Double burden of malnutrition means that underweight and stunted children outnumber the overweight children in both 0-5- and 6-10- year-old age brackets. In a hundred 0-5-year-old children scale, 27 are underweight and 30 are stunted whereas only two are overweight. Meanwhile, in a hundred 6-10-year-old children scale, 26 are underweight and 36 are stunted whereas only one is overweight. Also, there is also anemia and vitamin A deficiency problems affecting the various population groups in public health proprotions. There are two out of three infants 6m-less than one year old who are anemic. This means that they are in the risk of suffering from long-term mental deficiency. 46% of pregnant women may be affected by vitamin A deficiency. Among income class children, there is a double burden of malnutrition because only children benefiting from the high-income class have the least risk of malnutrition. The four classes below the highest class, meaning the levels at which income becomes less and less, have children who suffer malnutrition increasingly. The lower the level, the greater the suffering in malnutrition. Children from the lowest-income class suffer the biggest in manutrition. Meanwhile, children benefiting from the high-income class are found to have the highest risk of being overweight. This becomes less of a possibility as the case descends through the lower income classes. This means that the lower the income class of children, the greter that they are not overweight. Among children and adult of both sexes, the double burden of malnutrition is seen with the persistent undernutrition and micronutrient deficiencies maong children and vulnerable groups along with rising overweight, obesity and diet- and lifestyle-related non-communicable diseases in adults. There is a 20.9% coexistence of underweight child and overweight adult in same household. This means one out of five housholds with an underwieght child is a coexisting overweight adult. The double burden of malnutrition becomes riskier since poor growth is perpetuated through the cycle of persistent undernutrition, high incidence of newborn children with low birth weight, high incidence of poor child growth and deplorable infant and children feeding practices, low rate of milk intake and of consumption of fortified foods resulting in abnormal dietary patterns, negative changes in dietary patterns like declining fruit intake, tubers and other traditional staples and increasing consumption of sugars and low level of physical activity.
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