Journal of Nutrition,Fasting and Health

Journal of Nutrition,Fasting and Health

Prevalence of Food Insecurity and Its Association with Maternal and Child Anthropometric Indices and Socioeconomic Status and Dietary Intake in low- income Households in Golshahr District, Mashhad in 2014

Document Type : Research Paper

Authors
Asieh Ahmadihoseini 1
Ali Hadianfar 2
Nasrin Omidvar 3
Golnaz Ranjbar 4
Asma Zadeabasi 4
Mohammad Safarian 4
Mohsen Nematy 4, 5
1 Department of Nutrition, Mashhad University of Medical Sciences Ghaem Hospital, Mashhad, Iran.
2 Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Department of Community Nutrition, National Nutrition and Food Technology Research Institute, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti,University of Medical Sciences, Tehran, Iran.
4 Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
5 Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/jnfh.2023.69475.1415
Abstract
Introduction: The relation between the anthropometric status of household members and food insecurity is complicated and not clearly defined. The current study aimed to examine the prevalence of food insecurity (FI) and its association with maternal and child anthropometric indices and dietary intake in a low-income district located in the northeast of Iran. Methods: This cross-sectional survey was conducted on 400 representative households. The participants were mothers of children aged ≤6 years. Food security with 18-item USDA questionnaire, anthropometric status of mothers and children was measured by measuring weight and height dietary intake with food frequency questionnaire. Results: Fifty-eight percent of households were food insecure. No correlation was denoted between food insecurity and anthropometric indices, except for maternal height (P=0.02). After adjustment for the other variables, food insecurity was inversely correlated with maternal age (OR: 1.12; 95% CI: 1.06-1.19), maternal education level (OR: 8.41; 95% CI: 1.89-37.46), the employment status of the spouse (OR: 4.28; 95% CI: 2.02-9.05), socioeconomic status (OR: 12.86; 95% CI: 4.84-34.16), and the number of children aged ≤6 years (OR: 2.83; 95% CI: 1.16-6.80). The mean carbohydrate, fat, energy and folic acid consumption were observed to be lower in the food insecure mothers (P<0.05), while the mean intake of fruits was higher in the food-secure mothers (P<0.001). Conclusion: Women in households with a low socioeconomic status were at an elevated risk of food insecurity and micronutrient deficiencies.
Keywords
Children
Mother
Food insecurity
Anthropometric indices
Iran
  1. Food, Nations. AOotU. State of Food Insecurity in the World 2014. Food & Agriculture Org; 2015.
  2. Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002. Journal of General Internal Medicine. 2007;22(7):1018-23.
  3. Seligman H, Laraia B, Kushel M. Chronic disease among low-income NHANES participants. J Nutr. 140: 304-10. 2011.
  4. Ramesh T, Dorosty Motlagh A, Abdollahi M. Prevalence of household food insecurity in the City of Shiraz and its association with socio-economic and demographic factors, 2008. Iranian Journal of Nutrition Sciences & Food Technology. 2010;4(4):53-64.
  5. Santos LPd, Gigante DP. Relationship between food insecurity and nutritional status of Brazilian children under the age of five. Revista Brasileira de Epidemiologia. 2013;16:984-94.
  6. Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. The Journal of Nutrition. 2009;140(2):304-10.
  7. Ahmadihoseini A, Omidvar N, Nematy M, Safarian M, Salehi M. The relationship between food insecurity and anthropometric measures at birth in low income households. Iranian Journal of Pediatrics. 2019;29(4).
  8. Ivers LC, Cullen KA. Food insecurity: special considerations for women. The American Journal of Clinical Nutrition. 2011;94(6):1740S-4S.
  9. Olson CM. Food insecurity in women: a recipe for unhealthy trade-offs. Topics in Clinical Nutrition. 2005;20(4):321-8.
  10. Matheson J, McIntyre L. Women respondents report higher household food insecurity than do men in similar Canadian households. Public Health Nutrition. 2014;17(1):40-8.
  11. Ivers LC, Cullen KA. Food insecurity: special considerations for women–. The American journal of clinical nutrition. 2011;94(6):1740S-4S.
  12. Hamilton WL, Cook JT. Household food security in the United States in 1995: technical report of the food security measurement project. 1997.
  13. Ganapathy S, Duffy SB, Getz C. A Framework for Understanding Food Insecurity: An Anti-Hunger Approach. A Food Systems Approach http://www cnr berkeley edu/cwh/PDFs/Framework_Food_Insecurity_3. 2005;5.
  14. Freedman DA, Bell BA. Access to healthful foods among an urban food insecure population: perceptions versus reality. Journal of Urban Health. 2009;86(6):825-38.
  15. Andreyeva T, Tripp AS, Schwartz MB. Dietary quality of Americans by Supplemental Nutrition Assistance Program participation status: a systematic review. American Journal of Preventive Medicine. 2015;49(4):594-604.
  16. Kaiser LL, LAMP CL, JOHNS MC, SUTHERLIN JM, HARWOOD JO, MELGAR-QUIÑONEZ HR. Food security and nutritional outcomes of preschool-age Mexican-American children. Journal of the American Dietetic Association. 2002;102(7):924-9.
  17. Widome R, Neumark-Sztainer D, Hannan PJ, Haines J, Story M. Eating when there is not enough to eat: eating behaviors and perceptions of food among food-insecure youths. American Journal of Public Health. 2009;99(5):822-8.
  18. Melchiorre MG, Chiatti C, Lamura G, Torres-Gonzales F, Stankunas M, Lindert J, et al. Social support, socio-economic status, health and abuse among older people in seven European countries. PloS one. 2013;8(1):e54856.
  19. Laraia BA. Food insecurity and chronic disease. Advances in Nutrition. 2013;4(2):203-12.
  20. Wirth SH, Palakshappa D, Brown CL. Association of household food insecurity and childhood weight status in a low‐income population. Clinical Obesity. 2020;10(6):e12401.
  21. Jyoti DF, Frongillo EA, Jones SJ. Food insecurity affects school children's academic performance, weight gain, and social skills. The Journal of Nutrition. 2005;135(12):2831-9.
  22. PEDIATRICS COC, NUTRITION CO, Gitterman BA, Chilton LA, Cotton WH, Duffee JH, et al. Promoting food security for all children. Pediatrics. 2015;136(5):e1431-e8.
  23. Franklin B, Jones A, Love D, Puckett S, Macklin J, White-Means S. Exploring mediators of food insecurity and obesity: a review of recent literature. Journal of Community Health. 2012;37(1):253-64.
  24. Townsend MS, Peerson J, Love B, Achterberg C, Murphy SP. Food insecurity is positively related to overweight in women. The Journal of Nutrition. 2001;131(6):1738-45.
  25. Adams EJ, Grummer-Strawn L, Chavez G. Food insecurity is associated with increased risk of obesity in California women. The Journal of Nutrition. 2003;133(4):1070-4.
  26. Ghassemi H, Harrison G, Mohammad K. An accelerated nutrition transition in Iran. Public Health Nutrition. 2002;5(1a):149-55.
  27. Azizi F, Azadbakht L, Mirmiran P. Trends in overweight, obesity and central fat accumulation among Tehranian adults between 1998–1999 and 2001–2002: Tehran lipid and glucose study. Annals of Nutrition and Metabolism. 2005;49(1):3-8.
  28. Mohammadi F, Omidvar N, Harrison GG, Ghazi-Tabatabaei M, Abdollahi M, Houshiar-Rad A, et al. Is household food insecurity associated with overweight/obesity in women?. Iranian Journal of Public Health. 2013;42(4):380.
  29. Eini-Zinab H. Evaluation of multivariate indices and the total fertility rate in Iran. Tehran: Asia‑Pacific Population Research Center. 2013.
  30. Bickel G, Nord M, Price C, Hamilton W, Cook J. Guide to measuring household food security. US Department of Agriculture, Food and Nutrition Service, Alexandria VA. 2000:1-82.
  31. Gulliford MC, Mahabir D, Rocke B. Food insecurity, food choices, and body mass index in adults: nutrition transition in Trinidad and Tobago. International Journal of Epidemiology. 2003;32(4):508-16.
  32. Nematy M, Nouri M, Ghazizahedi S, Norouzy A, Mohajeri SA, Shalaei N,et al. Validity and reproducibility of Iranian food frequency questionnaire. Switz Res Park J. 2013;102:2137-46.
  33. Mosallaei Z, Mazidi M, Safariyan M, Norouzy A, Mohajeri SAR, Esmaily H, et al. Dietary intake and its relationship with non-alcoholic fatty liver disease (NAFLD). Mediterranean Journal of Nutrition and Metabolism. 2015;8(2):139-48.
  34. Behzadifar M, Behzadifar M, Abdi S, Malekzadeh R, Salmani MA, Ghoreishinia G, et al. Prevalence of food insecurity in Iran: a systematic review and meta-analysis. Archives of Iranian Medicine. 2016;19(4):288-94.
  35. Masoume Mohamadpoor kalde MF, Mehran Akh kismi. Food insecurity as a risk factor for obesity in low-income women in Bushehr. Iran South Medical journal. 2010;13(4):263-72.
  36. Payab M, Dorosty Motlagh A, Eshraghian M, Siassi F. The association between food insecurity, socio-economic factors and dietary intake in mothers having primary school children living in Ray 2010. Iranian Journal of Nutrition Sciences & Food Technology. 2012;7(1):0-.
  37. Tayie FA, Zizza CA. Height differences and the associations between food insecurity, percentage body fat and BMI among men and women. Public Health Nutrition. 2009;12(10):1855-61.
  38. Rezazadeh A, Omidvar N, Eini-Zinab H, Ghazi-Tabatabaie M, Majdzadeh R, Ghavamzadeh S, et al. Food insecurity, socio-economic factors and weight status in two Iranian ethnic groups. Ethnicity & health. 2016;21(3):233-50.
  39. Payab M, DM, AR, Eshraghian M, Siassi F, karimi T. The association between food insecurity, socio-economic factors and dietary intake in mothers having primary school children living in Ray 2010. Iranian Journal of Nutrition Sciences & Food Technology. 2012;7(1):0-.
  40. Faramarzi E, Somi M, Ostadrahimi A, Dastgiri S, Nahand MG, Jafarabadi MA, et al. Association between food insecurity and metabolic syndrome in North West of Iran: Azar Cohort study. Journal of cardiovascular and thoracic research. 2019;11(3):196.
  41. Jomaa L, Naja F, Cheaib R, Hwalla N. Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon. BMC public health. 2017;17(1):1-14.
  42. Eshraghian M, Siassi F, Djazayeri A. Obesity and food security in Yazd primary school students. Tehran University Medical Journal. 2007;65(7):68-76.
  43. Basirat R, Salehi Abargouei A, Esmaillzadeh A. The association between household food insecurity and childhood obesity among Iranian school-aged children in Farokhshahr. Koomesh. 2012;13(2):254-63.
  44. Lucena PN, Bueno NB, Vieira KA, Cabral MJ, Clemente APG, Florêncio TMdMT. Food insecurity and weight status of socially vulnerable child beneficiaries of a food assistance programme in Maceió, Northeast Brazil. Public Health Nutrition. 2020;23(4):721-6.
  45. Isanaka S, Mora-Plazas M, Lopez-Arana S, Baylin A, Villamor E. Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogota, Colombia. The Journal of Nutrition. 2007;137(12):2747-55.
Journal of Nutrition,Fasting and Health
Volume 11, Issue 1
Winter 2023
Pages 41-51

  • Receive Date 10 December 2022
  • Revise Date 28 January 2023
  • Accept Date 25 February 2023