Malnutrition in developing countries: nutrition disorders, a leading cause of ill health in the world today


      Shockingly, malnutrition remains a dominant cause of mortality, morbidity and lost potential in today's children. In 2017, more than 1 in 5 children did not achieve their growth potential and were at risk of the associated long-term deficits in cognitive development. Stunting affects almost 40% of children in South Asia and the number of stunted children in Africa is rising. More than 1 in 14 of the world's children are wasted. Forty-five percent of all deaths in under-fives are attributable to undernutrition. Meanwhile, overweight affects 1 in 20 of the world's children. One in four overweight children live in Asia and numbers are expected to increase. Management of severe acute malnutrition (SAM) is a huge challenge in low resource healthcare settings and mortality rates remain high. Current interventions to prevent malnutrition have limited impact. More effective prevention and treatment of malnutrition is needed urgently.


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      Further reading

        • Ashworth A.
        • Chopra M.
        • McCoy D.
        • et al.
        WHO guidelines for management of severe malnutrition in rural South African hospitals: effect on case fatality and the influence of operational factors.
        Lancet. 2004; 363: 1110-1115
        • Black R.E.
        • Victora C.G.
        • Walker S.P.
        • et al.
        Maternal and child undernutrition and overweight in low-income and middle-income countries.
        Lancet. 2013; 382: 427-451
      1. Global nutrition Report. 2018
        • Kosek M.N.
        • MAL-ED Network Investigators
        Causal pathways from enteropathogens to environmental enteropathy: findings from the MAL-ED birth cohort study.
        E BioMed. 2017; 18: 109-117
        • Prendergast A.J.
        • Kelly P.
        Interactions between intestinal pathogens, enteropathy and malnutrition in developing countries.
        Curr Opin Infect Dis. 2016; 29: 229-236
      2. Scaling up Nutrition; (accessed February 2019).

        • United Nations Inter-agency Group for Child Mortality Estimation (UN IGME)
        Levels & trends in child mortality: Report 2018, estimates developed by the United Nations inter-agency group for child mortality estimation.
        United Nations Children’s Fund, New York2018
        • WHO
        Guideline Update on the management of Severe acute Malnutrition in infants and children.
        • WHO
        Management of infants under 6 months of age with severe acute malnutritio.
        • WHO
        Pocket book of hospital care for children.
        • WHO/Unicef Joint Statement
        WHO child growth standards and the identification of severe acute malnutrition.