@article{fdi:010061463,
  title = {{A} double burden of overall or central adiposity and anemia or iron deficiency is prevalent but with little socioeconomic patterning among {M}oroccan and {T}unisian urban women},
  author = {{G}artner, {A}gn{\`e}s and {E}l {A}ti, {J}. and {T}raissac, {P}ierre and {B}our, {A}. and {B}erger, {J}acques and {L}andais, {E}dwige and {E}l {H}saini, {H}. and {B}en {R}ayana, {C}. and {D}elpeuch, {F}rancis},
  editor = {},
  language = {{ENG}},
  abstract = {{I}n {N}orth {A}frica, overnutrition has dramatically increased with the nutrition transition while micronutrient deficiencies persist, resulting in clustering of opposite types of malnutrition that can present a unique difficulty for public health interventions. {W}e assessed the magnitude of the double burden of malnutrition among urban {M}oroccan and {T}unisian women, as defined by the coexistence of overall or central adiposity and anemia or iron deficiency ({ID}), and explored the sociodemographic patterning of individual double burden. {I}n cross-sectional surveys representative of the region around the capital city, we randomly selected 811 and 1689 nonpregnant women aged 20-49 y in {M}orocco and {T}unisia, respectively. {F}our double burdens were analyzed: overweight (body mass index >= 25 kg/m(2)) or increased risk abdominal obesity (waist circumference >= 80 cm) and anemia (blood hemoglobin <120 g/{L}) or {ID} ({C}-reactive protein-corrected serum ferritin <15 mu g/{L}). {A}djusted associations with 9 sociodemographic factors were estimated by logistic regression. {T}he prevalence of overweight and {ID} was 67.0% and 45.2% in {M}orocco, respectively, and 69.5% and 27.0% in {T}unisia, respectively, illustrating the population-level double burden. {T}he coexistence of overall or central adiposity with {ID} was found in 29.8% and 30.1% of women in {M}orocco, respectively, and in 18.2% and 18.3% of women in {T}unisia, respectively, quite evenly distributed across age, economic, or education groups. {G}enerally, the rare, associated sociodemographic factors varied across the 4 subject-level double burdens and the 2 countries and differed from those usually associated with adiposity, anemia, or {ID}. {A}ny double burden combining adiposity and anemia or {ID} should therefore be taken into consideration in all women. {T}his trial was registered at clinicaltrials.gov as {NCT}01844349.},
  keywords = {{TUNISIE} ; {MAROC}},
  booktitle = {},
  journal = {{J}ournal of {N}utrition},
  volume = {144},
  numero = {1},
  pages = {87--97},
  ISSN = {0022-3166},
  year = {2014},
  DOI = {10.3945/jn.113.178285},
  URL = {https://www.documentation.ird.fr/hor/fdi:010061463},
}