zimbabwe, where both undernutrition and overnutrition pose significant health risks. Public health interventions in LMICs should broaden their focus to address adult malnutrition and its contribution to diet-related non-communicable diseases (NCDs).
Contribution: The double burden of malnutrition underscores an urgent need for comprehensive public health strategies in LMICs. Efforts should move beyond childhood undernutrition to address the entire spectrum of malnutrition. Tackling these challenges holistically will be key to mitigating undernutrition, curbing rising obesity rates, and, in turn, reversing the tide of diet-related NCDs. |
| format | Article |
| id | doaj-art-8164686c1d63409ebd6d652caeef40ef |
| institution | DOAJ |
| issn | 2071-2928 2071-2936 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj-art-8164686c1d63409ebd6d652caeef40ef2025-08-20T03:09:51ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362025-03-01171e1e710.4102/phcfm.v17i1.48341232Diet and sociodemographic predictors of the double burden of malnutrition in urban ZimbabweSimbarashe Kasanzu0Joconiah Chirenda1Anesu Marume2Department of Global Public Health and Family Medicine, Faculty of Medicine and Health Sciences, University of Zimbabwe, HarareDepartment of Global Public Health and Family Medicine, Faculty of Medicine and Health Sciences, University of Zimbabwe, HarareDepartment of Global Public Health and Family Medicine, Faculty of Medicine and Health Sciences, University of Zimbabwe, HarareBackground: Rapid urbanisation in low- and middle-income countries (LMICs) has intensified the double burden of malnutrition, where undernutrition and overnutrition coexist in the same population Aim: This study aimed to examine the point prevalence rate and risk factors of the double burden of malnutrition among adults in urban Zimbabwe. Setting: The study was conducted in Zimbabwe’s two metropolitan provinces (Harare and Bulawayo). Methods: A cross-sectional study of 348 urban adults explored associations between dietary intake, socio-demographics and anthropometrics using means, frequencies, and logistic regression. Results: Obesity prevalence was 23.6%, and underweight prevalence was 8.6%. Men had higher odds of being underweight than women (Adjusted Odds Ratio 2.30, 95% CI 1.20–4.41), while high household income increased the odds of obesity (Adjusted Odds Ratio 2.90, 95% CI 1.47–5.60). A fruit and vegetable-rich diet reduced the odds of obesity by 47% (Adjusted Odds Ratio 0.53, 95% CI 0.26–0.89), whereas a diet dominated by staples and sugary foods increased the risk of obesity. Conclusion: Obesity and underweight were common among urban adults in Zimbabwe, where both undernutrition and overnutrition pose significant health risks. Public health interventions in LMICs should broaden their focus to address adult malnutrition and its contribution to diet-related non-communicable diseases (NCDs). Contribution: The double burden of malnutrition underscores an urgent need for comprehensive public health strategies in LMICs. Efforts should move beyond childhood undernutrition to address the entire spectrum of malnutrition. Tackling these challenges holistically will be key to mitigating undernutrition, curbing rising obesity rates, and, in turn, reversing the tide of diet-related NCDs.https://phcfm.org/index.php/phcfm/article/view/4834bmidietary patternsfood securityurban zimbabweundernutritionovernutrition |
| spellingShingle | Simbarashe Kasanzu Joconiah Chirenda Anesu Marume Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe African Journal of Primary Health Care & Family Medicine bmi dietary patterns food security urban zimbabwe undernutrition overnutrition |
| title | Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe |
| title_full | Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe |
| title_fullStr | Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe |
| title_full_unstemmed | Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe |
| title_short | Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe |
| title_sort | diet and sociodemographic predictors of the double burden of malnutrition in urban zimbabwe |
| topic | bmi dietary patterns food security urban zimbabwe undernutrition overnutrition |
| url | https://phcfm.org/index.php/phcfm/article/view/4834 |
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