While it’s easy to become numb to statistics, the number 148.1 million represents not just a figure, but a generation of children whose growth and futures are being stunted by malnutrition.
Key Takeaways
- In 2022, approximately 148.1 million children under five years old were stunted, a condition characterized by impaired growth and development due to chronic malnutrition, representing 22% of all children under five globally
- Globally, 45 million children under 5 were wasted in 2022, with 75% of these cases being severe acute malnutrition which requires urgent life-saving treatment
- Underweight affected 37 million children under five worldwide in 2022, marking a slight decline from previous years but still indicating persistent undernutrition issues
- South Asia accounts for 39% of all stunted children under five globally, with 64 million affected in the region in 2022
- Sub-Saharan Africa has the highest prevalence of wasting at 7.7% among children under five, affecting nearly 13 million children in 2022
- In Latin America and the Caribbean, stunting rates have declined to 11% for under-fives in 2022 from 16% in 2000, but indigenous populations face rates up to 30%
- Stunting prevalence is 30% higher in rural areas than urban for children under five globally, affecting 101 million rural vs 47 million urban children in 2022
- Wasting affects 6.7% of boys and 6.8% of girls under five equally, but severe wasting is 3.7% in both genders in 2022 data
- Underweight rates stand at 13.6% for children aged 0-59 months globally, with peak at 20% between 12-23 months in 2022
- Children 6-23 months are twice as likely to be stunted as those 0-5 months, with 27% vs 14% prevalence in low-income settings
- Girls under five experience 1.5% higher stunting rates than boys in South Asia, at 36% vs 34.5% in 2022
- Indigenous children in Latin America have 2.5 times higher wasting rates (9%) than non-indigenous (3.6%) under-fives
- Stunting rates declined from 39.3% in 2000 to 22% in 2022 globally for under-fives, but progress stalled post-2015
- Wasting prevalence remained stagnant at 6.8% globally from 2012 to 2022, with 7.3 million more wasted children than projected
- By 2030, without accelerated action, 127 million children under five will remain stunted, per UNICEF projections from 2022 data
Child malnutrition remains a widespread crisis, stunting millions of children and threatening their lives.
Causes and Risk Factors
- Poor sanitation causes 50% of global stunting cases through repeated infections hindering nutrient absorption
- Inadequate breastfeeding contributes to 19% of under-five deaths, with only 44% of infants exclusively breastfed for 6 months globally in 2022
- Food insecurity affects 2.4 billion people, but for children under five, it leads to 25% higher malnutrition risk in households
- Maternal undernutrition doubles low birthweight risk, affecting 20 million newborns annually and predisposing to lifelong malnutrition
- Climate change projected to increase child wasting by 10% in vulnerable regions by 2050 via crop failures
- Low dietary diversity scores in 70% of under-5s in fragile states, key cause of micronutrient gaps
- Unsafe water causes 1.5 million child deaths yearly via malnutrition-aggravated diarrhea
- Conflict zones have 3x higher under-5 malnutrition rates (30% stunting)
- Tobacco exposure in utero increases low birthweight by 20%, leading to malnutrition
- Gender inequality in food allocation raises girl child malnutrition 10% higher in some cultures
Causes and Risk Factors Interpretation
We have built a world where a child's path is choked before it begins, not by a single failing but by a brutal relay race of preventable causes—from the first sip of dirty water to the last bite taken from a girl’s plate—passing the baton of malnutrition from generation to generation.
Demographic Breakdowns
- Children 6-23 months are twice as likely to be stunted as those 0-5 months, with 27% vs 14% prevalence in low-income settings
- Girls under five experience 1.5% higher stunting rates than boys in South Asia, at 36% vs 34.5% in 2022
- Indigenous children in Latin America have 2.5 times higher wasting rates (9%) than non-indigenous (3.6%) under-fives
- Lowest wealth quintile households see 45% stunting in under-fives vs 10% in highest quintile globally in 2022
- Adolescent mothers' children have 25% higher risk of low birthweight and subsequent malnutrition under five years
- Under-5 boys stunted at 22.5%, girls 21.5% globally, but girls recover slower post-wasting
- Children in female-headed households 15% more likely malnourished due to economic disparities
- Refugee children under-5 have 2x wasting rates (10%) vs host populations (5%)
- HIV-exposed uninfected infants 60% higher malnutrition risk under-5 years
- Twins under-5 have 3x underweight prevalence (15%) compared to singletons (5%)
Demographic Breakdowns Interpretation
These statistics paint a brutally simple picture: a child’s chance to grow is often decided not by biology, but by the lottery of their mother’s wealth, their family’s ethnicity, or the borders they were born behind.
Global Prevalence
- In 2022, approximately 148.1 million children under five years old were stunted, a condition characterized by impaired growth and development due to chronic malnutrition, representing 22% of all children under five globally
- Globally, 45 million children under 5 were wasted in 2022, with 75% of these cases being severe acute malnutrition which requires urgent life-saving treatment
- Underweight affected 37 million children under five worldwide in 2022, marking a slight decline from previous years but still indicating persistent undernutrition issues
- In 2020, 9% of children under five globally were overweight, contributing to the double burden of malnutrition alongside undernutrition
- Micronutrient deficiencies affect one in three people worldwide, but for children under five, vitamin A deficiency alone impacts 190 million, leading to increased mortality risk
- Globally, 149 million under-fives stunted in 2020, down from 165 million in 2012, per WHO/UNICEF/WB joint estimate
- 22.3% of children under 5 in developing regions stunted in 2022, highest in Southern Asia at 30.8%
- Acute malnutrition (wasting) at 6.8% globally for under-5s, equating to 45.4 million children needing intervention
- 6.9% under-fives underweight worldwide in 2022, with 42 million affected primarily in Asia and Africa
- Vitamin A supplementation reaches only 77% coverage in 73 high-burden countries, leaving millions deficient
Global Prevalence Interpretation
Progress is a cruel arithmetic where saving a hundred thousand children from stunting is a victory, but leaving behind nearly a hundred and fifty million is a global disgrace.
Health Impacts
- In low-income countries, 40% of child deaths under five are linked to undernutrition, with 3.1 million annual deaths attributable in 2022 estimates
- Stunted children face 2-3 times higher risk of death from diarrhea and pneumonia, contributing to 800,000 annual deaths globally
- Wasting increases mortality risk 11.6-fold, with severe cases at 23-fold, leading to 1 million preventable deaths yearly
- Malnutrition impairs cognitive development, reducing IQ by 10-15 points in affected children, impacting future productivity
- Anemic children under five have 50% higher hospitalization rates for infections, exacerbating healthcare burdens
- Malnourished children 67% more likely to attend school less, perpetuating poverty cycles
- Wasted children face 12x higher mortality from measles
- Stunting linked to 20% higher risk of type 2 diabetes in adulthood
- Undernutrition causes 45% of child deaths under-5, mainly infectious diseases
- Overweight under-5s 3x more likely obese adults
Health Impacts Interpretation
Behind these sterile figures lies a ruthless arithmetic: malnutrition is not merely starving children of food today but systematically robbing them of their health, intellect, and future, crafting a world where the deepest poverty is bequeathed to the next generation.
Regional Variations
- South Asia accounts for 39% of all stunted children under five globally, with 64 million affected in the region in 2022
- Sub-Saharan Africa has the highest prevalence of wasting at 7.7% among children under five, affecting nearly 13 million children in 2022
- In Latin America and the Caribbean, stunting rates have declined to 11% for under-fives in 2022 from 16% in 2000, but indigenous populations face rates up to 30%
- Middle East and North Africa region saw overweight prevalence in children under five rise to 8.5% in 2022, driven by urbanization and dietary shifts
- East Asia and Pacific had 45 million stunted children under five in 2022, representing 14% prevalence, with rapid economic growth not fully translating to nutrition improvements
- In Afghanistan, 36.8% of children under five were stunted in 2022, exacerbated by conflict and food insecurity
- Nigeria reported 37% stunting prevalence among under-fives in 2021, with northern regions exceeding 50%
- India has the largest number of stunted children globally at 35 million under-fives in 2022, or 35.5% prevalence
- Ethiopia's wasting rate for under-fives reached 7.2% in 2022, with pastoralist areas at 12%
- Yemen faces 53.6% stunting in children under five as of 2022, one of the highest rates worldwide due to protracted conflict
- Central and Southern Asia holds 59 million stunted under-5s, 40% of global total in 2022
- Western Africa wasting prevalence 8.4% for under-5s, highest subregional rate, affecting 4.2 million kids
- In Eastern Europe and Central Asia, overweight under-5s rose from 6% to 9% between 2010-2022
- South-Eastern Asia stunting at 26% for under-5s in 2022, with Indonesia alone having 7.7 million cases
- Eastern Africa reports 32% stunting prevalence, impacting 12.5 million under-5s amid droughts
- Pakistan's under-5 stunting rate 43.7% in 2022, driven by poverty and poor water quality
- Bangladesh reduced stunting from 51% in 2004 to 28% in 2022 through community programs
- DR Congo has 42.6% under-5 stunting, second highest nationally after Timor-Leste
- Madagascar wasting at 9.4% for under-5s in 2022, linked to cyclones and poverty
Regional Variations Interpretation
We are living in a world where progress in some regions is tragically offset by persistent and devastating neglect in others, proving that economic growth and technological advancement mean little without the political will to ensure every child has a basic chance to grow.
Trends and Projections
- Stunting rates declined from 39.3% in 2000 to 22% in 2022 globally for under-fives, but progress stalled post-2015
- Wasting prevalence remained stagnant at 6.8% globally from 2012 to 2022, with 7.3 million more wasted children than projected
- By 2030, without accelerated action, 127 million children under five will remain stunted, per UNICEF projections from 2022 data
- Overweight in under-fives projected to rise 20% in low- and middle-income countries by 2030 if trends continue
- COVID-19 caused 6.9 million additional stunted children under five globally between 2020-2022 due to disrupted services
- Global under-5 stunting to drop to 17% by 2030 if SDG targets met, from 22% in 2022
- Wasting expected to affect 55 million under-5s by 2030 without scaling up prevention
- Anemia in under-5s projected to decline only 20% by 2030, far short of 50% target
- Ukraine crisis added 1 million at-risk malnourished children under-5 in 2022-2023
- Malnutrition costs global economy $3.5 trillion annually, 7% GDP loss from child cases
Trends and Projections Interpretation
While we've made promising strides against child malnutrition since 2000, our progress is now dangerously sputtering, leaving us on course to fail a generation of children and pay a crippling economic price for our complacency.
Types of Malnutrition
- Stunting prevalence is 30% higher in rural areas than urban for children under five globally, affecting 101 million rural vs 47 million urban children in 2022
- Wasting affects 6.7% of boys and 6.8% of girls under five equally, but severe wasting is 3.7% in both genders in 2022 data
- Underweight rates stand at 13.6% for children aged 0-59 months globally, with peak at 20% between 12-23 months in 2022
- Anemia, a key micronutrient deficiency, affects 39.8% of children 6-59 months worldwide in 2022, linked to iron deficiency from poor diets
- Overweight and obesity combined affect 37 million under-fives globally, with rapid weight gain in first two years increasing non-communicable disease risk later
- Guatemala indigenous Maya children stunted at 58% vs 28% ladino under-5s
- Global severe wasting 2.2%, but in emergencies reaches 15%, requiring therapeutic feeding
- Iodine deficiency disorders affect 30% of under-5s in deficient areas, causing cretinism
- Zinc deficiency prevalent in 17.3% of under-5s globally, doubling diarrhea mortality risk
- Double burden: 47 countries have both >20% stunting and >5% overweight under-5s in 2022
Types of Malnutrition Interpretation
It is a bitter paradox of our age that nearly half of the world's nations are simultaneously failing to nourish their children, leaving them both starved for today and burdened for tomorrow.
Sources & References
- Reference 1WHOwho.intVisit source
- Reference 2DATAdata.unicef.orgVisit source
- Reference 3FAOfao.orgVisit source
- Reference 4GLOBALNUTRITIONREPORTglobalnutritionreport.orgVisit source
- Reference 5UNICEFunicef.orgVisit source
- Reference 6PAHOpaho.orgVisit source
- Reference 7WORLDBANKworldbank.orgVisit source
- Reference 8THELANCETthelancet.comVisit source
- Reference 9NCBIncbi.nlm.nih.govVisit source
- Reference 10DATAdata.un.orgVisit source
- Reference 11LSHTMlshtm.ac.ukVisit source
- Reference 12MICRONUTRIENTDATAmicronutrientdata.orgVisit source
- Reference 13OURWORLDINDATAourworldindata.orgVisit source
- Reference 14DATAdata.who.intVisit source
- Reference 15MICSmics.unicef.orgVisit source
- Reference 16UNHCRunhcr.orgVisit source
- Reference 17PUBMEDpubmed.ncbi.nlm.nih.govVisit source
- Reference 18EBRARYebrary.netVisit source
- Reference 19DOCUMENTSdocuments.worldbank.orgVisit source
- Reference 20FANTAPROJECTfantaproject.orgVisit source
- Reference 21WASHDATAwashdata.orgVisit source
- Reference 22WFPwfp.orgVisit source