ArticleThe Lancet regional health. Western Pacific2021
The double burden of malnutrition and dietary patterns in rural Central Java, Indonesia.
Article in The Lancet regional health. Western Pacific, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Double burden of malnutrition among households in Ethiopia: a systematic review and meta-analysis.Frontiers in public health · 2024Pooled it
- Burden and Forecast of Early-Onset Colorectal Cancer (1990-2038) in Five East Asian Populations: A Systematic Analysis Based on the GBD 2023 Study.Cancer medicine · 2026Article
- Defining double burden of malnutrition across individual, household and population level: A narrative review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2026Review
- From gene to plate in Indonesia: a food system framework for the triple burden of malnutrition.Frontiers in public health · 2026Article
- Indigenous food environment and dietary patterns of Munda community of Jharkhand, India.BMC nutrition · 2025Article
- Trends in the double burden of malnutrition among Indonesian adults, 2007 to 2023.Scientific reports · 2025Article
- The Role of Food Consumption in the Global Syndemic: A Scoping Review and Conceptual Model.International journal of environmental research and public health · 2025Article
- Height status matters for risk of mortality in critically ill children.Journal of intensive care · 2024Article
- Effects of the Local Environment and Nutritional Status on the Incidence of Acute Respiratory Infections Among Children Under 5 Years Old in Indonesia.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2024Article
- A multilevel analysis of the triple burden of malnutrition in Indonesia: trends and determinants from repeated cross-sectional surveys.BMC public health · 2023Article
- Harnessing the connectivity of climate change, food systems and diets: Taking action to improve human and planetary health.Anthropocene · 2023Review
- Fish-To Eat or Not to Eat? A Mixed-Methods Investigation of the Conundrum of Fish Consumption in the Context of Marine Pollution in Indonesia.International journal of environmental research and public health · 2023Article
- Exploring the double burden of malnutrition at the household level in the Philippines: Analysis of National Nutrition Survey data.PloS one · 2023Article
- Environmental impact and nutrient adequacy of derived dietary patterns in Vietnam.Frontiers in nutrition · 2023Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIndonesia is undergoing a nutrition transition (NT) comprised of rising rates of overweight/obesity and consumption of high fat food/snacks but is still struck by undernutrition, causing a double burden of malnutrition. Little research pertains to the double burden of malnutrition and its associations with diet in rural Indonesia using primary village level data.
methodsWe conducted a 24-hour food recall and food frequency questionnaire and assessed anthropometric status of rural villagers from four villages in Central Java, Indonesia. Exploratory principal component analysis was used to identify dietary patterns and multi-level modeling was performed to identify variables associated with dietary pattern indicative of the NT.
findings1,521 participants were included in analysis. Double burden of malnutrition was prevalent whereby 32.3% of children were stunted, 68.8% of women 35-49 years-old were overweight, and 39% of homes were classified as double burden. The NT was evident in a dietary pattern associated with soft drink, snacks, and animal products. There was small but significant correlation between undernutrition and stunting status among children (r = -0.139, p < 0.01). The NT was associated with young age (B = 1.696, 95% CI = 1.508-1.885) but not with overweight (B = -0.099, 95% CI = -0.184--0.013).
interpretationOur findings suggest that whilst the typical pattern of the double burden of malnutrition (stunted child/overweight adult) exists in rural Central Java, dietary patterns indicative of the NT are predominant among children, not adults. Overweight among adults may not be necessarily due to a diet indicative of the NT, and nutrition interventions in rural Central Java should focus on educating parents of young children about the health-risks of a diet associated with a NT.
fundingFunding was obtained from the UBS-Optimus Foundation and the National Health and Medical Research Council.
Identifiers
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Registered trials
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