Malnutrition

"[18] The World Health Organization[19] and The Lancet Commission have also identified "[t]he double burden of malnutrition", which occurs from "the coexistence of overnutrition (overweight and obesity) alongside undernutrition (stunted growth and wasting).

[38] Certain groups have higher rates of undernutrition, including elderly people and women (in particular while pregnant or breastfeeding children under five years of age).

Undernutrition is an increasing health problem in people aged over 65 years, even in developed countries, especially among nursing home residents and in acute care hospitals.

[40] Age-related reduced dietary intake due to chewing and swallowing problems, sensory decline, depression, imbalanced gut microbiome, poverty and loneliness are major contributors to undernutrition in the elderly population.

Malnutrition is also attributed due to wrong diet plan adopted by people who aim to reduce their weight without medical practitioners or nutritionist advice.

[46] Similarly, experts estimated that the prevalence of moderate and severe wasting could increase by 14% due to COVID-19; coupled with reductions in nutrition and health services coverage, this could result in over 128,000 additional deaths among children under 5 in 2020 alone.

[52][53] Undernutrition is a major health problem, causing the highest mortality rate in children, particularly in those under 5 years, and is responsible for long-lasting physiologic effects.

[11] The primary symptoms are severe wasting, leaving little or no edema; minimal subcutaneous fat; and abnormal serum albumin levels.

[62] The recent evidence on the impact of diet-induced obesity in fathers and mothers around the time of conception is identified to negatively program the health outcomes of multiple generations.

[70] In communities or areas that lack access to safe drinking water, these additional health risks present a critical problem.

[78] Identification of the social conditions that causes malnutrition in children under five has received significant research attention as it is a major public health problem.

[87] The United Nations special rapporteur on the right to food, Jean Ziegler proposes that agricultural waste, such as corn cobs and banana leaves, should be used as fuel instead of crops.

In the United States, more than half of all adults are now overweight—a condition that, like hunger, increases susceptibility to disease and disability, reduces worker productivity, and lowers life expectancy.

Local food shortages can be caused by a lack of arable land, adverse weather, and/or poorer farming skills (like inadequate crop rotation).

"[124] U.S. law requires food aid to be purchased at home rather than in the countries where the hungry live; this is inefficient because approximately half of the money spent goes for transport.

[citation needed] Successful initiatives also include Brazil's recycling program for organic waste, which benefits farmers, the urban poor, and the city in general.

[131] According to the World Health Organization, "Family planning is key to slowing unsustainable population growth and the resulting negative impacts on the economy, environment, and national and regional development efforts".

This applies not only to organizing rationing and control, but also to undertaking work programmes and other methods of increasing purchasing power for those hit by shifts in exchange entitlements in a general inflationary situation.

[138][139] As previously noted, lack of proper breastfeeding is a major factor in child mortality rates, and is a primary determinant of disease development for children.

The following month, the Copenhagen Consensus recommended that politicians and private sector philanthropists should prioritize interventions against hunger and malnutrition to maximize the effectiveness of aid spending.

[147][148][149] The International Food Policy Research Institute (IFPRI) led the partnership, with the involvement of UN organisations, non-governmental organizations (NGOs), and private foundations.

[7] The United Nations has reported on the importance of nutritional counselling and support, for example in the care of HIV-infected persons, especially in "resource-constrained settings where malnutrition and food insecurity are endemic".

[156] A systematic review of 42 studies found that many approaches to mitigating acute malnutrition are equally effective; thus, intervention decisions can be based on cost-related factors.

[7] In-hospital treatment often involves managing low blood sugar, maintaining adequate body temperature, addressing dehydration, and gradual feeding.

[166] These foods may have additional benefits in humanitarian emergencies, since they can be stored for years, can be eaten directly from the packet, and do not have to be mixed with clean water or refrigerated.

[167] According to the World Bank, treating malnutrition – mostly by fortifying foods with micronutrients – improves lives more quickly than other forms of aid, and at a lower cost.

However, for malnourished children, experts recommend adding a packet of ORS to two liters of water, along with an extra 50 grams of sucrose and some stock potassium solution.

Ultimately this document outline and provided guidance as to how the international community as one could work towards fighting and solving the growing global issue of malnutrition and hunger.

[222] However, changes in body composition, organ functions, adequate energy intake and ability to eat or access food are associated with aging, and may contribute to malnutrition.

[223] A paper from the Journal of the American Dietetic Association noted that routine nutrition screenings represent one way to detect and therefore decrease the prevalence of malnutrition in the elderly.

Number of people undernourished by region
Projected numbers of undernourished people by FAO indicate that the world is far off track to achieve the Sustainable Development Goal of zero hunger by 2030.
Projected numbers of undernourished people by FAO indicate that the world is far off track to achieve the Sustainable Development Goal of zero hunger by 2030.
Prevalence of undernourishment (2020–2022 average)
Number of undernourished people (2020–2022 average)
The prevalence of undernourishment (PoU) was still higher in 2022 than before the pandemic in 58% of countries, and the situation is worse in low-income countries (77%).
Child in the United States with signs of kwashiorkor , a dietary protein deficiency
Child of a sharecropper with undernutrition and rickets , 1935
Union Army soldier on his release from Confederate prison, around 1865
A child with extreme malnutrition
Chart showing a trend between obesity and diabetes over the years
Most of the people unable to afford a healthy diet in 2021 lived in southern Asia, and in eastern and western Africa.
Irrigation canals have opened dry desert areas of Egypt to agriculture.
A soup kitchen in Montreal , Quebec, Canada in 1931
A malnourished Afghan child being treated by a medical team
A Somali boy receiving treatment for malnourishment at a health facility
Baby with protein malnutrition due to insufficient amount of nutrients
Examples of commercially available oral rehydration salts (Nepal on left, Peru on right)
Percentage of population suffering from hunger, World Food Programme , 2020:
< 2.5%
< 5.0%
5.0–14.9%
15.0–24.9%
25.0–34.9%
> 35.0%
No data
Disability-adjusted life year for nutritional deficiencies per 100,000 inhabitants in 2004. Nutritional deficiencies included: protein-energy malnutrition, iodine deficiency, vitamin A deficiency, and iron deficiency anaemia. [ 183 ]
Deaths from nutritional deficiencies per million persons in 2012:
0–4
5–8
9–13
14–23
24–34
35–56
57–91
92–220
221–365
366–1,207
Malnourished children in Niger , during the 2005 famine
Starved girl
Essential nutrients are one of the main requirements of elderly care .