首页 > 最新文献

Food and Nutrition Bulletin最新文献

英文 中文
Sensory Trial of Quintuple Fortified Salt—Salt Fortified With Iodine, Iron, Folic Acid, Vitamin B12, and Zinc—Among Consumers in New Delhi, India 五倍强化盐的感官试验——加碘、铁、叶酸、维生素B12和锌的盐——在印度新德里的消费者中
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-05-08 DOI: 10.1177/03795721221078361
S. Puri, T. Rekhi, T. Thomas, Meena Haribhau Jadhav, V. Mannar, L. Diosady
Background: Micronutrient deficiencies are a cause of significant public health burden and loss of gross domestic product, especially in developing countries. Multiple fortified salt can potentially address this challenge at scale and in a cost-effective manner. Objective: This laboratory-based sensory trial evaluated the acceptability of quintuple fortified salt (Q5FS), that is, iodized salt (IS) fortified with additional 4 micronutrients: iron, folic acid, vitamin B12, and zinc. Iodized salt and double fortified salt (DFS), that is, IS fortified with iron, are used for comparison. Methods: Forty-five respondents were recruited by open invitations to the university staff and their families. Each study participant rated 10 food items each in a set of 3 identical preparations differing only in the salt used. A 5-point hedonic scale was used to rate each dish on 6 sensory attributes: appearance, color, aroma, taste, texture, and aftertaste. Finally, the dish was rated on the attribute of overall acceptability—a subjective combined score based on all sensory attributes considered together. Results: Among the 3 salt types, there was no difference in scores for the sensory attributes of appearance, aroma, taste, texture, and aftertaste, and the attribute of overall acceptability. Color in IS scored significantly higher than in Q5FS and DFS, but there was no difference between the scores of DFS and Q5FS. Conclusions: The 3 salts IS, DFS, and Q5FS are comparable to each other in all sensory properties, except for color. This study concludes that Q5FS is organoleptically acceptable under ideal conditions.
背景:微量营养素缺乏是造成重大公共卫生负担和国内生产总值损失的一个原因,特别是在发展中国家。多重强化盐有可能以具有成本效益的方式大规模解决这一挑战。目的:本以实验室为基础的感官试验评估了五倍强化盐(Q5FS)的可接受性,即碘化盐(is)添加了额外的4种微量营养素:铁、叶酸、维生素B12和锌。碘盐和双强化盐(DFS),即铁强化盐,用于比较。方法:采用公开邀请的方式,对45名高校工作人员及其家属进行问卷调查。每个研究参与者对10种食物进行评分,每一种食物都是三种相同的制剂,不同的只是所用的盐。一个5分制的享乐量表用于对每道菜的6个感官属性进行评分:外观、颜色、香气、味道、质地和回味。最后,对菜肴的整体可接受度进行评分,这是一种基于所有感官属性的主观综合评分。结果:3种盐的外观、香气、口感、质地、余味感官属性和总体可接受性属性得分均无差异。IS的颜色得分明显高于Q5FS和DFS,而DFS和Q5FS的得分无差异。结论:IS、DFS、Q5FS三种盐在除颜色外的所有感官特性上均具有可比性。本研究认为,在理想条件下,Q5FS在感官上是可接受的。
{"title":"Sensory Trial of Quintuple Fortified Salt—Salt Fortified With Iodine, Iron, Folic Acid, Vitamin B12, and Zinc—Among Consumers in New Delhi, India","authors":"S. Puri, T. Rekhi, T. Thomas, Meena Haribhau Jadhav, V. Mannar, L. Diosady","doi":"10.1177/03795721221078361","DOIUrl":"https://doi.org/10.1177/03795721221078361","url":null,"abstract":"Background: Micronutrient deficiencies are a cause of significant public health burden and loss of gross domestic product, especially in developing countries. Multiple fortified salt can potentially address this challenge at scale and in a cost-effective manner. Objective: This laboratory-based sensory trial evaluated the acceptability of quintuple fortified salt (Q5FS), that is, iodized salt (IS) fortified with additional 4 micronutrients: iron, folic acid, vitamin B12, and zinc. Iodized salt and double fortified salt (DFS), that is, IS fortified with iron, are used for comparison. Methods: Forty-five respondents were recruited by open invitations to the university staff and their families. Each study participant rated 10 food items each in a set of 3 identical preparations differing only in the salt used. A 5-point hedonic scale was used to rate each dish on 6 sensory attributes: appearance, color, aroma, taste, texture, and aftertaste. Finally, the dish was rated on the attribute of overall acceptability—a subjective combined score based on all sensory attributes considered together. Results: Among the 3 salt types, there was no difference in scores for the sensory attributes of appearance, aroma, taste, texture, and aftertaste, and the attribute of overall acceptability. Color in IS scored significantly higher than in Q5FS and DFS, but there was no difference between the scores of DFS and Q5FS. Conclusions: The 3 salts IS, DFS, and Q5FS are comparable to each other in all sensory properties, except for color. This study concludes that Q5FS is organoleptically acceptable under ideal conditions.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"10 12","pages":"340 - 350"},"PeriodicalIF":1.9,"publicationDate":"2022-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41299177","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}
引用次数: 2
Understanding Discrepancies in Nutritional Outcomes Among Under-Fives in Laos: A Mixed-Methods Study Using the Positive Deviance Approach 了解老挝五岁以下儿童营养状况的差异:正偏差法的混合方法研究
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-05-03 DOI: 10.1177/03795721221096187
Sayvisene Boulom, Daniëlle M Bon, D. Essink, S. Kounnavong, J. Broerse
Background: Stunting is one of the main contributing factors in the under-five mortality rate worldwide. In Laos, the prevalence of stunting remains high, particularly in mountainous rural areas. To prevent stunting, insight into positive deviant behaviors can help understand how people can cope or adapt in resource-poor settings. Objective: This study aims to analyze the practices and underlying factors that explain discrepancies in nutritional outcomes in children under the age of 5 in remote mountainous areas in Laos. Methods: This mixed-methods study included all children under the age of 5 living in 6 selected villages. Anthropometric measurements were taken, and a Z-score for stunting was calculated to select the positive and negative deviant children. To identify the causes of discrepancies in childhood stunting, household questionnaires, focus group discussions, observations, and individual interviews with family members and health workers were conducted. Results: Fifty-five percent of children were stunted. Inappropriate care and feeding practices were observed such as providing unbalanced diets and not attending health facilities. Positive deviant mothers were less likely to follow inappropriate practices, experienced less food insecurity, and had higher motivation and autonomy, which resulted in prioritizing their children’s health. An active role of fathers seemed to benefit positive practices within households. Conclusions: The combination of many different practices in which positive deviant families are doing slightly better was associated with in less stunting of children. Those practices are related to the household resources, such as access to food and social support; and the mother’s motivation, autonomy, and perspectives on child health.
背景:发育迟缓是导致全球五岁以下儿童死亡率的主要因素之一。在老挝,发育迟缓的发病率仍然很高,尤其是在山区农村地区。为了防止发育迟缓,深入了解积极的越轨行为可以帮助了解人们如何在资源匮乏的环境中应对或适应。目的:本研究旨在分析老挝偏远山区5岁以下儿童营养结果差异的实践和潜在因素。方法:这项混合方法研究包括居住在6个选定村庄的所有5岁以下儿童。进行了人体测量,并计算了发育迟缓的Z评分,以选择阳性和阴性异常儿童。为了确定儿童发育迟缓差异的原因,进行了家庭问卷调查、焦点小组讨论、观察以及对家庭成员和卫生工作者的个人访谈。结果:55%的儿童发育迟缓。观察到不适当的护理和喂养做法,如提供不均衡的饮食和不去卫生机构。积极的越轨母亲不太可能遵循不恰当的做法,经历的粮食不安全程度较低,并且有更高的动机和自主权,这导致她们优先考虑孩子的健康。父亲的积极作用似乎有利于家庭中的积极做法。结论:许多不同的做法相结合,积极的偏差家庭表现稍好,与儿童发育迟缓的减少有关。这些做法与家庭资源有关,例如获得食物和社会支助;以及母亲对儿童健康的动机、自主性和观点。
{"title":"Understanding Discrepancies in Nutritional Outcomes Among Under-Fives in Laos: A Mixed-Methods Study Using the Positive Deviance Approach","authors":"Sayvisene Boulom, Daniëlle M Bon, D. Essink, S. Kounnavong, J. Broerse","doi":"10.1177/03795721221096187","DOIUrl":"https://doi.org/10.1177/03795721221096187","url":null,"abstract":"Background: Stunting is one of the main contributing factors in the under-five mortality rate worldwide. In Laos, the prevalence of stunting remains high, particularly in mountainous rural areas. To prevent stunting, insight into positive deviant behaviors can help understand how people can cope or adapt in resource-poor settings. Objective: This study aims to analyze the practices and underlying factors that explain discrepancies in nutritional outcomes in children under the age of 5 in remote mountainous areas in Laos. Methods: This mixed-methods study included all children under the age of 5 living in 6 selected villages. Anthropometric measurements were taken, and a Z-score for stunting was calculated to select the positive and negative deviant children. To identify the causes of discrepancies in childhood stunting, household questionnaires, focus group discussions, observations, and individual interviews with family members and health workers were conducted. Results: Fifty-five percent of children were stunted. Inappropriate care and feeding practices were observed such as providing unbalanced diets and not attending health facilities. Positive deviant mothers were less likely to follow inappropriate practices, experienced less food insecurity, and had higher motivation and autonomy, which resulted in prioritizing their children’s health. An active role of fathers seemed to benefit positive practices within households. Conclusions: The combination of many different practices in which positive deviant families are doing slightly better was associated with in less stunting of children. Those practices are related to the household resources, such as access to food and social support; and the mother’s motivation, autonomy, and perspectives on child health.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"303 - 322"},"PeriodicalIF":1.9,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42286452","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}
引用次数: 2
Home-Grown School Feeding: Implementation Lessons From a Pilot in a Poor Ethnic Minority Community in Vietnam 本地学校供餐:越南贫困少数民族社区试点的实施经验
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-04-26 DOI: 10.1177/03795721221088962
Sabina Di Prima, Dai Nguyen Dinh, Demi Reurings, E. Wright, D. Essink, J. Broerse
Background: Undernutrition threatens the health and future of preschool children in disadvantaged remote communities. Home-grown school feeding (HGSF) in nursery schools could positively impact children’s nutrition while creating multiple benefits for the whole community. However, evidence is lacking on implementation of HGSF within multi-sectoral programs in remote areas. Objective: This study assessed an HGSF pilot intervention, part of a nutrition-sensitive agriculture (NSA) program, in a mountain ethnic minority community in Vietnam. It aimed to identify the changes brought about by the intervention, in particular diversity of children’s food, food sources, barriers and facilitators to change, and future challenges and strategies. Methods: Mixed-methods assessment covered school meal diversity, cost, and food sources but the key focus was on observed changes resulting from the HGSF intervention and perceived barriers and facilitators to its implementation. Data were collected mainly through semi-structured interviews (n = 30) and seven focus group discussions (n = 76). Results: School meals contributed to increasing diversity of food consumed by children. Above 30% of foods used were home-grown. Respondents reported increased school attendance; children’s food preferences and hygiene practices improved as did parents’ caring and feeding practices. Local food systems became less cash-crop-oriented and more self-reliant, contributing to household food security and income generation. Social capital increased. Positive changes were attributed to HGSF and synergy among NSA program components. Poverty and limited resilience to external shocks threatened sustainability. Conclusions: Implementing HGSF within an NSA program in a mountainous ethnic minority area with a high prevalence of undernutrition benefitted children and their communities.
背景:营养不良威胁着偏远弱势社区学龄前儿童的健康和未来。在幼儿园中,自制学校供餐(HGSF)可以对儿童的营养产生积极影响,同时为整个社区创造多重利益。然而,在偏远地区的多部门规划中实施HGSF缺乏证据。目的:本研究评估了越南山区少数民族社区营养敏感农业(NSA)计划的一部分HGSF试点干预措施。它的目的是确定干预所带来的变化,特别是儿童食物的多样性、食物来源、变化的障碍和促进因素以及未来的挑战和战略。方法:混合方法评估涵盖了学校膳食的多样性、成本和食物来源,但重点是观察到的由HGSF干预产生的变化,以及实施过程中感知到的障碍和促进因素。数据主要通过半结构化访谈(n = 30)和7个焦点小组讨论(n = 76)收集。结果:学校供餐有助于增加儿童所食用食物的多样性。超过30%的食物是自家种植的。受访者表示上学人数有所增加;儿童的食物偏好和卫生习惯有所改善,父母的照顾和喂养习惯也有所改善。地方粮食系统不再以经济作物为导向,而是更加自力更生,从而有助于家庭粮食安全和创收。社会资本增加。积极的变化归因于HGSF和NSA项目组成部分之间的协同作用。贫困和对外部冲击的抵御能力有限威胁到可持续性。结论:在营养不良儿童及其社区高发的山区少数民族地区,在国家安全局项目中实施HGSF。
{"title":"Home-Grown School Feeding: Implementation Lessons From a Pilot in a Poor Ethnic Minority Community in Vietnam","authors":"Sabina Di Prima, Dai Nguyen Dinh, Demi Reurings, E. Wright, D. Essink, J. Broerse","doi":"10.1177/03795721221088962","DOIUrl":"https://doi.org/10.1177/03795721221088962","url":null,"abstract":"Background: Undernutrition threatens the health and future of preschool children in disadvantaged remote communities. Home-grown school feeding (HGSF) in nursery schools could positively impact children’s nutrition while creating multiple benefits for the whole community. However, evidence is lacking on implementation of HGSF within multi-sectoral programs in remote areas. Objective: This study assessed an HGSF pilot intervention, part of a nutrition-sensitive agriculture (NSA) program, in a mountain ethnic minority community in Vietnam. It aimed to identify the changes brought about by the intervention, in particular diversity of children’s food, food sources, barriers and facilitators to change, and future challenges and strategies. Methods: Mixed-methods assessment covered school meal diversity, cost, and food sources but the key focus was on observed changes resulting from the HGSF intervention and perceived barriers and facilitators to its implementation. Data were collected mainly through semi-structured interviews (n = 30) and seven focus group discussions (n = 76). Results: School meals contributed to increasing diversity of food consumed by children. Above 30% of foods used were home-grown. Respondents reported increased school attendance; children’s food preferences and hygiene practices improved as did parents’ caring and feeding practices. Local food systems became less cash-crop-oriented and more self-reliant, contributing to household food security and income generation. Social capital increased. Positive changes were attributed to HGSF and synergy among NSA program components. Poverty and limited resilience to external shocks threatened sustainability. Conclusions: Implementing HGSF within an NSA program in a mountainous ethnic minority area with a high prevalence of undernutrition benefitted children and their communities.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"271 - 302"},"PeriodicalIF":1.9,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46520177","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}
引用次数: 1
Four-Year Effects of a 2-Year Nutrition and Gender Sensitive Agricultural Program on Women’s Nutritional Status, Knowledge, and Empowerment in Rural Burkina Faso 为期两年的营养和性别敏感农业项目对布基纳法索农村妇女营养状况、知识和赋权的四年影响
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-04-19 DOI: 10.1177/03795721221090380
L. Bliznashka, Elodie Becquey, M. Ruel, Deanna K. Olney
Background: Little is known about the sustained effects of nutrition- and gender-sensitive agricultural programs (NSAPs) after they end. Objectives: To examine the 4-year effects (2010-2014) of a 2-year NSAP (2010-2012) on women’s outcomes in rural Burkina Faso. Methods: We used baseline (2010) and endline (2012) data from a cluster-randomized controlled trial of Helen Keller International’s Enhanced Homestead Food Production (EHFP) program and baseline (2014) data from a new program. We included 134 women: 82 who participated in the 2-year EHFP program (treatment) and 52 who did not (control). We examined program (2010-2012), post-program (2012-2014), and overall 4-year effects (2010-2014) using difference-in-difference analysis (DID). Results: We found significant positive program effects (2010-2012) on women’s underweight prevalence (DID: 16.44 percentage points [pp]; P = .09) and on women’s knowledge about appropriate age to introduce liquids (DID: 28.40 pp; P = .01). Although there were no significant postprogram effects (2012-2014), differences found in 2012 between the treatment and control group were sustained resulting in an overall 4-year (2010-2014) reduction in women’s underweight prevalence (DID: 18.26 pp; P = .02) and an improvement in women’s knowledge about appropriate age to introduce liquids (DID: 31.29 pp; P = .02). We observed no postprogram or overall 4-year effects on women’s knowledge of child feeding and handwashing practices or women’s empowerment. Conclusions: Nutrition- and gender-sensitive agricultural programs demonstrate potential for sustained improvements in women’s nutritional status and nutritional knowledge. Postprogram assessments of NSAPs should be embedded in program evaluations to help further understand the potential of NSAPs to generate sustainable impacts on women’s outcomes.
背景:对营养和性别敏感农业项目(nsap)结束后的持续影响知之甚少。目的:研究为期2年的NSAP(2010-2012)对布基纳法索农村妇女预后的4年影响(2010-2014)。方法:我们使用的基线(2010年)和终点(2012年)数据来自海伦·凯勒国际组织的增强家园粮食生产(EHFP)项目的集群随机对照试验,基线(2014年)数据来自一个新的项目。我们纳入了134名妇女:82名参加了2年EHFP计划(治疗),52名没有参加(对照组)。我们使用差分分析(DID)检查了项目(2010-2012)、项目后(2012-2014)和总体4年效果(2010-2014)。结果:我们发现,2010-2012年的项目对女性体重不足患病率有显著的积极影响(DID: 16.44个百分点;P = .09)和女性对适当年龄引入液体的知识(DID: 28.40 pp;P = 0.01)。虽然没有显著的术后效果(2012-2014),但2012年发现的治疗组和对照组之间的差异持续存在,导致女性体重不足患病率总体上降低了4年(2010-2014)(DID: 18.26 pp;P = .02)以及女性对适当年龄引入液体的知识的提高(DID: 31.29 pp;P = .02)。我们没有观察到项目后或整体4年对妇女对儿童喂养和洗手习惯的知识或妇女赋权的影响。结论:对营养和性别问题敏感的农业项目显示出持续改善妇女营养状况和营养知识的潜力。在项目评估中应纳入对国家健康计划的项目后评估,以帮助进一步了解国家健康计划对妇女健康结果产生可持续影响的潜力。
{"title":"Four-Year Effects of a 2-Year Nutrition and Gender Sensitive Agricultural Program on Women’s Nutritional Status, Knowledge, and Empowerment in Rural Burkina Faso","authors":"L. Bliznashka, Elodie Becquey, M. Ruel, Deanna K. Olney","doi":"10.1177/03795721221090380","DOIUrl":"https://doi.org/10.1177/03795721221090380","url":null,"abstract":"Background: Little is known about the sustained effects of nutrition- and gender-sensitive agricultural programs (NSAPs) after they end. Objectives: To examine the 4-year effects (2010-2014) of a 2-year NSAP (2010-2012) on women’s outcomes in rural Burkina Faso. Methods: We used baseline (2010) and endline (2012) data from a cluster-randomized controlled trial of Helen Keller International’s Enhanced Homestead Food Production (EHFP) program and baseline (2014) data from a new program. We included 134 women: 82 who participated in the 2-year EHFP program (treatment) and 52 who did not (control). We examined program (2010-2012), post-program (2012-2014), and overall 4-year effects (2010-2014) using difference-in-difference analysis (DID). Results: We found significant positive program effects (2010-2012) on women’s underweight prevalence (DID: 16.44 percentage points [pp]; P = .09) and on women’s knowledge about appropriate age to introduce liquids (DID: 28.40 pp; P = .01). Although there were no significant postprogram effects (2012-2014), differences found in 2012 between the treatment and control group were sustained resulting in an overall 4-year (2010-2014) reduction in women’s underweight prevalence (DID: 18.26 pp; P = .02) and an improvement in women’s knowledge about appropriate age to introduce liquids (DID: 31.29 pp; P = .02). We observed no postprogram or overall 4-year effects on women’s knowledge of child feeding and handwashing practices or women’s empowerment. Conclusions: Nutrition- and gender-sensitive agricultural programs demonstrate potential for sustained improvements in women’s nutritional status and nutritional knowledge. Postprogram assessments of NSAPs should be embedded in program evaluations to help further understand the potential of NSAPs to generate sustainable impacts on women’s outcomes.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"364 - 375"},"PeriodicalIF":1.9,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42514325","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}
引用次数: 2
Effect of Nutrition Interventions Before and/or During Early Pregnancy on Low Birth Weight in Sub-Saharan Africa: A Systematic Review and Meta-Analysis 撒哈拉以南非洲地区妊娠前和/或妊娠早期营养干预对低出生体重的影响:系统综述和荟萃分析
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-04-13 DOI: 10.1177/03795721221078351
Melesse Niguse Kuma, Dessalegn Tamiru, Girma Beressa, T. Belachew
Background: This review aimed at synthesizing evidence on the effectiveness of nutritional interventions that were carried out before and/or during early pregnancy versus the control groups on reducing the risk of low weight at birth in sub-Saharan Africa. Methods: We have searched on MEDLINE, SCOPUS, CINAHL, HINARI, and Cochrane Library of systematic review databases for published articles in English language from 2010 to 2021 years. For unpublished studies, we searched on Google scholar. Randomized controlled trial studies of nutritional interventions carried out before/or during early pregnancy in sub-Saharan Africa to improve low birth weight were considered. The data were extracted and pooled using the Joanna Briggs Institute software. The effect size was calculated using fixed-effect models. Mantel-Haenszel method was used to calculate the relative risk with their respective 95% CI. Heterogeneity was assessed using the standard chi-square and I 2 tests. Results: Seven studies were included in the review with a total of 5934 participants. Three types of nutritional interventions were identified: iron supplementations, lipid-based supplementations, and nutritional education and counseling. We have identified only one intervention started during preconception. The meta-analysis showed that none of the identified nutrition interventions had a statistically significant effect on low birth weight. Conclusions: Based on the review evidence, nutritional interventions before and/or during early pregnancy in sub-Saharan Africa had no significant effect on low birth weight. However, since our evidence was derived from a small number of trials and participants, a large-scale randomized controlled trials review might be required to elucidate the finding.
背景:本综述旨在综合证据,证明在撒哈拉以南非洲,与对照组相比,在怀孕前和/或怀孕早期进行的营养干预在降低出生时低体重风险方面的有效性。方法:我们在MEDLINE、SCOPUS、CINAHL、HINARI和Cochrane图书馆的系统综述数据库中搜索2010年至2021年发表的英文文章。对于未发表的研究,我们在谷歌学者上搜索。考虑在撒哈拉以南非洲妊娠前/或妊娠早期进行营养干预以改善低出生体重的随机对照试验研究。使用乔安娜·布里格斯研究所软件提取并汇总数据。使用固定效应模型计算效应大小。Mantel Haenszel方法用于计算相对风险及其各自的95%CI。异质性使用标准卡方和I2检验进行评估。结果:共有5934名参与者参与了7项研究。确定了三种类型的营养干预:铁补充剂、脂质补充剂以及营养教育和咨询。我们只发现了一种在先入为主期间开始的干预措施。荟萃分析显示,没有一项确定的营养干预措施对低出生体重有统计学显著影响。结论:根据审查证据,撒哈拉以南非洲在怀孕前和/或怀孕早期的营养干预对低出生体重没有显著影响。然而,由于我们的证据来自少数试验和参与者,可能需要进行大规模的随机对照试验审查来阐明这一发现。
{"title":"Effect of Nutrition Interventions Before and/or During Early Pregnancy on Low Birth Weight in Sub-Saharan Africa: A Systematic Review and Meta-Analysis","authors":"Melesse Niguse Kuma, Dessalegn Tamiru, Girma Beressa, T. Belachew","doi":"10.1177/03795721221078351","DOIUrl":"https://doi.org/10.1177/03795721221078351","url":null,"abstract":"Background: This review aimed at synthesizing evidence on the effectiveness of nutritional interventions that were carried out before and/or during early pregnancy versus the control groups on reducing the risk of low weight at birth in sub-Saharan Africa. Methods: We have searched on MEDLINE, SCOPUS, CINAHL, HINARI, and Cochrane Library of systematic review databases for published articles in English language from 2010 to 2021 years. For unpublished studies, we searched on Google scholar. Randomized controlled trial studies of nutritional interventions carried out before/or during early pregnancy in sub-Saharan Africa to improve low birth weight were considered. The data were extracted and pooled using the Joanna Briggs Institute software. The effect size was calculated using fixed-effect models. Mantel-Haenszel method was used to calculate the relative risk with their respective 95% CI. Heterogeneity was assessed using the standard chi-square and I 2 tests. Results: Seven studies were included in the review with a total of 5934 participants. Three types of nutritional interventions were identified: iron supplementations, lipid-based supplementations, and nutritional education and counseling. We have identified only one intervention started during preconception. The meta-analysis showed that none of the identified nutrition interventions had a statistically significant effect on low birth weight. Conclusions: Based on the review evidence, nutritional interventions before and/or during early pregnancy in sub-Saharan Africa had no significant effect on low birth weight. However, since our evidence was derived from a small number of trials and participants, a large-scale randomized controlled trials review might be required to elucidate the finding.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"351 - 363"},"PeriodicalIF":1.9,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42044339","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}
引用次数: 1
Barriers to Management of Moderate Acute Malnutrition Among Children Aged 6 to 59 Months in Damot Pulassa, Wolaita, South Ethiopia: A Phenomenological Study of Mothers and Health Service Providers 埃塞俄比亚南部沃莱塔Damot Pulassa 6至59个月儿童中度急性营养不良的管理障碍:母亲和卫生服务提供者的现象学研究
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-04-01 DOI: 10.1177/03795721221088817
Debritu Nane, A. Hatløy, B. Lindtjørn
Background: Management of moderate acute malnutrition (MAM) in children needs to improve to reduce the transition from MAM to severe acute malnutrition (SAM). Objective: This study aimed to assess barriers to management of MAM among children aged 6 to 59 months in Damot Pulassa, Wolaita, South Ethiopia. Method: This descriptive phenomenological design used 6 focus group discussions with mothers or caregivers of children aged 6 to 59 months and 10 in-depth interviews with health service providers. Data were analyzed using Colaizzi’s descriptive phenomenological method. Result: Six themes were identified: Possible reasons for MAM; identification of a child with MAM; management services of MAM; maternal-level barriers; service provider-level barriers; and suggestions to improve the service. Shortage of food and money, selling out of self-produced food without having sufficient reserves at home, large household size, shame from having children with malnutrition, occasional house-to-house screening for MAM, family-initiated screening, leaving the management responsibility of children with MAM to the family, no provision of supplementary food, and lack of repeated follow-up visits were the main obstacles for managing MAM. Conclusion: Maternal-level barriers and service provider-level barriers affect the management of MAM negatively in Damot Pulassa, Wolaita. Children with MAM living in the area ineligible for food supplementation could deteriorate to SAM. The provision of nutrition counseling to the mothers of children with MAM without food supplementation placed children with MAM at increased risk of negative outcomes. Thus, the government should give more attention and facilitation in promoting supplementary food into the existing management of MAM.
背景:儿童中度急性营养不良(MAM)的管理需要改进,以减少从MAM过渡到严重急性营养不良(SAM)。目的:本研究旨在评估埃塞俄比亚南部沃莱塔Damot Pulassa地区6至59个月儿童MAM管理的障碍。方法:采用描述性现象学设计,对6 ~ 59月龄儿童的母亲或照顾者进行6次焦点小组讨论,对卫生服务提供者进行10次深度访谈。数据分析采用Colaizzi的描述现象学方法。结果:确定了六个主题:MAM的可能原因;确认儿童患有MAM;MAM管理服务;maternal-level障碍;服务提供者级别的障碍;以及改进服务的建议。食物和资金短缺、自产食品售罄而家中没有足够的储备、家庭规模大、因有营养不良的孩子而感到羞耻、偶尔对MAM进行挨家挨户的筛查、家庭发起的筛查、将MAM儿童的管理责任留给家庭、不提供补充食品、缺乏反复随访是管理MAM的主要障碍。结论:产妇层面的障碍和服务提供者层面的障碍对沃莱塔地区Damot Pulassa地区MAM的管理产生了负面影响。患有MAM的儿童生活在不符合食品补充条件的地区,可能会恶化为SAM。向患有MAM的儿童的母亲提供营养咨询而不补充食物,使患有MAM的儿童的负面结果的风险增加。因此,政府应给予更多的关注和便利,将辅食纳入MAM的现有管理中。
{"title":"Barriers to Management of Moderate Acute Malnutrition Among Children Aged 6 to 59 Months in Damot Pulassa, Wolaita, South Ethiopia: A Phenomenological Study of Mothers and Health Service Providers","authors":"Debritu Nane, A. Hatløy, B. Lindtjørn","doi":"10.1177/03795721221088817","DOIUrl":"https://doi.org/10.1177/03795721221088817","url":null,"abstract":"Background: Management of moderate acute malnutrition (MAM) in children needs to improve to reduce the transition from MAM to severe acute malnutrition (SAM). Objective: This study aimed to assess barriers to management of MAM among children aged 6 to 59 months in Damot Pulassa, Wolaita, South Ethiopia. Method: This descriptive phenomenological design used 6 focus group discussions with mothers or caregivers of children aged 6 to 59 months and 10 in-depth interviews with health service providers. Data were analyzed using Colaizzi’s descriptive phenomenological method. Result: Six themes were identified: Possible reasons for MAM; identification of a child with MAM; management services of MAM; maternal-level barriers; service provider-level barriers; and suggestions to improve the service. Shortage of food and money, selling out of self-produced food without having sufficient reserves at home, large household size, shame from having children with malnutrition, occasional house-to-house screening for MAM, family-initiated screening, leaving the management responsibility of children with MAM to the family, no provision of supplementary food, and lack of repeated follow-up visits were the main obstacles for managing MAM. Conclusion: Maternal-level barriers and service provider-level barriers affect the management of MAM negatively in Damot Pulassa, Wolaita. Children with MAM living in the area ineligible for food supplementation could deteriorate to SAM. The provision of nutrition counseling to the mothers of children with MAM without food supplementation placed children with MAM at increased risk of negative outcomes. Thus, the government should give more attention and facilitation in promoting supplementary food into the existing management of MAM.","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"323 - 339"},"PeriodicalIF":1.9,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45925200","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}
引用次数: 0
Household Decision-Making: Implications for Production, Consumption, and Sale of Nutrient-Rich Foods. 家庭决策:对营养丰富食品生产、消费和销售的影响。
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-03-01 Epub Date: 2021-10-03 DOI: 10.1177/03795721211026780
Seifu Tadesse, Meghan Kershaw, Rachel Knapp, Rahel Gizaw, Sibhatu Biadgilign, Amare Feleke, Yigzaw Dessalegn, Cherinet Abuye, Eileen Kennedy

Household decision-making influences choices related to the production, sale, purchase, and consumption of nutrient-rich foods. The present study assessed the effect of household decision-making in 2 regions of Ethiopia within 2 groups of households, most vulnerable households and model farmer households. The study focused on identifying barriers and facilitators relating to decisions about nutrient-rich foods-in this case fruits, vegetables, and animal source foods. The results provide insights into how future agricultural programs can affect key aspects of decision-making to maximize the positive impacts on diet and food security.

家庭决策影响着与营养丰富的食物的生产、销售、购买和消费有关的选择。本研究评估了埃塞俄比亚两个地区两组家庭(最脆弱家庭和模范农民家庭)的家庭决策效果。这项研究的重点是确定与营养丰富的食物有关的决定障碍和促进因素,在这种情况下,水果、蔬菜和动物源食品。研究结果揭示了未来农业计划如何影响决策的关键方面,从而最大限度地提高对饮食和粮食安全的积极影响。
{"title":"Household Decision-Making: Implications for Production, Consumption, and Sale of Nutrient-Rich Foods.","authors":"Seifu Tadesse,&nbsp;Meghan Kershaw,&nbsp;Rachel Knapp,&nbsp;Rahel Gizaw,&nbsp;Sibhatu Biadgilign,&nbsp;Amare Feleke,&nbsp;Yigzaw Dessalegn,&nbsp;Cherinet Abuye,&nbsp;Eileen Kennedy","doi":"10.1177/03795721211026780","DOIUrl":"https://doi.org/10.1177/03795721211026780","url":null,"abstract":"<p><p>Household decision-making influences choices related to the production, sale, purchase, and consumption of nutrient-rich foods. The present study assessed the effect of household decision-making in 2 regions of Ethiopia within 2 groups of households, most vulnerable households and model farmer households. The study focused on identifying barriers and facilitators relating to decisions about nutrient-rich foods-in this case fruits, vegetables, and animal source foods. The results provide insights into how future agricultural programs can affect key aspects of decision-making to maximize the positive impacts on diet and food security.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"3-13"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39480346","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}
引用次数: 4
Relationships of Child-, Parents-, and Environment-Associated Determinants with Diet Quality, Physical Activity, and Smoking Habits Among Indonesian Urban Adolescents. 印度尼西亚城市青少年中儿童、父母和环境相关决定因素与饮食质量、体育活动和吸烟习惯的关系
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-03-01 Epub Date: 2021-10-21 DOI: 10.1177/03795721211046145
Rina Agustina, Davrina Rianda, Evania Astella Setiawan

Background: The trend of unhealthy lifestyles is increasing among adolescents and has been associated with the rising burden of noncommunicable diseases (NCDs). However, specific determinants of unhealthy lifestyles among adolescents in low- and middle-income countries remain limited.

Objective: To investigate the relationships of child-, parents-, and environment-associated determinants with diet quality, physical activity, and smoking habits among low-socioeconomic urban adolescents.

Methods: A cross-sectional study involving 238 adolescents aged 11 to 17 years was conducted in Jakarta, Indonesia. Adolescents and their parents were interviewed to assess the determinants of healthy lifestyles that included diet quality, physical activity, and smoking habits. Diet and physical activity were quantified using the Diet Quality Index for Adolescents (DQI-A) and Physical Activity Questionnaire for Older Children (PAQ-C), respectively. Multiple regression was used to determine the β coefficients and odds ratios predictive of healthy lifestyles.

Results: Mean scores of DQI-A and PAQ-C were considered low (33.5% ± 8.9% and 2.1 ± 0.5, respectively). Overall, 17.6% of adolescents were smokers, with 88% of these being males. Predictors of diet quality were child- (age, gender) and environment-associated (house size, access to a computer) determinants with β coefficients of -6.52 to 3.26. The PAQ-C score was associated with child- (female) and environment-associated (living area) determinants with β coefficients of -0.45 and 0.14, respectively. Younger adolescents and females were protective factors for smoking. Parents-associated determinants were not associated with any lifestyle indicators.

Conclusions: Child- and environment-associated determinants were predictors of healthy lifestyles among adolescents. Thus, personal empowerment and environment transformation are needed to facilitate a healthy lifestyle and reduce the burden of NCDs among adolescents.

背景:青少年中不健康生活方式的趋势正在增加,并与非传染性疾病(ncd)负担的增加有关。然而,低收入和中等收入国家青少年不健康生活方式的具体决定因素仍然有限。目的:调查低社会经济水平城市青少年饮食质量、身体活动和吸烟习惯与儿童、父母和环境相关决定因素的关系。方法:在印度尼西亚雅加达对238名11至17岁的青少年进行横断面研究。对青少年及其父母进行了访谈,以评估健康生活方式的决定因素,包括饮食质量、体育活动和吸烟习惯。分别采用青少年饮食质量指数(DQI-A)和大龄儿童身体活动问卷(PAQ-C)对饮食和身体活动进行量化。采用多元回归确定预测健康生活方式的β系数和比值比。结果:DQI-A和PAQ-C平均评分较低(分别为33.5%±8.9%和2.1±0.5)。总体而言,17.6%的青少年是吸烟者,其中88%是男性。饮食质量的预测因子是儿童(年龄、性别)和环境相关(房屋大小、是否使用电脑)决定因素,β系数为-6.52至3.26。PAQ-C评分与儿童(女性)和环境(生活区域)相关,β系数分别为-0.45和0.14。青少年和女性是吸烟的保护因素。父母相关的决定因素与任何生活方式指标无关。结论:儿童和环境相关因素是青少年健康生活方式的预测因素。因此,需要增强个人权能和改变环境,以促进健康的生活方式并减轻青少年中非传染性疾病的负担。
{"title":"Relationships of Child-, Parents-, and Environment-Associated Determinants with Diet Quality, Physical Activity, and Smoking Habits Among Indonesian Urban Adolescents.","authors":"Rina Agustina,&nbsp;Davrina Rianda,&nbsp;Evania Astella Setiawan","doi":"10.1177/03795721211046145","DOIUrl":"https://doi.org/10.1177/03795721211046145","url":null,"abstract":"<p><strong>Background: </strong>The trend of unhealthy lifestyles is increasing among adolescents and has been associated with the rising burden of noncommunicable diseases (NCDs). However, specific determinants of unhealthy lifestyles among adolescents in low- and middle-income countries remain limited.</p><p><strong>Objective: </strong>To investigate the relationships of child-, parents-, and environment-associated determinants with diet quality, physical activity, and smoking habits among low-socioeconomic urban adolescents.</p><p><strong>Methods: </strong>A cross-sectional study involving 238 adolescents aged 11 to 17 years was conducted in Jakarta, Indonesia. Adolescents and their parents were interviewed to assess the determinants of healthy lifestyles that included diet quality, physical activity, and smoking habits. Diet and physical activity were quantified using the Diet Quality Index for Adolescents (DQI-A) and Physical Activity Questionnaire for Older Children (PAQ-C), respectively. Multiple regression was used to determine the β coefficients and odds ratios predictive of healthy lifestyles.</p><p><strong>Results: </strong>Mean scores of DQI-A and PAQ-C were considered low (33.5% ± 8.9% and 2.1 ± 0.5, respectively). Overall, 17.6% of adolescents were smokers, with 88% of these being males. Predictors of diet quality were child- (age, gender) and environment-associated (house size, access to a computer) determinants with β coefficients of -6.52 to 3.26. The PAQ-C score was associated with child- (female) and environment-associated (living area) determinants with β coefficients of -0.45 and 0.14, respectively. Younger adolescents and females were protective factors for smoking. Parents-associated determinants were not associated with any lifestyle indicators.</p><p><strong>Conclusions: </strong>Child- and environment-associated determinants were predictors of healthy lifestyles among adolescents. Thus, personal empowerment and environment transformation are needed to facilitate a healthy lifestyle and reduce the burden of NCDs among adolescents.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"44-55"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39537499","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}
引用次数: 2
Linkage Between 2 Information Systems: Combined Live Births and Food and Nutrition Surveillance as a Public Health Tool for Investigation of the Determinants of Obesity Among Children and Adolescents in Southern Brazil. 两个信息系统之间的联系:结合活产和食物营养监测作为巴西南部儿童和青少年肥胖决定因素调查的公共卫生工具。
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-03-01 Epub Date: 2021-11-02 DOI: 10.1177/03795721211033563
Juliana Mariante Giesta, Mariana Dihl Schiffner, Mirena Boklis, Ilaine Schuch, Vera Lúcia Bosa, Clécio Homrich da Silva

Background: Childhood obesity has been growing steadily, at an earlier age, and currently comprises a public health issue. A number of studies have pointed to perinatal factors as possible determinants in the development of childhood obesity.

Objective: To evaluate the influence of perinatal factors on the development of obesity in children and adolescents in southern Brazil.

Design: Retrospective cohort study in which a linkage was made between anthropometric data of children and adolescents aged 0 to 15 years who had been registered in the Food and Nutrition Surveillance System (SISVAN) from 2008 to 2016 and their perinatal data registered in the Live Birth Information System (SINASC) from 2000 to 2014. The SINASC was used to extract maternal covariables (age, schooling, marital status), prenatal variables (parity and number of prenatal visits), and perinatal variables (type of delivery, sex, and birth weight). Variables such as age, inclusion in the Bolsa Família income transfer program, and the number of anthropometric evaluations were extracted from SISVAN.

Results: The sample comprised 537 children and adolescents. The median age was 8 years (interquartile range: 2-11 years). The prevalence of obesity was 15.1%. Poisson regression revealed a higher risk of obesity in children born via cesarean delivery (relative risk [RR] = 1.48; 95% CI: 1.01-2.17), children of primiparous mothers (RR = 1.72; 95% CI: 1.16-2.53), girls (RR = 1.77; 95% CI:1.21-2.60), and those aged between 5 and 9 years (RR = 26.8; 95% CI: 3.75-191.55) and older than 10 years (RR = 20.74; 95% CI: 2.89-148.61).

Conclusions: The linkage between SINASC and SISVAN allowed identification of prenatal and perinatal risk factors for the development of childhood obesity. These findings should contribute to the development of health promotion and prevention policies.

背景:儿童肥胖在较早的年龄稳步增长,目前已成为一个公共卫生问题。许多研究指出,围产期因素可能是儿童肥胖发展的决定因素。目的:探讨围生期因素对巴西南部儿童和青少年肥胖发展的影响。设计:回顾性队列研究,将2008 - 2016年在食品和营养监测系统(SISVAN)中登记的0 - 15岁儿童和青少年的人体测量数据与2000 - 2014年在活产信息系统(SINASC)中登记的围产期数据进行关联。使用SINASC提取产妇协变量(年龄、学校教育、婚姻状况)、产前变量(胎次和产前就诊次数)和围产期变量(分娩类型、性别和出生体重)。从SISVAN中提取了年龄、Bolsa Família收入转移计划的纳入以及人体测量评估的数量等变量。结果:共纳入537名儿童和青少年。中位年龄为8岁(四分位数范围:2-11岁)。肥胖患病率为15.1%。泊松回归显示剖宫产出生的儿童肥胖风险较高(相对危险度[RR] = 1.48;95% CI: 1.01-2.17),初产母亲的孩子(RR = 1.72;95% CI: 1.16-2.53),女孩(RR = 1.77;95% CI:1.21-2.60),以及年龄在5 - 9岁之间的患者(RR = 26.8;95% CI: 3.75-191.55),年龄大于10岁(RR = 20.74;95% ci: 2.89-148.61)。结论:SINASC和SISVAN之间的联系可以识别儿童肥胖发生的产前和围产期危险因素。这些发现应该有助于制定健康促进和预防政策。
{"title":"Linkage Between 2 Information Systems: Combined Live Births and Food and Nutrition Surveillance as a Public Health Tool for Investigation of the Determinants of Obesity Among Children and Adolescents in Southern Brazil.","authors":"Juliana Mariante Giesta,&nbsp;Mariana Dihl Schiffner,&nbsp;Mirena Boklis,&nbsp;Ilaine Schuch,&nbsp;Vera Lúcia Bosa,&nbsp;Clécio Homrich da Silva","doi":"10.1177/03795721211033563","DOIUrl":"https://doi.org/10.1177/03795721211033563","url":null,"abstract":"<p><strong>Background: </strong>Childhood obesity has been growing steadily, at an earlier age, and currently comprises a public health issue. A number of studies have pointed to perinatal factors as possible determinants in the development of childhood obesity.</p><p><strong>Objective: </strong>To evaluate the influence of perinatal factors on the development of obesity in children and adolescents in southern Brazil.</p><p><strong>Design: </strong>Retrospective cohort study in which a linkage was made between anthropometric data of children and adolescents aged 0 to 15 years who had been registered in the Food and Nutrition Surveillance System (SISVAN) from 2008 to 2016 and their perinatal data registered in the Live Birth Information System (SINASC) from 2000 to 2014. The SINASC was used to extract maternal covariables (age, schooling, marital status), prenatal variables (parity and number of prenatal visits), and perinatal variables (type of delivery, sex, and birth weight). Variables such as age, inclusion in the Bolsa Família income transfer program, and the number of anthropometric evaluations were extracted from SISVAN.</p><p><strong>Results: </strong>The sample comprised 537 children and adolescents. The median age was 8 years (interquartile range: 2-11 years). The prevalence of obesity was 15.1%. Poisson regression revealed a higher risk of obesity in children born via cesarean delivery (relative risk [RR] = 1.48; 95% CI: 1.01-2.17), children of primiparous mothers (RR = 1.72; 95% CI: 1.16-2.53), girls (RR = 1.77; 95% CI:1.21-2.60), and those aged between 5 and 9 years (RR = 26.8; 95% CI: 3.75-191.55) and older than 10 years (RR = 20.74; 95% CI: 2.89-148.61).</p><p><strong>Conclusions: </strong>The linkage between SINASC and SISVAN allowed identification of prenatal and perinatal risk factors for the development of childhood obesity. These findings should contribute to the development of health promotion and prevention policies.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"56-67"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39584018","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}
引用次数: 0
The Validation and Reliability of the Food and Health Questionnaire to Assess Health and Nutrition Knowledge. 食品与健康问卷评估健康与营养知识的效度与信度。
IF 1.9 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY Pub Date : 2022-03-01 Epub Date: 2021-12-06 DOI: 10.1177/03795721211052836
Omar A Alhaj, Hiba F Al-Sayyed, Ola M Charouf, Haitham Jahrami, Keith Morris

Purpose: This study aimed to translate and test the content validity and reliability of an English questionnaire used in the American food and health survey.

Methods: The questionnaire was developed using 6 stages, then examined for test-retest. A total of 672 participants were recruited for validation and reliability. Validity test was performed using a correlation coefficient to measure the linear correlation between 2 questions at one given time. Moreover, the Kaiser-Meyer-Olkin, Measure of Sampling Adequacy, and Bartlett's Test of Sphericity were performed to statistically determine the suitability for conducting exploratory factor analysis. Furthermore, reliability tests using Cronbach α was used to estimate the reliability coefficient properties of the translated scale. Finally, the most important correlated questions was plotted using a color-coded correlogram.

Results: The test-retest reliability of all tested items was significantly correlated. The reliability test for all questions was 0.9. The cross-correlation test showed that all questions of the translated questionnaire were correlated significantly (P < .05) indicating reliability of the questionnaire.

Conclusion: The tested questionnaire is applicable and may be used in population-based studies to raise awareness regarding health, food consumption, nutrition, and food safety among people in Jordan and/or other Arab countries.

目的:本研究旨在翻译并检验美国食品与健康调查中使用的英文问卷的内容效度和信度。方法:采用6个阶段编制问卷,并进行复测。为了验证和信度,共招募了672名参与者。效度检验采用相关系数来衡量两个问题在给定时间的线性相关性。此外,采用Kaiser-Meyer-Olkin、抽样充分性测量和Bartlett球性检验来统计确定进行探索性因素分析的适宜性。此外,采用Cronbach α信度检验估计翻译量表的信度系数性质。最后,用颜色编码的相关图绘制出最重要的相关问题。结果:各测项重测信度显著相关。所有问题的信度测试均为0.9。经互相关检验,翻译后的问卷各题项均显著相关(P < 0.05),说明问卷具有信度。结论:经测试的调查表是适用的,可用于以人口为基础的研究,以提高约旦和/或其他阿拉伯国家人民对健康、食品消费、营养和食品安全的认识。
{"title":"The Validation and Reliability of the Food and Health Questionnaire to Assess Health and Nutrition Knowledge.","authors":"Omar A Alhaj,&nbsp;Hiba F Al-Sayyed,&nbsp;Ola M Charouf,&nbsp;Haitham Jahrami,&nbsp;Keith Morris","doi":"10.1177/03795721211052836","DOIUrl":"https://doi.org/10.1177/03795721211052836","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to translate and test the content validity and reliability of an English questionnaire used in the American food and health survey.</p><p><strong>Methods: </strong>The questionnaire was developed using 6 stages, then examined for test-retest. A total of 672 participants were recruited for validation and reliability. Validity test was performed using a correlation coefficient to measure the linear correlation between 2 questions at one given time. Moreover, the Kaiser-Meyer-Olkin, Measure of Sampling Adequacy, and Bartlett's Test of Sphericity were performed to statistically determine the suitability for conducting exploratory factor analysis. Furthermore, reliability tests using Cronbach α was used to estimate the reliability coefficient properties of the translated scale. Finally, the most important correlated questions was plotted using a color-coded correlogram.</p><p><strong>Results: </strong>The test-retest reliability of all tested items was significantly correlated. The reliability test for all questions was 0.9. The cross-correlation test showed that all questions of the translated questionnaire were correlated significantly (<i>P</i> < .05) indicating reliability of the questionnaire.</p><p><strong>Conclusion: </strong>The tested questionnaire is applicable and may be used in population-based studies to raise awareness regarding health, food consumption, nutrition, and food safety among people in Jordan and/or other Arab countries.</p>","PeriodicalId":12394,"journal":{"name":"Food and Nutrition Bulletin","volume":"43 1","pages":"14-24"},"PeriodicalIF":1.9,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39697828","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}
引用次数: 1
期刊
Food and Nutrition Bulletin
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1