Obesity as a form of malnutrition: over-nutrition on the Uganda "malnutrition" agenda

Pan Afr Med J. 2017 Sep 20:28:49. doi: 10.11604/pamj.2017.28.49.11176. eCollection 2017.

Abstract

The objectives were to highlight the burden of overweight and obesity as an additional area of importance for the malnutrition agenda in Uganda and to provide evidence-based considerations for stakeholders involved.

Introduction: Mirroring other Low- and Middle-Income Countries (LMICs), Uganda is experiencing a "double burden" of over-nutrition related issues - both obesity and overweight, and related non-communicable diseases (NCDs) alongside the under-nutrition that has long plagued the country. Despite the commonplace assumption that under-nutrition is the predominant form of malnutrition in Uganda, we explore recent literature that in fact, challenges this notion. While food insecurity has contributed to the under-nutrition problem, a lack of dietary diversity also has a demonstrated role in increasing over-nutrition. We cannot afford to ignore over-nutrition concomitant with stunting and wasting in the country. Increase in the burden of this less acknowledged form of malnutrition in Uganda is critical to investigate, and yet poorly understood. A move towards increased regionally targeted over-nutrition research, funding, government prioritization and advocacy is needed.

Keywords: Africa; East Africa; Uganda; malnutrition; nutrition; obesity; overweight.

MeSH terms

  • Cost of Illness*
  • Developing Countries
  • Diet
  • Food Supply
  • Humans
  • Malnutrition / epidemiology*
  • Malnutrition / physiopathology
  • Obesity / epidemiology*
  • Obesity / physiopathology
  • Overweight / epidemiology*
  • Overweight / physiopathology
  • Uganda / epidemiology