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medRxiv PreprintsInternational4 November 2026

Prevalence and Determinants of the Double Burden of Malnutrition among Adolescents: A Cross-Sectional Study in Urban Schools of Nepal

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Background The double burden of malnutrition (DBM), characterised by coexisting undernutrition and overnutrition, remains a public health concern among adolescents especially in low- and middle-income countries. Adolescents in Nepal are nutritionally vulnerable, yet evidence on the coexistence of stunting and overweight/obesity is limited. This study assessed the prevalence and associated factors of DBM among school-going adolescents in urban Kathmandu Valley, Nepal. Methods A school-based cross-sectional study was conducted to assess factors associated with the double burden of malnutrition a
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