Fig. 1From: When a pandemic and an epidemic collide: COVID-19, gut microbiota, and the double burden of malnutritionA proposed biological and environmental view of COVID-19 and DBM interaction. From the top: SARS-CoV-2 modulates the gut microbiota composition leading to reduced diversity, richness, and beneficial species and enrichment of proinflammatory species. DBM show similar gut microbiota signature and physiology, thus predisposing to SARS-CoV-2 severity. COVID-19 also impacts food insecurity driving both starvation and consumption of ultra-processed foods, resulting in leading to stunting, wasting, and obesity. This negative looped interaction impacts the gut microbiome and weight driving the double burden of malnutrition. Created with BioRender.comBack to article page