Relationship between intra-household food distribution and coexistence of dual forms of malnutrition

Wibowo, Yulianti; Sutrisna, Bambang; Hardinsyah, Hardinsyah; Djuwita, Ratna; M, Mondastri Korib; Syafiq, Ahmad; Tilden, Atmarita; Najib, Mardiati

doi:10.4162/nrp.2015.9.2.174

Cited by 20 publications

(19 citation statements)

References 14 publications

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“…Third, even though nutrient consumptions in this study were assessed under the assumption that nutrients are acquired by household members according to energy requirements specific to the individual's age, sex, physical activity level, and so-on, this may not be necessarily the case (e.g. Coates et al 2018;Wibowo et al 2015). This is because intra-household food allocation is determined by relative differences in household members' income, bargaining power, food behaviors, social status, tastes and preferences, and interpersonal relationships (Harris-Fry et al 2017), among others.…”

Section: Discussionmentioning

confidence: 99%

Can household dietary diversity inform about nutrient adequacy? Lessons from a food systems analysis in Ethiopia

Mekonnen¹,

Talsma

Trijsburg

et al. 2020

Food Sec.

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This study examined the use of the household dietary diversity score (HDDS) to assess household nutrient adequacy in Ethiopia. It also examined the correlates of HDDS following the food systems framework. Results show that the average nutrient consumption in Ethiopia varies by place of residence and by income profile, where households in urban areas and those in the higher income quintiles rank favorably. Among 13 nutrients under study, we found nutrient inadequacy for fat, calcium, zinc, riboflavin, niacin, folate, vitamin C and vitamin A ranging between 46% and 89%, and the prevalence of inadequacy for vitamin B12 to be up to 100%. Econometric results showed that HDDS is a strong predictor of a household's mean probability of nutrient adequacy (MPA), and that an HDDS of 10 is the minimum threshold at which HDDS can improve household MPA. We found suggestive evidence within the food systems that improving household-incomes, access to health and transport services are beneficial to improve HDDS and nutrient consumption in Ethiopia.

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Section: Discussionmentioning

confidence: 99%

Can household dietary diversity inform about nutrient adequacy? Lessons from a food systems analysis in Ethiopia

Mekonnen¹,

Talsma

Trijsburg

et al. 2020

Food Sec.

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“…The RISKESDAS showed that the prevalence of malnutrition was stable, while the incidence of overweight has increased over the past few years [ 37 38 ]. Judging the nutritional status of adults over 18 years old in Indonesia based on the BMI index in 2013, 11.09% of the population were underweight while 11.48% were overweight and 14.76% obesity; this indicates an increasing problem of obesity [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Relationship between dietary intakes and the double burden of malnutrition in adults of Malang, Indonesia: An exploratory study

Lee

Ryu

2018

Nutr Res Pract

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BACKGROUND/OBJECTIVESUrbanization and lifestyle changes have resulted in nutrition transition. Over-nutrition causes obesity increase, although malnutrition still exists. This phenomenon is called a double burden of malnutrition (DBM). This study was conducted to confirm the existence of DBM and to investigate the dietary factors related to DBM in Indonesian adults.SUBJECTS/METHODSData for the subjects (51 men and 89 women) who are the adults resided in Malang, Indonesia were collected between July 17 and August 14, 2017, by using questionnaire. Height, weight, waist and hip circumference, blood pressure, blood glucose, total cholesterol, and hemoglobin were also measured for the subjects.RESULTSThe average age of the subjects was 47.2 years. The average height, weight, and body mass index for men were 160.08 cm, 62.6 kg and 25.45 kg/m2, respectively, and those for women were 148.74 cm, 58.09 kg, and 26.21 kg/m2, respectively. Of the subjects, 3.6% were underweight, 24.3% were normal or healthy weight, while 72.2% were overweight and obese. Analysis of the dietary intakes revealed high for cereal (7.73 points), but very low for milk (0.25 points) and fruits (0.51 points). Dietary diversity was very few overall (< 5). The occurrence of both anemia (23.6%) and chronic diseases such as hypertension (57.1%), diabetes (12.1%), and hypercholesterolemia (3.6%) was considerably high. The existence of DBM was confirmed by 16.4% of the subjects. DBM was observed significantly higher in women than in men. Dietary diversity and DBM occurrence were inversely correlated. On average, the number of chronic diseases was 1.08 in men and 1.79 in women. Dietary diversity inversely affected systolic blood pressure.CONCLUSIONSDBM existed in adults in Malang, Indonesia due to inadequate dietary intakes, and a high rate of chronic diseases.

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“…Yet, the classification of undernourished children differs between studies in terms of the indicators used and the cut-off points applied [8]. Indicators of child undernutrition used in existing DB research are weight-for-age Z-scores (WAZ) [13, 16], height-for-age Z-scores (HAZ) [14, 17–20], BMI-for-age Z-score (BAZ) [6], simple BMI [5], or combinations of WAZ, HAZ and weight-for-height Z-scores (WHZ) [21, 22]. Given these differences in measurement, comparability of studies is difficult.…”

Section: Introductionmentioning

confidence: 99%

Various forms of double burden of malnutrition problems exist in rural Kenya

2019

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BackgroundThe coexistence of overweight/obesity and undernutrition is often referred to as the double burden of malnutrition (DB). DB was shown to exist in many developing countries, especially in urban areas. Much less is known about DB in rural areas of developing countries. Also, the exact definition of DB varies between studies, making comparison difficult. The objective of this study is to analyse DB problems in rural Kenya, using and comparing different DB definitions and measurement approaches.MethodsFood intake and anthropometric data were collected from 874 male and female adults and 184 children (< 5 years) through a cross-section survey in rural areas of Western Kenya. DB at the individual level is defined as a person suffering simultaneously from overweight/obesity and micronutrient deficiency or stunting. DB at the household level is defined as an overweight/obese adult and an undernourished child living in the same household, using underweight, stunting, wasting, and micronutrient deficiency as indicators of child undernutrition.ResultsDB at the individual level is found in 19% of the adults, but only in 1% of the children. DB at the household level is relatively low (1–3%) when using wasting or underweight as indicators of child undernutrition, but much higher (13–17%) when using stunting or micronutrient deficiency as indicators.ConclusionVarious forms of DB problems exist in rural Kenya at household and individual levels. Prevalence rates depend on how exactly DB is defined and measured. The rise of overweight and obesity, even in rural areas, and their coexistence with different forms of undernutrition are challenges for food and nutrition policies.

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Relationship between intra-household food distribution and coexistence of dual forms of malnutrition

Cited by 20 publications

References 14 publications

Can household dietary diversity inform about nutrient adequacy? Lessons from a food systems analysis in Ethiopia

Can household dietary diversity inform about nutrient adequacy? Lessons from a food systems analysis in Ethiopia

Relationship between dietary intakes and the double burden of malnutrition in adults of Malang, Indonesia: An exploratory study

Various forms of double burden of malnutrition problems exist in rural Kenya

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