Association of food security, body mass index, micronutrient adequacy and adherence to Alternative Healthy Eating Index 2010 among Iranian households

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Seyedeh Parisa Moosavian ◽  
Awat Feizi ◽  
Ahmad Esmaillzadeh ◽  
Leila Azadbakht

Purpose There is limited knowledge about the association of food insecurity and dietary quality among the Iranian households. The purpose of this study is to determine diet quality among the Iranian households and to investigate whether dietary quality is associated with food security status in this population. Design/methodology/approach The 18-item household food security questionnaire was administered to 200 households from different parts of Isfahan, Iran. Households were selected by two-stage cluster randomized sampling. Households were categorized into four groups based on their score on the questionnaire; food secure (total score 0), mild food insecure (total score 1–2), moderate food insecure (total score 3–7) and severe food insecure (total score 8–18). In the second stage of the study, 25 households were selected from each food security status group to evaluate the micronutrient adequacy and assess the adherence to Alternative Healthy Eating Index 2010 (AHEI-2010). Findings Food-secure households had higher adherence to the AHEI-2010 than food-insecure households (p < 0.001). Food-secure households consistently achieved higher value of the nutrient adequacy ratio for most of the micronutrients than food-insecure households, with the greatest differences seen for zinc (p < 0.001) in households (father, mother and first child), vitamin D (p < 0.001), vitamin A (father: p = 0.05, mother: p = 0.04), calcium (p < 0.001) and iron (father: p = 0.02, mother: p < 0.001) in mother and father. Originality/value Low dietary quality was associated with food insecurity. Food-secure households had higher micronutrient adequacy ratio for most of the nutrients.

2010 ◽  
Vol 13 (10) ◽  
pp. 1609-1613 ◽  
Author(s):  
Assieh Mohammadzadeh ◽  
Ahmadreza Dorosty ◽  
Mohammadreza Eshraghian

AbstractObjectiveThe present study was designed to determine household food security status and factors associated with food insecurity among high-school students in Esfahan, Iran.DesignCross-sectional surveys.SettingThe present study was conducted in autumn 2008 in Esfahan, Iran. The samples were selected using systematic cluster sampling. Socio-economic questionnaires, food security questionnaires and FFQ were filled out during face-to-face interviews. In addition, data on participants’ weights and heights were collected.SubjectsA total of 580 students (261 boys and 319 girls) aged 14–17 years from forty high schools in Esfahan, Iran, were selected.ResultsThe prevalence of household food insecurity according to the US Department of Agriculture food security questionnaire was 36·6 % (95 % CI 0·33, 0·40). Food insecurity was positively associated with number of members in the household (P < 0·05) and negatively associated with parental education level and job status and household economic status (P < 0·05). Moreover, students living in food-insecure households more frequently consumed bread, macaroni, potato and egg (P < 0·05), while they less frequently consumed rice, red meat, sausage and hamburger, poultry, fish, green vegetables, root and bulb (coloured) vegetables, melons, apples and oranges, milk and yoghurt (P < 0·05).ConclusionsFood insecurity was prevalent among households in Esfahan, Iran, and food security status was associated with socio-economic factors. Students who belonged to food-secure households more frequently consumed healthy foods (except sausage and hamburger), whereas those living in food-insecure households more frequently consumed cheap foods containing high energy per kilogram. The present study suggests that intervention programmes be designed and carried out.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Sara Benjamin-Neelon ◽  
Moira Differding ◽  
Noel Mueller

Abstract Objectives Infancy represents a critical period for growth and development. Food insecurity (defined as the limited availability of nutritionally adequate and safe foods) in early life may have both immediate and long-term health implications. Some limited evidence suggests that food insecurity in adults may influence the gut microbiota composition, perhaps through a lack of dietary diversity. A number of studies also link malnutrition with alterations in the gut microbiota in children. However, associations between food insecurity and the gut microbiota have yet to be explored in children and especially in infants, who may have had little exposure to foods other than human milk and formula. Methods Participants were from the Nurture study, a birth cohort of predominately black women and their infants residing in the southeastern United States. We collected stool samples from 68 infants 3 months after birth. Our exposure was household food security status assessed when infants were between 2 and 3 months. We used the US Household Food Security Survey Module: Six-Item Short Form. We grouped scores of 0–1 (full or marginal food security) as food secure and 2–6 (low or very low food security) as food insecure, consistent with prior studies. For the 3-month outcome, we used an Illumina MiSeq to conduct paired-end sequencing of the 16S rRNA V4 region. We used beta-binomial regression to determine differential abundance of microbiota according to food security status. Two-sided FDR corrected P-values < 0.05 were considered significant. We adjusted for delivery method (C-section versus vaginal), breastfeeding (never versus any), and timing of introduction to solid foods (at or before 3 months versus after 3 months of age). Results Demographic characteristics of mothers and infants from food insecure households (n = 20) resembled those from food secure households (n = 45). The relative abundance of 16 microbial amplicon sequence variants were lower in food insecure infants, and 3 microbial amplicon sequence variants were higher in food secure infants (Figure). Conclusions Findings from our birth cohort suggest that infants from food insecure households had altered gut microbiota composition at 3 months of age. Future research is warranted to provide mechanistic insight into these potentially novel associations. Funding Sources NIDDK, National Institutes of Health. Supporting Tables, Images and/or Graphs


Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 965 ◽  
Author(s):  
Shinyoung Jun ◽  
Mary J. Zeh ◽  
Heather A. Eicher-Miller ◽  
Regan L. Bailey

Children’s food-security status has been described largely based on either the classification of food security in the household or among household children, but few studies have investigated the relationship between food security among household children and overall dietary quality. Our goal was to examine children’s dietary quality and micronutrient adequacy by food-security classification for the household and among household children. Data from 5540 children (2–17 years) from the National Health and Nutrition Examination Survey (NHANES) 2011–2014 were analyzed. Food-security status was assessed using the U.S. Household Food Security Survey Module and categorized into high, marginal, low, and very low food security for the households and among household children. Dietary quality and micronutrient adequacy were characterized by the Healthy Eating Index (HEI) 2015 and Mean Adequacy Ratio (MAR; based on total nutrient intakes from diet and dietary supplements), respectively. The HEI 2015 scores did not substantially vary by either food-security classification, but the MAR was greater in high compared to very low food security in households and among household children; a linear relationship was found only among household children. In general, very good agreement was observed between the classifications, but the strength of agreement differed by children’s age, race/Hispanic origin, and family income. In conclusion, micronutrient adequacy, but not dietary quality, significantly differed by food-security status. While the agreement between food security in the household and among household children is very good, classification of food security among household children may be more sensitive to detecting differences in exposure to nutrients.


2013 ◽  
Vol 13 (60) ◽  
pp. 8209-8223
Author(s):  
OR Adeniyi ◽  
◽  
OA Ojo

This research work reports on the food security status of rural farming households in selected Local Government Areas (LGA’s) of Osun State in the South-west Geopolitical zone of Nigeria. The objectives were to estimate extent and magnitude of food insecurity in the study area and determine factors that affect household food security. Three of the thirty LGA’s were selected using stratified random sampling method, based on the geographical location, extent and number of rural population and variations in the socio-economic characteristics of households. The LGA’s were Iwo, Ayedaade and Ayedire. Fifty rural households were then selected from each of the local governments using the random sampling method. One hundred and fifty copies of the questionnaire were administered out of which 103 fully completed and certified responses were used as representative samples for the study area. Food security status of the households was analyzed based on the calorie requirement for all household members. The food security measures applied in this research were Head Count Method, Food Insecurity Gap and Squared Food Insecurity Gap to capture successively more detailed aspects of the food insecurity status of the households. It was found that majority of the rural farming households in the area were food insecure as most of them subsist below the food security line which is 2,280 Kcal in this study. Using the recommended calorie approach, it was discovered that 69.9% of the population were food insecure. In comparison to food insecure households, food secure households have a small family size, earn a high monthly income and make use of modern farm inputs. It is, therefore, advised that food security policy strategies to be put in place by the government should consider the socio-economic characteristics of households in order to achieve more than a marginal reduction in the number of food insecure households.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Emma Beacom ◽  
Christopher McLaughlin ◽  
Sinéad Furey ◽  
Lynsey Elizabeth Hollywood ◽  
Paul Humphreys

PurposeData from the Northern Ireland (NI) Health Survey 2014/15 (n = 2,231) were statistically analysed to examine the prevalence of food insecurity according to both indicators. Pearson's X2 test for association and logistic regressions were used to examine associations between food security status and predictor variables.Design/methodology/approachHousehold food insecurity has been identified as a significant societal issue in both developed and developing nations, but there exists no universal indicator to approximate its prevalence. In NI, two indicators (United States Household Food Security Survey Module [HFSSM] and the European Union Statistics on Income and Living Conditions [EU-SILC] food deprivation questions) have been used. This study examines how both indicators differ in their classification of food insecurity prevalence in a population sample and also examines the relationship between various demographic and household factors and food security status.FindingsAccording to the EU-SILC food deprivation questions, 8.3% (n = 185) were indicated to be food insecure, while according to the HFSSM, 6.5% (n = 146) were indicated to be food insecure. The HFSSM and EU-SILC regression models differed in the underlying variables they identified as significant predictors of food insecurity. Significant variables common to both modules were tenure, employment status, health status, anxiety/depression and receipt of benefits.Originality/valueFindings can inform policy action with regards to targeting the key contributors and can inform policy decisions in NI and elsewhere with regards to choosing the most appropriate food insecurity indicator.


2008 ◽  
Vol 21 (suppl) ◽  
pp. 27s-37s ◽  
Author(s):  
Hugo Melgar-Quinonez ◽  
Michelle Hackett

Measuring household food insecurity represents a challenge due to the complexity and wide array of factors associated with this phenomenon. For over one decade, researchers and agencies throughout the world have been using and assessing the validity of variations of the United States Department of Agriculture Household Food Security Supplemental Module. Thanks to numerous studies of diverse design, size, and purpose, the Household Food Security Supplemental Module has shown its suitability to directly evaluate the perceptions of individuals on their food security status. In addition, challenges and limitations are becoming clearer and new research questions are emerging as the process advances. The purpose of this article is to describe the development, validation procedures, and use of the Household Food Security Supplemental Module in very diverse settings. The most common Household Food Security Supplemental Module related studies have been conducted using criterion validity, Rasch modeling and Cronbach-Alpha Coefficient. It is critical that researchers, policy makers, governmental and non-governmental agencies intensify their efforts to further develop tools that provide valid and reliable measures of food security in diverse population groups. Additional work is needed to synthesize a universally applicable tool able to capture the global human phenomenon of food insecurity.


2016 ◽  
Vol 29 (2) ◽  
pp. 229-240
Author(s):  
Isabel Cristina BENTO ◽  
Fernanda Martins SOBRINHO ◽  
Mery Natali Silva ABREU ◽  
Maria Flávia GAZZINELLI ◽  
Simone Cardoso Lisboa PEREIRA

Objective: To verify whether what users of soup kitchens in Belo Horizonte, Minas Gerais, Brazil, think about a healthy diet and the challenges they face to eat healthy are associated with their household food security status. Methods: This cross-sectional study included 1,656 users of soup kitchens in Belo Horizonte. Socioeconomic and household food security data, and healthy-eating discourses were collected by a semi-structured questionnaire. The data were submitted to descriptive analyses for constructing frequency distribution tables, and to univariate analysis. Discourse analysis was based on the social representation theory. Results: To cut, reduce, avoid, not eat, eat less, and decrease carbohydrates, salt, meats, various beverages, and other foods are the most frequent changes (71.4%) that food-secure users have made or intend to make. Food-insecure users intended to eat more fruits, non-starchy vegetables, and other foods (34.4%). The main obstacles food-secure and food-insecure users face to adopt a healthier diet are lack of time (82.9%) and low income (53.5%), respectively (p<0.001). Conclusion: What users of soup kitchens in Belo Horizonte think about food and the obstacles they face to adopt a healthier diet are related to their household food security status. The results provide valuable data for effective proposals of food and nutrition education, which should act on the producers of subjectivity in this group and consider this group's food and nutrition security status.


2011 ◽  
Vol 2 (1) ◽  
pp. 3 ◽  
Author(s):  
Maria F Montoya ◽  
Andre W Hite ◽  
Patricia Rohrbeck ◽  
Binky Bawa ◽  
Oladayo O Akinwolemiwa ◽  
...  

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.


2017 ◽  
Vol 13 (1) ◽  
pp. 1-14 ◽  
Author(s):  
Amy Henderson ◽  
Stefan Epp-Koop ◽  
Joyce Slater

Purpose The purpose of this paper is to explore the challenges and opportunities associated with attempting to maintain a healthy traditional diet for newcomers living in the North End neighbourhood of Winnipeg, Canada. Design/methodology/approach In this mixed-methods photovoice study the researcher used food photographs taken by participants to facilitate in-depth, semi-structured interviews with newcomers living in the area of interest. Community workers involved in food and newcomer programming were also interviewed. Qualitative data from the interviews were analysed using thematic analysis. Food security status of newcomer participants was also determined using The Household Food Security Survey Module. Findings Newcomer participants reported many struggles, including low incomes, gardening challenges and little access to culturally acceptable foods. Community worker interviews, field notes and an environmental scan of community resources also revealed a lack of social inclusion/support and few food and nutrition resources for newcomers. Originality/value Newcomers to Canada experience high rates of food insecurity and diminishing health status associated with length of time in Canada. This study demonstrates an imminent need for additional resources and programmes in this inner city community in order to decrease food security rates and help newcomers in Winnipeg to eat healthy traditional diets and avoid a decline in health.


2015 ◽  
Vol 45 (1) ◽  
pp. 83-96 ◽  
Author(s):  
Pipi Diansari ◽  
Teruaki Nanseki

Purpose – The purpose of this study was to investigate the socioeconomic impact on perceived household food security in the North Luwu District of South Sulawesi Province in the eastern part of Indonesia. In Indonesia, 87 million people are presently vulnerable to food insecurity. Thus, the United Nations Development Programme’s primary millennium development goal for Indonesia is to halve the number of people who suffer from hunger by 2015. It is clear that food security at the household level is crucial to achieving this target. Design/methodology/approach – In total, 371 household heads were interviewed. The households’ perceptions of their food security status were captured by asking the household head the following question: “How do you perceive your household’s food security status during the last month”? Respondents could select from the following options: insecure, somewhat insecure, somewhat secure, secure and highly secure. Here, the household head’s answer is regarded as the household’s subjective food security status (SFSS). We then applied descriptive analysis and an ordered logit model to determine the socioeconomic factors that influence SFSS. Findings – As expected, in both analyses, household income and formal level of education have a strong relationship to SFSS. However, this study finds that food nutrition knowledge also shows a significant role in enhancing the probability that household SFSS will be in a better food security category. This could be a breakthrough in improving household food security status given the lack of formal education. Practical implications – Neighborhood resource-based food preparation counseling programs are essential. Existing food programs for Indonesian households should be reoriented and incorporated into the non-formal educational curriculum and should be carried out at the family level or in small groups to ensure that the message of the program is delivered effectively. In the short term, for non-farm households, the government should provide targeted households with crash programs such as revolving funds for household-level business activities. For farm households, ensuring that farming infrastructures, facilities and technologies are adequate and affordable is crucial to sustaining their production process. Originality/value – This is the first study to investigate the perceptions of household heads on their food security status in Indonesia. Most prior studies on household food security in Indonesia were conducted in response to Indonesia’s 1997 economic crisis and focused predominantly on Java, in the western part of Indonesia; there is little existing research on the eastern part of Indonesia. Moreover, this study is the first to emphasize the significant role of food nutrition knowledge in increasing the probability of household heads’ perceptions on their food security status being in a better category.


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