Food and Nutrition Bulletin最新文献

{"title":"Government Budget for Nutrition-Sensitive Agriculture in Nigeria Increased Following Development of Related Strategy.","authors":"Olutayo Adeyemi, Yeside Adesiyun, Samuel Omenka, Oluchi Ezekannagha, Adekunle Adanlawo, Rasaq Oyeleke, Larry Umunna, Francis Aminu, Adeyinka Onabolu, Victor Ajieroh","doi":"10.1177/03795721231179783","DOIUrl":"10.1177/03795721231179783","url":null,"abstract":"<p><strong>Background: </strong>Financial resources that are commensurate with the magnitude of malnutrition problem are requisite for effective interventions to reduce malnutrition. Understanding the amount and nature of sectoral investments in nutrition is important for advocating and mobilizing increased government budgetary allocations and release.</p><p><strong>Objective: </strong>This study assessed trends in Nigeria's agriculture sector nutrition allocations and whether launch of nutrition-sensitive agriculture strategy and/or the COVID-19 pandemic may have affected these nutrition allocations.</p><p><strong>Methods: </strong>Agricultural budgets from 2009 to 2022 of Nigeria's federal government were analyzed. Nutrition-related budget lines were identified using a keyword search and were then classified as nutrition-specific, nutrition-sensitive, or potentially nutrition-sensitive, based on defined criteria. Potentially nutrition-sensitive items were further screened. Budget lines finally included as nutrition allocations directly targeted improvements in nutrition or intermediate outcomes in pathways between agriculture and nutrition. Budget lines were summed, and these nominal values were adjusted for inflation (using the consumer price index for each year) to obtain real values.</p><p><strong>Results: </strong>Nutrition allocations in the agriculture budget increased considerably even after adjusting for inflation and went from 0.13% of agriculture capital budget in 2009 to 2.97% in 2022; while the real value of total government agricultural budget declined. Large budgetary increases coincided with the development/launch of costed strategies with nutrition-sensitive agriculture components. Still, there were some missed opportunities to increase nutrition allocations.</p><p><strong>Conclusions: </strong>Existence of nutrition-sensitive agriculture strategies has facilitated increased nutrition funding and improved the enabling environment. There is need to optimize existing nutrition allocations while advocating for additional funds.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 1_suppl","pages":"S103-S114"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10024424","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":"Building the Commitment of the Private Sector and Leveraging Effective Partnerships to Sustain Food Fortification.","authors":"Tobi Durotoye,&nbsp;Rizwan Yusufali,&nbsp;Victor Ajieroh,&nbsp;Oluchi Ezekannagha","doi":"10.1177/03795721221123699","DOIUrl":"https://doi.org/10.1177/03795721221123699","url":null,"abstract":"The private sector is a critical partner in achieving the universally adopted Sustainable Development Goals (SDGs)—UNDP 2022. As part of a national strategy to address malnutrition (SDG2), Large-Scale Food Fortification of commonly consumed staple foods and condiments with vitamins and minerals is a proven intervention that requires the concerted engagement of multiple actors in a country’s agri-food and public health ecosystems. Lessons from TechnoServe’s Strengthening African Processors of Fortified Foods (SAPFF) Program, implemented from 2016 to 2022 in Kenya, Nigeria, and Tanzania with support from the Bill and Melinda Gates Foundation, provide essential learnings about how to effectively engage, motivate, and improve the food fortification performance of the industry in compliance with national standards, through capacity building, responsive technical assistance, and multistakeholder engagement that builds trust and accountability of industry in the fight against malnutrition.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 1_suppl","pages":"S61-S73"},"PeriodicalIF":1.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10023423","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":"Yağlı Tohumlar ve Sert Kabuklu Meyvelerin Selenyum İçeriği ve Selenyumun İnsan Sağlığı Üzerine Etkisi","authors":"Zeynep Gülser Ulutaş, Abdullah Öksüz","doi":"10.29329/foodb.2023.570.02","DOIUrl":"https://doi.org/10.29329/foodb.2023.570.02","url":null,"abstract":"","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"1 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76302993","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 Lipid Quality of Commercial Fish Oil Supplements","authors":"Bahar Tokur","doi":"10.29329/foodb.2023.570.01","DOIUrl":"https://doi.org/10.29329/foodb.2023.570.01","url":null,"abstract":"","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"6 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83730946","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":"Contextual Factors Influencing Production, Distribution, and Consumption of Nutrient-Rich Foods in Bihar, India: A Qualitative Study of Constraints and Facilitators.","authors":"Sandra M Travasso,&nbsp;Tinku Thomas,&nbsp;Sanchit Makkar,&nbsp;Anjaly Teresa John,&nbsp;Patrick Webb,&nbsp;Sumathi Swaminathan","doi":"10.1177/03795721231172251","DOIUrl":"https://doi.org/10.1177/03795721231172251","url":null,"abstract":"<p><strong>Background: </strong>Production-to-consumption linkages are important to improve consumption of nutrient-rich foods to tackle malnutrition. However, understanding specific contextual factors influencing production, distribution, and consumption in rural communities is necessary.</p><p><strong>Objective: </strong>To explore household-, farm-, and market-level factors affecting consumption of nutrient-rich foods among producer and nonproducer households in Bihar, India.</p><p><strong>Methods: </strong>We conducted focus group discussions (FGDs) and key informant interviews (KIIs) in producer and nonproducer households of Gaya and Nalanda districts in Bihar to examine factors affecting production and consumption of red lentils, green leafy vegetables (GLVs), milk, eggs, and chicken. Through the KIIs, we identified distribution chains and elicited market-level challenges faced by producers, sellers, and consumers. Data were translated, transcribed, and analyzed thematically using NVivo version 9.</p><p><strong>Results: </strong>Findings from 27 FGDs indicate that consumers and producers were aware of the importance of nutrient-rich foods to health and the necessity of prioritizing their consumption in children. Food preferences, social factors, seasons, religions, and livestock epidemics influenced consumption. Among producers, consumption was mainly dependent on own production. Nonproducers perceived that production could help overcome the barrier of affordability and improve consumption. Data from 69 KIIs indicated that markets were unfavorable in terms of profitability for producers, spoilage and losses for market players, issues of accessibility, and availability for consumers.</p><p><strong>Conclusions: </strong>A local context-specific multipronged approach such as understanding sociocultural factors, own production, and local markets influencing consumption needs to be examined further to improve consumption of nutrient-rich foods among agricultural communities in India.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 2","pages":"100-115"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9691781","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":"Qualitative Research as a Basis for Transforming an Annual Plague Into an Economic and Nutrition Opportunity for Youths and Their Families in Madagascar: \"From Harmful to Useful Critters\" for Sustainable Development.","authors":"Christian Ratompoarison,&nbsp;Jariseta Rambeloson Zo,&nbsp;Jafetra Rambeloson,&nbsp;Renata Seidel,&nbsp;Christian Rejela","doi":"10.1177/03795721231177744","DOIUrl":"https://doi.org/10.1177/03795721231177744","url":null,"abstract":"<p><strong>Background: </strong>Madagascar is among the 10 highest burden countries for malnutrition. Protein-energy malnutrition, anemia, and vitamin deficiencies are major public health problems. Hunger is exacerbated by an annual locust invasion. The current policy of large-scale government spraying of pesticides from planes is logistically complex, costly, and damaging to the environment.</p><p><strong>Objective: </strong>Our research aimed to study the feasibility of turning the locust invasion into a protein-rich food supply for families and an economic opportunity for youth.</p><p><strong>Methods: </strong>We conducted 20 focus group discussions (FGDs) with females and males aged 18-24 and 25 years or older and with female artisans in 6 swarm communes in Madagascar's south to understand enablers and barriers to collection, preparation, and consumption of locusts.</p><p><strong>Results: </strong>Enablers include consumption by all ages in Antandroy culture and perception of locusts as a delicacy, tasty, and free. Family members have different roles in the collection and preparation of locusts. Local technologies for mass collection include digging trenches in fields and entrapment via sisal netting. Common preparations include boiling in salted water, drying, skewering, frying, and grinding locusts into flour. Disablers include pesticide contamination of locusts and the view that locusts are a famine food.</p><p><strong>Conclusion: </strong>Our research provided a first step in demonstrating the feasibility of transforming locust infestations into economic and nutritional opportunities in a fragile environment with high levels of poverty and malnutrition. It contributes to advocacy in Madagascar to end the use of pesticides. It responds to the government desire to address the protein-energy malnutrition burden and youth poverty in an integrated way.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 2","pages":"116-125"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9694192","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":"Coverage, Apparent Consumption, and Monthly Use of Packaged Maize Flour in Morogoro Region, Tanzania.","authors":"Emily Teachout, Jorge Rosenthal, Erin Smith, Gwao Omari Gwao, Paula Kawiche, Vincent Assey, Felix Brooks-Church, Anne Wanlund, Meredith Moore, Mary August, Hilda Razzaghi, Michael Cannon, Rogath Kishimba, Jennifer Williams","doi":"10.1177/03795721231161395","DOIUrl":"10.1177/03795721231161395","url":null,"abstract":"<p><strong>Introduction: </strong>Tanzania aimed to reduce micronutrient deficiencies and neural tube defects by introducing mandatory fortification of large-scale packaged wheat and maize flour but not for small- and medium-scale mills.</p><p><strong>Objectives: </strong>Ascertain the proportion of the population in Morogoro region, Tanzania, that consumes packaged maize flour from small-, medium- and large-mills; and understand the impact of monthly apparent purchase and consumption of packaged flour.</p><p><strong>Methods: </strong>In 2018, a regional, multistage cluster probability study was conducted among residents in Morogoro region living in households that reported consuming maize flour. Interviews collected information on sociodemographic factors and patterns of household flour consumption. Weighted medians estimated daily apparent flour consumption and the estimated average requirement (EAR), according to age.</p><p><strong>Results: </strong>Information was collected on 711 households. Packaged maize flour was purchased 10-12 months of the year by 22.9% of households, 6-9 months by 17.6% of households, 1-5 months by 25.1% of households, and 34.4% did not purchased maize flour. Median apparent daily consumption of maize flour was 209.7 g/d/adult male equivalent (AME). Apparent median daily consumption of maize flour was 230.1 g/d/AME in rural areas and 176.2 g/d/AME in urban areas; 228.7 g/d/AME among males and 196.4 g/d/AME among females. If all packaged maize flour were fortified according to standards, those consuming packaged maize flour 10-12 months of the year would apparently consume 199.9 µg folic acid/d representing 49.7% of daily EAR requirements.</p><p><strong>Conclusions: </strong>Fortifying packaged maize flour at small-, medium- and large-mills is a promising strategy for increasing access to micronutrients, including folic acid.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 2","pages":"126-135"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10634350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693191","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}

{"title":"Effectiveness of Fortified Mid-Day Meal in Reducing Anemia Among School Children in Dhenkanal, Odisha: A Quasi-Experimental Study.","authors":"Mrinal Kar Mohapatra,&nbsp;Ashirbad Pradhan,&nbsp;Divya Tiwari,&nbsp;Shariqua Yunus,&nbsp;Binod Kumar Patro,&nbsp;Binod Kumar Behera,&nbsp;Suchanda Sahu,&nbsp;Vikas Bhatia,&nbsp;Shreeporna Bhattacharya,&nbsp;Pradnya Paithankar,&nbsp;Ambarish Dutta","doi":"10.1177/03795721231172253","DOIUrl":"https://doi.org/10.1177/03795721231172253","url":null,"abstract":"<p><strong>Background: </strong>Iron-deficiency anemia among school-aged children is widespread in India. The efficacy of micronutrient and iron fortified school-served meals in reducing iron deficiency anemia has been demonstrated in randomized controlled trials in other parts of the globe. The current study evaluates its effectiveness in real-world Indian settings.</p><p><strong>Methods: </strong>Mid-day-Meal (MDM) programme provides free lunch to students of grades 1 to 8 in all public-funded Indian schools. An implementation research project fortified MDM of all public schools of 4 out of 8 sub-districts (\"blocks\") of Dhenkanal district of Odisha state with fortified rice kernel (FRK). All the schools of the other 4 blocks fortified with micronutrient powders (MNP)-both FRK and MNP containing equal amounts of supplementary iron and other micronutrients. Schools of 4 matched blocks of neighboring nonimplementing Angul district served as control. Cross-sectional representative samples of students were drawn from the 3 arms, before and after intervention (n = 1764 and n = 1640 respectively). Pre-post changes in anemia prevalence and hemoglobin levels were estimated in the sampled children using difference-in-difference analysis after controlling for inter-arm differences in socioeconomic status, and iron and deworming tablet consumptions.</p><p><strong>Results: </strong>Factoring in pre-post changes in control and adjusting for potential confounders, the proportion of children without anemia and mean hemoglobin improved by 1.93 (1.38, 2.24, <i>P</i> < .001) times and 0.24 (-0.03, 0.51, <i>P</i> = .083) g/dL in MNP; and 1.63 (1.18, 2.24, <i>P</i> = .002) times and 0.18 (-0.09, 0.45, <i>P</i> = .198) g/dL in FRK arms.</p><p><strong>Conclusions: </strong>Fortified MDM could effectively improve anemia status among Indian school-aged children under real-world conditions.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 2","pages":"79-87"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9747563","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 Environments, Food Security, and Household Food Availability of Circular Migrant Families: A Mixed-Methods Study Among Brick Kiln Laborers in Bihar, India.","authors":"Reshma P Roshania, Amy Webb-Girard, Aritra Das, Rakesh Giri, G Sai Mala, Sridhar Srikantiah, Melissa F Young, Tanmay Mahapatra, Usha Ramakrishnan","doi":"10.1177/03795721231152057","DOIUrl":"10.1177/03795721231152057","url":null,"abstract":"<p><strong>Background: </strong>Circular migration is the dominant pattern of movement in India and is a livelihood strategy used by many food insecure rural households. Repeated shifts in food environments have important implications on household food security and dietary patterns but have not been studied.</p><p><strong>Objective: </strong>To explore differences in the food environment, food security, and food availability between home and destination spaces.</p><p><strong>Methods: </strong>Mixed-methods research was conducted among circular migrant families working and residing on brick kilns in the state of Bihar. Utilizing stratified cluster sampling, 2 rounds of cross-sectional data were collected from 2564 families. Additionally, 25 in-depth interviews were conducted with circular migrant parents, kiln owners, and labor contractors. The Food Insecurity Experience Scale was validated for use in our study population. Bivariate analyses were conducted to estimate the association of food insecurity with sociodemographic variables. Qualitative data were analyzed using descriptive thematic methods.</p><p><strong>Results: </strong>Seventy percent of respondents utilized at least one nonmarket source of food at the origin; at the destination, sources of food were limited to the private market. Despite higher food prices at the destination, perceived food affordability was higher during periods of migration, resulting in improved food security. Tubers, rice, and wheat were typically available in the household daily, whereas fruits, eggs, and dairy were typically unavailable during the week.</p><p><strong>Conclusions: </strong>Circular migration can enable short-term food security by improving food affordability. Policy frameworks must address the root causes of chronic food insecurity, especially among rural-to-rural circular migrant families.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 2","pages":"88-99"},"PeriodicalIF":1.8,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10622455","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}

{"title":"Weight Gain, Lifestyle, and Cognition During the COVID-19 Pandemic in Southern Brazil.","authors":"Liziane da Silva de Vargas,&nbsp;Jeferson Jantsch,&nbsp;Ana Paula Muterle Varela,&nbsp;Gilson Pires Dorneles,&nbsp;Roberta de Vargas Zanini,&nbsp;Alessandra Peres,&nbsp;Renata Padilha Guedes","doi":"10.1177/03795721231172369","DOIUrl":"https://doi.org/10.1177/03795721231172369","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, the world experienced social distancing that resulted in changes in habits and lifestyle. Such changes can compromise healthy eating habits and the practice of physical activities, known risk factors for developing weight gain and obesity.</p><p><strong>Objective: </strong>The main objective of this study was to describe the change in eating habits, lifestyle, and cognition of the population of Rio Grande do Sul, a state in Southern Brazil, during social distancing due to COVID-19.</p><p><strong>Methods: </strong>The study was conducted from July 21 to August 10, 2020, through a structured online questionnaire that asked for sociodemographic information (age, gender, and education), anthropometric (reported weight and height), change in eating habits, lifestyle (sleep quality and physical activity), and cognition. Chi-square, McNemar tests, and univariate and multivariate analysis were used to evaluate the variables. Confidence intervals were calculated with a significance level of 5%.</p><p><strong>Results: </strong>Of a total of 1072 participants, 57.3% of respondents reported weight gain, and an increased percentage of people were classified as obese. Nearly half of the participants (46%) reported changes in their eating habits for the worse. Body mass index (BMI) was significantly associated with increased consumption of unhealthy foods. Our results identified high physical inactivity (46.9%) and obesity (19%) during social distancing. The changes in eating habits and lifestyle also increased the risk for decreased cognition.</p><p><strong>Conclusions: </strong>These findings highlighted that social distancing impacted eating habits and lifestyle, which increased obesity rates and might predispose to decreased cognition.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"44 2","pages":"136-146"},"PeriodicalIF":1.9,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9693674","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}