The Impact of Wealth Status on Food Intake Patterns in Filipino School-Aged Children and Adolescents

Angeles‐Agdeppa, Imelda; Lenighan, Yvonne M.; Jacquier, Emma; Toledo, Marvin B.; Capanzana, Mario

doi:10.3390/nu11122910

Cited by 15 publications

(17 citation statements)

References 13 publications

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“…Consumption of nutritious foods, calories and protein often depends on income in Madagascar (Lapenu et al 2000), whereby higher income is often linked to higher consumption of protein rich (ASF) foods (Angeles-Agdeppa et al 2019;Thang and Popkin 2004). This supports the determined importance of income and number of income sources as the prime determinants of ASF consumption in the sampled HHs.…”

Section: Factors Influencing Food Security and Consumption Of Asfmentioning

confidence: 83%

Food security and food quality among vanilla farmers in Madagascar: the role of contract farming and livestock keeping

2021

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The northeastern SAVA region of Madagascar is the largest vanilla producing area in the world and is flourishing due to a large global demand for natural vanilla. Although the general socio-economic situation has regionally improved because of high vanilla prices, little is known about the nutritional status of local vanilla farmers. We used a 12-month longitudinal food survey to analyze food security, food consumption and nutrient intake of local vanilla farming households (n = 140). Food consumption data was complemented with baseline, agro-economic, longitudinal and field-plot information to determine factors influencing food security, and the contribution of protein from Animal Source Food (ASF_protein) to household nutrition using a stepwise generalized linear model. Results show a high level (74%) of food insecurity and micronutrient deficiency but an acceptable level of protein intake among surveyed households. Consumption of rice, the principal source of carbohydrates, is stable across the year. Compared to other regions in Madagascar, local diets are moderately diversified with an acceptable share of ASF_protein (about 50%). Household size (P < 0.001) and cash income from rice sales (P < 0.001) were the most important factors influencing the food security index (FSI), while cash crop income (P < 0.01) and number of income sources (P < 0.01) were more important in the explanation of the dietary share of ASF_protein. Yet, neither livestock ownership nor contracting with vanilla buyers/exporters did improve food security of the surveyed households. Households who concluded contracts were significantly less food secure than non-contracting households (P = 0.01) with seasonal fluctuations across the year. Policy implications of our findings are that, although many actors of the vanilla value chain run social and environmental programs in the SAVA region, more needs to be done to improve diet quality at household level and strengthen farmers’ resilience to food insecurity.

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Section: Factors Influencing Food Security and Consumption Of Asfmentioning

confidence: 83%

Food security and food quality among vanilla farmers in Madagascar: the role of contract farming and livestock keeping

2021

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“…This might be due to high household wealth status could afford and access iron rich foods for their child. Food insecure and poor wealth status of the households were associated with lack of micronutrient-rich food consumption which may lead to iron deficiency anemia [ 31 – 33 ].…”

Section: Discussionmentioning

confidence: 99%

Spatial distribution of iron rich foods consumption and its associated factors among children aged 6–23 months in Ethiopia: spatial and multilevel analysis of 2016 Ethiopian demographic and health survey

Tiruneh

Ayele

Yitbarek

et al. 2020

Nutr J

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Background Micronutrient deficiencies are the most prevalent nutritional deficiencies that cause serious developmental problems in the globe. The aim of this study was to assess the spatial distribution of iron rich foods consumption and its associated factors among children aged 6–23 months in Ethiopia. Methods The data retrieved from the standard Ethiopian Demographic and Health Survey 2016 dataset with a total sample size of 3055 children aged 6–23 months. Spatial scan statistics done using Kuldorff’s SaTScan version 9.6 software. ArcGIS version 10.7 software used to visualize spatial distribution for poor consumption of iron rich foods. Multilevel mixed-effects logistic regression analysis employed to identify the associated factors for good consumption of iron-rich foods. Level of statistical significance was declared at a two-sided P-value < 0.05. Results Overall, 21.41% (95% CI: 19.9–22.9) of children aged 6–23 months had good consumption of iron rich foods in Ethiopia. Poor consumption of iron rich foods highly clustered at Southern Afar, Southeastern Amhara and Tigray, and the Northern part of Somali Regional States of Ethiopia. In spatial scan statistics, children aged 6–23 months living in the most likely cluster were 21% more likely vulnerable to poor consumption of iron rich foods than those living outside the window (RR = 1.21, P-value < 0.001). Child aged 12–17 months (AOR = 1.90, 95% CI: 1.45–2.49) and 18–23 months (AOR = 2.05, 95% CI: 1.55–2.73), primary (AOR = 1.42, 95% CI:1.06–1.87) and secondary and above (AOR = 2.26, 95% CI: 1.47–3.46) mother’s education level, rich (AOR = 1.49, 95% CI: 1.04–2.13) and middle (AOR = 1.83, 95% CI: 1.31–2.57) household wealth status, Amhara (AOR = 0.24, 95% CI: 0.09–0.60), Afar (AOR = 0.38, 95% CI: 0.17–0.84), and Harari (AOR = 2.11, 95% CI: 1.02–4.39) regional states of Ethiopia were statistically significant factors for good consumption of iron rich foods. Conclusion Overall, the consumption of iron rich foods was low and spatially non-random in Ethiopia. Federal Ministry of Health and other stakeholders should give prior attention to the identified hot spot areas to enhance the consumption of iron rich foods among children aged 6–23 months.

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“…The prevalence of insufficient FVI (<4/d) was 48.6% (95% CI: 46.4–50.9%), which was lower than previous surveys, i.e., 58.0% of urban Chinese children in 1982 and 72.7% in 2012 (both reported prevalence corresponds to the WHO recommendation of 80%, i.e., <4 servings/d instead of 5 servings/d) [ 6 ]. The difference in prevalence may be due to many factors, including economic status [ 25 ], time period differences, and methodologies. For instance, we used KIDMED surveys that focus on frequency of fruit and vegetable consumption each week rather than quantities of consumption.…”

Section: Discussionmentioning

confidence: 99%

Insufficient Fruit and Vegetable Intake and Low Potassium Intake Aggravate Early Renal Damage in Children: A Longitudinal Study

Amaerjiang

et al. 2022

Nutrients

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Insufficient fruit and vegetable intake (FVI) and low potassium intake are associated with many non-communicable diseases, but the association with early renal damage in children is uncertain. We aimed to identify the associations of early renal damage with insufficient FVI and daily potassium intake in a general pediatric population. We conducted four waves of urine assays based on our child cohort (PROC) study from October 2018 to November 2019 in Beijing, China. We investigated FVI and other lifestyle status via questionnaire surveys and measured urinary potassium, β2-microglobulin (β2-MG), and microalbumin (MA) excretion to assess daily potassium intake and renal damage among 1914 primary school children. The prevalence of insufficient FVI (<4/d) was 48.6% (95% CI: 46.4%, 50.9%) and the estimated potassium intake at baseline was 1.63 ± 0.48 g/d. Short sleep duration, long screen time, lower estimated potassium intake, higher β2-MG and MA excretion were significantly more frequent in the insufficient FVI group. We generated linear mixed effects models and observed the bivariate associations of urinary β2-MG and MA excretion with insufficient FVI (β = 0.012, 95% CI: 0.005, 0.020; β = 0.717, 95% CI: 0.075, 1.359), and estimated potassium intake (β = −0.042, 95% CI: −0.052, −0.033; β = −1.778, 95% CI: −2.600, −0.956), respectively; after adjusting for age, sex, BMI, SBP, sleep duration, screen time and physical activity. In multivariate models, we observed that urinary β2-MG excretion increased with insufficient FVI (β = 0.011, 95% CI: 0.004, 0.018) and insufficient potassium intake (<1.5 g/d) (β = 0.031, 95% CI: 0.023, 0.038); and urinary MA excretion increased with insufficient FVI (β = 0.658, 95% CI: 0.017, 1.299) and insufficient potassium intake (β = 1.185, 95% CI: 0.492, 1.878). We visualized different quartiles of potassium intake showing different renal damage with insufficient FVI for interpretation and validation of the findings. Insufficient FVI and low potassium intake aggravate early renal damage in children and underscores that healthy lifestyles, especially adequate FVI, should be advocated.

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The Impact of Wealth Status on Food Intake Patterns in Filipino School-Aged Children and Adolescents

Cited by 15 publications

References 13 publications

Food security and food quality among vanilla farmers in Madagascar: the role of contract farming and livestock keeping

Food security and food quality among vanilla farmers in Madagascar: the role of contract farming and livestock keeping

Spatial distribution of iron rich foods consumption and its associated factors among children aged 6–23 months in Ethiopia: spatial and multilevel analysis of 2016 Ethiopian demographic and health survey

Insufficient Fruit and Vegetable Intake and Low Potassium Intake Aggravate Early Renal Damage in Children: A Longitudinal Study

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