Do Siblings Reduce Children’s Dietary Quality in China?

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Qundi Feng ◽  
Qinying He

Abstract Using data from the China Health and Nutrition Survey, we examine the effect of the number of siblings on dietary quality with a sample of 2–12-year-old children in China. We use instrumental variables to address the potential endogeneity of the number of siblings. We show that the effect of the number of siblings on children’s dietary quality is significantly negative. Child dietary diversity score will decrease by 0.274 with one more siblings. In terms of children’s nutrition, the intake of fat and protein also significantly decrease. A robustness check using the fixed effects models also validates our findings that child quantity–quality trade-off is apparent in Chinese families.

2013 ◽  
Vol 17 (8) ◽  
pp. 1717-1728 ◽  
Author(s):  
Xochitl Ponce ◽  
Sonia Rodríguez-Ramírez ◽  
Verónica Mundo-Rosas ◽  
Teresa Shamah ◽  
Simón Barquera ◽  
...  

AbstractObjectiveTo evaluate the dietary quality of Mexican adults’ diet, we constructed three dietary quality indices: a cardioprotective index (CPI), a micronutrient adequacy index (MAI) and a dietary diversity index (DDI).DesignData were derived from the 2006 National Health and Nutrition Survey, which is a national survey representative of the Mexican population with a stratified, multistage, probabilistic sample design. Dietary intake was assessed from an FFQ with 101 different foods and daily nutrient intakes were computed. The CPI evaluated compliance with seven WHO recommendations for the prevention of CVD, the MAI evaluated the intake of six micronutrients based on the estimated average requirements from the US Institute of Medicine and the DDI was constructed based on the consumption of thirty different food groups.SettingsMexico.SubjectsMexican adults aged 19–59 years old.ResultsWe evaluated the diet of 15 675 males and females. Adjusted means and adjusted proportions by age and sex were computed to predict adherence to dietary recommendations. Rural inhabitants, those living in the South and those from the lowest socio-economic status reported a significantly higher CPI (4·5 (se 0·08), 4·3 (se 0·08) and 4·2 (se 0·09), respectively; P < 0·05), but a significantly lower MAI and DDI, compared with urban inhabitants, those from the North and those of upper socio-economic status (P < 0·05).ConclusionsThe constructed diet quality indices identify nutrients and foods whose recommended intakes are not adequately consumed by the population. Given the epidemiological and nutritional transition that Mexico is experiencing, the CPI is the most relevant index and its components should be considered in Mexican dietary guidelines as well as in any food and nutrition programmes developed.


2021 ◽  
Vol 63 (5) ◽  
pp. 598-606
Author(s):  
Martha Carnalla ◽  
Ana Basto-Abreu ◽  
Dalia Stern ◽  
Sergio Bautista-Arredondo ◽  
Teresa Shamah-Levy ◽  
...  

Objective. To estimate the willingness to vaccinate against Covid-19 (acceptance) in the Mexican population and to iden­tify socioeconomic factors associated with vaccine hesitancy and refusal. Materials and methods. We estimated the acceptance, refusal and hesitancy proportions using data from the Covid-19 National Health and Nutrition Survey conducted from August to November 2020. Factors associated with re­fusal and hesitancy were explored using multinomial logistic regression. Results. Covid-19 vaccination acceptance was 62.3%, refusal 28.2% and hesitancy 9.5%. Refusal and hesitancy were associated with being female, having older age, lower educational level, lower socioeconomic status and working in the informal sector. Conclusion. National campaigns to incentivize vaccine acceptance need to consider specific subgroups were the likelihood of hesitancy and refusal is high. In Mexico, refusal and hesitancy were higher in vulnerable groups, and people at a higher risk of Covid-19 complica­tions and death.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Tania Aburto ◽  
Penny Gordon-Larsen ◽  
Jennifer Poti ◽  
Annie Howard ◽  
Linda Adair ◽  
...  

Abstract Objectives To estimate the longitudinal association between self-reported doctor diagnosis of hypertension and subsequent short-term changes (within 2–4 years) in sodium intake, potassium intake and sodium-potassium (Na/K) ratio. Methods We used data from nine waves of the China Health and Nutrition Survey (1991 to 2015) including 16,268 adults (18–75 years of age) without hypertension at their first entry wave. Diet data were collected using three consecutive 24-hour dietary recalls and a weighed household food inventory. Diagnosed hypertension was defined as self-reported doctor diagnosis of hypertension. We used fixed-effects models to estimate the association between the first occurrence of a hypertension diagnosis and subsequent within-individual changes in sodium intake, potassium intake and Na/K ratio. To further understand the observed heterogeneity by sex, we examined changes in diet outcomes in pairs of spouses, and changes at the household level. Results Model-based results suggest that on average, men who were diagnosed with hypertension decreased their sodium intake by 260 mg/d and their Na/K ratio by 0.21 within two to four years after diagnosis (P < 0.01). Among spouse pairs, sodium intake and Na/K ratio of women decreased when their husbands were diagnosed with hypertension (P < 0.05). At the household level, sodium density and Na/K ratio decreased (-8.5 mg/100 kcal and -0.19) after a man was diagnosed (P < 0.05). In contrast, when women were diagnosed, sodium, potassium and Na/K ratio changes associated with hypertension diagnosis were not statistically significant. Conclusions Our study suggests that when men were diagnosed with hypertension, dietary sodium intake and Na/K ratio improved for them, as well as their wife and other household members. However, when women were diagnosed, none of the changes were statistically significant. There is a need to address the gender bias, along with efforts to increase hypertension diagnosis in China. Funding Sources The National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases, National Heart, Lung, Blood Institute, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, and CONACyT.


2015 ◽  
Vol 18 (10) ◽  
pp. 1762-1773 ◽  
Author(s):  
Melecia J Wright ◽  
Margaret E Bentley ◽  
Michelle A Mendez ◽  
Linda S Adair

AbstractObjectiveTo assess how breast-feeding and dietary diversity relate to infant length-for-age Z-score (LAZ) and weight-for-age Z-score (WAZ).DesignBreast-feeding, dietary and anthropometric data from the Cebu Longitudinal Health and Nutrition Survey were analysed using sex-stratified fixed-effects longitudinal regression models. A dietary diversity score (DDS) based on seven food groups was classified as low (<4) or high (≥4). The complementary feeding patterns were: (i) non-breast-fed with low DDS (referent); (ii) breast-fed with low DDS; (iii) non-breast-fed with high DDS; and (iv) breast-fed with high DDS (optimal). Interactions between age, energy intake and complementary feeding patterns were included.SettingPhilippines.SubjectsInfants (n 2822) measured bimonthly from 6 to 24 months.ResultsBreast-feeding (regardless of DDS) was significantly associated with higher LAZ (until 24 months) and WAZ (until 20 months). For example, at 6 months, breast-fed boys with low DDS were 0·246 (95 % CI 0·191, 0·302) sd longer and 0·523 (95 % CI 0·451, 0·594) sd heavier than the referent group. There was no significant difference in size between breast-fed infants with high v. low DDS. Similarly, high DDS conferred no advantage in LAZ or WAZ among non-breast-fed infants. There were modest correlations between the 7-point DDS and nutrient intakes but these correlations were substantially attenuated after energy adjustment. We elucidated several interactions between sex, age, energy intake and complementary feeding patterns.ConclusionsThese results demonstrate the importance of prolonged breast-feeding up to 24 months. The DDS provided qualitative information on infant diets but did not confer a significant advantage in LAZ or WAZ.


Nutrients ◽  
2019 ◽  
Vol 11 (6) ◽  
pp. 1414
Author(s):  
Tatsuya Koyama ◽  
Nobuo Yoshiike

This study investigated the association between parent and child sodium and potassium intakes using data from the 2016 Aomori Prefectural Health and Nutrition Survey. We analyzed one day dietary record data of 103 mothers, 94 fathers, 51 children aged 1–3 years, 39 children aged 4–6 years, 91 children aged 7–14 years, and 56 children aged 15–19 years. We also examined the association of sodium and potassium intake between co-habiting grandparents and their grandchildren. After adjusting for covariates, the total daily sodium intake in mothers was positively associated with that in children for every age group. Potassium intakes by the mothers during breakfast and dinner were positively associated with those in children aged 1–3, 4–6, and 7–14 years. The associations in sodium and potassium intakes between fathers and children were weaker. In addition, these associations were similar to those between the sodium intakes of grandchildren and their grandparents. The association between mother and child sodium and potassium intakes at breakfast and dinner was related to the consumption of similar foods, which suggests the importance of home environment in influencing total dietary sodium and potassium intake in Japanese people.


Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1578 ◽  
Author(s):  
Irina Uzhova ◽  
Deirdre Mullally ◽  
José Peñalvo ◽  
Eileen Gibney

Breakfast is considered to be one of the most important meals of the day. Its omission has been reported to be associated with increased disease risk, such as obesity, diabetes, and coronary heart disease, as well as unhealthy lifestyle and lower dietary quality. Using data from the National Adult Nutrition Survey (NANS)—a food consumption survey conducted among 1500 Irish men and women over 18 years of age, residing in the Republic of Ireland at the time the survey was conducted—we aimed to characterize breakfast regularity, identify dietary patterns associated with regular breakfast consumption, and assess the nutritional quality of such dietary patterns, using the nutrient-rich food index score NRF9.3. We determined two breakfast regularity categories and assessed dietary quality, by means of adherence to the principal component analysis derived dietary patterns and the NRF9.3 dietary index. Regular breakfast consumers were identified as those who consumed breakfast 3–4 times out of the 4 days of the collection period; such consumers comprised the majority of the population (94.4%). They had the highest adherence to healthier dietary patterns, namely, the “vegetarian” (odds ratio (OR): 2.59: 95% Confidence Interval (CI): 1.40, 4.77), “fish and vegetables” (OR: 2.88: 95% CI: 1.63, 5.10), and “breakfast cereals” (OR: 4.62: 95% CI: 2.43, 8.79) dietary patterns. Breakfast significantly contributed to the daily micronutrient intake by providing, on average, 24% of dietary fiber, 32% of iron, 30% of calcium, 32% of folate, and 37% of riboflavin. The importance of regular breakfast consumption on those who skip breakfast should be highlighted, in order to improve compliance with nutritional recommendations and adherence to a healthy lifestyle.


2019 ◽  
Vol 78 ◽  
pp. 01012
Author(s):  
Li Yi

Using the China Health and Nutrition Survey (CHNS), this paper analyses that height for age (HAZ) of children from urban area is higher than that of those from rural areas on average and the height varies among rural children. Gender also has similar impact on children’s height, namely, HAZ of girls is lower than that of boys. In addition, only children has better nutrition health than others and living with parents or not has great impact on children’s nutrition health as well.


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