Dietary Patterns and Determinants of Pregnant and Lactating Women From Marginalized Communities in India: A Community-Based Cross-Sectional Study

Sharma, Shantanu; Akhtar, Faiyaz; Singh, Rajesh Kumar; Mehra, Sunil

doi:10.3389/fnut.2020.595170

Cited by 6 publications

(7 citation statements)

References 42 publications

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“…Early marriage was associated with 17% and 32% lower consumption of dairy and dark green leafy vegetables, respectively. The literature review confirmed that women belonging to lower caste (OR = 0.9) and rural households (OR = 6.9) were more likely to have lower diversity [ 21 , 39 , 40 ].…”

Section: Resultsmentioning

confidence: 76%

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Maternal Diets in India: Gaps, Barriers, and Opportunities

et al. 2021

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Suboptimal dietary intake is a critical cause of poor maternal nutrition, with several adverse consequences both for mothers and for their children. This study aimed to (1) assess maternal dietary patterns in India; (2) examine enablers and barriers in adopting recommended diets; (3) review current policy and program strategies to improve dietary intakes. We used mixed methods, including empirical analysis, compiling data from available national and subnational surveys, and reviewing literature, policy, and program strategies. Diets among pregnant women are characterized by low energy, macronutrient imbalance, and inadequate micronutrient intake. Supply- and demand-side constraints to healthy diets include food unavailability, poor economic situation, low exposure to nutrition counselling, food restrictions and taboos, adverse family influence and gender norms, and gaps in knowledge. Intervention strategies with potential to improve maternal diets include food-based programs, behavior change communication, and nutrition-sensitive agriculture interventions. However, strategies face implementation bottlenecks and limited effectiveness in real-world at-scale impact evaluations. In conclusion, investments in systems approaches spanning health, nutrition, and agriculture sectors, with evaluation frameworks at subnational levels, are needed to promote healthy diets for women.

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Section: Resultsmentioning

confidence: 76%

“…Receipt of health and nutrition services and counseling on diet was associated with a 1.5–3 times greater likelihood of higher dietary diversity and consuming more food groups [ 21 , 39 , 40 ]. Dietary diversity was lower among women who had no prior contact with a health professional (OR = 0.6) [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

Maternal Diets in India: Gaps, Barriers, and Opportunities

et al. 2021

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“…Dietary behaviours, including foods preferentially consumed, meal frequency and timing, are heavily influenced by the ecology, demography, regions, religions, traditions, seasons, cultural specificities, economic burden and psychosocial beliefs ( 6 ) . Such beliefs around food choices are extremely deep-rooted and are mostly practised by women especially during pregnancy and lactation ( 7 ) . These practices determine what they eat, how much, why and when.…”

Section: Introductionmentioning

confidence: 99%

Maternal malnutrition and anaemia in India: dysregulations leading to the ‘thin-fat’ phenotype in newborns

Pandit¹,

Galande

Iris³

2021

J Nutr Sci

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Maternal and child malnutrition and anaemia remain the leading factors for health loss in India. Low birth weight (LBW) offspring of women suffering from chronic malnutrition and anaemia often exhibit insulin resistance and infantile stunting and wasting, together with increased risk of developing cardiometabolic disorders in adulthood. The resulting self-perpetuating and highly multifactorial disease burden cannot be remedied through uniform dietary recommendations alone. To inform approaches likely to alleviate this disease burden, we implemented a systems-analytical approach that had already proven its efficacy in multiple published studies. We utilised previously published qualitative and quantitative analytical results of rural and urban field studies addressing maternal and infantile metabolic and nutritional parameters to precisely define the range of pathological phenotypes encountered and their individual biological characteristics. These characteristics were then integrated, via extensive literature searches, into metabolic and physiological mechanisms to identify the maternal and foetal metabolic dysregulations most likely to underpin the ‘thin-fat’ phenotype in LBW infants and its associated pathological consequences. Our analyses reveal hitherto poorly understood maternal nutrition-dependent mechanisms most likely to promote and sustain the self-perpetuating high disease burden, especially in the Indian population. This work suggests that it most probably is the metabolic consequence of ‘ill-nutrition’ – the recent and rapid dietary shifts to high salt, high saturated fats and high sugar but low micronutrient diets – over an adaptation to ‘thrifty metabolism’ which must be addressed in interventions aiming to significantly alleviate the leading risk factors for health deterioration in India.

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“…The main source of animal protein comes from cow's milk and maternal milk consumption is higher during the lactating period. 48 Maternal diet is carefully managed, food is prepared fresh and no processed foods are generally used. However, despite a variety of government policies, 65-75% of households could not afford a wholesome nutritious diet, which is usually poor in iron and other micronutrients, and many women suffer from anaemia.…”

Section: Food Allergy Ris K Fac Tor S and Their Lik Ely Influen Ce On...mentioning

confidence: 99%

“…The National Family Health and Welfare Survey of India has observed that women in India consume mainly vegetarian food rich in cereals, vegetables, fruits, and pulses. The main source of animal protein comes from cow's milk and maternal milk consumption is higher during the lactating period 48 . Maternal diet is carefully managed, food is prepared fresh and no processed foods are generally used.…”

Section: Food Allergy Risk Factors and Their Likely Influence On The ...mentioning

confidence: 99%

Allergic sensitization to foods in India and other Low–Middle‐income countries

Anand

Ullah

Parthasarathi³

2023

Clin Experimental Allergy

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Food allergy is an important cause of morbidity significantly affecting the quality of life of the sufferer. Food allergy, an important component of the allergy march, may be increasing in prevalence in some regions and constitutes an important public health problem. 1 Awareness of food allergy is increasing in both western as well as developing countries. The burden of challenge-confirmed food allergy in the western world is up to 10%, but is much lower in LMICs.The increasing awareness and prevalence of food allergy has been termed the 'second wave' of allergic diseases after the increased awareness and prevalence of asthma seen in the second half of the 20th century. 2 There are wide variations in the prevalence of food sensitization and food allergy across the globe and it affects

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Dietary Patterns and Determinants of Pregnant and Lactating Women From Marginalized Communities in India: A Community-Based Cross-Sectional Study

Cited by 6 publications

References 42 publications

Maternal Diets in India: Gaps, Barriers, and Opportunities

Maternal Diets in India: Gaps, Barriers, and Opportunities

Maternal malnutrition and anaemia in India: dysregulations leading to the ‘thin-fat’ phenotype in newborns

Allergic sensitization to foods in India and other Low–Middle‐income countries

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