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The nutrition transition in Egypt: the double burden of over‐ and undernutrition at the household level examining mother‐child pairs

Egypt has seen an increase in overweight and obesity over the last two decades. This study aims to identify current prevalence and associated risk factors for an intra‐household double burden of over‐ and undernutrition in Egypt by examining mother‐child pairs using 2008 Egypt Demographic and Health Survey data. This study reports contemporary data on the nutrition transition in Egypt by looking at overweight and obesity (BMI ≥ 25) in mothers age 19–49 alongside stunting (height‐for‐age z‐score <‐2) and underweight (weight‐for‐age z‐score <‐2) in children age five and under within the same household. Using bivariate and multivariate analyses, we found an 8.8% prevalence of an intra‐household double burden of malnutrition in a total sample of 16,527 mothers. Of all mothers who were overweight/obese (47.5%), 18.5% had at least one stunted child, 5.1% had at least one underweight child, and 3.2% had both a stunted and underweight child. Multiple demographic and dietary factors may contribute to this double burden, including infant feeding practices, socio‐economic status, area of residency, and number of children. This study demonstrates a clear double burden of over‐ and undernutrition at the household level, and emphasizes the continued importance of addressing factors related to the nutrition transition in Egypt. Support for this research comes from the Global Health Leadership Institute at YSPH.