University of Lahore, Lahore, Pakistan. , shimaaghahosseini@yahoo.com
Abstract: (25 Views)
Pakistan is currently facing a silent but dangerous public health dilemma: the double burden of malnutrition (DBM). This condition refers to the coexistence of undernutrition and overnutrition within the same population, household, or even individual. At the individual level, early-life undernutrition followed by excess caloric intake in adulthood can lead to adverse metabolic outcomes such as central obesity and insulin resistance. Despite growing attention worldwide, this issue remains underexplored and insufficiently addressed in Pakistan. According to the Pakistan National Nutrition Survey (NNS) 2018 and WHO reports, 40.2% of children under five are stunted, and a significant percentage suffer from wasting and micronutrient deficiencies (1,2). Meanwhile, overweight and obesity rates are rising rapidly, particularly among women and urban adolescents, with over 18% of urban adolescents classified as overweight or obese (3). This paradoxical nutritional shift is a clear indication of a system caught between food insecurity and unhealthy dietary transitions.