Food Crop Production, Nutrient Availability, and Nutrient Intakes in Bangladesh: Exploring the Agriculture—Nutrition Nexus with the 2010 Household Income and Expenditure Survey

Fiedler, John L.

doi:10.1177/156482651403500410

Cited by 12 publications

(5 citation statements)

References 10 publications

(10 reference statements)

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“…121,122 At present, Bangladesh's food system is rice centric, and rice contains 67% of Bangladesh's total agricultural output of calcium. 123 Although potential benefits of increased dietary diversity are supported in Bangladesh, 44,100 research has yet to address questions as to how diversification could be practicably brought about in the general population, and policies have not favored such implementation or implementation research.…”

Section: Commentmentioning

confidence: 99%

“…121,122 At present, Bangladesh’s food system is rice centric, and rice contains 67% of Bangladesh’s total agricultural output of calcium. 123 Although potential benefits of increased dietary diversity are supported in Bangladesh, 44,100 research has yet to address questions as to how diversification could be practicably brought about in the general population, and policies have not favored such implementation or implementation research. Research is needed to determine how supply- or demand-side price controls may increase production and consumption of nutrient dense-foods while reducing that of rice, without spreading hunger, marginalizing local firms, or limiting international trade.…”

Section: Commentmentioning

confidence: 99%

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Calcium Deficiency in Bangladesh

2016

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Background Bangladesh incurs among the highest prevalence of stunting and micronutrient deficiencies in the world, despite efforts against diarrheal disease, respiratory infections, and protein energy malnutrition which have led to substantial and continuous reductions in child mortality over the past 35 years. Although programs have generally paid more attention to other micronutrients, the local importance of calcium to health has been less recognized. Objective To synthesize available information on calcium deficiency in Bangladesh in order to inform the design of an effective national calcium program. Methods We searched 3 online databases and a multitude of survey reports to conduct a narrative review of calcium epidemiology in Bangladesh, including population intake, determinants and consequences of deficiency, and tested interventions, with particular reference to young children and women of childbearing age. This was supplemented with secondary analysis of a national household survey in order to map the relative extent of calcium adequacy among different demographics. Results Intake of calcium is low in the general population of Bangladesh, with potentially serious and persistent effects on public health. These effects are especially pertinent to young children and reproductive-age women, by virtue of increased physiologic needs, disproportionately poor access to dietary calcium sources, and a confluence of other local determinants of calcium status in these groups. Conclusion A tablet supplementation program for pregnant women is an appealing approach for the reduction in preeclampsia and preterm birth. Further research is warranted to address the comparative benefit of different promising approaches in children for the prevention of rickets.

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

Calcium Deficiency in Bangladesh

2016

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“…Representation was the main concern for Bangladesh, with the dietary data representing only 2 districts in the northern region of the country known for high consumption of rice and poor nutrition status. Results of rice consumption for women were found to be very similar to the per capita consumption estimates (453 g/d) from the 2010 Household Income and Expenditure Survey (HIES) of 12,240 rural households in Bangladesh (23). However, the vitamin A–inadequate intake in the Bangladesh study (93%) was much higher than the reported 61% in the 2010 HIES.…”

Section: Discussionmentioning

confidence: 53%

Biofortified β-carotene rice improves vitamin A intake and reduces the prevalence of inadequacy among women and young children in a simulated analysis in Bangladesh, Indonesia, and the Philippines

Moura

Moursi

Angel

et al. 2016

The American Journal of Clinical Nutrition

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Background: Vitamin A deficiency continues to be a major public health problem affecting developing countries where people eat mostly rice as a staple food. In Asia, rice provides up to 80% of the total daily energy intake.Objective: We used existing data sets from Bangladesh, Indonesia, and the Philippines, where dietary intakes have been quantified at the individual level to 1) determine the rice and vitamin A intake in nonpregnant, nonlactating women of reproductive age and in nonbreastfed children 1–3 y old and 2) simulate the amount of change that could be achieved in the prevalence of inadequate intake of vitamin A if rice biofortified with β-carotene were consumed instead of the rice consumed at present.Design: We considered a range of 4–20 parts per million (ppm) of β-carotene content and 10–70% substitution levels for the biofortified rice. Software was used to estimate usual rice and vitamin A intake for the simulation analyses.Results: In an analysis by country, the substitution of biofortified rice for white rice in the optimistic scenario (20 ppm and 70% substitution) decreased the prevalence of vitamin A inadequacy from baseline 78% in women and 71% in children in Bangladesh. In Indonesia and the Philippines, the prevalence of inadequacy fell by 55–60% in women and dropped by nearly 30% in children from baseline.Conclusions: The results of the simulation analysis were striking in that even low substitution levels and modest increases in the β-carotene of rice produced a meaningful decrease in the prevalence of inadequate intake of vitamin A. Increasing the substitution levels had a greater impact than increasing the β-carotene content by >12 ppm.

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“…Inadequate food production diversity seems to be a barrier to addressing malnutrition in Bangladesh. The food system in Bangladesh has traditionally focused on rice as the main staple crop [3,21] with some production of other crops such as pulses, vegetables, fruit and oil seeds [21] or non-crop products such as fish (aquaculture), and livestock [3]. Home gardens are also important sources of food consumption and income in rural Bangladesh [22].…”

Section: Introductionmentioning

confidence: 99%

“…Although the country has experienced increased production of nutrient-rich foods, such as meat, milk, aqua products, vegetables and fruit, the growth is not sufficient to meet dietary requirements [23]. While the production of vegetables and fruit is increasing, the produced quantity is insufficient to meet the dietary requirements of the Bangladeshi population [21,23]. Meeting the daily WHO requirements for vegetables and fruit needs either a significant increase in production in the country, or large net imports [23].…”

Section: Introductionmentioning

confidence: 99%

What Influences the Implementation and Sustainability of Nutrition-Sensitive Agriculture Interventions? A Case Study from Southern Bangladesh

et al. 2021

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Nutrition-sensitive agriculture (NSA) provides a promising pathway for addressing malnutrition. Fulfilling this promise needs a better understanding of the implementation and sustainability of NSA interventions because of their highly complex nature. This study aimed to explore the factors affecting the implementation and sustainability of NSA interventions. A case study design was employed using two focus group discussions with beneficiaries (n = 15), semi-structured interviews with beneficiaries (n = 13), and actors involved in implementation (n = 18). Factors were thematically analyzed using both deductive and inductive approaches adapting the consolidated framework for implementation research. A complex interaction of the factors across the five domains was found: outer setting—nutrition sensitivity of policies, institutional framework; inner setting—culture, social and economic environment, biophysical environment, local capacity, other programs or projects; characteristics of actors—beneficiaries, family members, household capacity, implementers; intervention characteristics—adaptability, design quality, cost of interventions; and, implementation process—fit-to-context, integration and multisectoral collaboration, continuous motivation through engagement, monitoring. Implementing and sustaining NSA needs consideration of multiple factors, with careful analysis of the absorptive capacities of local institutions and beneficiary households. Future studies should explore which mechanisms created for adoption can be continued beyond the project funding cycle, and how.

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Food Crop Production, Nutrient Availability, and Nutrient Intakes in Bangladesh: Exploring the Agriculture—Nutrition Nexus with the 2010 Household Income and Expenditure Survey

Abstract: Background.

Cited by 12 publications

References 10 publications

Calcium Deficiency in Bangladesh

Calcium Deficiency in Bangladesh

Biofortified β-carotene rice improves vitamin A intake and reduces the prevalence of inadequacy among women and young children in a simulated analysis in Bangladesh, Indonesia, and the Philippines

What Influences the Implementation and Sustainability of Nutrition-Sensitive Agriculture Interventions? A Case Study from Southern Bangladesh

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