scholarly journals Cross-Sectional Association of Food Source with Food Insecurity, Dietary Diversity and Body Mass Index in Western Kenya

Nutrients ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 121
Author(s):  
Elizabeth Olatunji ◽  
Charles Obonyo ◽  
Pamela Wadende ◽  
Vincent Were ◽  
Rosemary Musuva ◽  
...  

The triple burden of malnutrition in many low- and middle-income countries (LMICs) is partly a result of changing food environments and a shift from traditional diets to high-calorie Western-style diets. Exploring the relationship between food sources and food- and nutrition-related outcomes is important to understanding how changes in food environments may affect nutrition in LMICs. This study examined associations of household food source with household food insecurity, individual dietary diversity and individual body mass index in Western Kenya. Interview-administered questionnaire and anthropometric data from 493 adults living in 376 randomly-selected households were collected in 2019. Adjusted regression analyses were used to assess the association of food source with measures of food insecurity, dietary diversity and body mass index. Notably, participants that reported rearing domesticated animals for consumption (‘own livestock’) had lower odds of moderate or severe household food insecurity (odds ratio (OR) = 0.29 (95% CI: 0.09, 0.96)) and those that reported buying food from supermarkets had lower odds of moderate or severe household food insecurity (borderline significant, OR = 0.37 (95% CI: 0.14, 1.00)), increased dietary diversity scores (Poisson coefficient = 0.17 (95% CI: 0.10, 0.24)) and higher odds of achieving minimum dietary diversity (OR = 2.84 (95% CI: 1.79, 4.49)). Our findings provide insight into the relationship between food environments, dietary patterns and nutrition in Kenya, and suggest that interventions that influence household food source may impact the malnutrition burden in this context.

2018 ◽  
Vol 202 ◽  
pp. 115-120.e1 ◽  
Author(s):  
Brenda J. Lohman ◽  
Tricia K. Neppl ◽  
Yoojin Lee ◽  
Olivia N. Diggs ◽  
Daniel Russell

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Michael P Burke ◽  
Edward A Frongillo ◽  
Sonya J Jones ◽  
Bethany A Bell

2016 ◽  
Vol 11 (2) ◽  
pp. 227-241 ◽  
Author(s):  
Michael P. Burke ◽  
Edward A. Frongillo ◽  
Sonya J. Jones ◽  
Bethany B. Bell ◽  
Heather Hartline-Grafton

2019 ◽  
Vol 119 (10) ◽  
pp. 1666-1675 ◽  
Author(s):  
Melissa N. Poulsen ◽  
Lisa Bailey-Davis ◽  
Jonathan Pollak ◽  
Annemarie G. Hirsch ◽  
Brian S. Schwartz

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sarah Heany ◽  
Nicole Phillips ◽  
Landon Myer ◽  
Heather Zar ◽  
Dan Stein ◽  
...  

Background: Perinatally acquired HIV-infected (PHIV+) adolescents have shown impairments in neurocognitive function and mental health problems compared with their peers. The contribution of food insecurity to such impairments has not been explored.Objectives: The aim of this report has been to explore the contribution of food insecurity to neurocognitive impairment and mental health problems in adolescents with perinatally-acquired HIV infection.Method: A total of 248 PHIV+ adolescents and healthy controls aged between 9 and 12 years completed a neuropsychological battery, the Childhood Behaviour Checklist (CBCL) and the Becks Youth Inventory. Head circumference, body mass index (BMI), height for age (HAZ), Tanner pubertal staging, albumin, haemoglobin, CD4 and viral loads were also measured. Participants’ caregivers were interviewed about their mental health and household food security. T-tests were used to assess for differences in food secure and food insecure households.Results: Caregivers of PHIV+ adolescents reported higher levels of depressive symptoms and household food insecurity. Increased food insecurity was associated with more behavioural problems in adolescents, as well as lower haemoglobin and albumin levels, faster processing speed and increased Tanner staging in boys. Body mass index and HAZ were not affected by food insecurity.Conclusion: These findings suggest that household food insecurity is associated with some altered behavioural, physical and physiological outcomes, which could complicate and compound the existing difficulties in PHIV+ households.


Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2454
Author(s):  
Christopher L Melby ◽  
Fadya Orozco ◽  
Jenni Averett ◽  
Fabián Muñoz ◽  
Maria José Romero ◽  
...  

Some rural areas of Ecuador, including the Imbabura Province of the Andes Highlands, are experiencing a double burden of malnutrition where micronutrient deficiencies persist at the same time obesity is increasing as many traditional home-grown foods are being replaced with more commercially prepared convenience foods. Thus, the relationships among agricultural food production diversity (FPD), dietary diversity (DD), and household food insecurity (HFI) of the rural small holder farmers need further study. Therefore, we examined these associations in small holder farmers residing in this Province in the Andes Highlands (elevation > 2500 m). Non-pregnant maternal home managers (n = 558, x age = 44.1, SD = 16.5 y) were interviewed regarding the number of different agricultural food crops cultivated and domestic animals raised in their family farm plots. DD was determined using the Minimum Dietary Diversity for Women Score (MDD-W) based on the number of 10 different food groups consumed, and household food insecurity (HFI) was determined using the 8-item Household Food Insecurity Experience Scale. The women reported consuming an average of 53% of their total food from what they cultivated or raised. Women with higher DD [MMD-W score ≥ 5 food groups (79% of total sample)] were on farms that cultivated a greater variety of crops (x = 8.7 vs. 6.7), raised more animals (x = 17.9 vs. 12.7, p < 0.05), and reported lower HFI and significantly higher intakes of energy, protein, iron, zinc, and vitamin A (all p < 0.05). Multiple regression analyses demonstrated that FPD was only modestly related to DD, which together with years of education, per capita family income, and HFI accounted for 26% of DD variance. In rural areas of the Imbabura Province, small holder farmers still rely heavily on consumption of self-cultivated foods, but greater diversity of crops grown in family farm plots is only weakly associated with greater DD and lower HFI among the female caretakers.


Nutrition ◽  
2019 ◽  
Vol 65 ◽  
pp. 97-102 ◽  
Author(s):  
Aaron Kobina Christian ◽  
Grace S. Marquis ◽  
Esi K. Colecraft ◽  
Anna Lartey ◽  
Rula Soueida

Sign in / Sign up

Export Citation Format

Share Document