Prevalence and Determinants of the Double Burden of Malnutrition among Adolescents: A Cross-Sectional Study in Urban Schools of Nepal

In urban Kathmandu Valley, Nepal, 3% of school-going adolescents show double burden of malnutrition, with low nutritional knowledge and low diet quality linked to higher odds.

• Why it matters: Double burden of malnutrition remains a concern in low- and middle-income settings, but coexistence evidence among Nepalese adolescents is limited, especially in urban areas.
• What they did: A school-based cross-sectional survey in grades 8–10 used multi-stage cluster random sampling with probability proportional to size, collecting BMI-for-age Z-scores from height and weight and analyzing bivariate and multivariable associations.
• The result: Stunting was 15.3% and overweight/obesity 16.9%, while DBM was 3%; in fully adjusted models, low nutritional knowledge and low diet quality were significantly associated with higher DBM odds.

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