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[Correspondence] The double burden of malnutrition associated with poverty

Undernutrition remains a serious health issue for women and children in several developing countries, as pointed out by George Davey Smith in his Comment on the report on BMI trends (April 2, p 1349).1 However the situation is not exclusively undernutrition for the poor and overnutrition for the better off. The burden of obesity shifts progressively from the wealthier to the poorer groups with rising country income.2