scholarly journals Displacement of Household Foods by Fortified Blended Flours versus Lipid-based Supplements in Complementary Feeding of Children Aged 6–23 Months in Burkina Faso (OR21-03-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Ilana Cliffer ◽  
William Masters ◽  
Beatrice Rogers
Keyword(s):  
Burkina Faso ◽  
International Development ◽  
Fruits And Vegetables ◽  
Linear Models ◽  
Food Group ◽  
Cereal Grains ◽  
Feeding Time ◽  
Food Frequency ◽  
Diet Diversity ◽  
Nutrient Density

Abstract Objectives Lipid-based nutritional supplements (LNS) and fortified blended flours (FBF) are widely used to increase the nutrient density of children's diets and improve their health, but studies of supplementation have shown relatively modest improvements in linear growth. One mediating factor could be displacement of other foods. This study used food frequency data from a supplementation trial that compared FBF to a lipid-based product. We hypothesized that FBFs, which are typically boiled and fed to the infant as porridge, would displace starchy staples more often than lipid-based supplements, which can be eaten directly by the child. Methods We re-analyzed data from a cost-effectiveness trial designed to compare impacts on anthropometry among infants aged 6–23 months in Burkina Faso of three FBFs versus one LNS. Using food frequency dietary data from a single 24-hour recall period from the original study (n = 1612 children, observed once over 18-month study period), we fit logistic regression models to estimate differences in intake of each food group (grains, legumes and nuts, dairy, flesh foods, fruits and vegetables, vitamin A rich foods, and eggs), and used linear models to test for differences in a diet diversity score between children who received FBF and those who received LNS. We also tested for differences in breastfeeding time using the sub-sample for which that outcome was observed (n = 193). Results Children who consumed FBF were 54% less likely to consume the family's cereal grains than those who were fed LNS (OR = 0.46; 95% CI: 0.29, 0.73). Intake of other foods, diet diversity and breastfeeding time did not differ significantly between the two study arms. Conclusions Fortified blended flours displaced the household's own cereal grains more than lipid-based supplements did, with no difference in the child's consumption of other more nutrient-rich family foods. Given limited stomach capacity and feeding time, providing fortified cereals can help improve children's overall diet quality in settings where children would otherwise be fed nutrient-poor starchy staples. Funding Sources United States Agency for International Development, Office of Food for Peace. Supporting Tables, Images and/or Graphs

scholarly journals Elderly Taiwanese who spend more on fruits and vegetables and less on animal-derived foods use less medical services and incur lower medical costs

2016 ◽  
Vol 115 (5) ◽  
pp. 823-833 ◽  
Author(s):  
Yuan-Ting C. Lo ◽  
Mark L. Wahlqvist ◽  
Yi-Chen Huang ◽  
Meei-Shyuan Lee
Keyword(s):  
Older Adults ◽  
Fruits And Vegetables ◽  
Medical Service ◽  
Linear Models ◽  
Medical Costs ◽  
Food Group ◽  
Study Cohort ◽  
Service Utilisation ◽  
Medical Care System ◽  
Hospital Days

AbstractA higher intake of fruits and vegetables (F&V) compared with animal-derived foods is associated with lower risks of all-cause-, cancer- and CVD-related mortalities. However, the association between consumption patterns and medical costs remains unclear. The effects of various food group costs on medical service utilisation and costs were investigated. The study cohort was recruited through the Elderly Nutrition and Health Survey in Taiwan between 1999 and 2000 and followed-up for 8 years until 2006. It comprised free-living elderly participants who provided a 24-h dietary recall. Daily energy-adjusted food group costs were estimated. Annual medical service utilisation and costs for 1445 participants aged 65–79 years were calculated from the National Health Insurance claim data. Generalised linear models were used to appraise the associations between the food group costs and medical service utilisation and costs. Older adults with the highest F&V cost tertile had significantly fewer hospital days (30 %) and total medical costs (19 %), whereas those in the highest animal-derived group had a higher number of hospital days (28 %) and costs (83 %) as well as total medical costs (38 %). Participants in the high F&V and low animal-derived cost groups had the shortest annual hospitalisation stays (5·78 d) and lowest costs (NT$38 600) as well as the lowest total medical costs (NT$75 800), a mean annual saving of NT$45 200/person. Older adults who spend more on F&V and less on animal-derived foods have a reduced medical-care system burden. This provides opportunities for nutritionally related healthcare system investment strategies.

scholarly journals Using National Survey Data From Nigeria to Assess Maternal-Child Dietary Concordance and Inform Nutrition Program Strategy

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 389-389
Author(s):  
Nadia Akseer ◽  
Rebecca A Heidkamp ◽  
Andrew Thorne-Lyman
Keyword(s):  
Maternal Education ◽  
Fruits And Vegetables ◽  
Dietary Diversity ◽  
Maternal Diet ◽  
Food Group ◽  
Household Wealth ◽  
Demographic And Health Surveys ◽  
Food Groups ◽  
Diet Diversity ◽  
Maternal Child

Abstract Objectives Improving child diet diversity is a policy priority in many settings. Multiple factors influence complementary feeding practices in low-income countries including household food access, caregiver-level factors and cultural practices. Child's dietary data is often available in national surveys (i.e., Demographic and Health Surveys, DHS), but they typically lack diet data from adults. The 2018 Nigeria DHS was among the first to measure food group intake in both young children and women. We describe the relationship between child and maternal diet diversity in Nigeria and highlight implications for design of infant and young child feeding (IYCF) programs. Methods Using the Nigeria DHS 2018 dataset, we estimated consumption of individual food groups in the previous 24 hours as well as minimum dietary diversity for children 6–23 months (MDD-C) and their mothers, women 15–49 years (MDD-W) using WHO-UNICEF definitions. We compare rates of concordance and discordance between n = 8975 mother-child pairs for individual food groups and MDD using McNemar's tests. Probit regression was used to identify drivers of MDD-C. Results Nationally, 22% of children achieve MDD-C; 51% of mothers achieve MDD-W. For both populations, the most commonly consumed group is grains, roots and tubers (>80%) Dairy and eggs are the least consumed. Maternal-child (age 12–23 months) discordance is highest for consumption of legumes and nuts (36%), vitamin A rich fruits and vegetables (39%) and other fruits and vegetables (57%); mothers consume these more frequently. Children are more likely than mothers to consume dairy (19% vs 8%) and eggs (8% vs 4%). Maternal-child food group discordance is consistently higher for children 6–11months than children 12–23 months. Results vary at state level and by maternal age group. Children's MDD probability is increased by MDD-W (27%, P < 0.001), higher maternal education (8%, P < 0.01) and household wealth (7%, P < 0.01). Conclusions Maternal and child diet diversity is suboptimal in Nigeria. Maternal diet is a primary driver of child diet in Nigeria. Legumes and nuts and fruits and vegetables are available but not consistently fed to children; an important finding for IYCF program design. The forthcoming DHS-8 core questionnaire will provide child and maternal diet data for more than 90 countries. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals Specifications of Nutrition with Healthy and Pathological Conditions of Psoriasis

2020 ◽  
Author(s):  
A. Nurgozhina ◽  
B. Yermekbayeva ◽  
A. Gulyayev ◽  
S. Kozhakhmetov ◽  
Sh. Sergazy ◽  
...  
Keyword(s):  
Autoimmune Disease ◽  
Low Income ◽  
Food Frequency Questionnaire ◽  
Fruits And Vegetables ◽  
Food Group ◽  
Questionnaire Data ◽  
Food Frequency ◽  
The Past ◽  
Pathological Conditions

Psoriasis is a long-lasting autoimmune disease characterized by patches of abnormal skin. 183 participants in the experiment were selected for the study, half of which are with psoriasis disease. All participants in the study passed the EPIC-Norfolk Food Frequency Questionnaire, which was completed once and included a diet over the past week. The aim of the study was to identify the intakes of different nutrients in two groups by age. After questionnaire FETA tool was used to analyze all answers (http://www.srl.cam.ac.uk/epic/epicffq/).  The output was the results for all nutrients and macro and microelements that are in the food. Significant differences in patients were in eight nutrients, namely: betacarotene, carotene, fructose, potassium, potatoes, fruits, nuts and seeds, and vegetables. All differences are in favor of healthy patients. Patients with psoriasis had a diet with low income of fruits and vegetables which brought to the deficiency in some nutrients and vitamins. The used tool for converting food frequency questionnaire data into nutrient and food group values can be used widely for different study populations.

scholarly journals Effects of Indigenous Diet Iron Content and Location on Hemoglobin Levels of Ghanaians

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2710 ◽  
Author(s):  
April Callister ◽  
Joanna Gautney ◽  
Christina Aguilar ◽  
Julian Chan ◽  
David Aguilar
Keyword(s):  
Food Group ◽  
Food Type ◽  
Plant Proteins ◽  
Food Groups ◽  
Sex Distribution ◽  
Dietary Interventions ◽  
Food Frequency ◽  
Blood Samples ◽  
Ease Of Access ◽  
The Impact

Multiple studies have demonstrated strong links between diet and anemia, but few have explored the impact of food groups on hemoglobin (Hb). We analyzed the correlation between Ghanaian diet and Hb levels to explore reduction of anemia prevalence through dietary interventions. Demographics, food frequency questionnaires (FFQ), and blood samples were obtained from 140 volunteers (ages 18–65) in five locations across Ghana. Hb was measured; estimated iron consumption was calculated. FFQ items were grouped by food type, and a regression analysis was performed to determine the most important dietary predictors of Hb. Moreover, 47% of total participants were anemic; 64% of females and 28% of males. Hb levels were highest in Mole (13.9 g/dL, SD = ±1.9), independent of sex distribution. The regression model revealed a 62.7% adjusted correlation between food groups and Hb levels. Animal foods (β = 0.016, t = 5.08, p < 0.01) and plant protein (β = 0.013, t = 2.86, p < 0.01) were the most influential groups to Hb levels. It is of vital importance to emphasize the benefits of consuming animal foods and plant proteins within the Ghanaian population. The ease of access to plant proteins makes it likely that this food group will be most influential and have the greatest impact in reduction of anemia in the Ghanaian population.

Validation of the FRESH Austin Food Frequency Questionnaire Using Multiple 24-hour Dietary Recalls

2021 ◽  
pp. 1-26
Author(s):  
CES Jovanovic ◽  
J Whitefield ◽  
DM Hoelscher ◽  
B Chen ◽  
N Ranjit ◽  
...  
Keyword(s):  
Low Income ◽  
Food Frequency Questionnaire ◽  
Fruits And Vegetables ◽  
Health Clinic ◽  
Local Health ◽  
Food Frequency ◽  
Intervention Area ◽  
Valid Instrument ◽  
Local Health Center ◽  
Community Health Clinic

Abstract Objective: The purpose of this study was to examine the validity of a Food Frequency Questionnaire (FFQ) utilized in the Food Retail: Evaluating Strategies for a Healthy Austin (FRESH Austin) study, designed to evaluate changes in the consumption of fruits and vegetables (FV) in diverse low-income communities in Austin, TX. Design: The FRESH Austin FFQ was validated against three 24-hour dietary recalls (24hDRs). All dietary assessments were administered (in-person or by telephone) by trained investigators. Setting: Recruitment was conducted at sites within the geographic areas targeted in the FRESH Austin recruitment. People at a community health clinic, a local health center, and a YMCA within the intervention area were approached by trained and certified data collectors, and invited to participate. Participants: Among n=56 participants, 83% were female, 46% were non-White, 24% had income < $25K/year, and 30% spoke only/mostly Spanish at home. Results: The FFQ and average of three 24hDRs produce similar estimates of average total servings per day across FV (6.68 and 6.40 servings per day, respectively.) Correlations produced measures from 0.01 for “Potatoes” and 0.59 for “Other Vegetables”. Mean Absolute Percentage Errors (MAPE) values were small for all FV, suggesting the variance of the error estimates were also small. Bland-Altman plots indicate acceptable levels of agreement between the two methods. Conclusion: These outcomes indicate that the FRESH FFQ is a valid instrument for assessing FV consumption. The validation of the FRESH Austin FFQ provides important insights for evaluating community-based efforts to increase FV consumption in diverse populations.

scholarly journals Healthy dietary habits in relation to social determinants and lifestyle factors

1999 ◽  
Vol 81 (3) ◽  
pp. 211-220 ◽  
Author(s):  
Lars Johansson ◽  
Dag S. Thelle ◽  
Kari Solvoll ◽  
Gunn-Elin Aa. Bjørneboe ◽  
Christian A. Drevon
Keyword(s):  
Social Status ◽  
Fruits And Vegetables ◽  
Dietary Habits ◽  
Economic Status ◽  
Multiple Regression Model ◽  
Healthy Diet ◽  
Dietary Survey ◽  
Food Frequency ◽  
Men And Women ◽  
Socio Economic Status

The aim of the present study was to evaluate the importance of social status and lifestyle for dietary habits, since these factors may influence life expectancy. We studied the association of four indicators for healthy dietary habits (fruits and vegetables, fibre, fat and Hegsted score) with sex, age, socio-economic status, education, physical leisure exercise, smoking and personal attention paid to keeping a healthy diet. Data were gathered with a self-administered quantitative food-frequency questionnaire distributed to a representative sample of Norwegian men and women aged 16–79 years in a national dietary survey, of whom 3144 subjects (63%) responded. Age and female sex were positively associated with indicators for healthy dietary habits. By separate evaluation length of education, regular physical leisure exercise and degree of attention paid to keeping a healthy diet were positively associated with all four indicators for healthy dietary habits in both sexes. Socio-economic status, location of residence and smoking habits were associated with from one to three indicators for healthy dietary habits. In a multiple regression model, age, education and location of residence together explained from 1 to 9% of the variation (R2) in the four dietary indicators. Length of education was significantly associated with three of four dietary indicators both among men and women. By including the variable ‘attention paid to keeping a healthy diet’ in the model, R2 increased to between 4 and 15% for the four dietary indicators. Length of education remained correlated to three dietary indicators among women, and one indicator among men, after adjusting for attention to healthy diet, age and location of residence. Residence in cities remained correlated to two indicators among men, but none among women, after adjusting for age, education and attention to healthy diet. In conclusion, education was associated with indicators of a healthy diet. Attention to healthy diet showed the strongest and most consistent association with all four indicators for healthy dietary habits in both sexes. This suggests that personal preferences may be just as important for having a healthy diet as social status determinants.

scholarly journals Food Consumption and Nutrient Density of Adults Male Aged 19-49 Years Old in Indonesia

2021 ◽  
Vol 1 (1) ◽  
pp. 22-31
Author(s):  
Teguh Jati Prasetyo ◽  
Izzati Nur Khoiriani ◽  
Katri Andini Surijati
Keyword(s):  
Vitamin A ◽  
Vitamin C ◽  
Food Consumption ◽  
Adult Population ◽  
Food Group ◽  
Institute Of Medicine ◽  
Male Population ◽  
Data Set ◽  
Nutrient Density ◽  
Calcium Iron

The objectives of this study was to analyze food consumption and nutrient density of adults male aged 19-49 years old in Indonesia. This study was carried out through analyzing a consumption data set of Total Diet Study (SDT) of Indonesian Ministry of Health which were collected using 24-hour food recall method. The final subjects included for this study were 26268 male. The nutrients adequacy were assessed based on Institute of Medicine calculation. The nutrients analyzed include energy, protein, calcium, iron, zinc, vitamin A and vitamin C. The average food consumption of Indonesian adult male population is mostly from the grains food group of 305.0 g. The food group that was consumed the least by the adult population was oily seeds as much as 18.1 g. The adequacy of energy, protein, calcium, iron, zinc, vitamin A and vitamin C were 81.4%, 108.3%, 105.5%, 159.4%, 64.8%, 107.7% and 54.6%, respectively. The nutrient density of protein, Ca, Zn, vitamin A and vitamin C were still under the recommendation. It means that food consumption quality of Indonesian adults need to be improved. Considering the inadequate intake of some micronutrients in Indonesian adults male, it is necessary to increase the consumption of animal food, legumes, fruits and vegetables as sources of micronutrients.

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