scholarly journals Maternal Employment and Children's Dietary Diversity Scores in Southwestern Guatemala (P10-039-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Caitlin Lowery ◽  
Vanessa Oddo ◽  
Kristen Hurley ◽  
Jessica Jones-Smith ◽  
Joel Gittelsohn ◽  
...  
Keyword(s):  
Maternal Employment ◽  
Qualitative Data ◽  
Dietary Diversity ◽  
Food Group ◽  
Food Groups ◽  
Daily Consumption ◽  
Food Purchasing ◽  
Logistic Regression Models ◽  
Food Items ◽  
Employed Women

Abstract Objectives To assess the relationship between maternal employment and children's dietary diversity in rural Guatemala. Methods A mixed-method design was used to compare quantitative findings on children's dietary diversity collected from Food Frequency Questionnaires (FFQs) (n = 802), with qualitative data from in-depth interviews (IDIs) with a sub-sample of participants (n = 20). Mothers reported the number of times per week their child consumed select food items from seven food groups (grains, legumes, vitamin A-rich fruits & vegetables, other fruits & vegetables, eggs, dairy and meat). The total for each food item was then divided by seven to find the number of times the child consumed each food per day. Then, the daily consumption of all food items within a category was totaled for each food group. If the total for the food group was at least one, the child was given one point for daily consumption, with a maximum dietary diversity score (DDS) of seven. Using multivariate linear regression, we compared the DDS of children of employed mothers to the DDS of children of unemployed mothers. We used separate multivariate logistic regression models to estimate the association between maternal employment and consumption of each food group. Models were adjusted for maternal (age, education, marital status, parity), child (age, sex), and household (size) characteristics. IDIs explored the mechanisms by which food purchasing and preparation, as well as child-feeding behavior differed for employed and unemployed women. Results Maternal employment (versus unemployment) was associated with higher dietary diversity scores for children (β = 0.3; 95% CI: 0.06,0.54). The odds of consuming each food group did not differ significantly between children of employed and unemployed women, except for dairy (OR: 1.9, 95% CI: 1.0, 2.6), but the general trend suggested children of employed women were more likely to consume six of the seven food groups. Qualitative data indicates that employed women purchase higher quality and greater quantities of food. Conclusions Maternal employment is associated with higher children's dietary diversity scores in rural Guatemala. Quantitative and qualitative data suggests that maternal employment is related to food purchasing behavior. Funding Sources Mathile Institute & Global Obesity Prevention Center at Johns Hopkins Bloomberg School of Public Health.

scholarly journals Validation of a food-frequency questionnaire for cohort studies in rural Japan

2003 ◽  
Vol 6 (2) ◽  
pp. 147-157 ◽  
Author(s):  
Keiko Ogawa ◽  
Yoshitaka Tsubono ◽  
Yoshikazu Nishino ◽  
Yoko Watanabe ◽  
Takayoshi Ohkubo ◽  
...  
Keyword(s):  
Cohort Studies ◽  
Total Energy ◽  
Food Frequency Questionnaire ◽  
Correlation Coefficients ◽  
Food Groups ◽  
Daily Consumption ◽  
Cross Sectional ◽  
Food Frequency ◽  
Food Items ◽  
Miyagi Prefecture

AbstractObjectives:To examine the validity and reproducibility of a self-administered food-frequency questionnaire (FFQ) used for two cohort studies in Japan.Design:Cross-sectional study.Setting:Two rural towns in the Miyagi Prefecture, in north-eastern Japan.Subjects:Fifty-five men and 58 women.Results:A 40-item FFQ was administered twice, 1 year apart. In the mean time, four 3-day diet records (DRs) were collected in four seasons within the year. We calculated daily consumption of total energy and 15 nutrients, 40 food items and nine food groups from the FFQs and the DRs. We computed Spearman correlation coefficients between the FFQs and the DRs. With adjustment for age, total energy and deattenuation for measurement error with the DRs, the correlation coefficients for nutrient intakes ranged from 0.25 to 0.58 in men and from 0.30 to 0.69 in women, with median of 0.43 and 0.43, respectively. Median (range) of the correlation coefficients was 0.35 (−0.30 to 0.72) in men and 0.34 (−0.06 to 0.75) in women for food items and 0.60 (−0.10 to 0.76) and 0.51 (0.28–0.70) for food groups, respectively. Median (range) of the correlation coefficients for the two FFQs administered 1 year apart was 0.49 (0.31–0.71) in men and 0.50 (0.40–0.64) in women for nutrients, 0.43 (0.14–0.76) and 0.45 (0.06–0.74) respectively for food items, and 0.50 (0.30–0.70) and 0.57 (0.39–0.66) respectively for food groups. Relatively higher agreement percentages for intakes of nutrients and food groups with high validity were obtained together with lower complete disagreement percentages.Conclusions:The FFQ has a high reproducibility and a reasonably good validity, and is useful in assessing the usual intakes of nutrients, foods and food groups among a rural Japanese population.

Pesticides, Selected Elements, and Other Chemicals in Adult Total Diet Samples, October 1978-September 1979

1985 ◽  
Vol 68 (5) ◽  
pp. 862-875 ◽  
Author(s):  
Marcia J Gartrell ◽  
John C Craun ◽  
David S Podrebarac ◽  
Ellis L Gunderson
Keyword(s):  
Daily Intake ◽  
Food Group ◽  
Average Concentration ◽  
Food Groups ◽  
Industrial Chemicals ◽  
Food Items ◽  
Total Diet ◽  
The Individual ◽  
Daily Intakes ◽  
Calculated Average

Abstract The U.S. Food and Drug Administration (FDA) conducts Total Diet Studies to determine the dietary intake of selected pesticides, industrial chemicals, and elements (including radionuclides). These studies involve the retail purchase and analysis of foods representative of the diets of infants, toddlers, and adults. The individual food items are separated into a number of food groups, each of which is analyzed as a composite. This report summarizes the results for adult Total Diet samples collected in 20 cities between October 1978 and September 1979. The average concentration, range of concentrations, and calculated average daily intake of each chemical found are presented by food group. The average daily intakes of the chemicals are similar to those found in the several preceding years and are within acceptable limits. The results for samples collected during the same period that represent the diets of infants and toddlers are reported separately.

scholarly journals Pattern and Extent of Street Food Consumption in Hohoe, Volta Region, Ghana: A Community-Based Cross-Sectional Survey

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Winnifred Ekua Baidoe ◽  
Mark Kwame Ananga ◽  
Elorm Kwame Nyinaku
Keyword(s):  
Food Consumption ◽  
Dietary Diversity ◽  
Sampling Technique ◽  
Food Group ◽  
Daily Basis ◽  
Food Groups ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Street Food

Background. For most people in developing countries, street food is a major source of sustenance, and Ghana is no exception. Street food vending has seen tremendous growth in Ghana as a result of the insurgence of urbanisation. Despite being one of the largest sectors of national economy in terms of employment and sales of food, very little is known about street food consumption patterns in Ghana. The current study explored the patterns and extent of street food consumption in the Hohoe township. Methods. A cross-sectional design which recruited 403 subjects through a multistage sampling technique. A semistructured questionnaire was used to gather information on demographics, types of street foods, extent of street food consumption, safety concerns, and diversity of street foods patronised. Means, standard deviations, and Chi-square tests were used to determine the association between selected variables at <0.05 level of significance. Results. The top 5 foods mostly patronised by respondents are porridge foods-Koko (17.9%), rice and stew (17.4%), banku (12.6%), waakye (11.5%), and kenkey (8.7%) with porridge foods consumed almost on a daily basis. Convenience (37.2%) and affordability (17.1%) greatly influenced the choice of street foods among consumers. Occupation and the level of education are strongly correlated with the concern for safety of street foods {(X2 = 17.3094, P<0.008); (X2 = 17.1731, P<0.002)}. The dietary diversity score of most respondents was in the high tercile (77.7%) (≥6 food groups), whilst the cereals dominate the food group mostly consumed by respondents. Conclusion. The study suggests that patronising street food is very high in Hohoe municipality, irrespective of the gender, occupation, or educational level. As an “informal” sector of food business, street foods often escape formal inspection and control. They can, therefore, both be the source of food safety problems and contribute to the deterioration of environmental hygiene. This is a call on policy makers and regulators to take a critical look at the sector.

scholarly journals Investigating differences in dietary patterns among a small cross-sectional study of young and old Pacific peoples in NZ using exploratory factor analysis: a feasibility study

BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e023126 ◽  
Author(s):  
Ridvan Tupai-Firestone ◽  
Soo Cheng ◽  
Joseph Kaholokula ◽  
Barry Borman ◽  
Lis Ellison-Loschmann
Keyword(s):  
New Zealand ◽  
Dietary Patterns ◽  
Generational Differences ◽  
Dietary Diversity ◽  
Limited Range ◽  
Healthy Diet ◽  
Food Groups ◽  
Cross Sectional ◽  
Food Items ◽  
The Relationship

ObjectivesObesity among Pasifika people living in New Zealand is a serious health problem with prevalence rates more than twice those of the general population (67% vs 33%, respectively). Due to the high risk of developing obesity for this population, we investigated diet quality of Pacific youth and their parents and grandparents. Therefore, we examined the dietary diversity of 30 youth and their parents and grandparents (n=34) to identify whether there are generational differences in dietary patterns and investigate the relationship between acculturation and dietary patterns.MethodsThe study design of the overarching study was cross-sectional. Face-to-face interviews were conducted with Pasifika youth, parents and grandparents to investigate dietary diversity, that included both nutritious and discretionary food items and food groups over a 7 day period. Study setting was located in 2 large urban cities, New Zealand. Exploratory factor analyses were used to calculate food scores (means) from individual food items based on proportions consumed over the week, and weights were applied to calculate a standardised food score. The relationship between the level of acculturation and deprivation with dietary patterns was also assessed.ResultsThree distinctive dietary patterns across all participants were identified from our analyses. Healthy diet, processed diet and mixed diet. Mean food scores indicated statistically significant differences between the dietary patterns for older and younger generations. Older generations showed greater diversity in food items consumed, as well as eating primarily a ‘healthy diet’. The younger generation was more likely to consume a ‘processed diet’. There was significant association between acculturation and deprivation with the distinctive dietary patterns.ConclusionOur investigation highlighted generational differences in consuming a limited range of food items. Identified dietary components may, in part, be explained by specific acculturation modes (assimilation and marginalised) and high socioeconomic deprivation among this particular study population.

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 (&gt;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 &lt; 0.001), higher maternal education (8%, P &lt; 0.01) and household wealth (7%, P &lt; 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 The Influence of dietary diversity on the nutritional status of children between 6 and 23 months of age in Tanzania

2019 ◽  
Author(s):  
Ahmed Gharib Khamis ◽  
Akwilina Wendelin Mwanri ◽  
Julius Edward Ntwenya ◽  
Katharina Kreppel
Keyword(s):  
Fruits And Vegetables ◽  
Dietary Diversity ◽  
Secondary Data ◽  
Food Group ◽  
Limited Information ◽  
Food Groups ◽  
Child Feeding ◽  
Young Child Feeding ◽  
Nutritional Status Of Children ◽  
Minimum Dietary Diversity

Abstract Background Undernutrition poses a serious health challenge in developing countries. Tanzania has the highest undernutrition burdens in East and Southern Africa. Poor infant and young child feeding practices including consumption of undiversified diet are the main cause for undernutrition. There is limited information regarding the association between dietary diversity and undernutrition in Tanzania. The objective of this paper was to examine to what extent the dietary diversity is associated with undernutrition of children of 6 to 23 months in Tanzania.Methods This is a secondary data analysis from data collected by the Tanzania Demographic and Health Survey of 2015-2016. Stunting, wasting and underweight were calculated from Z-scores based on 2006 WHO standards. A dietary diversity score was created by summing the number of food groups reported for each child by the mother ranging from 0 to 7. Then, a Minimum Dietary Diversity (MDD) indicator was used to assess the diversity of the diet given to children. Bivariate and multivariate logistic regression techniques were used to assess the odds ratios of becoming undernourished.Results A total of 2,960 children were enrolled in this study. The majority (73.9%) of children did not reach the recommended Minimum Dietary Diversity (MDD). The most commonly consumed types of foods were grains, roots and tubers (91%), and Vitamin A containing fruits and vegetables (65%). Consumption of a diverse diet was significantly associated with a reduction of stunting, wasting and being underweight in children. The likelihood of being stunted, wasted and underweight was found to decrease as the number of food group consumed increased. Children who did not received an MDD diet had a significantly higher likelihood of being stunted (AOR=1.37, 95% CI; 1.13-1.65) and underweight (AOR=1.49, 95% CI; 1.15-1.92), but this was not the case for wasting. Consumption of animal source foods has been found to be associated with reduced stunting among children.Conclusion Consumption of a diverse diet was associated with a reduction in undernutrition among children of 6 to 23 months in Tanzania. Measures to improve the type of complementary foods in order to meet the energy and nutritional demands of children should be considered in Tanzania.

scholarly journals Association Study on Nutrition in the First Year of Life and Molar-Incisor Hypomineralization (MIH)—Results from the GINIplus and LISA Birth Cohort Studies

2021 ◽  
Vol 18 (21) ◽  
pp. 11411
Author(s):  
Yeganeh Khazaei ◽  
Carla P. Harris ◽  
Joachim Heinrich ◽  
Marie Standl ◽  
Jan Kühnisch
Keyword(s):  
Cohort Studies ◽  
Birth Cohort ◽  
Food Group ◽  
Permanent Dentition ◽  
First Year ◽  
Food Groups ◽  
Time Points ◽  
Food Items ◽  
Molar Incisor Hypomineralization ◽  
First Year Of Life

Molar-incisor hypomineralization (MIH) is a condition with specific clinical presentation whose etiology to date still remains unknown. This study prospectively investigated the association between nutrition during the 1st year of life and the presence of MIH in the permanent dentition. Data from 1070 10-year-old children from two prospective birth cohort studies were included. Information on exclusive breastfeeding (EBF) and introduction of 48 food items into the child’s diet was assessed at 4-, 6-, and 12-month time-points. Food diversity was defined according to the number of food items or food groups introduced into the child’s diet and then subsequent categorization into low-, middle- and high-diversity groups was performed. MIH was scored in the permanent dentition at age of 10 years. The statistical analysis included logistic and Poisson hurdle regression models adjusted for potential confounders. EBF, food item and food group diversity at 4-, 6-, 12-month time-points were found to be non-significant in most of the categories for the development of MIH. However, significantly higher odds for the presence of MIH were found for certain categories. Despite the limitation of this study, such as arbitrary cut-offs for categorization of food items, the results of this study suggest the lack of an association between early nutrition in the first year of life and MIH in the permanent dentition.

scholarly journals Maternal dietary diversity during lactation and associated factors in Palghar district, Maharashtra, India

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261700
Author(s):  
Sunil Rajpal ◽  
Abhishek Kumar ◽  
Ruby Alambusha ◽  
Smriti Sharma ◽  
William Joe
Keyword(s):  
Dietary Diversity ◽  
Outcome Variable ◽  
Lactation Period ◽  
Food Groups ◽  
Lactating Women ◽  
Marginalized Communities ◽  
Food Items ◽  
Health And Nutrition ◽  
Lactating Mothers ◽  
Daily Diet

Dietary adequacy and diversity during the lactation period are necessary to ensure good health and nutrition among women and children. Behavioral interventions pertaining to health and nutrition counselling during pregnancy and lactation are critical for awareness about dietary diversity. The issue assumes salience for marginalized communities because of the Covid-19 pandemic and associated economic and societal disruptions. This paper assesses the dietary patterns among 400 lactating mothers in the tribal-dominated district of Palghar in Maharashtra, India in 2020. The study is based on primary data regarding consumption of 10 food groups among women across 10 food groups based on 24-hour recall period. The primary outcome variable was binary information regarding Minimum Dietary Diversity defined as consumption from at least 5 food groups. Econometric analysis based on multilevel models and item-response theory is applied to identify food groups that were most difficult to be received by mothers during the early and late lactation period. We find that the daily diet of lactating mothers in Palghar primarily consists of grains, white roots, tubers, and pulses. In contrast, the intake of dairy, eggs, and non-vegetarian food items is much lower. Only Half of the lactating women (56.5 percent; 95% CI: 37.4; 73.8) have a minimum diversified diet (MDD). The prevalence of lactating women with MDD was higher among households with higher income (73.1 percent; 95% CI: 45.2; 89.9) than those in lower income group (50.7 percent; 95% CI: 42.3; 58.9). Lactating Women (in early phase) who received health and nutrition counseling services are more likely (OR: 2.37; 95% CI: 0.90; 6.26) to consume a diversified diet. Food groups such as fruits, meat, poultry, fish, nuts, and seeds were among the rare food items in daily diet. The dietary pattern lacking in fruits, nuts, and heme (iron) sources indicates more significant risks of micronutrient deficiencies. The findings call for improving dietary diversity among lactating mothers, particularly from the marginalized communities, and are driven by low consumption of dairy products or various fruits and vegetables. Among the different food items, the consumption of micronutrient-rich seeds and nuts is most difficult to be accessed by lactating mothers. Also, diet-centric counseling and informing lactating mothers of its benefits are necessary to increase dietary diversity for improving maternal and child nutrition.

scholarly journals Selection of food items for inclusion in a newly developed food-frequency questionnaire

2004 ◽  
Vol 7 (6) ◽  
pp. 745-749 ◽  
Author(s):  
Iris Shai ◽  
Danit R Shahar ◽  
Hillel Vardi ◽  
Drora Fraser
Keyword(s):  
Energy Intake ◽  
Food Frequency Questionnaire ◽  
Food Group ◽  
Stepwise Multiple Regression ◽  
Food Groups ◽  
Food Frequency ◽  
Food Items ◽  
24 Hour Recall ◽  
Β Carotene ◽  
Selection Of

AbstractObjectives:To highlight the differences between the food list required in a food-frequency questionnaire (FFQ) to rank people by their intake and the food items that contribute to absolute intake, and to discuss possible applications.Methods:We conducted a nutritional survey among 1173 adults using an adapted 24-hour recall questionnaire.Statistical analysis:To develop an FFQ, we analysed the 24-hour recall survey data by performing a stepwise multiple regression after grouping conceptually similar food items into 175 food groups.Results:In total, 126 food groups were included in the developed FFQ in order to explain at least 80% of the variance in the consumption of each of 27 nutrients. The nutrients that were explained by a few food groups were vitamin A (one food group), alcohol (two), β-carotene (two), vitamin E (three) and cholesterol (five). Nutrients that were explained by a large number of food groups were energy (37 food groups), potassium (31), magnesium (31), dietary fibre (30), phosphorus (31) and sodium (29). Using energy intake as an example, soft drinks were the best between-person energy classifiers, while providing only 2.4% of the total energy intake. Wine, seeds and nuts, which contributed highly to the variance, were minor energy contributors. In contrast, milk, sugar, fried chicken/turkey breast or whole chicken/turkey, which explained little of the variation in the population, were major energy contributors.Conclusions:Developing an FFQ on the basis of common foods may not explain the between-person variation required for ranking individual intake in diet–disease studies. Producing lists of ‘discriminating items’ can be a useful application in developing mini-FFQs for selected nutrients.

scholarly journals Individual and household influences on food security and dietary diversity in seven Dominican batey communities

2018 ◽  
Vol 11 (4) ◽  
pp. 272-282 ◽  
Author(s):  
Conor M McWade ◽  
Sheau-Chiann Chen ◽  
Fei Ye ◽  
Douglas C Heimburger ◽  
Troy D Moon ◽  
...  
Keyword(s):  
Food Security ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Poverty Line ◽  
Household Food Security ◽  
Food Groups ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Household Food ◽  
Multivariable Analyses

Abstract Background To identify individual and household characteristics associated with food security and dietary diversity in seven Haitian–Dominican bateyes. Methods A cross-sectional sample of 667 households were surveyed. Novel household food security scores were calculated from components of the Household Food Insecurity Assessment Scale, while the Food and Agricultural Organization’s Household Dietary Diversity Score was utilized to calculate individual dietary diversity scores. Multivariable analyses were performed using ordinal logistic regression models to estimate the association between these scores and the covariate variables. Secondary dietary diversity analyses were performed after removing non-nutritious food groups. Results Food security was significantly associated with being above the poverty line (OR 3.14, 95% CI 1.92 to 5.14), living in a rural batey (OR 1.44, 95% CI 1.02 to 2.03), receiving gifts and/or donations (OR 1.76, 95% CI 1.03 to 3.00) and having a salaried job (i.e., not being paid hourly; OR 1.67, 95% CI 1.05 to 2.64). Dietary diversity was significantly associated with living in a semi-urban batey (OR 1.70, 95% CI 1.26 to 2.30), living with a partner (OR 1.47, 95% CI 1.08 to 2.00), growing at least some of one’s own food (OR 1.62, 95% CI 1.17 to 2.23), and receiving gifts and/or donations (OR 1.72, 95% CI 1.08 to 2.73). Conclusions Food insecurity and low dietary diversity are highly prevalent in Haitian–Dominican bateyes. The inclusion of sweets and non-milk beverages in dietary diversity calculations appear to skew scores towards higher levels of diversity, despite limited nutritional gains.

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