Assessing Dietary Intake Patterns Through Cluster Analysis Among Adolescents in Selected Districts of Bihar and Assam From India: A Cross-Sectional Survey

Background: In the recent decade, dietary pattern assessment has evolved as a promising tool to describe the whole diet and represent inter-correlations between different dietary components. We aimed to derive the dietary patterns of adolescents (10–19 years) using cluster analysis on food groups and evaluate these patterns according to their socio-demographic profile.Methods: This community-based cross-sectional study was conducted in two districts, each from Bihar and Assam in India. Adolescents (10–19 years) were enrolled from both rural and urban areas. The dietary intake was assessed through a pre-validated single food frequency questionnaire. Cluster analysis was performed by a 2-step procedure to explore dietary patterns, pre-fixed at 2 clusters. Clusters were analyzed with respect to socio-demographic characteristics using binomial logistic regression.Results: A total of 826 girls and 811 boys were enrolled in the study. We found two major dietary patterns, namely a low- and high-mixed diet. The low-mixed diet (76.5% prevalence) had daily consumption of green vegetables, including leafy vegetables, with less frequent consumption of other foods. The high-mixed diet (23.5% prevalence) had more frequent consumption of chicken, meat, egg, and milk/curd apart from green vegetables. Adolescent boys had 3.6 times higher odds of consuming a low-mixed diet compared to girls. Similarly, adolescents with lower education grades and from marginalized social classes had two times higher odds of taking a low-mixed diet than their respective counterparts.Conclusions: The high consumption of a low-mixed diet and relatively less milk consumption limit the comprehensive growth of adolescents. Improvement in dietary intake of adolescents from marginalized sections of society can prove to be an important deterrent in mitigating India's nutritional challenges.

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Electrolyte Intake and Major Food Sources of Sodium, Potassium, Calcium and Magnesium among a Population in Western Austria

Nutrients ◽

10.3390/nu12071956 ◽

2020 ◽

Vol 12 (7) ◽

pp. 1956

Author(s):

Natalia Schiefermeier-Mach ◽

Sabrina Egg ◽

Judith Erler ◽

Verena Hasenegger ◽

Petra Rust ◽

...

Keyword(s):

Dietary Patterns ◽

Food Sources ◽

Strong Impact ◽

Food Groups ◽

Daily Consumption ◽

Cross Sectional ◽

Sodium Potassium ◽

Major Food ◽

Calcium And Magnesium ◽

Dietary Strategies

Dietary intake of sodium, potassium, calcium and magnesium has a strong impact on personal health. In order to understand possible correlations with regional occurrence of diseases and to develop new dietary strategies, it is necessary to evaluate food choices in defined geographic areas. The aim of this study was to analyze daily consumption and major food sources of electrolytes with an emphasis on dietary patterns. In this representative, cross-sectional study, daily foods of 463 adults were assessed with two nonconsecutive 24-h recalls. Our results show high sodium and low potassium consumption in all age groups in both men and women. Furthermore, more than half of investigated persons had low calcium, and 40% indicated low dietary magnesium intake. Only 1% of our study population reached the recommended values for all electrolytes, while 13% consumed adequate levels of three electrolytes. Moreover, 14% did not reach reference levels for any of the four minerals. A further comparison of dietary patterns and food preferences showed significant differences in major food groups including nonalcoholic drinks, fruits, vegetables, legumes, milk products, vegetable oil, bread and sweets. Our results are important for further evaluations of nutrition intake and the development of new dietary strategies.

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Dietary patterns according to vitamin supplement use. A cross-sectional study in Switzerland

International Journal for Vitamin and Nutrition Research ◽

10.1024/0300-9831/a000679 ◽

2020 ◽

pp. 1-11

Author(s):

Pollyanna Patriota ◽

Idris Guessous ◽

Pedro Marques-Vidal

Keyword(s):

Dietary Intake ◽

Dietary Patterns ◽

Dietary Pattern ◽

Population Based ◽

Cross Sectional Study ◽

Vitamin Supplement ◽

Food Groups ◽

Cross Sectional ◽

Supplement Use ◽

Multivariable Adjustment

Abstract. Background: consumers of dietary supplements (DS) or vitamin-mineral supplements (VMS) have a better health profile than nonconsumers; whether this also applies to healthier dietary patterns has seldom been assessed. We aimed to assess the dietary intake of subjects according to their consumption of DS or VMS. Methods: Cross-sectional, population-based studies conducted in 2009–2012 (3773 participants, 52.4% women, 57.0 ± 10.0 years) and 2014–2017 (2536 participants, 52.4% women, 60.0 ± 10 years) in Lausanne, Switzerland. Dietary intake was assessed via a 97-item food frequency questionnaire. Nutrients, consumption of specific food groups, dietary scores, and compliance with the Swiss nutritional guidelines were compared between VMS/DS consumers and nonconsumers. Results: In 2009–2012, after multivariable adjustment for gender, age, body mass index, education, smoking, country of birth, sedentariness, diet and total energy intake, VMS/DS consumers had a higher score for the “Fruits & vegetables”(−0.09 ± 0.02 vs. 0.15 ± 0.05) dietary pattern and a lower score for the “Fatty & sugary” dietary pattern (0.02 ± 0.02 vs. −0.14 ± 0.04) and had a lower likelihood to comply with the guideline on total fat [odds ratio and 95 %CI: 0.72 (0.57–0.89)] than nonconsumers. In 2014–2017, after multivariable adjustment, no differences (at p < 0.005) were found between VMS/DS consumers and nonconsumers. Conclusion: VMS/DS consumers tend to have healthier dietary choices than nonconsumers. The beneficial effect of VMS and/or DS consumption is decreased, as it does not target subjects who really need them.

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Do dietary patterns and morbidities have a relationship with primary infertility among women? A study from NFHS-4 (2015–16), India

Journal of Biosocial Science ◽

10.1017/s0021932021000274 ◽

2021 ◽

pp. 1-16

Author(s):

Sayeed Unisa ◽

Kanchan Negi ◽

Sucharita Pujari ◽

Vaishali Chaurasia

Keyword(s):

Dietary Patterns ◽

Family Health ◽

Severe Anaemia ◽

Married Women ◽

Leafy Vegetables ◽

Thyroid Disorder ◽

Daily Consumption ◽

High Blood Glucose ◽

Green Leafy Vegetables ◽

Primary Infertility

Abstract This study assessed the rate of primary infertility and its associated factors among 402,807 currently married women aged 20–49 years in India using National Family Health Survey-4 data collected in 2015–2016. Dietary patterns and selected morbidities were included as independent variables, and socioeconomic variables were considered as covariates. Bivariate and multivariate analyses were done to estimate the prevalence of primary infertility and assess its association with the selected variables, respectively. The rate of primary infertility among currently married women in India in 2015–16 was 1.9% and this was significantly associated with younger age (<35 years), higher age at marriage (≥18 years), urban residence, higher secondary or above education and poverty. The consumption of dairy products (OR = 0.79, CI = 0.73–0.86), dark green leafy vegetables (OR = 0.57, CI = 0.39–0.81) and fruit (OR = 0.88, CI = 0.77–1.01) significantly reduced the odds of primary infertility. Daily consumption of fish and aerated drinks was related to 1.06–1.21 times higher odds of primary infertility. Overweight/obesity, high blood pressure and high blood glucose levels were associated with 1.08–1.21 times elevated odds of primary infertility. Thyroid disorder (OR = 1.38, CI = 1.21–1.60), heart disease (OR = 1.17, CI = 1.16–1.19) and severe anaemia (OR = 1.24, CI = 1.00–1.53) were associated with an increased likelihood of primary infertility among women (OR 1.17–1.39, CI 1.00–1.60). The findings provide compelling evidence that primary infertility among women is related to dietary patterns and morbidities. Interventions and programmes targeting the promotion of healthy diets and lifestyles could be beneficial in addressing the issue of primary infertility among women.

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Comparison of two exploratory dietary patterns in association with the metabolic syndrome in a Northern German population

British Journal Of Nutrition ◽

10.1017/s0007114514002098 ◽

2014 ◽

Vol 112 (8) ◽

pp. 1364-1372 ◽

Cited By ~ 33

Author(s):

Janett Barbaresko ◽

Sabine Siegert ◽

Manja Koch ◽

Imke Aits ◽

Wolfgang Lieb ◽

...

Keyword(s):

Metabolic Syndrome ◽

Dietary Patterns ◽

Dietary Pattern ◽

Dietary Guidelines ◽

Processed Meat ◽

German Population ◽

Food Groups ◽

Reduced Rank Regression ◽

Cross Sectional ◽

The Metabolic Syndrome

Diet is related to many chronic disease conditions such as the metabolic syndrome (MetS). We set out to compare behaviour-related with disease-related patterns and their association with the MetS in a German cross-sectional study. A total of 905 participants of a Northern German cohort (aged 25–82 years) completed a FFQ, underwent anthropometric assessments and provided a blood sample. Dietary patterns were derived by principal component analysis (PCA) and reduced-rank regression (RRR) from forty-two food groups. Components of the MetS were used as response variables for the RRR analysis. Simplified patterns comprising ten food groups were generated. Logistic regression analysis was performed to evaluate the likelihood of having the MetS across the quartiles of simplified pattern scores. We identified two similar dietary patterns derived by PCA and RRR characterised by high intakes of potatoes, various vegetables, red and processed meat, fats, sauce and bouillon. Comparing simplified patterns, an increased RRR pattern score was associated with a higher OR (2·18, 95 % CI 1·25, 3·81) of having the MetS than an increased PCA pattern score (OR 1·92, 95 % CI 1·21, 3·03). Comparing concordant food groups by both dietary pattern methods, a diet high in legumes, beef, processed meat and bouillon was also positively associated with the prevalence of the MetS after adjustment for potential confounders (OR 1·71, 95 % CI 1·04, 2·79). We identified a behaviour-related pattern that was positively associated with the MetS. The application of both dietary pattern methods may be advantageous to obtain information for designing and realising dietary guidelines. Prospective studies are needed to confirm the results.

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Dietary Diversity in Cambodian Garment Workers: The Role of Free Lunch Provision

Nutrients ◽

10.3390/nu10081010 ◽

2018 ◽

Vol 10 (8) ◽

pp. 1010 ◽

Cited By ~ 2

Author(s):

Jan Makurat ◽

Eleonore Kretz ◽

Frank Wieringa ◽

Chhoun Chamnan ◽

Michael Krawinkel

Keyword(s):

Vitamin A ◽

Dietary Intake ◽

Dietary Diversity ◽

Controlled Trial ◽

Leafy Vegetables ◽

Food Groups ◽

Green Leafy Vegetables ◽

Garment Workers ◽

Dark Green ◽

Randomised Controlled

The objective of this paper is to compare food consumption by Cambodian garment workers with and without access to a free model lunch provision through a factory-based canteen. Data from an exploratory randomised controlled trial were analysed. In total, 223 female Cambodian garment workers were allocated to an intervention arm (six-month lunch provision) or a control arm. Dietary intake on workdays was assessed by qualitative 24-h recalls at baseline and twice at follow-ups during the period of lunch provision using the Food and Agricultural Organization (FAO) guideline on assessing women’s dietary diversity. In total, 158 participants provided complete data on the dietary intake over workdays at all interviews. Lunch provision resulted in a more frequent consumption of dark green leafy vegetables (DGLV), vitamin A-rich fruits, other fruits, and oils and fats during lunch breaks. In contrast, flesh meats, legumes, nuts and seeds, as well as sweets, were eaten at a lower frequency. Except for a higher consumption rate of vitamin A-rich fruits and a lower intake frequency of sweets, lunch provision had a less clear impact on total 24-h intake from different food groups and was not associated with a higher women’s dietary diversity score (WDDS). A more gap-oriented design of the lunch sets taking into account underutilised foods and the nutritional status of the workers is recommended.

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

Public Health Nutrition ◽

10.1079/phn2002411 ◽

2003 ◽

Vol 6 (2) ◽

pp. 147-157 ◽

Cited By ~ 103

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.

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Dietary Patterns of Men and Women Suggest Targets for Health Promotion: The Framingham Nutrition Studies

American Journal of Health Promotion ◽

10.4278/0890-1171-11.1.42 ◽

1996 ◽

Vol 11 (1) ◽

pp. 42-52 ◽

Cited By ~ 65

Author(s):

Barbara E. Millen ◽

Paula A. Quatromoni ◽

David R. Gagnon ◽

L. Adrienne Cupples ◽

Mary M. Franz ◽

...

Keyword(s):

Dietary Patterns ◽

Behavioral Interventions ◽

Nutrient Intake ◽

Population Based ◽

Dietary Behaviors ◽

Food Groups ◽

Cross Sectional ◽

Men And Women ◽

Cluster Analyses ◽

Food And Nutrient Intake

Purpose. The goal of the study was to characterize the dietary patterns of adult men and women. Design. The study used a cross-sectional analysis of food consumption behaviors and nutrient intake measured from 1984 through 1988. Setting. The Framingham Offspring/Spouse Study, Framingham, Massachusetts. Subjects. The population-based sample comprised 1831 men and 1828 women between 20 and 70 years of age. Measures. Dietary patterns were defined by cluster analyses, which used the estimates of usual daily food intake from food frequency questionnaires, and the patterns were compared with Food Guide Pyramid recommendations. Nutrient intakes were independently estimated from 24-hour recalls and compared with Year 2000 nutrition recommendations. Results. Cluster analyses identified five groups of men and five groups of women with distinctive dietary patterns. Men differed on intakes of all food groups except vegetables and snacks plus sweetened beverages. Specific dietary behaviors, including low intakes of whole grains, fruits, vegetables, and other complex carbohydrates; high intakes of beer and liquor; and high intakes of high-fat animal foods warrant targeted intervention messages for men. Women's patterns differed across all food groups except red meats and fattier poultry and beer. Dietary behaviors of women that deserve attention include low fruit, vegetable, starch, and dairy intakes; chronic dieting; high alcohol intake; and sources of hidden fats. No cluster met the current recommendations for food and nutrient intake. Conclusions. Distinct dietary patterns in Framingham men and women vary in compliance with national nutrition and health policy objectives and provide insights for developing behavioral interventions to improve food and nutrient intake.

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Frequency of consumption of fruits, vegetables and soft drinks: a comparative study among adolescents in urban and rural areas

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400020007eng ◽

2014 ◽

Vol 17 (2) ◽

pp. 371-380 ◽

Cited By ~ 10

Author(s):

Iza Cristina de Vasconcelos Martins Xavier ◽

Carla Menêses Hardman ◽

Maria Laura Siqueira de Souza Andrade ◽

Mauro Virgilio Gomes de Barros

Keyword(s):

High School Students ◽

Rural Areas ◽

Urban Areas ◽

Soft Drinks ◽

Fruit Juices ◽

Daily Consumption ◽

School Students ◽

Cross Sectional ◽

Validated Questionnaire ◽

Urban And Rural Areas

Objective: To compare the frequency of consumption of fruits, vegetables and soft drinks among adolescents living in urban and rural areas of Pernambuco State. Methods: A cross-sectional study based on secondary analysis of data from a representative sample of high school students in Pernambuco (n = 4,207, 14 - 19 years) was conducted. Data were collected through a previously validated questionnaire. Adolescents who reported a daily consumption of soft drinks and occasional consumption of fruits, juices and vegetables were classified as exposed to inadequate standard of consumption of these foods. The independent variable was the place of residence (urban/rural). Data were analyzed by frequency distribution, χ2 test and binary logistic regression. Results: It was observed that students residing in rural areas had a higher prevalence of occasional consumption of natural fruit juices (37.6%; 95%CI 36.1 - 39.0) than those living in urban areas (32.1%; 95%CI 30.7 - 33.6). The proportion of students exposed to daily consumption of soft drinks was higher among those who reported they lived in urban areas (65.0%; 95%CI 63.5 - 66.4) compared to those who reported living in rural areas (55.3%; 95%CI 53.8 - 56.9). Conclusion: Adolescent students living in rural areas had a higher prevalence of low consumption of natural fruit juices while those residing in urban areas had a higher prevalence of daily consumption of soda drinks.

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Dietary Patterns Trend in Mexican Adolescent Population from 2006 to 2018, by Area of Residence

Current Developments in Nutrition ◽

10.1093/cdn/nzaa046_066 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 566-566

Author(s):

Teresa Shamah-Levy ◽

Sonia Rodríguez-Ramírez ◽

Elsa Gaona-Pineda ◽

Edith Kim-Herrera ◽

Andrys Valdez-Sánchez

Keyword(s):

Urban Area ◽

Dietary Patterns ◽

Fruits And Vegetables ◽

Red Meat ◽

Leafy Vegetables ◽

Categorical Variables ◽

Processed Foods ◽

Food Groups ◽

Animal Products ◽

Adolescent Population

Abstract Objectives To analyze the dietary patterns trend in Mexican adolescent population from 2006 to 2018 by area of residence. Methods We analyzed information from four National Health and Nutrition Surveys in Mexico from 2006 to 2018. Dietary information was collected using a validated seven-day, semi-quantitative Food frequency questionnaire. We analyzed the consumption of different food groups: 1) Fruits and vegetables (g), 2) Red meat (consumption yes or not), 3) animal products (kcal), 4) sugar-sweetened beverages (SSB) (kcal), and ultra-processed foods (kcal), according to NOVA classification. We estimated the Dietary Diversity Score (DDS), which was constructed based on 10 food groups consumed: 1) grains, roots, and tubers; 2) pulses; 3) nuts and seeds; 4) dairy; 5) meat, poultry and fish; 6) eggs; 7) dark green leafy vegetables; 8) other vitamin A-rich fruits and vegetables; 9) other vegetables; 10) other fruits. Food groups were assigned to 1 if any food item within the group was consumed, otherwise 0. We estimated the proportion of population with consumption of ≥ 400 g of fruits and vegetables/d, with ≥ 5 food groups (Minimum DDS) and percentage of consumers of red meat, and the contribution to the total energy of SSB, ultra-processed food and animal products (energy percentage). Demographic and socio-economic characteristics of sampled individuals such as sex, age, area and socio-economic status (SES) were obtained. The country was divided into urban and rural areas (≥2500 or < 2500 inhabitants, respectively). We used linear and logistic regression models to continuous and categorical variables, respectively. We analyzed difference by area. Results The percentage of population of Minimum DDS was lower in rural when compared with urban area by every year of survey (P < 0.05). The contribution of energy percentage from ultra-processed foods and animal products was lower in rural area than urban area (P < 0.05). The SSB contribution was similar in both areas. Conclusions Current findings show that the area of residence was associated with variations in the consumption of fruits, vegetables and red meat in Mexican adolescents. Consequently, interventions should focus on increasing healthy eating habits in this population, taking into account when designing preventive strategies the area of residence. Funding Sources Mexican Ministry of Health.

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“I feel like eating rice 24 hours per day, 7 days a week”: A Study of Dietary Diversity Among Asylum Seekers in Norway (OR21-06-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz034.or21-06-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Sigrun Henjum ◽

Laura Terragni

Keyword(s):

Dietary Intake ◽

Asylum Seekers ◽

Dietary Diversity ◽

Living Condition ◽

Dietary Quality ◽

Dietary Intakes ◽

Food Groups ◽

Cross Sectional ◽

Adequate Diet ◽

Adequate Food

Abstract Objectives Poor nutrition and food insecurity is highly prevalent among asylum seekers residing in western countries. Lack of economic resources, unfamiliarity with new foods, and language barriers are some challenges that asylum seekers encounter upon resettlement. Despite the importance of an adequate diet for good health, limited knowledge, exist on food intake and dietary quality among asylum seekers. We described dietary intake and assessed dietary quality among asylum seekers at Norwegian reception centers. Methods In 2017, a cross-sectional study in eight ordinary asylum reception centers in the South Eastern part of Norway were performed and 205 asylum seekers (131 men and 74 women) were included. Dietary intake was assessed by 24-hour dietary recall and dietary diversity score (DDS) calculated according to FAO and FANTA, 2014. In addition, field notes of the asylum seekers thoughts on dietary intake and living condition provided contextual aspects of their nutritional situation. Results Two-third of the asylum seekers had dietary intakes with low quality; they ate from less than five food groups (low DDS). The asylum seekers ate in average two meals per day and one-third ate their first meal after noon. Meals tend to consist of food that was familiar in their country of origin. Women had significantly higher DDS than men with a higher consumption of vegetables and fruits. Asylum seekers residing in Norway for a longer time had a higher dietary diversity, than asylum seekers with a shorter stay. Most asylum seekers told about a reduced dietary intake, few meals and by the end of the month, hunger. They chose the cheapest food, food on sale or food that had expired and chose quantity over quality. The kitchen facilities at the reception centers were inadequate with limited storage place, low quality of the cooking equipment and crowded kitchen. Conclusions The asylum seekers had a monotonous diet with few meals, in contrast to the food abundance that most Norwegian are accustomed to, revealing, the emergence of new groups and new forms of poverty and social exclusion also in rich countries with otherwise good welfare state systems. The situation appear particularly critical given Norway's commitment through the United Nations (UN) International Covenant on Economic, Social and Cultural Rights to ensure human rights such as the right to adequate food and health. Funding Sources The study was funded by Oslo Metropolitan University, Norway.

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