scholarly journals Food insecurity, diet quality and body composition: data from the Healthy Life Trajectories Initiative (HeLTI) pilot survey in urban Soweto, South Africa

2021 ◽  
pp. 1-9
Author(s):  
Sarah H Kehoe ◽  
Stephanie V Wrottesley ◽  
Lisa Ware ◽  
Alessandra Prioreschi ◽  
Catherine Draper ◽  
...  
Keyword(s):  
South Africa ◽  
Body Composition ◽  
Food Security ◽  
Body Size ◽  
Food Insecurity ◽  
Diet Quality ◽  
Urban Poor ◽  
Reproductive Age ◽  
Healthy Life ◽  
Life Trajectories

Abstract Objective: To determine whether food security, diet diversity and diet quality are associated with anthropometric measurements and body composition among women of reproductive age. The association between food security and anaemia prevalence was also tested. Design: Secondary analysis of cross-sectional data from the Healthy Life Trajectories Initiative (HeLTI) study. Food security and dietary data were collected by an interviewer-administered questionnaire. Hb levels were measured using a HemoCue, and anaemia was classified as an altitude-adjusted haemoglobin level < 12·5 g/dl. Body size and composition were assessed using anthropometry and dual-energy x-ray absorptiometry. Setting: The urban township of Soweto, Johannesburg, South Africa. Participants: Non-pregnant women aged 18–25 years (n 1534). Results: Almost half of the women were overweight or obese (44 %), and 9 % were underweight. Almost a third of women were anaemic (30 %). The prevalence rates of anaemia and food insecurity were similar across BMI categories. Food insecure women had the least diverse diets, and food security was negatively associated with diet quality (food security category v. diet quality score: B = –0·35, 95 % CI –0·70, –0·01, P = 0·049). Significant univariate associations were observed between food security and total lean mass. However, there were no associations between food security and body size or composition variables in multivariate models. Conclusions: Our data indicate that food security is an important determinant of diet quality in this urban-poor, highly transitioned setting. Interventions to improve maternal and child nutrition should recognise both food security and the food environment as critical elements within their developmental phases.

scholarly journals Quality of diet related to food insecurity and food stamps use among older people

2011 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Maria F Montoya ◽  
Andre W Hite ◽  
Patricia Rohrbeck ◽  
Binky Bawa ◽  
Oladayo O Akinwolemiwa ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Diet Quality ◽  
The United States ◽  
Healthy Eating Index ◽  
Food Stamps ◽  
Older Individuals ◽  
Cross Sectional Survey ◽  
Food Security Status

We explore the association between quality of diet and food security status among older persons. Cross-sectional survey of large national samples, from the National Health & Nutrition Examination Surveys (1988-1994 & 2001-2002), in the United States. A total of 5,039 and 2,040 men and women aged 60 and older, respectively. The dependent variable was the healthy eating index (HEI; 2000 and 2005) as a measure of diet quality. The independent variable of interest was food security status and was categorized as food secure, food insecurity receiving food stamps and food insecurity not receiving food stamps. In multivariate analyses, food insecure individuals not receiving food stamps had lower total HEI-2000 scores compared to food secure individuals (b=-3.91, SE=1.81, P=0.0310). Factors independently associated with high HEI (2000 or 2005) scores were female gender, being married, highly educated or wealthy, with very good/ excellent perceived health, or without functional limitations. Food secure individuals had better quality of diet than food insecure individuals. Among food insecure individuals, receiving food stamps was not associated with diet quality. Food insecure families with older individuals may need new methods of dissemination of food and nutrition programs – methods that yield positive and promising changes in the health status of this special population group.

scholarly journals Self-Reported Food Insecurity and Depression among the Older Population in South Africa

Psych ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. 34-43 ◽  
Author(s):  
Ghose Bishwajit ◽  
Komlan Kota ◽  
Amos Buh ◽  
Sanni Yaya
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Regression Analysis ◽  
Food Security ◽  
Food Insecurity ◽  
Elderly Population ◽  
The Elderly ◽  
Cross Sectional ◽  
Explanatory Variables ◽  
Multivariable Regression

South Africa represents one of the most rapidly aging countries in sub-Saharan Africa with a rising burden of age-related psychological morbidities. Despite having one of the highest human development scores in the region, the country faces serious poverty and food insecurity related challenges. Previous studies have shown a positive association between food insecurity and poor mental health among the adult population, however there is no systematic evidence on this association among the elderly population in an African setting. In the present study, we aimed to address this research gap by analyzing cross-sectional data (n = 931) on the over-50 population (>50 years) from the SAGE (Study on global AGEing and adult health) Well-Being of Older People Study (WOPS) of the World Health Organization, conducted between 2010 and 2013. The outcome variable was perceived depression and the explanatory variables included several sociodemographic factors including self-reported food insecurity. The independent associations between the outcome and explanatory variables were measured using multivariable regression analysis. Results showed that close to a quarter of the population (22.6%, 95% CI = 21.4, 24.7) reported having depression in the last 12 months, with the percentage being markedly higher among women (71.4%). In the multivariable regression analysis, self-reported food insecurity was found to be the strongest predictor of depression among both sexes. For instance, severe food insecurity increased the odds of depression by 4.805 [3.325, 7.911] times among men and by 4.115 [2.030, 8.341] times among women. Based on the present findings, it is suggested that national food security programs focus on promoting food security among the elderly population in an effort to improve their mental health status. Nonetheless, the data were cross-sectional and the associations can’t imply causality.

scholarly journals Do Smallholder Farmers Need Nutrition Education? A Case Study from KwaZulu Natal, South Africa

2021 ◽  
Vol 28 (3) ◽  
pp. 14-27
Author(s):  
Sarahi Moralles ◽  
Abdukladir Egal ◽  
Wilna Oldewage-Theron
Keyword(s):  
South Africa ◽  
Food Security ◽  
Food Insecurity ◽  
Nutrition Education ◽  
Smallholder Farmers ◽  
Dietary Guidelines ◽  
Nutritional Knowledge ◽  
Household Level ◽  
Balanced Diet ◽  
Kwazulu Natal

South Africa (SA) is considered as the second largest economies in Africa with well-developed agricultural food production system. But food security is still a challenge at household level. Currently, in Africa, smallholder agriculture is recognized to contribute food security at household level. This study investigates the prevalence of food insecurity and nutritional knowledge of 78 local smallholder farmers in KwaZulu Natal (KZN) province of South Africa. The results from this study indicated that nutrition knowledge was poor and food insecurity was prevalent at >40% at the household level. It is therefore recommended that future agricultural training should include nutrition education based on FBDG (Food Based Dietary Guidelines) in their respective programs so as to attain a balanced diet for healthy and productive smallholder farmer communities

scholarly journals Household Characteristics and Food Security in Low-Income Urban Areas of South Africa

2021 ◽  
Vol 6 (2) ◽  
pp. 263-276
Keyword(s):  
South Africa ◽  
Food Security ◽  
Food Insecurity ◽  
Low Income ◽  
Urban Areas ◽  
Household Head ◽  
Household Size ◽  
Binary Logistic Regression Model ◽  
Gauteng Province ◽  
Food Markets

In South Africa, food security at the household level is an issue still needing empirical attention. This study conducts an empirical analysis on the effect of household size, income of household head, gender of household head, location of the household, and distance from food markets on food security in the Gauteng Province of South Africa. A binary logistic regression model is estimated to analyze determinants of food security from 900 households randomly selected from three townships of Gauteng Province, South Africa. Data was collected using a survey questionnaire, with food security measured by the Household Food Insecurity Access Scale. This study shows that the income of the household head promotes food security while household size and location of the household contribute to food insecurity. Our results also show that the gender of the household head is essential in maintaining sustainable levels of food security. Furthermore, it was found that the distance from food markets neither makes households food secure nor insecure. This study validates that matriarchal households exhibited comparatively greater food security than male-headed households. The findings of this study are essential in formulating policy on food security in low-income areas.

scholarly journals Food security of food recipients of a food pantry and soup kitchen

2019 ◽  
Vol 22 (8) ◽  
pp. 1451-1460
Author(s):  
Tamara Y Mousa ◽  
Jeanne H Freeland-Graves
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Diet Quality ◽  
Cross Sectional Study ◽  
Positive Influence ◽  
Healthy Eating Index ◽  
Cross Sectional ◽  
Food Pantry ◽  
Soup Kitchen ◽  
The Impact

AbstractObjectiveTo discern the impact of food donations provided by a food pantry and soup kitchen on food security.DesignIn this cross-sectional study, participants completed a demographic questionnaire, core food security module, FFQ and list of food donations. The FFQ was utilized to assess diet quality as estimated via the 2010 Healthy Eating Index.SettingClients were selected randomly from a food pantry and soup kitchen in Central Texas, USA.ParticipantsA total of 222 adults.ResultsApproximately 73 % of participants lacked food security. Compared with the food secure, the food insecure consisted of 61 % men, 42 % Caucasians, 56 % single and 67 % homeless. Also, of the food insecure, 60 % were soup kitchen clients and 64 % had an annual income <$US 1000 (P<0·01). The probability of food insecurity was reduced by ≥1·17-fold when the total dietary intake included the food donations, as these were rich in fruits, total vegetables and grains, dairy and protein foods (P<0·05).ConclusionsFood insecurity was quite prevalent in this sample of individuals who visited food pantries and soup kitchens. The addition of food donations improved the quality of the participants’ total diet and had a positive influence on food security. Thus, community organizations should financially support these food assistance agencies and strive to offer a variety of healthy and tasty foods in adequate quantities to provide optimum diet quality.

Persistent Food Insecurity from Policy Failures in Pakistan

2008 ◽  
Vol 47 (4II) ◽  
pp. 817-834 ◽  
Author(s):  
Zakir Hussain ◽  
Waqar Akram
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Green Revolution ◽  
Weather Conditions ◽  
Healthy Life ◽  
Food Grains ◽  
The People ◽  
Short Time ◽  
Policy Failures

Food security means, “All the people, all the time, have physical and economic access to sufficient, safe and nutritious food to meet their dietary needs and food preference for an active and healthy life” [FAO (1996)]. Three types of food insecurity generally exist in any country, which are: transitory food insecurity that is short time food insecurity occurs due to sporadic crises; chronic food insecurity that arises as a result of long term but not easily changed conditions; cyclic food insecurity that arises due to seasonal fluctuations. If cyclic food insecurity existed in any country for at least six months than it was called as chronic cyclic food insecurity and if it persisted less than six months than called as transitory cyclic food insecurity. Pakistan has made a lot of progress since independence in the field of agriculture in terms of production, yields, and growth in area under cultivation. Indus agriculture has experienced a Green Revolution and is striving for yellow and blue revolutions. However, it could have done far better. Though the overall growth of the Pakistan’s economy has largely been dependent upon the performance of agriculture, over the years, not much investment has been made for the development of this sector. Agriculture performance still depends upon, quite a lot, upon the weather conditions every year. The yields of most of crops are far below the levels achieved at the progressive farms (extension gap). From the Figure 1 it is evident that in the last decade (90s) food availability was increasing and then went down and formed the inverted u-shape. After that again fluctuating means there is no surety about food security. It is also comparable with agriculture growth rate. According to latest statistics in Pakistan as many as 50 million people are engaged in agriculture operations and produce only 25 million tons of food grains. As against this in India, 546 million people are engaged in agricultural operations and produce 176 million tons of food grains, in USA only 6 million people engaged in agriculture, produce 347 million of food grains.

scholarly journals Caregivers’ Knowledge and Food Accessibility Contributes to Childhood Malnutrition: A Case Study of Dora Nginza Hospital, South Africa

2021 ◽  
Vol 18 (20) ◽  
pp. 10691
Author(s):  
Pamela Clarke ◽  
Mthokozisi Kwazi Zuma ◽  
Ayuk Betrand Tambe ◽  
Liana Steenkamp ◽  
Xikombiso Gertrude Mbhenyane
Keyword(s):  
South Africa ◽  
Food Security ◽  
Food Insecurity ◽  
Economic Status ◽  
The Body ◽  
Household Food Security ◽  
Contributing Factors ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Household Food

Amongst the problems facing South Africa today are malnutrition and food insecurity, and there is a need for interventions and innovative strategies to address these. The aim of the study was to determine the contribution of caregivers’ knowledge of nutrition and household food security among children aged 0 to 60 months. A cross-sectional study design was applied using a quantitative approach. A convenience sample (n = 184) of caregiver–child pairs (for children 0 to 60 months) from the Dora Nginza Hospital Paediatric Outpatient Department was used. A structured questionnaire was applied to collect data on socio-economic factors, health status, household food security, and caregivers’ knowledge. In addition, interviews were conducted, and anthropometric measurements of children were taken to determine their nutritional status. The results indicate that most caregivers were female, and more than half completed high school, yet almost 75% were unemployed. Most of the caregivers (58.2%) were either overweight or obese. The results also show that only 33.2% of households were food secure, 29.3% were at risk of hunger, and 37.5% experienced hunger. The prevalence of stunting, underweight, and wasting among children in the study was high. A significant, slightly positive correlation was found between the body mass index of the caregiver and height for age. Poor socio-economic status and food inaccessibility were identified as possible underlying contributing factors to malnutrition, contributing to food insecurity and therefore poor dietary intake.

scholarly journals Food security and related health risk among adults in the Limpopo Province of South Africa

2021 ◽  
Vol 117 (11/12) ◽  
Author(s):  
Hlekani V. Mbhatsani ◽  
Ngoako S. Mabapa ◽  
Tambe B. Ayuk ◽  
Tshifhiwa C. Mandiwana ◽  
Lindelani F. Mushaphi ◽  
...  
Keyword(s):  
South Africa ◽  
Food Security ◽  
Health Risk ◽  
Food Insecurity ◽  
Vegetable Intake ◽  
Dietary Diversity ◽  
Limpopo Province ◽  
Fruit And Vegetable Intake ◽  
Household Food Security ◽  
Fruit And Vegetable

Food insecurity, obesity and hypertension remain major public health issues related to nutrition in South Africa. The purpose of this study was to determine household food security and the health risk of the adult population in the Limpopo Province using cross-sectional designs. A stratified random sampling method was used to recruit adults aged 18 to 65 years in the Limpopo Province of South Africa. Data were collected using a validated, structured questionnaire. All data were analysed using SPSS version 25.0. The study included 640 participants with an average age of 36.2±17.6 years and a household size of five persons; 74.5% of participants fell in the low monthly income bracket (≤ZAR3000). The mean dietary diversity score was 3.99 (CI: 2.79–5.19). The prevalence of food insecurity was 31.3%, obesity 35.2% and hypertension 32.3%. Being a woman, older and married significantly positively influenced obesity and hypertension. Also, a healthy eating lifestyle such as high dietary diversity was found to positively influence obesity status, while daily eating of fruit and vegetables positively significantly influenced the hypertension status of participants (p<0.05). Food insecurity, obesity and hypertension rates remain high among adults in the Limpopo Province of South Africa with consumption of a diet low in dietary variety. Aged and married women were more likely to be obese and hypertensive, while daily fruit and vegetable intake were found to be a protective factor. Educational and nutritional intervention should be designed and geared towards promoting fruit and vegetable intake in the community.

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