{"title":"Nutritional and Obstetric Determinant of Iron Deficiency Anemia among Pregnant Women Attending Antenatal Care Services in Public Health Hospitals in Abidjan (Côte d'Ivoire): A Cross-Sectional Study.","authors":"Stéphane Claver Vanié, Angèle Edjème-Aké, Kouakou Nestor Kouassi, Grodji Albarin Gbogouri, Allico Joseph Djaman","doi":"10.1080/03670244.2021.1987229","DOIUrl":"https://doi.org/10.1080/03670244.2021.1987229","url":null,"abstract":"<p><p>Poorly diversified and micronutrient-deficient dietary intakes during pregnancy remain one of the major causes of nutritional anemia in developing countries. However, data on diet and its relation to anemia in pregnant women in Côte d'Ivoire are scarce. The objective of this study was to determine prevalence and iron deficiency anemia associated factors in pregnant women in Abidjan. A cross-sectional study was conducted among 389 pregnant women attending antenatal care services at public health hospitals in Abidjan. Sociodemographic, obstetrical, and dietary data were collected. Blood samples taken by venipuncture were analyzed for hemoglobin and iron biomarkers. Data were subjected to descriptive statistics and multivariate logistic regression. 47.8% of the pregnant women tested were anemic, 25.8% and 30.4% had iron deficiency and iron deficiency anemia, respectively. Based on AORs, the second and third trimesters of pregnancy (6.04 v 4.18, respectively), multiparity (13.18), skipping meals (3.05), inadequate energy (5.369), protein (2.74), and vitamin C (2.43) intakes and low dietary diversity (8.35) are the independent and significant determinants of iron deficiency anemia. The high prevalence of anemia among pregnant women in Abidjan reveals a real public health problem. Iron deficiency anemia is due to multiparity, gestational age, inadequate intake, low dietary diversity, and skipping meals.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39539048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Roberto Pedrero-Tomé, Noemí López-Ejeda, María Sánchez Alvarez, Cristina Herrero-Jaúregui, Belén Acosta Gallo, María Dolores Marrodán
{"title":"Household food insecurity and nutritional status of schoolchildren in rural regions of Bajo Lampa, El Salvador (2018-2019).","authors":"Roberto Pedrero-Tomé, Noemí López-Ejeda, María Sánchez Alvarez, Cristina Herrero-Jaúregui, Belén Acosta Gallo, María Dolores Marrodán","doi":"10.1080/03670244.2021.1968851","DOIUrl":"https://doi.org/10.1080/03670244.2021.1968851","url":null,"abstract":"<p><p>In 2018, a cross-sectional study was conducted in six communities of Tecoluca, Bajo Lempa (El Salvador). Weight, height, sitting-height, skinfolds thickness and head, arm, and waist circumferences were measured in a sample of 334 schoolchildren. Nutritional status, body composition, and Extended Composite Index for Anthropometric Failure (ECIAF) were estimated. The Food Security Perception Survey (Spanish acronym: EPSA) was applied to 143 households. Anthropometric failure was observed in 37.5% of the schoolchildren. Association between stunting and underweight in boys and stunting and weight excess in girls was observed. About 58.7% of the households suffered from food insecurity.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39339237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kristen Pinchun Yang, Carmen P Wong, Sunil K Khanna, Tammy M Bray
{"title":"A Locally-Produced Plant-Based Supplement <i>Swathi Savi</i> (SAVI) Enrichment Improves Body Growth, Bone Development, and Immune Functions in Protein Malnourished Mice: Implications for Strategies to Combat Child Malnutrition.","authors":"Kristen Pinchun Yang, Carmen P Wong, Sunil K Khanna, Tammy M Bray","doi":"10.1080/03670244.2021.1977636","DOIUrl":"https://doi.org/10.1080/03670244.2021.1977636","url":null,"abstract":"<p><p>Child malnutrition is a critical global challenge. India alone is home to nearly 46 million stunted children, a third of the world's total. Supplementing locally-produced foods has been acknowledged as a sustainable strategy for combating child malnutrition. We used an established protein malnutrition (PM) model in young mice to evaluate the safety and efficacy of the SAVI-enriched diet as a food supplement to combat child malnutrition in India. Results indicate that feeding the SAVI-enriched diet improves body weight, lean muscle mass, bone, and immune health in PM young mice. Based on the results of our study in mice, we suggest future human trials to examine the supplement's potential benefits for humans.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39475085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship between Hemoglobin Level and Socio-economic Indicators among Women of Childbearing Age in South Africa: A Secondary Analysis of DHS Data.","authors":"S W McLaren","doi":"10.1080/03670244.2021.1954510","DOIUrl":"https://doi.org/10.1080/03670244.2021.1954510","url":null,"abstract":"<p><p>The nutritional double burden of disease refers to the phenomenon of undernutrition, wasting, stunting, micronutrient deficiency coinciding with overweight, obesity, and diet-related non-communicable diseases, within individuals, households and populations throughout the lifecycle. This study aimed to determine whether there were differences in hemoglobin levels between anthropometric categories and socio-economic factors among women aged 15 to 49 years old in South Africa. Data were obtained from the Demographic and Health Survey (DHS) South Africa survey 2016. There were 2690 women between 15 and 49 years old included in the sample. Variables selected for analysis included height and weight, hemoglobin (adjusted for altitude), wealth index, access to improved water and sanitation. Variables were tested for normality using Q-Q plots. Missing data was removed. Frequencies and percentages were reported for categorical data. Non-parametric continuous variables were reported as medians and interquartile ranges. As data were not normally distributed, analysis was conducted using the Kruskall-Wallis test and Mann-Whitney U test. The type I error rate was set to <i>p</i> < .05. Where it was found that a significant difference exists, post hoc Dunn tests were performed to determine the location of the differences. Anemia was prevalent among 28.9% of the sample and 63.5% were either overweight or obese. Hemoglobin levels were significantly different between normal weight women and women with a body mass index in the obese class I and obese class II respectively (Kruskall-Wallis = 27.014; df = 5; <i>p</i> = .000; n = 2690). There were significant differences in hemoglobin levels between women with access to improved sanitation and those without access (Mann-Whitney U test <i>p</i> = .017), but hemoglobin levels were similar between women with access to improved water and those without (Mann-Whitney U test <i>p</i> = .175). Poorer women had significantly different hemoglobin levels to the wealthiest women in the sample (Kruskall-Wallis = 29.568; df = 4; <i>p</i> = .000). The nutritional double burden of disease is prevalent in South Africa among women of childbearing age. A wealth disparity exists among South African women in terms of hemoglobin levels.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39190374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of Nutritional Knowledge of Informal Caregivers on Depression and Metabolic Outcomes of Hemodialysis Patients.","authors":"Gul Kiziltan, Perim Fatma Turker, Esra Koseler Beyaz, Mendane Saka, Cihat Burak Sayin","doi":"10.1080/03670244.2021.1968850","DOIUrl":"https://doi.org/10.1080/03670244.2021.1968850","url":null,"abstract":"<p><p>Chronic renal failure (CRF) makes significant changes in the life of patients and their families. A good family support has a positive effect on successful patients' adaptation to the treatment and compliance with dietary regimen. This study aimed to examine the effects of nutritional knowledge of informal caregivers on depression and metabolic outcomes of hemodialysis patients. This was a cross-sectional study conducted at Baskent University Hemodialysis Center with 116 hemodialysis patients and their informal caregivers. Findings revealed that the caregivers who were the couple of the patients had the highest nutritional knowledge level than the other caregivers (<i>p</i> < .05). The postgraduate caregivers were more likely to have high nutritional knowledge level than the others (<i>p</i> < .05). The inflammation marker of the patients was significantly lower in the group of caregivers with higher level (T3 group) of nutritional knowledge than the others (<i>p</i> < .05). The mean CES-D scores were also more likely to be low in T3 group than in the others (<i>p</i> < .05). These findings highlight that the nutritional knowledge of caregivers of hemodialysis patients may have an additional benefit on patients' nutritional management and metabolic outcomes.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39366044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Food Security Status, Coping Strategies, and Health of Women's Welfare Society Beneficiaries in Jeddah, Saudi Arabia: A Facility-Based Study.","authors":"Mahitab A Hanbazaza, Walaa A Mumena","doi":"10.1080/03670244.2021.1926244","DOIUrl":"https://doi.org/10.1080/03670244.2021.1926244","url":null,"abstract":"<p><p>This study assessed the food security status of low-income women in Jeddah, Saudi Arabia in addition to their coping strategies, health, and well-being. A cross-sectional study was conducted on 113 women receiving food assistance from a women's welfare society. Data were collected using in-person structured interviews. Overall, 50% of the women were food-insecure. Compared with food-secure women, food-insecure women were more likely to utilize many coping strategies. The mean score of coping strategies was significantly greater among food-insecure women, than that of food-secure women (21.0 ± 5.35 and 10.2 ± 5.78, respectively; <i>p</i> < .001). Food-insecure women were also more likely to report poor mental and overall health compared to food-secure women (<i>p</i> = .008 and <i>p</i> < .001, respectively). However, there was no significant difference in life satisfaction between both food security groups (<i>p</i> = .260). Low-income women may use several strategies to cope with food insecurity, which may affect mental and overall health. Further research is needed on the effect of food insecurity on health and well-being of low-income groups in Saudi Arabia. Qualitative data are also needed to better understand the reasons of food insecurity and preventing poor health outcomes among disadvantaged populations in Saudi Arabia.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/03670244.2021.1926244","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38986908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship between Adults' Perceptions, Attitudes of COVID-19, Intuitive Eating, and Mindful Eating Behaviors.","authors":"Nevin Sanlier, Şule Kocabas, Hande Gül Ulusoy, Bulent Celik","doi":"10.1080/03670244.2021.1968849","DOIUrl":"https://doi.org/10.1080/03670244.2021.1968849","url":null,"abstract":"<p><p>In total, 1224 Turkish adults (27.5 ± 9.6 years; 80.6% female) answered sociodemographic questions, and three instruments: Mindful Eating Questionnaire (MEQ), Intuitive Eating Scale-2 (IES-2), and COVID-19 Perception and Attitude Scale. Women's perceptions and attitudes toward COVID-19 indicated higher concerns than men (<i>p</i> < .001). It was found that IES-2 scores of all subjects increased as body mass index (BMI) decreased and education level increased (<i>p</i> < .001; <i>p</i> = .033, respectively). During the social isolation of COVID-19, the MEQ scores of married couples and those who did not eat take-out foods were higher (<i>p</i> = .027; <i>p</i> = .006, respectively). Interestingly, it was found that as the BMI of the subjects increased, their MEQ scores increased (<i>p</i> < .001). The COVID-19 pandemic, which has social and economic consequences, has a great impact on human health and causes sudden lifestyle changes through social distance and isolation at home. Although social isolation during the epidemic is a necessary precaution to protect public health, the results of this study support that it causes changes in intuitive eating, and mindful eating behaviors.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39360296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edward A Frongillo, Jennifer Bernal, Krystal K Rampalli, Elizabeth Massey, Elizabeth J Adams, Tiara N Rosemond, Christine E Blake
{"title":"Experiences and Situations of Shame among Food-insecure Adolescents in South Carolina and Oregon.","authors":"Edward A Frongillo, Jennifer Bernal, Krystal K Rampalli, Elizabeth Massey, Elizabeth J Adams, Tiara N Rosemond, Christine E Blake","doi":"10.1080/03670244.2021.1956484","DOIUrl":"https://doi.org/10.1080/03670244.2021.1956484","url":null,"abstract":"<p><p>Shame experienced with food insecurity and participating in food assistance may affect adolescents. We investigated adolescents' experiences of shame related to food insecurity and situations for these experiences in an ethnically diverse sample of 40 adolescents aged 9-15 years from South Carolina and Oregon. In-depth interviews were recorded, transcribed, coded, and analyzed. Participants described feelings of sadness, anger, and internalized shame with food insecurity. Salient situations were participating in food assistance, seeking food assistance from others or community services, and social encounters at school among peers. Adolescents felt shame knowing that peers were aware of their food insecurity and about them participating in food assistance through school.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/03670244.2021.1956484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39229785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paula S Tallman, Armando Valdes-Velasquez, Giuliana Sanchez-Samaniego
{"title":"The \"Double Burden of Malnutrition\" in the Amazon: dietary change and drastic increases in obesity and anemia over 40 years among the Awajún.","authors":"Paula S Tallman, Armando Valdes-Velasquez, Giuliana Sanchez-Samaniego","doi":"10.1080/03670244.2021.1916925","DOIUrl":"https://doi.org/10.1080/03670244.2021.1916925","url":null,"abstract":"<p><p>Undernutrition and overnutrition are interconnected. Yet few studies have examined the \"double burden of malnutrition\" (DBM) over time in indigenous communities. We investigated changes in the food systems and nutritional health of Awajún communities in the Peruvian Amazon in the 1970s and in 2013. Methods included ethnography, 24 hr food recalls, and biological measures. In 2013, the number of traditional foods consumed decreased to 10% of levels in the 1970s and the number of market foods consumed increased 40-fold. Rates of anemia and obesity were also substantially higher in 2013 compared to the 1970s (23% vs 6% for anemia and 30% vs. 0% for obesity) indicating a DBM has emerged. Examining the predictors of hemoglobin levels and body mass indices in the 2013 sample reveals that this DBM is differentially impacting women and that risk for obesity among the Awajún is associated with multiple proxies of market integration beyond just the consumption of market foods. These findings highlight the complex pathways by which rapid lifestyle changes are creating gendered health inequalities within indigenous communities over time.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/03670244.2021.1916925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38829803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Angela R Fertig, Amanda C Trofholz, Katie Loth, Allan D Tate, Michael Miner, Dianne Neumark-Sztainer, Erin C Westfall, Andrea Westby, Jerica M Berge
{"title":"Kitchen Adequacy and Child Diet Quality in a Racially/Ethnically Diverse Sample.","authors":"Angela R Fertig, Amanda C Trofholz, Katie Loth, Allan D Tate, Michael Miner, Dianne Neumark-Sztainer, Erin C Westfall, Andrea Westby, Jerica M Berge","doi":"10.1080/03670244.2021.1968848","DOIUrl":"https://doi.org/10.1080/03670244.2021.1968848","url":null,"abstract":"<p><p>This study examined kitchen adequacy in a racially/ethnically diverse low-income sample and associations with child diet quality. Families with children age five to seven years old (n = 150) from non-Hispanic white, non-Hispanic Black, Hispanic, Native American, Hmong, and Somali families were recruited through primary care clinics. More than 85% of families had 15 of the 20 kitchen items queried, indicating that the sample had adequate kitchen facilities. Only one item (a kitchen table) was associated with higher overall diet quality of children. In contrast, children living in households with can openers and measuring spoons consumed more sodium and added sugars, respectively.</p>","PeriodicalId":11511,"journal":{"name":"Ecology of Food and Nutrition","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8821113/pdf/nihms-1736426.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10823689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}