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The Double Burden of Malnutrition (DBM) is a recent emerging nutritional problem of the coexistence of both under weight, and overweight and/or obesity. Most countries are subjected to both excesses and deficiencies of nutrients and need programmes addressing both issues. The double burden of malnutrition also recognizes that under nutrition early in the life course contributes to an increased tendency for over nutrition in adulthood. The double burden of malnutrition affects all countries, rich and poor. At the individual level the most common form of DBM seems to be energy over nutrition and iron deficiency. At the population level women are most affected by DBM, with most countries having more overweight than underweight women. This book assessed the magnitude of double burden of malnutrition and its associated factors among in-school adolescents in Southern Ethiopia.