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The Costs of Persisting Adult Undernutrition

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Abstract

Nutrition and poverty are closely interlinked. Undernourished people cannot achieve their full potential—mental or physical—and are thus denied the opportunity of earning enough to lift themselves and their families out of the stranglehold of poverty. The repercussions of poor nutrition are even more serious in the case of women, who pass on the impacts of their undernourished status to the next generation perpetuating the cycle of undernutrition, ill health, incapacity and poverty. This chapter reviews the impacts of undernutrition on work capacity and income with a view to assessing the costs of undernutrition to economies in South and South East Asia with a special focus on India at the sub-national level. The objective is to make a case for the urgency of addressing undernutrition if poverty alleviation is the goal and if the benefits of anti-poverty strategies are to reach the groups for whom they are intended.

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Notes

  1. 1.

    The WHO Expert Committee on Anthropometry (WHO 1995) has further divided underweight into three sub categories: mild underweight (17.0–18.49 kg/m2), moderate underweight (16.0–16.99 kg/m2) and severe underweight (BMI <16.0).

  2. 2.

    An Expert Committee classifies populations with less than 5 % adults recording low BMIs as normal.

  3. 3.

    The specific reference to adult males here is made as females in the working age group are also those in the reproductive age group at whom most existing nutrition interventions are targeted.

References

  • Alderman, H., & Behrman, J. R. (2003). Estimated economic benefits of reducing LBW in low income countries. Philadelphia PA: University of Pennsylvania.

    Google Scholar 

  • Abbasi, K. (1999). The World Bank and world health: Changing sides. British Medical Journal, 318, 865–869.

    Google Scholar 

  • Behrman, J. R., Alderman, H., Hoddinott, J. (2004). Hunger and Malnutrition, Copenhagen Consensus Challenge Paper. Retrieved August 9, 2011, from http://plasma-nrg.com/PDF/Hunger_and_Malnutrition.pdf on 9/8/2011.

  • Behrman, J. R., & Rosenzweig, M. R. (2004). Returns to birthweight. Review of Economics and Statistics, 86(2)(06), 586–601.

    Google Scholar 

  • Berg, Alan. (1973). The nutrition factor. Brookings Institution: Washington D.C.

    Google Scholar 

  • Dasgupta, P. (1997). Nutritional status, the capacity for work and poverty traps. The Journal of Econometrics, 77, 5–37.

    Article  Google Scholar 

  • Desai, I. D. (1989). Nutritional status and physical work performance of agricultural migrants in southern Brazil. In Proceedings of XIV International Congress of Nutrition, Seoul, (pp. 297–301).

    Google Scholar 

  • Desai, I. D., Waddell, C., Dutra, S., De Oliveira, S. D., Duarte, E., & Robazzi, M. L. et al. (1984). Marginal malnutrition and reduced physical work capacity of migrant adolescent boys in southern Brazil. American Journal Clinical Nutrition 40, 135–145.

    Google Scholar 

  • De Vasconcellos, M. T. L. (1994). Body Mass Index: Its relationship with food consumption and socioeconomic variables in Brazil. European Journal of Clinical Nutrition, 47, 653–657.

    Google Scholar 

  • Durnin, J. V. G. A. (1992). Low body mass index, physical work capacity and physical activity levels. In W. P. T James & A. Ralph (Eds.), Proceedings of an IDECG Workshop held at FAO Headquarters, Rome, Italy on November 46, 1992. Retrieved October 20, 2011, from http://archive.unu.edu/unupress/food2/UID10E/UID10E0A.HTM

  • Ferro-Luzzi, A., Sette, S., Franklin, M., & James, W. P. T. (1992). A simplified approach to assessing adult chronic energy deficiency. European Journal of Clinical Nutrition, 46, 173–186.

    PubMed  CAS  Google Scholar 

  • Fogel, R. W. (1993). Economic growth, population theory and physiology: The bearing of long-term processes on the making of economic policy. Nobel Lecture, December 9, 1993. Retrieved August 16, 2011, from http://www.nobelprize.org/nobel_prizes/economics/laureates/1993/fogel-lecture.pdf

  • François, P. J. (1990). Unpublished data, FAO, Rome. In P. S. Shetty & W. P. T. James (1994) Body Mass Index, a measure of chronic energy deficiency in adults. Chapter 5: Functional Consequences of low BMI in Adults, FAO FOOD AND NUTRITION PAPER 56, FAO Corporate Document Repository. Retrieved August 12, 2011, from http://www.fao.org/docrep/T1970E/t1970e06.htm

  • Haddad, L. J., & Bouis, H. E. (1991, February). Nutritional status on agricultural productivity: Wage evidence from the Philippines. Oxford Bulletin of Economics and Statistics, 53(1), IFPRI Reprint no. 212. Retrieved August 9, 2011, from http://pdf.usaid.gov/pdf_docs/PNABK429.pdf

  • Latham, M. C. (1989). Nutrition and work performance, energy intakes and human wellbeing in Africa. In Proceedings of XIV International Congress on Nutrition, Seoul, (pp. 314–317).

    Google Scholar 

  • Naidu, A. N. (1992). Paper presented at a meeting Functional Significance of Low Body Mass Index (BMI), Rome.

    Google Scholar 

  • Norgan, N. G., Shetty, P. S., Baskaran, T., Nandi, T., Rao, J., Sette, S., et al. (1993). The determinants of the biological impact of seasonality on energy nutritional status in a rural Karnataka (South India) agricultural cycle. Rome: INN Research Report.

    Google Scholar 

  • Nube, M. (2007). The Asian enigma: Pre-disposition for low adult body mass index among people from South Asian descent, Centre for World Food Studies, Staff Working Paper, WP-07-01, March.

    Google Scholar 

  • Pelletier, D. L., & Rahn, M. (1998, September). Trends in body mass index in developing countries. Food and Nutrition Bulletin, 19(3). Retrieved October 3, 2011, from http://archive.unu.edu/unupress/food/V193e/ch05.htm

    Google Scholar 

  • Pryer, J. (1993). Body mass index: Its relationship with food consumption and socioeconomic variables in Brazil. European Journal of Clinical Nutrition, 48(suppl. 3), S115–S123.

    Google Scholar 

  • Satyanarayana, K., Rao, S. S., Radhiah, G., et al. (1991). Body mass index and mortality rates. Nutrition Review, 12(1).

    Google Scholar 

  • Satyanarayana, K., Venkataramana, Y., & Rao, S. M. (1989). Nutrition and work performance: Studies carried out in India. In Proceedings of International Congress of Nutrition, Seoul, (Vol. XIV, pp. 302–305)

    Google Scholar 

  • Sathyanarayana, K. A., Naidu, N., Chatterjee, B., & Narasingha Rao, B. S. (1977, March). Body size and work output. American Journal of Clinical Nutrition, 30, 322–325. Retrieved September 14, 2011, from http://www.ajcn.org/content/30/3/322.full.pdf

    Google Scholar 

  • Shetty, P. S., & James, W. P. T. (1994). Body Mass Index, a measure of chronic energy deficiency in adults. Chapter 5: Functional Consequences of low BMI in Adults, FAO Food and Nutrition Paper 56, FAO Corporate Document Repository. Retrieved October 15, 2011, from http://www.fao.org/docrep/T1970E/t1970e06.htm

  • Spurr, G. B. (1987). The effects of chronic energy deficiency on stature, work capacity and productivity. In B. Schürch & N. S. Schrimshaw (Eds.), Effects of chronic energy deficiency on stature, work capacity and productivity (pp. 95–134). Lausanne: IDECG.

    Google Scholar 

  • Strauss, R. (2000). Adult functional outcome of those born small for gestational age. Journal of the American Medical Association, 283(5), 625–632.

    Article  PubMed  CAS  Google Scholar 

  • Strauss, J. (1986, April). Does better nutrition raise Farm productivity? The Journal of Political Economy, 94(2), 297–320. Retrieved October 17, 2011, from http://econ.lse.ac.uk/courses/ec307/L/strauss.pdf

    Google Scholar 

  • Strauss, J., & Thomas, D. (1998). Health, nutrition, and economic development. Journal of Economic Literature, 36(2), 766–817.

    Google Scholar 

  • Toan, T. D., Chinh, N. T., & Luong, N. X. (1992). Body fat mass status of elderly and relation with disease and illness. Journal of Hygiene, Epidemiology, 49, 2.

    Google Scholar 

  • Town, B., Young, V., & Rand, W. M. (Eds.). (1989). Protein-energy requirements of developing countries: Evaluation of new data. Tokyo, Japan: United Nations University.

    Google Scholar 

  • Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., Sachdev, H. S.; Maternal and Child Undernutrition Study Group. (undated). Maternal and child undernutrition: Consequences for adult health and human capital. Retrieved September 9, 2011, from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2258311/

  • WHO. (1995). Technical report series 854, Physical Status: The use and interpretation of anthropometry. Retrieved May 3, 2011, from http://helid.digicollection.org/en/d/Jh0211e/3.html

  • World Bank. (2006a). What are the dimensions of the undernutrition problem in India today? Retrieved June 7, 2011, from http://siteresources.worldbank.org/SOUTHASIAEXT/Resources/223546-1147272668285/undernourished_chapter_1.pdf

  • World Bank. (2006b). Repositioning nutrition as central to development: A strategy for large scale action. Washington: The World Bank. Retrieved August 12, 2011, from http://siteresources.worldbank.org/NUTRITION/Resources/281846-1131636806329/NutritionStrategy.pdf

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Ramachandran, N. (2014). The Costs of Persisting Adult Undernutrition. In: Persisting Undernutrition in India. Springer, New Delhi. https://doi.org/10.1007/978-81-322-1832-6_4

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  • DOI: https://doi.org/10.1007/978-81-322-1832-6_4

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