Too few nutrients and too many calories: climate change and the double burden of malnutrition in Asia

About half of children age under five worldwide who are classified as undernourished (84 million out of 151 million) or overweight or obese (17.5 million out of 38 million) live in Asia. Tackling malnutrition in Asia is however fairly complex since the nutritional transition, a consequence of rapid economic development and globalisation, made many Asian nations undergo the simultaneous burdens of under- and over-nutrition. The dual burden of malnutrition is characterised by a concurrence of undernutrition along with overweight and obesity within the same individual, household, community, region and/or country. Providing that household food security is closely linked to malnutrition, this raises questions about the implications of climate change on the dual burden of malnutrition. That climate change affects food availability, access, utilisation and stability is evident. Accordingly, households facing food insecurity due to climatic shocks may allocate food differentially. Adult members may receive low-cost high-calorie food inducing obesity, whilst children receive nutrient-poor foods leading to undernutrition. Little is known about the climate impacts on the double burden of malnutrition and how this affects population subgroups differentially. This Editorial discusses the potential impacts of climate change on the double burden of malnutrition and concludes with the recommendation of strategies to tackle the issue.