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Double burden of undernutrition and overnutrition in Vietnam in 2011: results of the SEANUTS study in 0·5–11-year-old children

  • Bao Khanh Le Nguyen (a1), Hop Le Thi (a1), Van Anh Nguyen Do (a1), Nga Tran Thuy (a1), Chinh Nguyen Huu (a1), Tran Thanh Do (a1), Paul Deurenberg (a2) and Ilse Khouw (a3)...

Abstract

The Vietnamese South East Asian Nutrition Survey (SEANUTS), a cross-sectional study, was undertaken to assess the nutritional status in a nationally representative sample of children aged 0·5–11·9 years. A multi-stage cluster-randomised sampling method was used to recruit 2872 children. Anthropometric measurements included weight, height, mid-upper arm circumference, and waist and hip circumferences. Blood biochemistry involved analyses of Hb, serum ferritin, and vitamins A and D. Dietary intake was assessed using a 24 h recall questionnaire, and nutrient intakes were compared with the Vietnamese RDA. In children aged < 5 years, approximately 14 % were stunted, 8·6 % underweight and 4·4 % thin. A higher prevalence of stunting (15·6 %) and underweight (22·2 %) was observed in school-aged children. Undernutrition was more prevalent in rural areas than in urban areas. In contrast, almost 29 % of the urban children were either overweight or obese when compared with 4 % of the overweight children and 1·6 % of the obese children in rural areas. A higher percentage of children in the age group 0·5–1·9 years and residing in rural areas had low Hb levels than those in the age group 2·0–5·9 years and residing in urban areas. In children aged 6–11 years, a small percentage had low Hb (11–14 %) and vitamin A (5–10 %) levels, but almost half the children (48–53 %) had vitamin D insufficiency. Food consumption data indicated that the children did not meet the RDA for energy, protein, Fe, vitamin A, vitamin B1 and vitamin C. Results from the SEANUTS highlight the double burden of malnutrition in Vietnam. Information from the SEANUTS can serve as an input for targeted policy development, planning and development of nutrition programmes.

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Corresponding author

*Corresponding author: Dr B. K. Le Nguyen, fax +84 4 9717885, email bkhanhnin@gmail.com

References

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1Thang, NM & Popkin, BM (2003) In an era of economic growth, is inequity holding back reductions in child malnutrition in Vietnam? Asia Pacific J Clin Nutr 12, 405410.
2Ministry of Health, National Institute of Nutrition (2012) National Nutrition Strategy for 2011–2020, with a Vision Towards 2030. Hanoi: Medical Publishing House.
3Khan, NC & Khoi, HH (2008) Double burden of malnutrition: the Vietnamese perspective. Asia Pac J Clin Nutr 17, 116118.
4Ministry of Health, National Institute of Nutrition (2012) General Nutrition Survey 2009–2010. Hanoi: Medical Publishing House.
5Khan, NC, Tuyen Le, D, Ngoc, TX, et al. (2007) Reduction in childhood malnutrition in Vietnam from 1990 to 2004. Asia Pac J Clin Nutr 16, 274278.
6Durnin, JVGA & Womersley, J (1974) Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 17 to 72 years. Br J Nutr 32, 7797.
7Grantham-McGregor, S (2007) Early child development in developing countries. Lancet 369, 824825.
8Hunt, JM (2005) The potential impact of reducing global malnutrition on poverty reduction and economic development. Asia Pac J Clin Nutr 14, 1038, (CD Supplement).
9Crookston, BT, Dearden, KA, Alder, SC, et al. (2011) Impact of early and concurrent stunting on cognition. Matern Child Nutr 7, 397409.
10Martins, VJ, Toledo Florêncio, TM, Grillo, LP, et al. (2011) Long-lasting effects of under nutrition. Int J Environ Res Public Health 8, 18171846.
11Schaafsma, A, Deurenberg, P, Calame, W, et al. (2013) Design of the South East Asian Nutrition Survey (SEANUTS): a four country multi-stage cluster design study. Br J Nutr 110, S2S10.
12National Institute of Nutrition-UNICEF (2003) The National Anemia Survey, 2000. In: “Viet Nam 2000–2002: A Review of the Nutritional Situation”. Medical Publishing House, Hanoi.
13WHO Multicentre Growth Reference Study Group (2006) WHO Child Growth Standards: Length/height-for-age, Weight-for-age, Weight-for-length, Weight-for-height and Body Mass Index-for-age: Methods and Development. Geneva: WHO.
14Onis de, M, Onyango, AW, Borghi, E, et al. (2007) Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 85, 660667.
15Khan, NC & Hoan, PV (2008) Vietnam recommended dietary allowances 2007. Asia Pac J Clin Nutr 17, Suppl. 2, 915.
16FAO/WHO Expert Consultation (2004) Vitamin and Mineral Requirements in Human Nutrition. Geneva: World Health Organization.
17Turpeinen, U, Hohenthal, U & Stenman, UH (2003) Determination of 25-hydroxyvitamin D in serum by HPLC and immunoassay. Clin Chem 49, 15211524.
18WHO/UNICEF/UNU (2001) Iron Deficiency Anaemia: Assessment, Prevention, and Control. : WHO Geneva, (WHO/NHD/01·3).
19Thurnham, DI, McCabe, LD, Haldar, S, et al. (2010) Adjusting plasma ferritin concentrations to remove the effects of subclinical inflammation in the assessment of iron deficiency: a meta-analysis. Am J Clin Nutr 92, 546555.
20Pee de, S & Dary, O (2002) Biochemical indicators of vitamin A deficiency: serum retinol and serum retinol binding protein. J Nutr 132, 2895S2901S.
21Mithal, A, Wahl, DA, Bonjour, JP, et al. (2009) Global vitamin D status and determinants of hypovitaminosis D. Osteoporos Int 20, 18071820.
22Greer, FR (2009) Recommended vitamin D intake in children: reasons for the recent increase. Consultant Pediatr 8, 323329.
23General Statistics Office (2011) Thematic Card 2: Nutrition, Water, Sanitation and Hygiene. Vietnamese Multiple Indicator Cluster Surveys – Round 4, 2006–2011. General Statistics Office, Hanoi.
24Hop, LT, Gross, R, Giay, T, et al. (1997) Longitudinal observation of growth of Vietnamese children in Hanoi, Vietnam from birth to 10 years of age. Eur J Clin Nutr 51, 164171.
25National Institute of Nutrition, General statistics office (2006) Nutritional Status of Children and Their Mothers in 2005. Annual Report. Hanoi: Medical Publishing House.
26Khoi, HH, Hop, LT, Hoa, PT, et al. (1993) The nutritional status, actual dietary food intake and some factors related to growth of children aged 1–60 months living in Hanoi (in Vietnamese). In Proceedings of the Scientific Workshop in the Year 1993. Hanoi: National Institute of Nutrition.
27Khoi, HH, Khan, NC, Nga, QL, et al. (1994) Study among mothers on the socio-cultural aspect of making decision in feeding the young children (in Vietnamese). In Proceedings of the Scientific Workshop in the Year 1993. Hanoi: National Institute of Nutrition.
28Khanh, LNB, Khoi, HH & Mai, LB (1992) Study on some factors affected the nutritional status of children living in similar socio-economic conditions in Hanoi city (in Vietnamese). In Proceedings of the Scientific Workshop in the Year 1993. Hanoi: National Institute of Nutrition.
29Trang, NH, Hong, TK & Dibley, MJ (2012) Cohort profile: Ho Chi Minh City Youth Cohor t– changes in diet, physical activity, sedentary behaviour and relationship with overweight/obesity in adolescents. BMJ Open 15, e000362.
30Ha Do, TP, Feskens, EJ, Deurenberg, P, et al. (2011) Nationwide shifts in the double burden of overweight and underweight in Vietnamese adults in 2000 and 2005: two national nutrition surveys. BMC Public Health 30, 1162.
31Hong, TK, Dibley, MJ, Sibbritt, D, et al. (2007) Overweight and obesity are rapidly emerging among adolescents in Ho Chi Minh City, Vietnam, 2002–2004. Int J Pediatr Obes 2, 194201.
32Huard, P & Bigot, A (1938) Les characteristiques anthropologiques des Indochinois. Trav. de 1'Institut Anat. de 1'Ecole Sup. de Med.de 1’Ind. Tom IV – Hanoi (The anthropological characteristics of Indo-Chinese). p. 15.
33IAEA-TECDOC-1005 (1998) Compilation of Anatomical, Physiological and Metabolic Characteristics for a Reference Asian Man, Vol. 2. Country Reports. Vienna: IAEA.
34Grantham-McGregor, S (2002) Linear growth retardation and cognition. Lancet 359, 542.
35Best, C, Neufingerl, N, van Geel, L, et al. (2010) The nutritional status of school-aged children: why should we care? Food Nutr Bull 31, 400417.
36Laillou, A, Pham, TV, Tran, NT, et al. (2012) Micronutrient deficits are still public health issues among women and young children in Vietnam. PLoS One 7, e34906.
37Khoi, HH (2001) Nutrition in the Period of Transition (in Vietnamese). Hanoi: Medical Publishing House.
38Van Nhien, N, Khan, NC, Ninh, NX, et al. (2008) Micronutrient deficiencies and anaemia among preschool children in rural Vietnam. Asia Pac J Clin Nutr 17, 4855.
39Khan, NC, Huan, PV, Nhien, NV, et al. (2010) Relationship of serum carotenoids and retinol with anaemia among pre-school children in the northern mountainous region of Vietnam. Public Health Nutr 13, 18631869.
40Khanh LNB, Hop LT (2010). Assessment of the Nutritional Status and Some Related Factors Among School Children Living in Urban, Rural and Mountain Areas (in Vietnamese). Hanoi: Medical Publishing House (Ministry of Health, Report 4105/BYT-QD, Issued 21st October, 2008).
41Ho-Pham, LT, Nguyen, ND, Lai, TQ, et al. (2010) Vitamin D status and parathyroid hormone in a urban population in Vietnam. Osteoporos Int 22, 241248.
42Bener, A, Al-Ali, M & Hoffmann, GF (2009) High prevalence of vitamin D deficiency in young children in a highly sunny humid country: a global health problem. Minerva Pediatrica 61, 1522.
43Khor, GL, Chee, WSS, Shariff, ZM, et al. (2011) High prevalence of vitamin D insufficiency and its association with BMI-for-age among primary school children in Kuala Lumpur, Malaysia. BMC Public Health 11, 95.
44Poh BK, Ng BK, Haslinda Mohd Din Siti, et al. (2013) Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia). Br J Nutr 110, S21S35.
45Strain JJ, Cashman KD (2009) Minerals and trace elements. In: Introduction to Human Nutrition, 2nd ed. [Gibney MJ, Lanham-New SA, Cassidy A, Vorster HH, editors]. Oxford: Wiley-Blackwell.
46Khan NC (2006) The role of plant food sources in controlling vitamin A deficiency in Vietnam. PhD Thesis, Wageningen University, The Netherlands.

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