BACKGROUND: As the prevalence of @entity28 increases in developing countries, the @entity3147 ( @entity3147 ) has become a public health problem, particularly in countries such as Guatemala with a high concentration of indigenous communities where the prevalence of stunting remains high. OBJECTIVE: The aim was to describe and analyze the prevalence of @entity3147 over time (1998-2008) in indigenous and nonindigenous Guatemalan populations. DESIGN: We used 3 National Maternal and @entity1 Health Surveys conducted in Guatemala between 1998 and 2008 that include anthropometric data from @entity1 aged 0-60 mo and @entity1 of reproductive age (15-49 y). We assessed the prevalence of childhood stunting and both @entity1 and adult female @entity2973 and @entity28 between 1998 and 2008. For the year 2008, we assessed the prevalence of @entity3147 at the household (a stunted @entity1 and an @entity2973 mother) and individual (stunting/short stature and @entity2973 or @entity417 and @entity2973 in the same individual) levels and compared the expected and observed prevalence rates to test if the coexistence of the @entity3147 conditions corresponded to expected values. RESULTS: Between 1998 and 2008, the prevalence of childhood stunting decreased in both indigenous and nonindigenous populations, whereas @entity2973 and @entity28 in @entity1 increased faster in indigenous populations than in nonindigenous populations (0.91% compared with 0.38%/y; P-trend < 0.01). In 2008, the prevalence of stunted @entity1 was 28.8 percentage points higher and of @entity2973 @entity1 4.6 percentage points lower in indigenous compared with nonindigenous populations (63.7% compared with 34.9% and 46.7% compared with 51.3%, respectively). @entity3147 at the household and individual levels was higher in indigenous populations and was higher in geographic areas in which most of the population was indigenous, where there was also a greater prevalence of stunting and @entity3147 at the individual level, both in @entity1 and @entity1 . CONCLUSIONS: In Guatemala, @entity3147 is more prevalent in indigenous than in nonindigenous populations at the household and individual levels. To enhance effectiveness, current strategies of national policies and programs should consider @entity3147 and focus on indigenous populations.

The XXXX in indigenous and nonindigenous Guatemalan populations.

@entity1 :: ('9606', 'Species') :: ['Child', 'women', 'children', 'child'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity28 :: ('MESH:D009765', 'Disease') :: ['obesity'] @entity2973 :: ('MESH:D050177', 'Disease') :: ['overweight'] @entity3147 :: ('MESH:D044342', 'Disease') :: ['double burden of malnutrition', 'DBM']
@entity3147 :: (MESH:D044342,Disease) :: ['double burden of malnutrition']
