DOI: 10.17151/hpsal.2025.30.3.9
How to Cite
1.
Hernández-Santana A, Bustillo-Calidonio Y, Vargas-Cantarero V. The double burden of malnutrition and food security in the Honduran Lenca ethnic population. Hacia Promoc. Salud [Internet]. 2026 Apr. 15 [cited 2026 Apr. 18];30(3):87-99. Available from: https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/11765

Authors

Adriana Hernández-Santana
Universidad Zamorano 
ahernandez@zamorano.edu
https://orcid.org/0000-0002-7802-3611
Perfil Google Scholar
Yezimiel Bustillo-Calidonio
Universidad Zamorano 
yezirb5@unitec.edu
https://orcid.org/0000-0003-1199-6715
Perfil Google Scholar
Victor Vargas-Cantarero
Universidad de Buenos Aires 
victorvargas18294@gmail.com
https://orcid.org/0009-0009-2199-3586
Perfil Google Scholar

Abstract

Objective: To assess the double burden of malnutrition (DBM) and food security (FS) in the Lenca population. Method: Exploratory and descriptive study involving Lenca men and women aged 20 years or older from the municipality of Intibucá, Honduras (2023). Data on nutritional indicators were collected, and the ELCSA instrument was applied to assess FS. Statistical analysis was performed using descriptive statistics with SPSS (v 24.0)®. Results: 48.57% of women did not reach a height of 145 cm. Among men, 40.90% were overweight and 20.45% were obese; among women, 28.57% were overweight and 34.28% were obese. There were statistically significant differences in body mass index and visceral fat for the variable between sexes. 15.62% of men were affected by anemia (9.37% mild, 6.25% moderate) and 21.42% of women (12.5% mild, 8.92% moderate). Altered capillary glucose was estimated in 58.25% of women and 77.5% of men. Estimated DCM was 44% in women and 5% in men, with a prevalence of 30% in the population sample. 77.1% of households suffered from some level of food insecurity. Conclusions: The Lenca population faces food insecurity and DCM, reflected in short stature and anemia in women, as well as overweight, obesity, high body fat, and altered glucose levels in both sexes. There is a clear need for interventions to address this problem in order to prevent chronic noncommunicable diseases.

1. World Health Organization. The double burden of malnutrition: policy brief. Geneva: WHO; 2017. Disponible en: https://www.who.int/publications/i/item/9789241513067

2. World Health Organization. Global nutrition targets 2025: policy brief series. Geneva: WHO; 2014. https://www.who.int/publications/i/item/WHO-NMH-NHD-14.2

3. Instituto de Nutrición de Centro América y Panamá. Seguridad alimentaria y nutricional: conceptos básicos. Guatemala: INCAP; 2018. https://www.incap.int/index.php/es/acerca-de-incap

4. FAO, IFAD, UNICEF, WFP, WHO. The State of Food Security and Nutrition in the World 2024. Rome: FAO; 2024. https://www.fao.org/publications/fao-flagship-publications/the-state-of-food-security-and-nutrition-in-the-world/2024/en

5. Pérez-Escamilla R, Segall-Corrêa AM. Food insecurity measurement and indicators. Rev Nutr [Internet]. 2008;21(5). https://doi.org/10.1590/S1415-52732008000500003

6. CEPAL. Efectos del cambio climático en la costa de América Latina y el Caribe: impactos y vulnerabilidad por sectores. Santiago: CEPAL; 2021.

7. Banco Mundial. Los pueblos indígenas en América Latina: avances en el último decenio y retos pendientes para la garantía de sus derechos. Washington DC: Banco Mundial; 2015. Disponible en: https://www.cepal.org/es/publicaciones/37050-pueblosindigenas-america-latina-avances-ultimo-decenio-retos-pendientes-la

8. Instituto Nacional de Estadística. XVIII Censo de Población y VII de Vivienda 2013. Tegucigalpa: INE; 2015.

9. Consejo Nacional Indígena Lenca de Honduras. Caracterización de la población Lenca. Tegucigalpa: CONILH; 2024.

10. Instituto Nacional de Estadística, ICF. Honduras Encuesta Nacional de Demografía y Salud ENDESA/MICS 2019. Tegucigalpa: INE e ICF; 2020. https://www.cepal.org/sites/default/files/presentations/encuesta-nacional-demografia-salud-endesa-mics-2019-honduras.pdf

11. Anderson I, Robson B, Connolly M, Al-Yaman F, Bjertness E, King A, et al. Indigenous and tribal peoples’ health (The Lancet-Lowitja Institute Global Collaboration): a population study. Lancet [Internet]. 2016;388(10040):131-57. https://pubmed.ncbi.nlm.nih.gov/27108232/

12. Martínez R, López C. Inseguridad alimentaria en población Lenca de Honduras: estudio transversal. Rev Nutr Salud Publica [Internet]. 2019;15(2):45-52.

13. Gibson RS. Principles of nutritional assessment. 2nd ed. New York: Oxford University Press; 2005.

14. World Health Organization. Physical status: the use and interpretation of anthropometry. Technical Report Series No. 854. Geneva: WHO; 1995. Disponible en: https://www.who.int/publications/i/item/9241208546/

15. Gallagher D, Heymsfield SB, Heo M, Jebb SA, Murgatroyd PR, Sakamoto Y. Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index. Am J Clin Nutr [Internet]. 2000;72(3):694-701. Disponible en: https://pubmed.ncbi.nlm.nih.gov/10966886/

16. Ashwell M, Gunn P, Gibson S. Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardiometabolic risk factors: systematic review and meta-analysis. Obes Rev. 2012;13(3):275-86. Disponible en: https://pubmed.ncbi.nlm.nih.gov/22106927/

17. Whelton PK, Carey RM, Aronow WS, Casey DE Jr, Collins KJ, Dennison Himmelfarb C, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. Hypertension [Internet]. 2018;71(6):e13-e115. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29133356/

18. American Diabetes Association. Standards of Medical Care in Diabetes-2023. Diabetes Care. 2023;46(Suppl 1):S1-S291.

19. World Health Organization. Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva: WHO; 2011. Disponible en: https://www.who.int/publications/i/item/WHO-NMH-NHD-MNM-11.1

20. Wells JC, Sawaya AL, Wibaek R, Mwangome M, Poullas MS, Yajnik CS, et al. The double burden of malnutrition: aetiological pathways and consequences for health. Lancet. 2020;395(10217):75-88. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31852605/

21. Comité Científico de la ELCSA. Escala Latinoamericana y Caribeña de Seguridad Alimentaria (ELCSA): Manual de uso y aplicación. Roma: FAO; 2012. Disponible en: https://www.fao.org/4/i3065s/i3065s.pdf

22. Rivera J, Pedraza L, Martorrel R, Gil A. Introduction to the double burden of undernutrition and excess weight in Latin America. Am J Clin Nutr. 2014;100(6):1613S-6S. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25411302/

23. López M, Rivera A, Santos P. Estado nutricional de la población Lenca en Honduras: estudio de línea base 2018. Rev Hondureña Nutr [Internet]. 2019;8(1):23-31.

24. Arias N, Mendoza C, Escalante H, Bustillo J, Mayen AL. Alta prevalencia en el consumo de tabaco y desigualdades en población Lenca, Intibucá, Honduras, 2015. Rev Med Hondur. 2020;88(1):27-32.

25. Secretaría de Salud de Honduras. Encuesta Nacional de Factores de Riesgo de Enfermedades No Transmisibles Honduras 2017. Tegucigalpa: SESAL; 2018.

26. Grajeda R, Hassell T, Ashby-Mithcell K, Uauy R, Nilson R. Regional Overview on the Double Burden of Malnutrition and Examples of Program and Policy Responses: Latin America and the Caribbean. Annals of Nutrition y Metabolism. 2019; 75(2):139-143. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31743911/

27. Hernández-Vásquez A, Visconti-Lopez F, Vargas-Fernández R. Factors Associated with Food Insecurity in Latin America and the Caribbean Countries: A Cross-Sectional Analysis of 13 Countries. Nutrients [Internet]. 2022;14:3190. https://pubmed.ncbi.nlm.nih.gov/35956365/

28. Batis C, Mazariegos M, Martorrell R, Gil A, Rivera J. Malnutrition in all its forms by wealth, education and ethnicity in Latin America: who are more affected?. Public Health Nutrit. 2020;23(1). https://doi.org/10.1017/s136898001900466x

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