SlideShare uma empresa Scribd logo
1 de 19
Baixar para ler offline
Situation and trends of malnutrition 
and impact on morbidity and mortality 
F. Branca 
Director Department of Nutrition for Health and development 
WHO/HQ 
PREPARATORY TECHNICAL MEETING 
FAO 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 
40 
35 
30 
25 
20 
15 
10 
5 
0 
1980s 1990s 2000s 
% 
Years 
World Africa East Asia 
South Asia South East Asia latin America & Caribbean 
West Asia 
Source : UNSCN, 2010
Prevalence of small-for-gestational-age 
births, by UN regions 
Source : Black et al. Lancet June 2013
496 million non pregnant women 
and 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
500 million obese individuals aged 20+ years (2008) 
70 
60 
50 
40 
30 
20 
10 
0 
AFR AMR EMR EUR SEAR WPR Low 
income 
Low er 
middle 
income 
Upper 
middle 
income 
High 
income 
% of population 
Men Women Both Sexes 
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 category 
by 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 factors 
in 2010, as a % of global DALYs 
High BMI accounted for 
3.4 M deaths and 3·8% 
of global DALYs in 2010 
Poor 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

Mais conteúdo relacionado

Mais procurados

Food Security in Africa: challenges and policy options to ensure Africa's future
Food Security in Africa: challenges and policy options to ensure Africa's futureFood Security in Africa: challenges and policy options to ensure Africa's future
Food Security in Africa: challenges and policy options to ensure Africa's futureCIMMYT
 
Maternal Health Care Availability In The Developing World
Maternal Health Care Availability In The Developing WorldMaternal Health Care Availability In The Developing World
Maternal Health Care Availability In The Developing WorldCaitlin Mabe
 
World Population day
World Population dayWorld Population day
World Population daySaurabh Patil
 
Mortality variations in Kenya
Mortality variations in KenyaMortality variations in Kenya
Mortality variations in KenyaMulenge Peter
 
diarrhoea: why children are still dying & what can be done
diarrhoea: why children are still dying & what can be donediarrhoea: why children are still dying & what can be done
diarrhoea: why children are still dying & what can be doneChynthya Riiweuh
 
The influence of prevention of mother to-child hiv transmission campaigns on ...
The influence of prevention of mother to-child hiv transmission campaigns on ...The influence of prevention of mother to-child hiv transmission campaigns on ...
The influence of prevention of mother to-child hiv transmission campaigns on ...Alexander Decker
 
Hunger: It CAN be stopped!
Hunger: It CAN be stopped!Hunger: It CAN be stopped!
Hunger: It CAN be stopped!Lindsay_Y
 
Session 1 clemens bresisinger
Session 1 clemens bresisingerSession 1 clemens bresisinger
Session 1 clemens bresisingerIFPRI
 
Maternal Health in the Developing World
Maternal Health in the Developing WorldMaternal Health in the Developing World
Maternal Health in the Developing Worldmmreilly
 

Mais procurados (20)

Aids
AidsAids
Aids
 
Aids
AidsAids
Aids
 
Food Security in Africa: challenges and policy options to ensure Africa's future
Food Security in Africa: challenges and policy options to ensure Africa's futureFood Security in Africa: challenges and policy options to ensure Africa's future
Food Security in Africa: challenges and policy options to ensure Africa's future
 
Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa
Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa
Social and Economic Impacts of HIVAIDS in Sub-Saharan Africa
 
Maternal Health Care Availability In The Developing World
Maternal Health Care Availability In The Developing WorldMaternal Health Care Availability In The Developing World
Maternal Health Care Availability In The Developing World
 
Af15 hiv
Af15 hivAf15 hiv
Af15 hiv
 
Ebola EDIT1
Ebola EDIT1Ebola EDIT1
Ebola EDIT1
 
World Population day
World Population dayWorld Population day
World Population day
 
Mortality variations in Kenya
Mortality variations in KenyaMortality variations in Kenya
Mortality variations in Kenya
 
diarrhoea: why children are still dying & what can be done
diarrhoea: why children are still dying & what can be donediarrhoea: why children are still dying & what can be done
diarrhoea: why children are still dying & what can be done
 
Childhood hunger
Childhood hungerChildhood hunger
Childhood hunger
 
The influence of prevention of mother to-child hiv transmission campaigns on ...
The influence of prevention of mother to-child hiv transmission campaigns on ...The influence of prevention of mother to-child hiv transmission campaigns on ...
The influence of prevention of mother to-child hiv transmission campaigns on ...
 
Chapter 1
Chapter 1Chapter 1
Chapter 1
 
World hunger
World hungerWorld hunger
World hunger
 
Hunger: It CAN be stopped!
Hunger: It CAN be stopped!Hunger: It CAN be stopped!
Hunger: It CAN be stopped!
 
Ebola: A Symptom of Vulnerable Health Systems?
Ebola: A Symptom of Vulnerable Health Systems?Ebola: A Symptom of Vulnerable Health Systems?
Ebola: A Symptom of Vulnerable Health Systems?
 
Session 1 clemens bresisinger
Session 1 clemens bresisingerSession 1 clemens bresisinger
Session 1 clemens bresisinger
 
World hunger
World hungerWorld hunger
World hunger
 
78(10)1234
78(10)123478(10)1234
78(10)1234
 
Maternal Health in the Developing World
Maternal Health in the Developing WorldMaternal Health in the Developing World
Maternal Health in the Developing World
 

Semelhante a ICN2-Situation and trends of malnutrition and impact on morbidity and mortality

World Health Organization Thesis
World Health Organization ThesisWorld Health Organization Thesis
World Health Organization ThesisMelissa Dudas
 
Infant Mortality Rate
Infant Mortality RateInfant Mortality Rate
Infant Mortality Rateaavi241
 
World Health Organization Website Critique
World Health Organization Website CritiqueWorld Health Organization Website Critique
World Health Organization Website CritiqueKristin Reyes
 
Joao McXimenes Timor Leste to Win Stunting.pptx
Joao McXimenes Timor Leste to Win Stunting.pptxJoao McXimenes Timor Leste to Win Stunting.pptx
Joao McXimenes Timor Leste to Win Stunting.pptxCorreiaXimenes
 
Tuberculosis And The World Health Organization
Tuberculosis And The World Health OrganizationTuberculosis And The World Health Organization
Tuberculosis And The World Health OrganizationMelissa Jackson
 
The Issues Surrounding World Hunger
The Issues Surrounding World HungerThe Issues Surrounding World Hunger
The Issues Surrounding World HungerJennifer Slattery
 
Nursing In The 19Th Century And The 20Th Century
Nursing In The 19Th Century And The 20Th CenturyNursing In The 19Th Century And The 20Th Century
Nursing In The 19Th Century And The 20Th CenturyKimberly Williams
 
Carilion grand rounds 9 30-2011
Carilion grand rounds 9 30-2011Carilion grand rounds 9 30-2011
Carilion grand rounds 9 30-2011kshup
 
Global Health | Burden of Diseases | millennium goals of global health | Repo...
Global Health | Burden of Diseases | millennium goals of global health | Repo...Global Health | Burden of Diseases | millennium goals of global health | Repo...
Global Health | Burden of Diseases | millennium goals of global health | Repo...Shashwat Awasthie
 
2015 USAID-global-health-report
2015 USAID-global-health-report2015 USAID-global-health-report
2015 USAID-global-health-reportDr. Chris Stout
 
Ghia foundation strategy document v4.dec.17.2015 (ab)
Ghia foundation strategy document v4.dec.17.2015 (ab)Ghia foundation strategy document v4.dec.17.2015 (ab)
Ghia foundation strategy document v4.dec.17.2015 (ab)Ghia Foundation
 
Born too soon the global action report on preterm birth
Born too soon the global action report on preterm birthBorn too soon the global action report on preterm birth
Born too soon the global action report on preterm birthPaul Mark Pilar
 
CHL5117 Final Assignment - V_Young
CHL5117 Final Assignment - V_YoungCHL5117 Final Assignment - V_Young
CHL5117 Final Assignment - V_YoungVanessa Pike (Young)
 
2020 global nutrition_report
2020 global nutrition_report2020 global nutrition_report
2020 global nutrition_reportCecilia Acuin
 
Ebola Exceptionalism?: Situating Epidemic Ebola in 2014
Ebola Exceptionalism?: Situating Epidemic Ebola in 2014Ebola Exceptionalism?: Situating Epidemic Ebola in 2014
Ebola Exceptionalism?: Situating Epidemic Ebola in 2014Maggie Wilson
 

Semelhante a ICN2-Situation and trends of malnutrition and impact on morbidity and mortality (20)

Child Protection Safety Net Project. Albania
Child Protection Safety Net Project. AlbaniaChild Protection Safety Net Project. Albania
Child Protection Safety Net Project. Albania
 
World Health Organization Thesis
World Health Organization ThesisWorld Health Organization Thesis
World Health Organization Thesis
 
Maternal Child Health Kenya
Maternal Child Health KenyaMaternal Child Health Kenya
Maternal Child Health Kenya
 
Infant Mortality Rate
Infant Mortality RateInfant Mortality Rate
Infant Mortality Rate
 
World Health Organization Website Critique
World Health Organization Website CritiqueWorld Health Organization Website Critique
World Health Organization Website Critique
 
Joao McXimenes Timor Leste to Win Stunting.pptx
Joao McXimenes Timor Leste to Win Stunting.pptxJoao McXimenes Timor Leste to Win Stunting.pptx
Joao McXimenes Timor Leste to Win Stunting.pptx
 
Tuberculosis And The World Health Organization
Tuberculosis And The World Health OrganizationTuberculosis And The World Health Organization
Tuberculosis And The World Health Organization
 
The Issues Surrounding World Hunger
The Issues Surrounding World HungerThe Issues Surrounding World Hunger
The Issues Surrounding World Hunger
 
Addressing the Social Determinants of Noncommunicable Diseases
Addressing the Social Determinants of Noncommunicable DiseasesAddressing the Social Determinants of Noncommunicable Diseases
Addressing the Social Determinants of Noncommunicable Diseases
 
Nursing In The 19Th Century And The 20Th Century
Nursing In The 19Th Century And The 20Th CenturyNursing In The 19Th Century And The 20Th Century
Nursing In The 19Th Century And The 20Th Century
 
Carilion grand rounds 9 30-2011
Carilion grand rounds 9 30-2011Carilion grand rounds 9 30-2011
Carilion grand rounds 9 30-2011
 
Global nutrition report 2017
Global nutrition report 2017Global nutrition report 2017
Global nutrition report 2017
 
Global Health | Burden of Diseases | millennium goals of global health | Repo...
Global Health | Burden of Diseases | millennium goals of global health | Repo...Global Health | Burden of Diseases | millennium goals of global health | Repo...
Global Health | Burden of Diseases | millennium goals of global health | Repo...
 
2015 USAID-global-health-report
2015 USAID-global-health-report2015 USAID-global-health-report
2015 USAID-global-health-report
 
Ghia foundation strategy document v4.dec.17.2015 (ab)
Ghia foundation strategy document v4.dec.17.2015 (ab)Ghia foundation strategy document v4.dec.17.2015 (ab)
Ghia foundation strategy document v4.dec.17.2015 (ab)
 
Born too soon the global action report on preterm birth
Born too soon the global action report on preterm birthBorn too soon the global action report on preterm birth
Born too soon the global action report on preterm birth
 
CHL5117 Final Assignment - V_Young
CHL5117 Final Assignment - V_YoungCHL5117 Final Assignment - V_Young
CHL5117 Final Assignment - V_Young
 
2020 global nutrition_report
2020 global nutrition_report2020 global nutrition_report
2020 global nutrition_report
 
Ebola Exceptionalism?: Situating Epidemic Ebola in 2014
Ebola Exceptionalism?: Situating Epidemic Ebola in 2014Ebola Exceptionalism?: Situating Epidemic Ebola in 2014
Ebola Exceptionalism?: Situating Epidemic Ebola in 2014
 
Global report diabetes
Global report diabetesGlobal report diabetes
Global report diabetes
 

Mais de FAO

Nigeria
NigeriaNigeria
NigeriaFAO
 
Niger
NigerNiger
NigerFAO
 
Namibia
NamibiaNamibia
NamibiaFAO
 
Mozambique
MozambiqueMozambique
MozambiqueFAO
 
Zimbabwe takesure
Zimbabwe takesureZimbabwe takesure
Zimbabwe takesureFAO
 
Zimbabwe
ZimbabweZimbabwe
ZimbabweFAO
 
Zambia
ZambiaZambia
ZambiaFAO
 
Togo
TogoTogo
TogoFAO
 
Tanzania
TanzaniaTanzania
TanzaniaFAO
 
Spal presentation
Spal presentationSpal presentation
Spal presentationFAO
 
Rwanda
RwandaRwanda
RwandaFAO
 
Nigeria uponi
Nigeria uponiNigeria uponi
Nigeria uponiFAO
 
The multi-faced role of soil in the NENA regions (part 2)
The multi-faced role of soil in the NENA regions (part 2)The multi-faced role of soil in the NENA regions (part 2)
The multi-faced role of soil in the NENA regions (part 2)FAO
 
The multi-faced role of soil in the NENA regions (part 1)
The multi-faced role of soil in the NENA regions (part 1)The multi-faced role of soil in the NENA regions (part 1)
The multi-faced role of soil in the NENA regions (part 1)FAO
 
Agenda of the launch of the soil policy brief at the Land&Water Days
Agenda of the launch of the soil policy brief at the Land&Water DaysAgenda of the launch of the soil policy brief at the Land&Water Days
Agenda of the launch of the soil policy brief at the Land&Water DaysFAO
 
Agenda of the 5th NENA Soil Partnership meeting
Agenda of the 5th NENA Soil Partnership meetingAgenda of the 5th NENA Soil Partnership meeting
Agenda of the 5th NENA Soil Partnership meetingFAO
 
The Voluntary Guidelines for Sustainable Soil Management
The Voluntary Guidelines for Sustainable Soil ManagementThe Voluntary Guidelines for Sustainable Soil Management
The Voluntary Guidelines for Sustainable Soil ManagementFAO
 
GLOSOLAN - Mission, status and way forward
GLOSOLAN - Mission, status and way forwardGLOSOLAN - Mission, status and way forward
GLOSOLAN - Mission, status and way forwardFAO
 
Towards a Global Soil Information System (GLOSIS)
Towards a Global Soil Information System (GLOSIS)Towards a Global Soil Information System (GLOSIS)
Towards a Global Soil Information System (GLOSIS)FAO
 
GSP developments of regional interest in 2019
GSP developments of regional interest in 2019GSP developments of regional interest in 2019
GSP developments of regional interest in 2019FAO
 

Mais de FAO (20)

Nigeria
NigeriaNigeria
Nigeria
 
Niger
NigerNiger
Niger
 
Namibia
NamibiaNamibia
Namibia
 
Mozambique
MozambiqueMozambique
Mozambique
 
Zimbabwe takesure
Zimbabwe takesureZimbabwe takesure
Zimbabwe takesure
 
Zimbabwe
ZimbabweZimbabwe
Zimbabwe
 
Zambia
ZambiaZambia
Zambia
 
Togo
TogoTogo
Togo
 
Tanzania
TanzaniaTanzania
Tanzania
 
Spal presentation
Spal presentationSpal presentation
Spal presentation
 
Rwanda
RwandaRwanda
Rwanda
 
Nigeria uponi
Nigeria uponiNigeria uponi
Nigeria uponi
 
The multi-faced role of soil in the NENA regions (part 2)
The multi-faced role of soil in the NENA regions (part 2)The multi-faced role of soil in the NENA regions (part 2)
The multi-faced role of soil in the NENA regions (part 2)
 
The multi-faced role of soil in the NENA regions (part 1)
The multi-faced role of soil in the NENA regions (part 1)The multi-faced role of soil in the NENA regions (part 1)
The multi-faced role of soil in the NENA regions (part 1)
 
Agenda of the launch of the soil policy brief at the Land&Water Days
Agenda of the launch of the soil policy brief at the Land&Water DaysAgenda of the launch of the soil policy brief at the Land&Water Days
Agenda of the launch of the soil policy brief at the Land&Water Days
 
Agenda of the 5th NENA Soil Partnership meeting
Agenda of the 5th NENA Soil Partnership meetingAgenda of the 5th NENA Soil Partnership meeting
Agenda of the 5th NENA Soil Partnership meeting
 
The Voluntary Guidelines for Sustainable Soil Management
The Voluntary Guidelines for Sustainable Soil ManagementThe Voluntary Guidelines for Sustainable Soil Management
The Voluntary Guidelines for Sustainable Soil Management
 
GLOSOLAN - Mission, status and way forward
GLOSOLAN - Mission, status and way forwardGLOSOLAN - Mission, status and way forward
GLOSOLAN - Mission, status and way forward
 
Towards a Global Soil Information System (GLOSIS)
Towards a Global Soil Information System (GLOSIS)Towards a Global Soil Information System (GLOSIS)
Towards a Global Soil Information System (GLOSIS)
 
GSP developments of regional interest in 2019
GSP developments of regional interest in 2019GSP developments of regional interest in 2019
GSP developments of regional interest in 2019
 

Último

CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...
CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...
CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...Nguyen Thanh Tu Collection
 
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRADUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRATanmoy Mishra
 
Practical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptxPractical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptxKatherine Villaluna
 
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxAUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxiammrhaywood
 
What is the Future of QuickBooks DeskTop?
What is the Future of QuickBooks DeskTop?What is the Future of QuickBooks DeskTop?
What is the Future of QuickBooks DeskTop?TechSoup
 
How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17Celine George
 
Presentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphPresentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphNetziValdelomar1
 
Prescribed medication order and communication skills.pptx
Prescribed medication order and communication skills.pptxPrescribed medication order and communication skills.pptx
Prescribed medication order and communication skills.pptxraviapr7
 
The basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxThe basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxheathfieldcps1
 
5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...CaraSkikne1
 
M-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptxM-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptxDr. Santhosh Kumar. N
 
Patterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptxPatterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptxMYDA ANGELICA SUAN
 
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfP4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfYu Kanazawa / Osaka University
 
How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17Celine George
 
How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17Celine George
 
How to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 SalesHow to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 SalesCeline George
 
Quality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICEQuality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICESayali Powar
 
Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.raviapr7
 
The Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George WellsThe Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George WellsEugene Lysak
 
In - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptxIn - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptxAditiChauhan701637
 

Último (20)

CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...
CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...
CHUYÊN ĐỀ DẠY THÊM TIẾNG ANH LỚP 11 - GLOBAL SUCCESS - NĂM HỌC 2023-2024 - HK...
 
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRADUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
DUST OF SNOW_BY ROBERT FROST_EDITED BY_ TANMOY MISHRA
 
Practical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptxPractical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptx
 
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxAUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
 
What is the Future of QuickBooks DeskTop?
What is the Future of QuickBooks DeskTop?What is the Future of QuickBooks DeskTop?
What is the Future of QuickBooks DeskTop?
 
How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17
 
Presentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a ParagraphPresentation on the Basics of Writing. Writing a Paragraph
Presentation on the Basics of Writing. Writing a Paragraph
 
Prescribed medication order and communication skills.pptx
Prescribed medication order and communication skills.pptxPrescribed medication order and communication skills.pptx
Prescribed medication order and communication skills.pptx
 
The basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptxThe basics of sentences session 10pptx.pptx
The basics of sentences session 10pptx.pptx
 
5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...
 
M-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptxM-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptx
 
Patterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptxPatterns of Written Texts Across Disciplines.pptx
Patterns of Written Texts Across Disciplines.pptx
 
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfP4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
 
How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17How to Use api.constrains ( ) in Odoo 17
How to Use api.constrains ( ) in Odoo 17
 
How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17
 
How to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 SalesHow to Manage Cross-Selling in Odoo 17 Sales
How to Manage Cross-Selling in Odoo 17 Sales
 
Quality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICEQuality Assurance_GOOD LABORATORY PRACTICE
Quality Assurance_GOOD LABORATORY PRACTICE
 
Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.
 
The Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George WellsThe Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George Wells
 
In - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptxIn - Vivo and In - Vitro Correlation.pptx
In - Vivo and In - Vitro Correlation.pptx
 

ICN2-Situation and trends of malnutrition and impact on morbidity and mortality

  • 1. Situation and trends of malnutrition and impact on morbidity and mortality F. Branca Director Department of Nutrition for Health and development WHO/HQ PREPARATORY TECHNICAL MEETING FAO Headquarters, Rome, Italy 13-15 November 2013
  • 2. Malnutrition : is MDG1 (target 1c) enough ? Source : UN MDG report 2013
  • 3. 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
  • 4. Which countries are home to the stunted children ?
  • 5. 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
  • 6. 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
  • 7. Trends in Low Birth Weight 40 35 30 25 20 15 10 5 0 1980s 1990s 2000s % Years World Africa East Asia South Asia South East Asia latin America & Caribbean West Asia Source : UNSCN, 2010
  • 8. Prevalence of small-for-gestational-age births, by UN regions Source : Black et al. Lancet June 2013
  • 9. 496 million non pregnant women and 32 million pregnant women with anemia Source : Stevens et al. Lancet Glob Health 2013; 1: e16–25
  • 10. 273 million children with anemia Source : Stevens et al. Lancet Glob Health 2013; 1: e16–25
  • 11. Prevalence of vitamin A deficiency (1995–2005), iodine deficiency (2013), inadequate zinc intake (2005), Source : Black et al. Lancet June 2013
  • 12. 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
  • 13. 500 million obese individuals aged 20+ years (2008) 70 60 50 40 30 20 10 0 AFR AMR EMR EUR SEAR WPR Low income Low er middle income Upper middle income High income % of population Men Women Both Sexes Source: Global status report on noncommunicable diseases 2010. World Health Organization 2011
  • 14. Women’s underweight and overweight Source : Black et al. Lancet June 2013
  • 15. The double burden of malnutrition Source: WHO Global Database on Body Mass Index
  • 16. Share of countries in each malnutrition category by degree of urbanization Source : FAO SOFA 2013
  • 17. Leading risk factors for global burden of disease in 1990 and 2010
  • 18. Burden of disease attributable to 20 leading risk factors in 2010, as a % of global DALYs High BMI accounted for 3.4 M deaths and 3·8% of global DALYs in 2010 Poor diet and physical inactivity 10% of global DALYs
  • 19. 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

Notas do Editor

  1. When the 1st International Conference on Nutrition was convened in 1992 malnutrition was primarily defined as inadequate availability of food energy (undernourishment) and as underweight in children under 5. Target 1 c aimed at halving the population who is undernourished and the proportion of underweight children. The 2013 report on MDG progress indicates that large progress has been done for these two indicators, but the 2015 target is unlikely to be achieved in some world regions, namely Southern Asia and sub-Saharan Africa. In 2012 still about 100 million children under 5 were underweight.
  2. Since 1992 the narrative on malnutrition has changed. We now have identified a more sensitive indicator of nutritional status, based on the height for age of children under 5. A stunted child has an immediate higher risk for communicable diseases and a longer term higher risk of chronic diseases; a stunted child does not develop in the same way as a normally growing child and in the long term has less professional opportunities. In 2012 162 million children under 5 were stunted, approximately one child out of three. This and other graphs in my presentation are taken from the recently issued joint estimates of child malnutrition developed by UNICEF, WHO and the World Bank
  3. 4
  4. Acute malnutrition is the complement, and intimately associated to chronic malnutrition. In 2012 acute malnutrition was present in 51 million children, 8% of children under 5. Out of them, 17 million were affected by the most severe and life threatening form of wasting..
  5. 6
  6. In some parts of the world, the restriction of growth starts during conception. This can be measured through the infants’ weight at birth Low Birth Weight is one of the consequences of poor maternal nutrition. Little changes have been see in Low birth weight in the last 30 years as the 6th Report on the World Nutrition Situation indicated.
  7. Some of the low birth weights are due to prematurity and some are due to stunted intrauterine growth. This slide shows the proportion of children born small for gestational age. In Asia the prevalence of small for gestational age reached approximately 30%. SGA babies are more prone to be stunted and have a higher risk of chronic diseases later in life.
  8. A second form of malnutrition, linked to the inadequate intake of vitamins and minerals, has been better recognized since 1992. It has also been named the hidden hunger, as its impact was not so apparent, but not less able to affect biological function. The condition with the highest prevalence is anemia. Here we focus on women, in whom the impact of anemia is greater, on their own health – as anemia affects women’s mortality, wellbeing and working capacity – and on the health of their offspring. Anemia is due to multiple causes, including birth spacing, malaria and other infectious diseases. A large proportion of the anemic women is located in South Asia. A large proportion of anemias – approximately half – are due to iron deficiency. In 2011 approximately 530 million women were anemic. The prevalence of anemias has been fairly stable in the last few years and therefore the number has increased due to the population growth.
  9. Anemia also affects over 270 million children under 5. Early childhood anemia is associated with impaired cognitive development.
  10. Other important micronutrient deficiencies include vitamin A deficiency, both in children under 5 and in women and iodine deficiency. One third of children under 5 and one sixth of pregnant women are thought to be vitamin A deficient, based on serum retinol levels and a bit less than a third of the world populations is thought to be still having a iodine problem, based on the analysis of urinary iodine excretion. We are now increasingly able to recognize the presence of zinc deficiency, which is thought to affect one in five individuals.
  11. The third from of malnutriton, that in 1992 was started to be recognised globally is overweight. Overweight was thought to be an issue only for high oncome countries and populations, and an issue for middle aged men. We can now say that overweight is almost ubiquitous, starts early in life and is rapidly increasing. In 2012 44 million children before age 5 were overweight. 30 million were in lower middle income countries and 6 million in low income countries
  12. Globally, we estimate that at least half a billion adults have the most severe form of overweight, with a BMI of 30 +, obesity. While the highest prepavalence is observed in countries with higher income, we can see a sizeable presence in countries with lower income.
  13. This slides focuses on the changes of prevalence observed in women’s overweight compared to that of underweight, or thinness (i.e. when BMI is below 18.5 kg/m2. Globally, underweight has only slightly declined, while overweight and obesity have seen a rapid growth. In Asia still about one woman in five is underweight. In contrast, more than half of women in Latin America are overweight.
  14. This slide shows even better the coexistence of the two conditions in the same country. In South Africa, for example, over 40% of women is obese, the more severe condition, and 10% is underweight. The reverse happens in Bangladesh, where over 40% of the women is underweighth and 5% obese.
  15. The different conditions often coexist and overlap. This analysis by FAO indicates that most countries have to deal with multiple forms of malnutrition simultaneously. We will not be surprised to see that stunting and micronutrient deficiencies are almost constantly associated. I would like to draw your attention particularly to the association of stunting and micronutrient deficiencies with obesity, that appears in the group of countries with high level of urbanization, where the nutrition transition has taken place.
  16. In 1992 the top risk factor for the global burden of disease was childhood underweight. No surprise that this became a major target for the world development efforts. The 2010 analysis of the burden of disease indicated that the leading risk factor for poor health was instead high blood pressure
  17. Still childhood underweight and suboptimal breastfeeding are a leading risk factor in sub-saharan Africa, but the other forms of malnutrition have gained the sad leadership in taking people’s lives. High BMI was responsible for 3.8% of the global Disability Adjusted Life Years in 2010, a measure of ill health. Dietary factors feature highly in the top 10. Collectively, and together with physical inactivity, they account for 10% of the global DALYs