Can locally available foods provide a healthy diet at affordable costs? Case of Armenia

Ghazaryan, Armen

doi:10.1080/21665095.2018.1505531

Cited by 7 publications

(7 citation statements)

References 29 publications

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“…Meanwhile, intestinal helminths continue to be a public health problem in the country [ 28 , 29 ]. While the majority of the population has an university education level, the overall awareness regarding nutrition and dietary recommendations is still low [ 3 , 30 ]. The poverty rate is high and food expenditures represent more than half of the household’s income [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

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Assessment of Heme and Non-Heme Iron Intake and Its Dietary Sources among Adults in Armenia

et al. 2023

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Adequate dietary iron (Fe) intake is crucial for preventing Fe-deficient anemia, a recognized global public health concern which is important in Armenia. This study aimed to analyze the intake of Fe, both heme (from animal tissues) and non-heme (more prevalent, but less efficiently absorbed), as well as the Fe dietary sources, among adults in a representative national sample in Armenia. The study was conducted on 1400 individuals aged 18–80 and above, who were enrolled from all regions of Armenia. The Fe intake was assessed through a 24 h dietary recall survey, while Fe occurrence was determined through atomic absorption spectrophotometry (AAS). The results showed a high proportion of adults with a Fe intake lower than the average requirements set by EFSA (65%, 80% and 85% of males, total females and females at fertile age, respectively). Main Fe sources were bread, fruits and vegetables; heme Fe accounted only for <5% of total Fe intake. Compared to males, females had a lower intake of all forms of Fe (p < 0.05). Significant differences were observed in the intake of different forms of Fe between regions (p < 0.05), while the age-group 36–55 years had higher intakes of total Fe. Our data call for comprehensive nutritional security strategies in order to reduce iron deficiency in Armenia, that represents a public health concern.

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Section: Resultsmentioning

confidence: 99%

“…Anemia is a long-time public health concern in Armenia, as well as in other Countries of the composite Caucasus region [ 3 , 4 ]. According to the 2015-2016 Armenia Demographic and Health Survey (ADHS), anemia rates have decreased compared to 2000 data (from 25% to 13% among women and from 37% to 16% among children) [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Heme and Non-Heme Iron Intake and Its Dietary Sources among Adults in Armenia

et al. 2023

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“…This can be attributed to the fact that most Armenians lack nutrition knowledge, are inclined to culturally accepted diets, and are unaware of which foods are healthy and which ones are not. These knowledge gaps lead to diet-related health issues (for example, high blood pressure, high blood cholesterol, high blood glucose, and anemia) which are very widespread and concerning in Armenia [ 35 ]. Noncommunicable diseases (NCDs) account for an estimated 93% of all deaths in Armenia [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

Assessing Dietary Intakes from Household Budget Survey in Armenia, 2008–2019

Stepanyan

Pipoyan

Beglaryan

et al. 2022

Foods

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Household budget surveys are used regularly to estimate dietary intakes. The study aims to assess the trends in food consumption and nutrient intake, according to 14 dietary indicators from household budget surveys in Armenia. Data on food consumption was obtained from Armenian Integrated Living Conditions Surveys, 2008–2019. The results indicate that the consumption of all types of foods, including plant-origin has decreased, whereas the consumption of foods of animal origin has mostly stayed stable. Over time, the energy and macronutrient intakes of Armenians have decreased, while the contribution of each food group to total energy and nutrient intake has not changed. More than 50% of total energy, protein, and carbohydrate intake is attributable to cereals and bakery products. The population is characterized by macronutrient variations; the amounts of energy and carbohydrate intake are below the recommended values set by WHO/FAO, total fat intake is at the highest recommended level, while the amount of protein exceeds the threshold. Based on the findings there is an urgent need to increase awareness of nutritional requirements and a need to change widespread dietary practices, such as irregular meal intake and omission of breakfast.

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“…The use of the LAD may provide the cheapest and easily accessible and culturally appropriate options to manage anaemia. Almost all communities have some distinctive varieties of food with good nutritional values that with the right knowledge can be a tool to address health problems [ 19 ]. The aim of the study is t o determine the effect of counselling on Locally Available Diet, on anaemia among children aged 6–59 months in the Kumbungu District of the Northern Region, Ghana.…”

Section: Introductionmentioning

confidence: 99%

Effects of a locally available dietary interventions counselling on the community-based management of anaemia in children under five years in Ghana: Kumbungu cluster randomized controlled trial protocol

et al. 2022

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Anaemia in children under five years remains a significant cause of mortality and morbidity in low-middle income countries. Globally, 27% of the world’s population is anaemic, of which developing countries account for more than 89%. The global prevalence is worse in Africa and Asia. Anaemia has the potential of maintaining the cycle of poverty, as it prevents children from attaining their full development potential. An important part of anaemia in children under-five years are preventable. Locally available dietary (LAD) interventions may be the sustainable interventions to address the high prevalence of anaemia in our communities. The aim of the study is to determine the effect of counselling on Locally Available Diet, on anaemia among children aged 6–59 months in the Kumbungu District of the Northern Region, Ghana. This study will be a community-based cluster randomized, controlled trial, with two parallel arms; Iron + Folic Acid (IFA arm) hereby referred to as the Standard care arm and Iron + Folic Acid + Counselling on Locally available dietary intervention (IFA+LAD arm) referred to as the Standard Plus arm. Study participants are children between the ages of 6 to 56 months. All study participants would receive iron plus folic acid. The minimum number of children per arm is 330 and the number of community clusters is 10 (5 per study arm). Also, considering this study proposes two parallel arms, the total minimum study sample size of children under five years is 496, the minimum total number of community clusters is 10 and a minimum of 25 households per community cluster, 124 households per study arm and 248 households for the study. Randomization is at the level of the clusters (selected communities). The intervention group receives counselling on LAD at a household level aimed at promoting the intake of locally available iron, folate and vitamin B12 rich foods. Also encourage the intake of food rich in enhancers of iron absorption and discouraging the intake of food rich in inhibitors of iron absorption. The primary outcome is mean haemoglobin levels in study arms. Secondary outcomes would include measurement of weight, height/length, mid upper arm circumference, dietary record, serum iron, ferritin, and other parameters of full blood count. Ethical clearance has been obtained and trial registered with Pan African Trial Registry (www.pactr.org) PACTR201906918438423.

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Can locally available foods provide a healthy diet at affordable costs? Case of Armenia

Cited by 7 publications

References 29 publications

Assessment of Heme and Non-Heme Iron Intake and Its Dietary Sources among Adults in Armenia

Assessment of Heme and Non-Heme Iron Intake and Its Dietary Sources among Adults in Armenia

Assessing Dietary Intakes from Household Budget Survey in Armenia, 2008–2019

Effects of a locally available dietary interventions counselling on the community-based management of anaemia in children under five years in Ghana: Kumbungu cluster randomized controlled trial protocol

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