Is dietary diversity a proxy measurement of nutrient adequacy in Iranian elderly women?

Tavakoli, Sogand; Motlagh, Ahmadreza Dorosty; Hoshiarrad, Anahita; Eshraghian, M R; Sotoudeh, Gity; Azadbakht, Leila; Karimi, Mehrdad; Jalali-Farahani, Sara

doi:10.1016/j.appet.2016.06.011

Cited by 42 publications

(37 citation statements)

References 52 publications

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“…These ndings suggest that income has a crucial role in sustaining food security for elderly individuals. Effects of adequate income on food security were noted in existing literatures [18,[24][25][30][31]. However, this study found that there was not signi cant relationship between lower income and FI with severe hunger.…”

Section: Discussionmentioning

confidence: 60%

“…In another study in Shiraz, an inverse relationship between food insecurity and consumption of meat, milk, fruits, and vegetables scores was reported [20]. Finally, a study on Food insecurity and some associated risk factors in Tehranian elderly women showed that food insecurity was more frequent among women who were single, had swallowing problem and those with low to moderate socioeconomic status [18].…”

Section: Introductionmentioning

confidence: 97%

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Food Security and Its Association with Socioeconomic Status and Diet Diversity in Free Living Elderly in Tehran, Iran

Pourebrahim¹,

Omidvar²,

Rezazadeh³

et al. 2020

Preprint

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Backgrounds: Food security is one of the most important factors affecting food access and diet diversity. Older age is a period when adequate and diverse dietary intake is a challenge and there is a high risk for malnutrition. This study aimed to investigate the association between food security, dietary diversity and socioeconomic factors among the free-living elderly in the city of Tehran. Methods In this cross-sectional study, 583 elderlies (279 men and 304 women) aged 60–80 years were selected through clustered systematic multi-stage sampling method from 10 districts of Tehran city. Food security status of the subjects was determined using locally validated version of the United States Household Food Security Survey Module )US-HFSSM( questionnaire. Socio-economic status was assessed by a questionnaire. Dietary intake of the subjects was evaluated using two 24-hour recalls (one weekday and one week-end) through face-to-face interviews. Dietary Diversity Score (DDS) was calculated using the FAO 2010 guideline. Multinomial logistic regression was applied for the analysis. Results The average age of participants was 67.87 ± 5.86 years. Based on US-HFSSM, 56.9% of the elderly were food secure; while 25.7%, 14.2% and 3.2% suffered from food insecurity (FI) without hunger, with moderate hunger, and with severe hunger, respectively. There was no association between FI and DDS, even after controlling for confounders. Multinomial logistic regression models suggested that after adjusting for age and gender, being illiterate increased the possibility of different levels of food insecurity [(OR = 3.107, 95% CI = 1.672–5.775), (OR = 2.736, 95% CI = 1.261–5.935) and (OR = 6.193, 95% CI = 1.368–28.039)], respectively. Also, FI with mild hunger was associated with total household income (OR = 2.744, 95% CI = 1.100-6.846), while FI with severe hunger was significantly associated with Fars ethnicity (OR = 0.146, 95% CI = 0.051–0.424). Conclusions Overall, socio-economic status and demographic characteristics were the predictors of FI among the elderly, while DDS was not associated with FI.

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Section: Discussionmentioning

confidence: 60%

Section: Introductionmentioning

confidence: 97%

Food Security and Its Association with Socioeconomic Status and Diet Diversity in Free Living Elderly in Tehran, Iran

Pourebrahim¹,

Omidvar²,

Rezazadeh³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Dietary diversity indicators have been found to be positively correlated with the macro and/or micronutrient adequacy of diets of children aged five to 11 years (Steyn et al, 2014), adolescents (Mirmiran et al, 2004) or elderly subjects (Rathnayake et al, 2012;Tavakoli et al, 2016) but there are no internationally validated indicators of dietary diversity currently available for these age and sex groups. There is a need for multi-site validation studies for indicators covering other age and sex groups.…”

Section: Age/sex Population Groups Not Represented In Standard Fgismentioning

confidence: 99%

Systematic review of use and interpretation of dietary diversity indicators in nutrition-sensitive agriculture literature

Verger

Ballard²,

Dop

et al. 2019

Global Food Security

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In the past decade, food group dietary diversity indicators (FGIs) have increasingly been used to assess the impact of agriculture on food security or nutrition. Following a structured search strategy and a two-phase screening process, 46 studies investigating associations between agriculture and food security or nutrition through the use of simple FGIs were assessed for how the indicators were constructed and interpreted. Most studies based on individual level FGIs were consistent with published guidance, while many of the studies measuring households' dietary diversity were not, particularly in terms of interpretation of the indicators or of food group classification. Efforts are needed to harmonize the way FGIs are used and interpreted in order to enhance comparability across studies and allow meta-analyses of the association between agriculture and food security or nutrition.

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“…According to this methodology, women who achieve the minimal diet diversity, i.e., consuming five or more food groups, are expected to have a higher likelihood of meeting their micronutrient intake recommendations compared to those who consume fewer food groups [11]. The MDD-W has been widely used to compare the dietary diversity of female populations across different contexts [12][13][14]. Measured on an individual level, MDD-W has been used as a proxy measurement for diet quality and micronutrient adequacy, showing associations with nutrient adequacy [10,13,15,16].…”

Section: Introductionmentioning

confidence: 99%

“…The MDD-W has been widely used to compare the dietary diversity of female populations across different contexts [12][13][14]. Measured on an individual level, MDD-W has been used as a proxy measurement for diet quality and micronutrient adequacy, showing associations with nutrient adequacy [10,13,15,16]. Alternatively, a diverse diet may also be associated with more high-energy food sources and nutrients that represent a public health concern, such as added sugars, saturated fat, and sodium.…”

Section: Introductionmentioning

confidence: 99%

Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study

et al. 2020

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Dietary diversity, an important component of diet quality, is associated with an increased probability of adequate micronutrient intake. Women of childbearing age (WCA) are particularly vulnerable to micronutrient inadequacy. The Minimum Dietary Diversity for Women (MDD-W) has been used widely as a proxy measurement of micronutrient adequacy. This study aimed to assess the association between MDD-W and nutrients adequacy among WCA of eight Latin American countries. Nutrient intakes from 3704 WCA were analyzed with two 24-hour dietary recalls. Dietary diversity was calculated based on ten food groups with a cut-off point of intake ≥5 groups. The mean dietary diversity score was 4.72 points, and 57.7% of WCA achieved MDD-W. Vitamin D and E showed a mean Nutrient Adequacy Ratio (NAR) of 0.03 and 0.38, respectively. WCA with a diverse diet (MDD-W > 5) reported a significantly higher intake of most micronutrients and healthy food groups with less consumption of red and processed meats and sugar-sweetened beverages. MDD-W was significantly associated with the mean adequacy ratio (MAR) of 18 micronutrients evaluated. Nevertheless, even those women with a diverse diet fell short of meeting the Estimated Average Requirements (EAR) for vitamins D and E. MDD-W is an appropriate tool to evaluate micronutrients adequacy in WCA from Latin America, showing that women who achieved the MDD-W reported higher adequacy ratios for most micronutrients and an overall healthier diet.

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Is dietary diversity a proxy measurement of nutrient adequacy in Iranian elderly women?

Cited by 42 publications

References 52 publications

Food Security and Its Association with Socioeconomic Status and Diet Diversity in Free Living Elderly in Tehran, Iran

Food Security and Its Association with Socioeconomic Status and Diet Diversity in Free Living Elderly in Tehran, Iran

Systematic review of use and interpretation of dietary diversity indicators in nutrition-sensitive agriculture literature

Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study

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