Malnutrition and double burden of disease: the African dilemma of non-communicable disease

The double burden of malnutrition (DBM), characterized by the coexistence of undernutrition and overnutrition, remains a major public health challenge in Africa. Sub-Saharan Africa continues to report some of the highest global rates of stunting, wasting, and underweight, with stunting affecting up to 57.7% of children under five, while overweight and obesity are rising sharply, particularly in urban populations. This review synthesizes published evidence on the prevalence, mechanisms, and socio