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- Mishra, A, et al.
(author)
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Diminishing benefits of urban living for children and adolescents' growth and development
- 2023
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In: Nature. - : Springer Science and Business Media LLC. - 1476-4687 .- 0028-0836. ; 615:7954, s. 874-883
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Journal article (peer-reviewed)abstract
- Optimal growth and development in childhood and adolescence is crucial for lifelong health and well-being1–6. Here we used data from 2,325 population-based studies, with measurements of height and weight from 71 million participants, to report the height and body-mass index (BMI) of children and adolescents aged 5–19 years on the basis of rural and urban place of residence in 200 countries and territories from 1990 to 2020. In 1990, children and adolescents residing in cities were taller than their rural counterparts in all but a few high-income countries. By 2020, the urban height advantage became smaller in most countries, and in many high-income western countries it reversed into a small urban-based disadvantage. The exception was for boys in most countries in sub-Saharan Africa and in some countries in Oceania, south Asia and the region of central Asia, Middle East and north Africa. In these countries, successive cohorts of boys from rural places either did not gain height or possibly became shorter, and hence fell further behind their urban peers. The difference between the age-standardized mean BMI of children in urban and rural areas was <1.1 kg m–2 in the vast majority of countries. Within this small range, BMI increased slightly more in cities than in rural areas, except in south Asia, sub-Saharan Africa and some countries in central and eastern Europe. Our results show that in much of the world, the growth and developmental advantages of living in cities have diminished in the twenty-first century, whereas in much of sub-Saharan Africa they have amplified.
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| 2. |
- Bixby, H., et al.
(author)
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Rising rural body-mass index is the main driver of the global obesity epidemic in adults
- 2019
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In: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 569:7755, s. 260-4
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Journal article (peer-reviewed)abstract
- Body-mass index (BMI) has increased steadily in most countries in parallel with a rise in the proportion of the population who live in cities(.)(1,2) This has led to a widely reported view that urbanization is one of the most important drivers of the global rise in obesity(3-6). Here we use 2,009 population-based studies, with measurements of height and weight in more than 112 million adults, to report national, regional and global trends in mean BMI segregated by place of residence (a rural or urban area) from 1985 to 2017. We show that, contrary to the dominant paradigm, more than 55% of the global rise in mean BMI from 1985 to 2017-and more than 80% in some low- and middle-income regions-was due to increases in BMI in rural areas. This large contribution stems from the fact that, with the exception of women in sub-Saharan Africa, BMI is increasing at the same rate or faster in rural areas than in cities in low- and middle-income regions. These trends have in turn resulted in a closing-and in some countries reversal-of the gap in BMI between urban and rural areas in low- and middle-income countries, especially for women. In high-income and industrialized countries, we noted a persistently higher rural BMI, especially for women. There is an urgent need for an integrated approach to rural nutrition that enhances financial and physical access to healthy foods, to avoid replacing the rural undernutrition disadvantage in poor countries with a more general malnutrition disadvantage that entails excessive consumption of low-quality calories.
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| 4. |
- Emerton, Rebecca, et al.
(author)
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Emergency flood bulletins for Cyclones Idai and Kenneth : A critical evaluation of the use of global flood forecasts for international humanitarian preparedness and response
- 2020
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In: International Journal of Disaster Risk Reduction. - : ELSEVIER. - 2212-4209. ; 50
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Journal article (peer-reviewed)abstract
- Humanitarian disasters such as Typhoon Haiyan (SE Asia, 2013) and the Horn of Africa drought (2011-2012) are examples of natural hazards that were predicted, but where forecasts were not sufficiently acted upon, leading to considerable loss of life. These events, alongside international adoption of the Sendai Framework for Disaster Risk Reduction, have motivated efforts to enable early action from early warnings. Through initiatives such as Forecast-based Financing (FbF) and the Science for Humanitarian Emergencies and Resilience (SHEAR) programme, progress is being made towards the use of science and forecasts to support international humanitarian organisations and governments in taking early action and improving disaster resilience. However, many challenges remain in using forecasts systematically for preparedness and response. The research community in place through SHEAR enabled the UK government's Department for International Development to task a collaborative group of scientists to produce probabilistic real-time flood forecast and risk bulletins, aimed at humanitarian decision-makers, for Cyclones Idai and Kenneth, which impacted Mozambique in 2019. The process of bulletin creation during Idai and Kenneth is reviewed and critically evaluated, including evaluation of the forecast information alongside evidence for how useful the bulletins were. In this context, this work seeks to navigate the "murky landscape" of national and international mandates, capacities, and collaborations for forecasting, early warning and anticipatory action, with the ultimate aim of finding out what can be done better in the future. Lessons learnt and future recommendations are discussed to enable better collaboration between producers and users of forecast information.
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