The impact of malnutrition in adults is lower work productivity overall, and this can affect the country's economic growth and standard of living. The most appropriate conclusion to draw from this situation is that

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The statement "not only is poverty a cause of hunger, but hunger is a cause of poverty" acknowledges the cyclical relationship between poverty and malnutrition. It suggests that addressing malnutrition is necessary to break the cycle of poverty and improve economic growth and standard of living. While nourishing children, providing equal educational opportunities, and offering workforce training can each have their own positive impacts, D encompasses them all and provides the most comprehensive understanding of the situation.

The Impact of Malnutrition in Adults Is Lower Work Productivity