ICN2-Situation and trends of malnutrition and impact on morbidity and mortality
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Transcript of ICN2-Situation and trends of malnutrition and impact on morbidity and mortality
Situation and trends of malnutritionand impact on morbidity and mortality
F. Branca
Director Department of Nutrition for Health and development
WHO/HQ
PREPARATORY TECHNICAL MEETINGFAO Headquarters, Rome, Italy
13-15 November 2013
Malnutrition : is MDG1 (target 1c) enough ?
Source : UN MDG report 2013
162 million children with stunted growth in 2012
Source: UNICEF, WHO, The World Bank. Joint Child Malnutrition Estimates. (UNICEF, New York; WHO, Geneva; The World Bank, Washington, DC; 2013
Which countries are home to the stunted children ?
51 million wasted children in 2012
Source: UNICEF, WHO, The World Bank. Joint Child Malnutrition Estimates. (UNICEF, New York; WHO, Geneva; The World Bank, Washington, DC; 2013
Where are the hot spots for acute malnutrition?
Source: UNICEF, WHO, The World Bank. Joint Child Malnutrition Estimates. (UNICEF, New York; WHO, Geneva; The World Bank, Washington, DC; 2013
Trends in Low Birth Weight
1980s 1990s 2000s05
10152025303540
World Africa East Asia South Asia
South East Asia latin America & Caribbean West Asia
Years
%
Source : UNSCN, 2010
Prevalence of small-for-gestational-age births, by UN regions
Source : Black et al. Lancet June 2013
496 million non pregnant womenand 32 million pregnant women with anemia
Source : Stevens et al. Lancet Glob Health 2013; 1: e16–25
273 million children with anemia
Source : Stevens et al. Lancet Glob Health 2013; 1: e16–25
Prevalence of vitamin A deficiency (1995–2005), iodine deficiency (2013), inadequate zinc intake
(2005),
Source : Black et al. Lancet June 2013
44 million children are overweight
Source: UNICEF, WHO, The World Bank. Joint Child Malnutrition Estimates. (UNICEF, New York; WHO, Geneva; The World Bank, Washington, DC; 2013
0
10
20
30
40
50
60
70
AFR AMR EMR EUR SEAR WPR Lowincome
Low ermiddleincome
Uppermiddleincome
Highincome
% o
f p
op
ula
tio
n
Men Women Both Sexes
500 million obese individuals aged 20+ years (2008)
Source: Global status report on noncommunicable diseases 2010. World Health Organization 2011
Women’s underweight and overweight
Source : Black et al. Lancet June 2013
The double burden of malnutrition
Source: WHO Global Database on Body Mass Index
Share of countries in each malnutrition categoryby degree of urbanization
Source : FAO SOFA 2013
Leading risk factors for global burden of disease in 1990 and 2010
Burden of disease attributable to 20 leading risk factorsin 2010, as a % of global DALYs
High BMI accounted for 3.4 M deaths and 3·8% of global DALYs in 2010Poor diet and physical inactivity 10% of global DALYs
Key messages• Multiple forms of malnutrition coexist :
• Low birth weight, wasting, stunting• Micronutrient deficiencies• Overweight/obesity and diet related NCDs
• Malnutrition is not decreasing and is affecting the majority of the world population
• The changing burden of disease should influence the way we think global development
• There are important differences in the world distribution of different forms of malnutrition, but similar global trends