{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T19:24:24Z","timestamp":1784143464704,"version":"3.55.0"},"reference-count":48,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,22]],"date-time":"2026-03-22T00:00:00Z","timestamp":1774137600000},"content-version":"vor","delay-in-days":80,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Maternal &amp;amp; Child Nutrition"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The double burden of malnutrition (DBM) \u2010 the coexistence of child undernutrition and maternal overweight\/obesity \u2010 within the same household is a growing public health challenge in sub\u2010Saharan Africa (SSA). This study assessed the prevalence and determinants of DBM at the household level across 22 SSA countries using recent nationally representative Demographic and Health Survey (DHS) data from 103,497 mother\u2013child under\u2010five pairs. Outcomes included child stunting, maternal overweight\/obesity, and DBM, defined as the concurrent occurrence of child stunting and maternal overweight\/obesity in the same household. Descriptive statistics, binary logistic regression, and complementary log\u2010log models were applied, accounting for complex survey designs. Across SSA, 28.34% of children were stunted, 29.59% of mothers were overweight\/obese, and 6.09% of households experienced DBM. Child stunting was associated with maternal short stature (AOR\u2009=\u20093.00; 95% CI: 2.61\u20133.46 for those with height below 145\u2009cm vs. the above), low maternal education (AOR\u2009=\u20090.44; 95% CI: 0.38\u20130.51 for higher vs. no education) and poverty (AOR\u2009=\u20090.43; 95% CI: 0.39\u20130.47 for richest vs. poorest). Maternal overweight\/obesity was associated with higher maternal age (AOR\u2009=\u20094.52; 95% CI: 3.75\u20135.44 for 45\u201349 vs. 15\u201319 years), higher education (AOR\u2009=\u20091.54; 95% CI: 1.35\u20131.76 for higher vs. no education), wealthier households (AOR\u2009=\u20094.91; 95% CI: 4.37\u20135.51 for richest vs. poorest), and urban residence. The likelihood of DBM was higher in wealthier (AOR\u2009=\u20091.51; 95% CI: 1.28\u20131.79), urban households (AOR\u2009=\u20090.90; 95% CI: 0.82\u20130.99 for rural vs. urban), among older mothers (AOR\u2009=\u20091.92; 95% CI: 1.43\u20132.58 for 45\u201349 vs. 15\u201319 years), and children aged 2 years or more (AOR\u2009=\u20092.12; 95% CI: 1.91\u20132.37 for 2 vs. &lt;\u20091 year). These findings highlight that the DBM in SSA reflects overlapping yet contrasting drivers of undernutrition and overnutrition. Urgent, integrated interventions, focusing on maternal education, early childhood nutrition, and the reduction of socioeconomic disparities, are needed to simultaneously curb child stunting and address the rising tide of maternal overweight and obesity.<\/jats:p>","DOI":"10.1111\/mcn.70175","type":"journal-article","created":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T05:05:23Z","timestamp":1774242323000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Malnourished Child, Overweight Mother? Examining the Double Burden of Malnutrition in Sub\u2010Saharan Africa"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4603-5789","authenticated-orcid":false,"given":"Alex","family":"Bawuah","sequence":"first","affiliation":[{"name":"School of Global Studies, Faculty of Social Science University of Sussex Brighton UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8668-4671","authenticated-orcid":false,"given":"Linus","family":"Baatiema","sequence":"additional","affiliation":[{"name":"Ghana Health Service Upper West Regional Health Directorate Wa Ghana"},{"name":"Centre for Migration, Security and International Relations University of Business and Integrated Development Studies Wa Ghana"},{"name":"L&amp;E Research Consult Ltd Wa Upper West Region Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7380-1608","authenticated-orcid":false,"given":"Michael","family":"Sarfo","sequence":"additional","affiliation":[{"name":"School of Human and Health Sciences University of Huddersfield Huddersfield UK"},{"name":"Department of Health and Social Care Coventry University Coventry UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francis","family":"Appiah","sequence":"additional","affiliation":[{"name":"School of Graduate Studies Lingnan University Tuen Mun Hong Kong SAR"},{"name":"Department of Social Sciences Berekum College of Education Berekum Bono Region Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4876-6043","authenticated-orcid":false,"given":"Sanni","family":"Yaya","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health, Imperial College London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,22]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12937-021-00677-6"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2016.00013"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-024-00865-7"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41586-023-06418-5"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqaa153"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pgph.0000397"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys184"},{"key":"e_1_2_12_9_1","unstructured":"Croft T. N. C. K.Allen andB. W.Zachary(2023). Guide to DHS Statistics. InThe Demographic and Health Surveys Program.https:\/\/dhsprogram.com\/data\/Guide-to-DHS-Statistics\/index.htm#t=Analyzing_DHS_Data.htm."},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.12944\/CRNFSJ.7.3.02"},{"key":"e_1_2_12_11_1","volume-title":"Asia and the Pacific Regional Overview of Food Security and Nutrition 2018 \u2013 Accelerating progress towards the SDGs","author":"Food and Agriculture Organisation","year":"2018"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodpol.2019.101788"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-87144-y"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.26656\/fr.2017.8(5).013"},{"key":"e_1_2_12_15_1","unstructured":"Glatzel K. H.Ameye V.H\u00fclsen andM.Qaim(2024). Changing Food Environments in Africa's Urban and Peri\u2010Urban Areas: Implications for Diets Nutrition and Policy. 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(2012).Demographic and Health Survey Sampling and Household Listing Manual.https:\/\/dhsprogram.com\/pubs\/pdf\/DHSM4\/DHS6_Sampling_Manual_Sept2012_DHSM4.pdf."},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3934\/publichealth.2020032"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12571-022-01319-3"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-022-00578-9"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1108\/NFS-03-2023-0055"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.3998\/ujph.6065"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.3386"},{"key":"e_1_2_12_24_1","volume-title":"Regression Models for Categorical Dependent Variables Using Stata","author":"Long J. 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