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Srinivasan K, Yadav VK. Fresh bell peppers consumed in cities: Unveiling the environmental impact of urban and rural food supply systems. Sci Total Environ 2024; 927:172359. [PMID: 38615771 DOI: 10.1016/j.scitotenv.2024.172359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Revised: 03/18/2024] [Accepted: 04/08/2024] [Indexed: 04/16/2024]
Abstract
Agriculture and its supply chain pose significant environmental threats. This study employs Life Cycle Assessment (LCA) to explore the environmental impact of fresh bell pepper production and distribution, comparing Urban and Peri-Urban Agriculture (UPA) with Rural Long-Distance Food Supply Systems (RLDFS). Four UPA scenarios (hydroponics, soil-based greenhouse, open-field conventional, and organic) and two RLDFS scenarios (soil-based greenhouse and open-field conventional) are evaluated using SimaPro, incorporating inputs from UPA practitioners and rural farmers. Results reveal an energy demand range of 0.011 to 5.5 kWh/kg eq., with urban greenhouses exhibiting the lowest consumption and hydroponics the highest due to lighting, ventilation, and irrigation. Hydroponics exhibits a global warming potential of 7.24 kg of CO2 eq·kg-1, with energy demand contributing over 95 %, surpassing other scenarios by 7-25 times, necessitating reduction for sustainability. RLDFS's environmental impact is dominated by transportation (over 70 %), meanwhile other UPA systems are influenced by irrigation, infrastructure, and fertilizers. Despite challenges, UPA-hydroponics proves to be 1.7 to 4.3 times more land-use-efficient than other scenarios, emphasizing its potential. The study highlights the need to address electricity usage in UPA-hydroponics for carbon footprint reduction. Despite challenges, hydroponics could contribute to sustainable food security, and RLDFS does not significantly lag in environmental performance compared to UPA other than Ozone layer depletion criteria attributed to fossil fuel usage in transportation. These insights offer valuable guidance for urban development and policy formulation, promoting sustainable agricultural practices and supporting policies for agronomic and supply chain sustainability.
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Affiliation(s)
- Kumar Srinivasan
- Production Engineering Department, National Institute of Technology (NIT), Tiruchirappalli 620015, India
| | - Vineet Kumar Yadav
- Production Engineering Department, National Institute of Technology (NIT), Tiruchirappalli 620015, India.
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Pereira de Araújo T, de Moraes MM, Afonso C, Rodrigues SSP. Trends in ultra-processed food availability and its association with diet-related non-communicable disease health indicators in the Portuguese population. Br J Nutr 2024; 131:1600-1607. [PMID: 38174417 DOI: 10.1017/s0007114523003045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2024]
Abstract
Broad variations in dietary and physical activity patterns are part of nutritional transition concept. An additional nutritional transition has as main characteristic the change of consumption of processed foods for ultra-processed foods (UPF). This study aims to evaluate trends of UPF availability in Portuguese population and its association with diet-related non-communicable diseases (NCD) health indicators. This ecological study used data from the Household Budget Surveys conducted by the National Statistics Institute each 5 years within a national representative sample of households. The percentage of UPF was calculated based on the total daily amount of food and beverages available per capita (in grams). Data from the years 1990, 1995, 2000 and 2005 were used, which were retrieved from DAFNE-Anemos Software. NCD age-standardised mortality, prevalence and incidence were obtained from the Global Burden of Disease database, for the years 2000, 2005, 2010 and 2015. Between 1990 and 2005, the UPF availability increased from 3·9 % to 13·8 %. Over the years, almost all food and beverages categories increased the UPF availability contribution, mainly noticeable for milk, sugar, cereal and meat products. Positive correlations were observed between UPF availability and digestive diseases both in prevalence (r = 0·062; P = 0·037) and incidence (r = 0·005; P = 0·010) measures. Neoplasms incidence also showed positive correlation with UPF availability (r = 0·002; P = 0·012). Trends in UPF availability in Portugal increased exponentially. At the same time, there is a trend towards a decrease in unprocessed and processed food availability. The Portuguese population should be made aware of the health risks resulting from excessive consumption of UPF.
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Affiliation(s)
- Taissa Pereira de Araújo
- Faculty of Nutrition and Food Sciences, University of Porto - Rua do Campo Alegre, 823 Porto4150-180, Portugal
- Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health - Institute of Public Health, University of Porto - Rua das Taipas, 135/139 Porto4050-600, Portugal
| | - Milena Miranda de Moraes
- Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health - Institute of Public Health, University of Porto - Rua das Taipas, 135/139 Porto4050-600, Portugal
| | - Cláudia Afonso
- Faculty of Nutrition and Food Sciences, University of Porto - Rua do Campo Alegre, 823 Porto4150-180, Portugal
- Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health - Institute of Public Health, University of Porto - Rua das Taipas, 135/139 Porto4050-600, Portugal
| | - Sara Simões Pereira Rodrigues
- Faculty of Nutrition and Food Sciences, University of Porto - Rua do Campo Alegre, 823 Porto4150-180, Portugal
- Associated Laboratory ITR, Laboratory for Integrative and Translational Research in Population Health - Institute of Public Health, University of Porto - Rua das Taipas, 135/139 Porto4050-600, Portugal
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Duh-Leong C, Perrin EM, Heerman WJ, Schildcrout JS, Wallace S, Mendelsohn AL, Lee DC, Flower KB, Sanders LM, Rothman RL, Delamater AM, Gross RS, Wood C, Yin HS. Prenatal Risks to Healthy Food Access and High Birthweight Outcomes. Acad Pediatr 2024; 24:613-618. [PMID: 37659601 PMCID: PMC10904668 DOI: 10.1016/j.acap.2023.08.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 08/22/2023] [Accepted: 08/25/2023] [Indexed: 09/04/2023]
Abstract
OBJECTIVE Infants with high birthweight have increased risk for adverse outcomes at birth and across childhood. Prenatal risks to healthy food access may increase odds of high birthweight. We tested whether having a poor neighborhood food environment and/or food insecurity had associations with high birthweight. METHODS We analyzed cross-sectional baseline data in Greenlight Plus, an obesity prevention trial across six US cities (n = 787), which included newborns with a gestational age greater than 34 weeks and a birthweight greater than 2500 g. We assessed neighborhood food environment using the Place-Based Survey and food insecurity using the US Household Food Security Module. We performed logistic regression analyses to assess the individual and additive effects of risk factors on high birthweight. We adjusted for potential confounders: infant sex, race, ethnicity, gestational age, birthing parent age, education, income, and study site. RESULTS Thirty-four percent of birthing parents reported poor neighborhood food environment and/or food insecurity. Compared to those without food insecurity, food insecure families had greater odds of delivering an infant with high birthweight (adjusted odds ratios [aOR] 1.96, 95% confidence intervals [CI]: 1.01, 3.82) after adjusting for poor neighborhood food environment, which was not associated with high birthweight (aOR 1.35, 95% CI: 0.78, 2.34). Each additional risk to healthy food access was associated with a 56% (95% CI: 4%-132%) increase in high birthweight odds. CONCLUSIONS Prenatal risks to healthy food access may increase high infant birthweight odds. Future studies designed to measure neighborhood factors should examine infant birthweight outcomes in the context of prenatal social determinants of health.
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Affiliation(s)
- Carol Duh-Leong
- NYU Grossman School of Medicine (C Duh-Leong, RS Gross, and HS Yin), Division of General Pediatrics, Department of Pediatrics, New York, NY.
| | - Eliana M Perrin
- Johns Hopkins University (EM Perrin), Division of General Pediatrics, Department of Pediatrics, Schools of Medicine and Nursing, Baltimore, Md
| | - William J Heerman
- Vanderbilt University Medical Center (WJ Heerman and S Wallace), Department of Pediatrics, Nashville, Tenn
| | - Jonathan S Schildcrout
- Vanderbilt University Medical Center (JS Schildcrout), Department of Biostatistics, Nashville, Tenn
| | - Shelby Wallace
- Vanderbilt University Medical Center (WJ Heerman and S Wallace), Department of Pediatrics, Nashville, Tenn
| | - Alan L Mendelsohn
- NYU Grossman School of Medicine (AL Mendelsohn), Division of Developmental-Behavioral Pediatrics, Department of Pediatrics, New York, NY
| | - David C Lee
- Ronald O. Perelman Department of Emergency Medicine (DC Lee), NYU Grossman School of Medicine, New York, NY
| | - Kori B Flower
- University of North Carolina at Chapel Hill (KB Flower), Division of General Pediatrics and Adolescent Medicine, UNC School of Medicine, Chapel Hill, NC
| | - Lee M Sanders
- Stanford University School of Medicine (LM Sanders), Division of General Pediatrics, Palo Alto, Calif
| | - Russell L Rothman
- Vanderbilt University Medical Center (RL Rothman), Institute of Medicine and Public Health, Nashville, Tenn
| | - Alan M Delamater
- University of Miami Miller School of Medicine (AM Delamater), Department of Pediatrics, Miami, Fla
| | - Rachel S Gross
- NYU Grossman School of Medicine (C Duh-Leong, RS Gross, and HS Yin), Division of General Pediatrics, Department of Pediatrics, New York, NY
| | - Charles Wood
- Duke University School of Medicine (C Wood), Department of Pediatrics, Division of General Pediatrics and Adolescent Health, Durham, NC
| | - Hsiang Shonna Yin
- NYU Grossman School of Medicine (C Duh-Leong, RS Gross, and HS Yin), Division of General Pediatrics, Department of Pediatrics, New York, NY
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4
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Harville Ii C, James DCS, Patterson A, Harper S, Petchulat-McMillan L. A Cross-Sectional Study of Grocery Shopping Factors of Importance among Food-Insecure African Americans. Nutrients 2024; 16:1188. [PMID: 38674878 DOI: 10.3390/nu16081188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 04/04/2024] [Accepted: 04/13/2024] [Indexed: 04/28/2024] Open
Abstract
The objective of this study was to (1) assess via cross-sectional survey the prevalence of food insecurity among African Americans [AAs] after their most recent grocery shopping trip, and (2) examine the grocery shopping factors of importance and characteristics of food-insecure AA grocery shoppers. Most (70.4%) were food-insecure. Food-insecure grocery shoppers were significantly more likely to be younger, less educated, who often skipped meals and/or practiced fasting, accessed a food pantry, were SNAP recipients, were considered to not be in "good" health, and who had higher BMI compared to food-secure shoppers (p ≤ 0.03 * for all). Our data showed that AAs shopped for groceries a mean 2.20 ± 1.29 times per week, for low prices (72.1%), without a weekly budget (58.9%), with a grocery list (44.6%) or using an app (27.6%), for high-quality vegetables (27.5%), for good customer service (22.9%), for store brands (20.8%) and name brands (17.9%).Food-insecure shoppers were significantly more likely to grocery shop more times per week, have a weekly budget, and use an app, but were significantly less likely to report store brands, name brands, good customer service, and high-quality vegetables as grocery factors of importance (p ≤ 0.03 * for all). Grocery strategies such as shopping with a grocery app and/or grocery list could help food-insecure AAs reduce grocery trips, promote meal planning to save money, and avoid skipping meals/fasting, while eating healthier.
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Affiliation(s)
- Cedric Harville Ii
- Department of Applied Health, Southern Illinois University-Edwardsville, Campus Box 1147, Edwardsville, IL 62026, USA
| | - Delores C S James
- Health Education & Behavior, University of Florida, 1864 Stadium Road, Gainesville, FL 32603, USA
| | - Amaria Patterson
- Department of Applied Health, Southern Illinois University-Edwardsville, Campus Box 1147, Edwardsville, IL 62026, USA
| | - Sheila Harper
- Department of Applied Health, Southern Illinois University-Edwardsville, Campus Box 1147, Edwardsville, IL 62026, USA
| | - Lindy Petchulat-McMillan
- Department of Applied Health, Southern Illinois University-Edwardsville, Campus Box 1147, Edwardsville, IL 62026, USA
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5
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Harris E. Study: Nearly 1 in 4 Families With Older Adults Has Food Insecurity. JAMA 2024; 331:1265. [PMID: 38517432 DOI: 10.1001/jama.2024.2089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
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Paolo FS, Kroodsma D, Raynor J, Hochberg T, Davis P, Cleary J, Marsaglia L, Orofino S, Thomas C, Halpin P. Satellite mapping reveals extensive industrial activity at sea. Nature 2024; 625:85-91. [PMID: 38172362 PMCID: PMC10764273 DOI: 10.1038/s41586-023-06825-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 11/02/2023] [Indexed: 01/05/2024]
Abstract
The world's population increasingly relies on the ocean for food, energy production and global trade1-3, yet human activities at sea are not well quantified4,5. We combine satellite imagery, vessel GPS data and deep-learning models to map industrial vessel activities and offshore energy infrastructure across the world's coastal waters from 2017 to 2021. We find that 72-76% of the world's industrial fishing vessels are not publicly tracked, with much of that fishing taking place around South Asia, Southeast Asia and Africa. We also find that 21-30% of transport and energy vessel activity is missing from public tracking systems. Globally, fishing decreased by 12 ± 1% at the onset of the COVID-19 pandemic in 2020 and had not recovered to pre-pandemic levels by 2021. By contrast, transport and energy vessel activities were relatively unaffected during the same period. Offshore wind is growing rapidly, with most wind turbines confined to small areas of the ocean but surpassing the number of oil structures in 2021. Our map of ocean industrialization reveals changes in some of the most extensive and economically important human activities at sea.
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Affiliation(s)
| | | | - Jennifer Raynor
- Forest and Wildlife Ecology Department, University of Wisconsin-Madison, Madison, WI, USA
| | | | - Pete Davis
- Global Fishing Watch, Washington, DC, USA
| | - Jesse Cleary
- Marine Geospatial Ecology Lab, Nicholas School of the Environment, Duke University, Durham, NC, USA
| | | | - Sara Orofino
- Bren School of Environmental Science and Management, University of California, Santa Barbara, Santa Barbara, CA, USA
| | | | - Patrick Halpin
- Marine Geospatial Ecology Lab, Nicholas School of the Environment, Duke University, Durham, NC, USA
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Huber F, Basurko C, Oberlis M, Alcouffe L, Rousseau C, Le Poulain K, Gonzalez A, Osei L, Kpossou K, Vignier N, Boceno C, Wiedner-Papin S. Hunger in French Guiana, an endemic plague worsened by the health crisis. Sante Publique 2023; 35:417-422. [PMID: 38078636 DOI: 10.3917/spub.234.0417] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/18/2023]
Abstract
In 2020, food shortages occurred at the beginning of the confinement period that was supposed to curb the COVID-19 pandemic. In French Guiana, where a major part of the population lives under the poverty line, health workers voiced major concerns. Alongside massive food aid distributions, a first transversal study was carried out in August 2020 targeting poor neighborhoods in Cayenne. The results were particularly worrying. More than 80% of households had been suffering from hunger during that month, with a median decrease of 46% in revenue. Two other investigations followed in February and then in August of 2021. With the relaxing of the health measures, the situation improved in the Cayenne region, but two out of three were still affected, showing signs of quantitative deficiencies and insufficient food diversity. The situation seemed particularly grave for children. In light of this situation, we propose to create an observatory of food insecurity in Guiana, while maintaining this topic as a health priority. In addition, the fight against food insecurity cannot be limited to multi-sectorial material and strategic aide. It must be thought about in a more global manner, including health and social questions, territorial management policies, access to land and water, access to rights and social inclusion. Targeted actions helping the most exposed and vulnerable people is also an important stake, independent of the administrative situation and residency rights of the concerned people.
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Affiliation(s)
- Florence Huber
- CPS de la Croix-Rouge Française, Cayenne, Guyane Française
| | - Célia Basurko
- CIC-EC 1424 Antilles-Guyanes. Inserm. Centre Hospitalier – Cayenne – Guyane Française
| | - Margot Oberlis
- CPS de la Croix-Rouge Française, Cayenne, Guyane Française
| | - Leslie Alcouffe
- CIC-EC 1424 Antilles-Guyanes. Inserm. Centre Hospitalier – Cayenne – Guyane Française
| | - Cyril Rousseau
- Département des CDPS Centre Hospitalier de Cayenne – Guyane Française
| | - Katell Le Poulain
- Plateforme alimentaire Croix-Rouge Française – Cayenne – Guyane Française
| | | | - Lindsay Osei
- PMI de Guyane Collectivité territoriale de Guyane – Cayenne – Guyane Française
| | - Karl Kpossou
- CPS de la Croix-Rouge Française, Cayenne, Guyane Française
| | - Nicolas Vignier
- CIC-EC 1424 Antilles-Guyanes. Inserm. Centre Hospitalier – Cayenne – Guyane Française
| | - Claire Boceno
- Permanence d’Accès aux Soins de Santé. Centre Hospitalier – Cayenne – Guyane Française
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Fabusoro OK, Singleton CR, Teran-Garcia M, Lara-Cinisomo S. Predictors of Food and Water Stockpiling During the COVID-19 Pandemic Among Latinos and Non-Latino Black People. Disaster Med Public Health Prep 2023; 17:e447. [PMID: 37519243 DOI: 10.1017/dmp.2023.74] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/01/2023]
Abstract
OBJECTIVE The study examined factors associated with food and water stockpiling (FWS) during the COVID-19 pandemic. METHODS A secondary analysis of online survey data collected in two waves: April 2020 (wave 1) and June/July 2020 (wave 2), was conducted through REDCap web application. A total of 2,271 Non-Latino Black and Latino adults (mean age: 36.8 years (SD = 16.0); 64.3% female) living in Illinois were recruited. Participants self-reported if they stockpiled food and/or water (FWS) seven days prior to survey completion because of the pandemic. Logistic regression was used to determine if each variable was associated with the odds of reporting FWS. RESULTS Nearly a quarter (23.3%) of participants reported FWS. The adjusted model revealed that odds of FWS increase as the number of household members increased (OR: 1.21; 95% CI: 1.05-1.41). Odds of FWS were lower among participants who were not self-quarantining compared to those self-quarantining all the time (OR: 0.32; 95% CI: 0.17 - 0.62). Furthermore, individuals with lower levels of concern about COVID-19 had lower odds of FWS than those extremely concerned. CONCLUSIONS Household size, self-quarantine status, and concern about COVID-19 were significantly associated with FWS. These findings highlight the need to address the concerns of marginalized individuals to promote healthy behaviors.
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Affiliation(s)
| | - Chelsea R Singleton
- Department of Social, Behavioral, and Population Sciences, Tulane School of Public Health and Tropical Medicine, New Orleans, USA
| | - Margarita Teran-Garcia
- Division of Nutritional Sciences, University of Illinois Urbana-Champaign, Illinois, USA
- Illinois Extension, College of Agricultural, Consumer and Environmental Sciences, University of Illinois Urbana-Champaign, Illinois, USA
| | - Sandraluz Lara-Cinisomo
- Division of Nutritional Sciences, University of Illinois Urbana-Champaign, Illinois, USA
- Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, Illinois, USA
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9
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Ruder K. Study Finds US Households, Especially in Rural Areas, Increasingly Shop at Dollar Stores for Food. JAMA 2023; 329:529-530. [PMID: 36723934 DOI: 10.1001/jama.2023.0642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
This Medical News article discusses a new study of household food purchasing trends from 2008 to 2020.
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10
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Andersen JA, Willis DE, Malhis JR, Long CR, McElfish PA. The Association Between Education and Basic Needs Insecurity for Marshallese During the COVID-19 Pandemic. J Racial Ethn Health Disparities 2022; 9:1882-1887. [PMID: 34403123 PMCID: PMC8370049 DOI: 10.1007/s40615-021-01125-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 07/29/2021] [Accepted: 07/29/2021] [Indexed: 11/08/2022]
Abstract
BACKGROUND The purpose of this study was to explore the prevalence of basic needs insecurity and to examine the association between education and basic needs insecurity during the COVID-19 pandemic for Marshallese living in the USA. METHODS Survey data describing Marshallese experiences during the pandemic were analyzed using descriptive statistics and complementary log-log regression to test the association between education and basic needs insecurity. RESULTS Marshallese respondents reported no usual source of care (46%), less healthcare (22.3%), and difficulty obtaining medication (34.8%). Nearly 80% reported being food insecure, and 47.5% reported being housing insecure. Marshallese with a high school education or less had higher odds of reporting being food and housing insecure. DISCUSSION Basic needs insecurities are a serious threat to the health of Marshallese during the pandemic. Results from this study can inform interventions addressing food and housing insecurity, access to healthcare, and medication access for Marshallese communities.
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Affiliation(s)
- Jennifer A Andersen
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR, 72703, USA
| | - Don E Willis
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR, 72703, USA
| | - Joseph R Malhis
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR, 72703, USA
| | - Christopher R Long
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR, 72703, USA
| | - Pearl A McElfish
- College of Medicine, University of Arkansas for Medical Sciences Northwest, 1125 N. College Avenue, Fayetteville, AR, 72703, USA.
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12
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Bairagi S, Mishra AK, Mottaleb KA. Impacts of the COVID-19 pandemic on food prices: Evidence from storable and perishable commodities in India. PLoS One 2022; 17:e0264355. [PMID: 35239679 PMCID: PMC8893685 DOI: 10.1371/journal.pone.0264355] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Accepted: 02/08/2022] [Indexed: 01/14/2023] Open
Abstract
The supply chain disruptions caused by the COVID-19 outbreak have led to changes in food prices globally. The impact of COVID-19 on the price of essential and perishable food items in developing and emerging economies has been lacking. Using a recent phone survey by the World Bank, this study examines the impact of the COVID-19 pandemic on the prices of the three essential food items in India. The results indicate that price of basic food items such as atta (wheat flour) and rice increased significantly during the pandemic compared to the pre-pandemic period. In contrast, during the same period, the price of onions declined significantly. The findings may suggest panic-buying, hoarding, and storability of food items. The results further reveal that remittance income and cash transfers from the government negatively affected commodity prices. Thus, this study's findings suggest that families may have shifted the demand away from essential foods during the pandemic.
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Affiliation(s)
- Subir Bairagi
- Department of Agricultural Economics and Agribusiness, University of Arkansas, Fayetteville, Arkansas, United States of America
| | - Ashok K. Mishra
- Morrison School of Agribusiness, Arizona State University, Mesa, Arizona, United States of America
| | - Khondoker A. Mottaleb
- International Maize and Wheat Improvement Center (CIMMYT), El Batán, Texcoco, México
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13
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Abstract
In response to the rapid spread of COVID-19, governments across the globe have implemented local lockdowns that have led to increased unemployment and have disrupted local and international transport routes and supply chains. Whilst such efforts aim to slow or stop the spread of the SARS-CoV-2 virus, they have also resulted in increased food insecurity, whether due to reduced incomes or increased food prices. This is the first paper to track food insecurity and its determinants during the pandemic using multi-country and multi-wave evidence. Using data from 11 countries and up to 6 waves of High-Frequency Phone Survey data (household-level surveys) on COVID-19 and its impacts, we use a fixed-effects linear probability model to investigate the socioeconomic determinants of food insecurity during the pandemic for each country using household-level data over multiple waves. We control for socioeconomic characteristics including gender and education of the household head; income and poverty status of the households during the pandemic; safety nets in the form of cash and food assistance; coping strategies adopted by households; and price effects of major food items. Our findings suggest that cash safety nets appear to have been more effective than food in terms of reducing food insecurity during the pandemic; and that those particularly hard hit are female headed-households (highest in Malawi: 0.541, 95% CI 0.516, 0.569; lowest in Cambodia: 0.023, 95% CI 0.022, 0.024), the less educated (highest in Djibouti: - 0.232, 95% CI - 0.221, - 0.244; lowest in Nigeria: 0.006, 95% CI - 0.005, - 0.007), and poorer households (highest in Mali: 0.382, 95% CI 0.364, 0.402; lowest in Chad: 0.135, 95% CI 0.129, 0.142). In line with the existing literature, our results show that, even controlling for income loss and poverty status, those households who had to borrow rather than rely on savings had a higher probability of suffering from food insecurity. Distinct differences in the efficacy of safety nets across the 11 countries, and the differential impact of the pandemic on different groups within societies, suggest in-depth country-specific studies are needed to understand why some countries have coped better than others. Our paper highlights the importance of improving household resilience to future systemic crises, and using evidence-based best practice in the design of relevant policy instruments.
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Affiliation(s)
- Shouro Dasgupta
- Centro Euro-Mediterraneo sui Cambiamenti Climatici (CMCC), Venice, Italy.
- RFF-CMCC European Institute on Economics and the Environment (EIEE), Centro Euro-Mediterraneo sui Cambiamenti Climatici, Venice, Italy.
- Università Ca' Foscari Venezia, Venice, Italy.
| | - Elizabeth J Z Robinson
- Grantham Research Institute on Climate Change and the Environment, London School of Economics and Political Science (LSE), London, UK
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Kebede A, Jirström M, Worku A, Alemu K, Berhane HY, Turner C, Ekström EC, Berhane Y. Residential Food Environment, Household Wealth and Maternal Education Association to Preschoolers' Consumption of Plant-Based Vitamin A-Rich Foods: The EAT Addis Survey in Addis Ababa. Nutrients 2022; 14:296. [PMID: 35057477 PMCID: PMC8778225 DOI: 10.3390/nu14020296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/03/2022] [Accepted: 01/07/2022] [Indexed: 11/29/2022] Open
Abstract
Vitamin A deficiency is common among preschoolers in low-income settings and a serious public health concern due to its association to increased morbidity and mortality. The limited consumption of vitamin A-rich food is contributing to the problem. Many factors may influence children's diet, including residential food environment, household wealth, and maternal education. However, very few studies in low-income settings have examined the relationship of these factors to children's diet together. This study aimed to assess the importance of residential food availability of three plant-based groups of vitamin A-rich foods, household wealth, and maternal education for preschoolers' consumption of plant-based vitamin A-rich foods in Addis Ababa. A multistage sampling procedure was used to enroll 5467 households with under-five children and 233 residential food environments with 2568 vendors. Data were analyzed using a multilevel binary logistic regression model. Overall, 36% (95% CI: 34.26, 36.95) of the study children reportedly consumed at least one plant-based vitamin A-rich food group in the 24-h dietary recall period. The odds of consuming any plant-based vitamin A-rich food were significantly higher among children whose mothers had a higher education level (AOR: 2.55; 95% CI: 2.01, 3.25), those living in the highest wealth quintile households (AOR: 2.37; 95% CI: 1.92, 2.93), and in residentials where vitamin A-rich fruits were available (AOR: 1.20; 95% CI: 1.02, 1.41). Further research in residential food environment is necessary to understand the purchasing habits, affordability, and desirability of plant-based vitamin A-rich foods to widen strategic options to improve its consumption among preschoolers in low-income and low-education communities.
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Affiliation(s)
- Adane Kebede
- Department of Health System and Policy, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar P.O. Box 196, Ethiopia
| | - Magnus Jirström
- Department of Human Geography, Lund University, 223 62 Lund, Sweden;
| | - Alemayehu Worku
- School of Public Health, College of Health Science, Addis Ababa University, Addis Ababa 1176, Ethiopia;
| | - Kassahun Alemu
- Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar P.O. Box 196, Ethiopia;
| | - Hanna Y. Berhane
- Department of Nutrition and Behavioral Sciences, Addis Continental Institute of Public Health, Addis Ababa 26751/1000, Ethiopia;
- Department of Women’s and Children Health, Uppsala University, 751 85 Uppsala, Sweden; (E.-C.E.); (Y.B.)
| | - Christopher Turner
- Department of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK;
| | - Eva-Charlotte Ekström
- Department of Women’s and Children Health, Uppsala University, 751 85 Uppsala, Sweden; (E.-C.E.); (Y.B.)
| | - Yemane Berhane
- Department of Women’s and Children Health, Uppsala University, 751 85 Uppsala, Sweden; (E.-C.E.); (Y.B.)
- Department of Epidemiology and Biostatistics, Addis Continental Institute of Public Health, Addis Ababa 26751/1000, Ethiopia
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15
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van den Heuvel M, Fuller A, Zaffar N, Li X, Beck CE, Birken CS. Food insecurity during COVID-19 in a Canadian academic pediatric hospital: a cross-sectional survey. CMAJ Open 2022; 10:E82-E89. [PMID: 35135823 PMCID: PMC9259437 DOI: 10.9778/cmajo.20210223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND Hospital-based food insecurity is defined as the inability of caregivers to obtain adequate food during their child's hospital admission. We aimed to measure the prevalence of household and hospital-based food insecurity, and to explore the associations with caregiver distress in an academic pediatric hospital setting. METHODS We conducted a cross-sectional survey of caregivers of children admitted to the general pediatric ward of an academic pediatric hospital in Toronto, Ontario, from April to October 2020. We measured household food insecurity using the 18-item Household Food Security Survey Module, and included 3 adapted questions about hospital-based food insecurity. We measured caregiver distress with the Distress Thermometer for Parents. We used descriptive statistics to assess the proportion of respondents with food insecurity, and linear regression models to explore the relation of household (adult and child) and hospital-based food insecurity with caregiver distress. We used thematic analysis to explore caregivers' feedback. RESULTS We contacted 851 caregivers, and 775 (91.1%) provided consent to participate. Overall, 430 (50.5%) caregivers completed at least part of the survey. Caregivers described a high prevalence of household (34.2%) and hospital-based (38.1%) food insecurity. Adult (β = 0.21, 95% confidence interval [CI] 0.07-0.36), child (β = 0.38, 95% CI 0.10-0.66) and hospital-based (β = 0.56, 95% CI 0.30-0.83) food insecurity were significantly associated with caregiver distress, independent of covariates. We identified financial burden, emotional and practical barriers, stress obtaining food and advocacy for food as important themes in caregiver feedback. INTERPRETATION Both household and hospital-based food insecurity were highly prevalent among caregivers. To reduce caregiver distress, hospitals need to consider reducing barriers for caregivers in obtaining food for themselves during their child's admission.
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Affiliation(s)
- Meta van den Heuvel
- Department of Paediatrics (van den Heuvel, Fuller, Zaffar, Li, Beck, Birken), Faculty of Medicine, University of Toronto; Division of Paediatric Medicine (van den Heuvel, Fuller, Beck, Birken), and Child Health Evaluative Sciences (van den Heuvel, Zaffar, Li, Birken), The Hospital for Sick Children, Toronto, Ont.; Department of Health Research Methods, Evidence and Impact (Fuller), McMaster University, Hamilton, Ont.
| | - Anne Fuller
- Department of Paediatrics (van den Heuvel, Fuller, Zaffar, Li, Beck, Birken), Faculty of Medicine, University of Toronto; Division of Paediatric Medicine (van den Heuvel, Fuller, Beck, Birken), and Child Health Evaluative Sciences (van den Heuvel, Zaffar, Li, Birken), The Hospital for Sick Children, Toronto, Ont.; Department of Health Research Methods, Evidence and Impact (Fuller), McMaster University, Hamilton, Ont
| | - Nusrat Zaffar
- Department of Paediatrics (van den Heuvel, Fuller, Zaffar, Li, Beck, Birken), Faculty of Medicine, University of Toronto; Division of Paediatric Medicine (van den Heuvel, Fuller, Beck, Birken), and Child Health Evaluative Sciences (van den Heuvel, Zaffar, Li, Birken), The Hospital for Sick Children, Toronto, Ont.; Department of Health Research Methods, Evidence and Impact (Fuller), McMaster University, Hamilton, Ont
| | - Xuedi Li
- Department of Paediatrics (van den Heuvel, Fuller, Zaffar, Li, Beck, Birken), Faculty of Medicine, University of Toronto; Division of Paediatric Medicine (van den Heuvel, Fuller, Beck, Birken), and Child Health Evaluative Sciences (van den Heuvel, Zaffar, Li, Birken), The Hospital for Sick Children, Toronto, Ont.; Department of Health Research Methods, Evidence and Impact (Fuller), McMaster University, Hamilton, Ont
| | - Carolyn E Beck
- Department of Paediatrics (van den Heuvel, Fuller, Zaffar, Li, Beck, Birken), Faculty of Medicine, University of Toronto; Division of Paediatric Medicine (van den Heuvel, Fuller, Beck, Birken), and Child Health Evaluative Sciences (van den Heuvel, Zaffar, Li, Birken), The Hospital for Sick Children, Toronto, Ont.; Department of Health Research Methods, Evidence and Impact (Fuller), McMaster University, Hamilton, Ont
| | - Catherine S Birken
- Department of Paediatrics (van den Heuvel, Fuller, Zaffar, Li, Beck, Birken), Faculty of Medicine, University of Toronto; Division of Paediatric Medicine (van den Heuvel, Fuller, Beck, Birken), and Child Health Evaluative Sciences (van den Heuvel, Zaffar, Li, Birken), The Hospital for Sick Children, Toronto, Ont.; Department of Health Research Methods, Evidence and Impact (Fuller), McMaster University, Hamilton, Ont
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16
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Olatunji E, Obonyo C, Wadende P, Were V, Musuva R, Lwanga C, Turner-Moss E, Pearce M, Mogo ERI, Francis O, Foley L. Cross-Sectional Association of Food Source with Food Insecurity, Dietary Diversity and Body Mass Index in Western Kenya. Nutrients 2021; 14:nu14010121. [PMID: 35010996 PMCID: PMC8747304 DOI: 10.3390/nu14010121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/22/2021] [Accepted: 12/25/2021] [Indexed: 11/30/2022] Open
Abstract
The triple burden of malnutrition in many low- and middle-income countries (LMICs) is partly a result of changing food environments and a shift from traditional diets to high-calorie Western-style diets. Exploring the relationship between food sources and food- and nutrition-related outcomes is important to understanding how changes in food environments may affect nutrition in LMICs. This study examined associations of household food source with household food insecurity, individual dietary diversity and individual body mass index in Western Kenya. Interview-administered questionnaire and anthropometric data from 493 adults living in 376 randomly-selected households were collected in 2019. Adjusted regression analyses were used to assess the association of food source with measures of food insecurity, dietary diversity and body mass index. Notably, participants that reported rearing domesticated animals for consumption (‘own livestock’) had lower odds of moderate or severe household food insecurity (odds ratio (OR) = 0.29 (95% CI: 0.09, 0.96)) and those that reported buying food from supermarkets had lower odds of moderate or severe household food insecurity (borderline significant, OR = 0.37 (95% CI: 0.14, 1.00)), increased dietary diversity scores (Poisson coefficient = 0.17 (95% CI: 0.10, 0.24)) and higher odds of achieving minimum dietary diversity (OR = 2.84 (95% CI: 1.79, 4.49)). Our findings provide insight into the relationship between food environments, dietary patterns and nutrition in Kenya, and suggest that interventions that influence household food source may impact the malnutrition burden in this context.
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Affiliation(s)
- Elizabeth Olatunji
- MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK; (E.T.-M.); (M.P.); (E.R.I.M.); (O.F.); (L.F.)
- Correspondence:
| | - Charles Obonyo
- Centre for Global Health Research, Kenya Medical Research Institute, Kisumu 40100, Kenya; (C.O.); (V.W.); (R.M.); (C.L.)
| | - Pamela Wadende
- Faculty of Education and Human Resources, Kisii University, Kisii 40200, Kenya;
| | - Vincent Were
- Centre for Global Health Research, Kenya Medical Research Institute, Kisumu 40100, Kenya; (C.O.); (V.W.); (R.M.); (C.L.)
| | - Rosemary Musuva
- Centre for Global Health Research, Kenya Medical Research Institute, Kisumu 40100, Kenya; (C.O.); (V.W.); (R.M.); (C.L.)
| | - Charles Lwanga
- Centre for Global Health Research, Kenya Medical Research Institute, Kisumu 40100, Kenya; (C.O.); (V.W.); (R.M.); (C.L.)
| | - Eleanor Turner-Moss
- MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK; (E.T.-M.); (M.P.); (E.R.I.M.); (O.F.); (L.F.)
| | - Matthew Pearce
- MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK; (E.T.-M.); (M.P.); (E.R.I.M.); (O.F.); (L.F.)
| | - Ebele R. I. Mogo
- MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK; (E.T.-M.); (M.P.); (E.R.I.M.); (O.F.); (L.F.)
| | - Oliver Francis
- MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK; (E.T.-M.); (M.P.); (E.R.I.M.); (O.F.); (L.F.)
| | - Louise Foley
- MRC Epidemiology Unit, University of Cambridge, Cambridge CB2 0SL, UK; (E.T.-M.); (M.P.); (E.R.I.M.); (O.F.); (L.F.)
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17
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Fahim SM, Hossain MS, Sen S, Das S, Hosssain M, Ahmed T, Rahman SMM, Rahman MK, Alam S. Nutrition and Food Security in Bangladesh: Achievements, Challenges, and Impact of the COVID-19 Pandemic. J Infect Dis 2021; 224:S901-S909. [PMID: 34668556 PMCID: PMC8687095 DOI: 10.1093/infdis/jiab473] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Bangladesh has experienced remarkable transformation in demographic, health, and nutritional status of the population. The changes have exposed the population to a number of challenges, the detrimental effect of which on health and nutrition is likely to be increased by the coronavirus disease 2019 (COVID-19) pandemic. We provide an overview of health and nutritional challenges in Bangladesh in relation to demographic transition and the COVID-19 pandemic. METHODS We identified and reviewed recent reports, published articles, and pertinent gray literature on nutrition and food security in Bangladesh to provide historical and contextual information. RESULTS The review identifies the progress as well as existing burden regarding nutrition and food security in Bangladesh and highlights the challenges in the coming days in regard to population growth and the COVID-19 pandemic. The country is on track to reduce all forms of childhood undernutrition, while the proportion of nutrition-related noncommunicable diseases is rising owing to changes in dietary intake, low physical activity, and sedentary lifestyle. CONCLUSIONS Despite remarkable progress, health and nutritional status of the population in Bangladesh faces challenges, particularly in relation to demographic transition and compounded by the COVID-19 pandemic, which require concerted attention from policymakers as well as stakeholders.
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Affiliation(s)
- Shah Mohammad Fahim
- Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Md Shabab Hossain
- Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Shimul Sen
- General Economics Division, Bangladesh Planning Commission, Government of Bangladesh, Dhaka, Bangladesh
| | - Subhasish Das
- Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Muttaquina Hosssain
- Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
| | - Tahmeed Ahmed
- Nutrition and Clinical Services Division, International Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh
- Department of Global Health, University of Washington, Seattle, Washington, USA
- Department of Public Health Nutrition, James P. Grant School of Public Health, BRAC University, Dhaka, Bangladesh
| | - S M Mustafizur Rahman
- National Nutrition Services, Ministry of Health and Family Welfare, Government of Bangladesh, Dhaka, Bangladesh
| | - Md Khalilur Rahman
- Bangladesh National Nutrition Council, Ministry of Health and Family Welfare, Government of Bangladesh, Dhaka, Bangladesh
| | - Shamsul Alam
- General Economics Division, Bangladesh Planning Commission, Government of Bangladesh, Dhaka, Bangladesh
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18
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Chen T, Wang C, Cui Z, Liu X, Jiang J, Yin J, Feng H, Dou Z. COVID-19 affected the food behavior of different age groups in Chinese households. PLoS One 2021; 16:e0260244. [PMID: 34919561 PMCID: PMC8682873 DOI: 10.1371/journal.pone.0260244] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Accepted: 11/07/2021] [Indexed: 11/19/2022] Open
Abstract
The COVID-19 pandemic brought profound changes to all corners of society and affected people in every aspect of their lives. This survey-based study investigated how household food related matters such as food sourcing and consumption behaviors of 2,126 Chinese consumers in different age groups changed approximately two months into the COVID-19 quarantine. A new food sourcing mechanism, community-based online group grocery-ordering (CoGGO), was widely adopted by households, particularly among the youngest group studied (18-24 years of age). The same group showed a higher confidence in the food supply system during the quarantine and a greater propensity for weight gain while staying-at-home. The more mature age group (≥35 years of age) showed heightened vigilance and awareness, with fewer grocery-shopping trips, a higher tendency for purchasing extra food, and less tendency to waste food. Survey findings of the new food-sourcing mechanism, attitudes to food, and changes in behavior among different age groups provide valuable insights to guide policies and management interventions to address matters pertaining to food supply and distribution, food access and household food security, and food waste reduction.
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Affiliation(s)
- Ting Chen
- School of Environmental Science and Engineering, Zhejiang Gongshang University, Hangzhou, China
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, PA, United States of America
- Zhejiang Provincial Key Laboratory of Solid Waste Treatment and Recycling, Hangzhou, China
- Instrumental Analysis Center of Zhejiang Gongshang University, Hangzhou, China
| | - Chong Wang
- College of Resources and Environmental Sciences, China Agricultural University, Beijing, China
| | - Zhenling Cui
- College of Resources and Environmental Sciences, China Agricultural University, Beijing, China
| | - Xiaojie Liu
- Institute of Geographic Sciences and Natural Resource Research, Chinese Academy of Sciences, Beijing, China
| | - Jun Jiang
- Hangzhou Urban Construction Investment Group Co., Ltd., Hangzhou, China
| | - Jun Yin
- School of Environmental Science and Engineering, Zhejiang Gongshang University, Hangzhou, China
- Zhejiang Provincial Key Laboratory of Solid Waste Treatment and Recycling, Hangzhou, China
- Instrumental Analysis Center of Zhejiang Gongshang University, Hangzhou, China
| | - Huajun Feng
- School of Environmental Science and Engineering, Zhejiang Gongshang University, Hangzhou, China
- Zhejiang Provincial Key Laboratory of Solid Waste Treatment and Recycling, Hangzhou, China
- Instrumental Analysis Center of Zhejiang Gongshang University, Hangzhou, China
| | - Zhengxia Dou
- Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, PA, United States of America
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Abstract
IMPORTANCE Allostatic overload, a biomarker of wear and tear, could be the potential pathway through which food insecurity leads to increased morbidity risk. OBJECTIVE To assess the association of food insecurity with allostatic load (AL) among US adults aged 50 years or older. DESIGN, SETTING, AND PARTICIPANTS A multiwave longitudinal cohort study was conducted using data from the 2006 to 2014 waves of the Health and Retirement Study in a national cohort study setting. The data comprise 26 509 person-years observations from 14 394 noninstitutionalized individuals aged 50 years or older during the study period. Data were analyzed from September 1 to December 14, 2020. EXPOSURES Moderate food insecurity (not enough money to buy the food needed) and severe food insecurity (reduced food intake due to financial constraints) measured at the household level. MAIN OUTCOMES AND MEASURES The AL score (0-9, with higher scores indicating a greater risk of physiologic dysregulation) and binary indicators of dysregulated inflammatory (C-reactive protein), cardiovascular (systolic and diastolic blood pressure, pulse rate, and cystatin C), and metabolic (hemoglobin A1c, body mass index, waist-to-height ratio, total cholesterol to high-density lipoprotein cholesterol ratio) systems. RESULTS Of 14 394 participants included in the analysis, the median age was 60 (IQR, 56-69) years, 8143 (56.6%) were women, 517 (3.6%) were moderately food insecure, and 804 (5.6%) were severely food insecure. In adjusted models, the incidence rate of AL was 1.05 (95% CI, 1.00-1.09) times higher for the participants with moderate food insecurity and 1.11 (95% CI, 1.07-1.15) times higher for the participants with severe food insecurity, compared with those who were food secure. The increased incidence rate of AL among participants with severe food insecurity was associated with C-reactive protein level (odds ratio [OR], 1.22; 95% CI, 1.04-1.44), cystatin C level (OR, 1.23; 95% CI, 1.01-1.51), hemoglobin A1c level (OR, 1.27; 95% CI, 1.01-1.59), body mass index (OR, 1.84; 95% CI, 1.41-2.40), waist-to-height ratio (OR, 1.54; 95% CI, 1.26-1.88), and total to high-density lipoprotein cholesterol ratio (OR, 1.32; 95% CI, 1.10-1.59) inflated to the high-risk range. The interaction between moderate food insecurity and Supplemental Nutrition Assistance Program (SNAP) enrollment (β = -0.18; P = .001) and the interaction between severe food insecurity and SNAP enrollment (β = -0.09; P = .02) were associated with a reduction in AL. CONCLUSIONS AND RELEVANCE In this national cohort study of US adults aged 50 years or older, food insecurity was associated with higher AL, mainly through dysregulation of the inflammatory and metabolic systems. SNAP enrollment may modify this association between food insecurity and AL.
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Affiliation(s)
- Tae-Young Pak
- Department of Consumer Science and Convergence Program for Social Innovation, Sungkyunkwan University, Seoul, South Korea
| | - GwanSeon Kim
- College of Agriculture, Arkansas State University, Jonesboro
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20
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Abstract
Although coronavirus disease 2019 (COVID-19) is a pandemic, it has several specificities influencing its outcomes due to the entwinement of several factors, which anthropologists have called "syndemics". Drawing upon Singer and Clair's syndemics model, I focus on synergistic interaction among chronic kidney disease (CKD), diabetes, and COVID-19 in Pakistan. I argue that over 36 million people in Pakistan are standing at a higher risk of contracting COVID-19, developing severe complications, and losing their lives. These two diseases, but several other socio-cultural, economic, and political factors contributing to structured vulnerabilities, would function as confounders. To deal with the critical effects of these syndemics the government needs appropriate policies and their implementation during the pandemic and post-pandemic. To eliminate or at least minimize various vulnerabilities, Pakistan needs drastic changes, especially to overcome (formal) illiteracy, unemployment, poverty, gender difference, and rural and urban difference.
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Affiliation(s)
- Inayat Ali
- Department of Social and Cultural Anthropology, University of Vienna, Vienna, Austria
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21
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Alessandrini R, Brown MK, Pombo-Rodrigues S, Bhageerutty S, He FJ, MacGregor GA. Nutritional Quality of Plant-Based Meat Products Available in the UK: A Cross-Sectional Survey. Nutrients 2021; 13:nu13124225. [PMID: 34959777 PMCID: PMC8709452 DOI: 10.3390/nu13124225] [Citation(s) in RCA: 42] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 11/13/2021] [Accepted: 11/16/2021] [Indexed: 11/26/2022] Open
Abstract
Plant-based meat (PBM) has been gaining popularity due to increasing concerns over health, animal welfare, and environmental issues linked to animal foods. This study aimed to compare the nutrient profile of PBM with equivalent meat products. We conducted a cross-sectional survey of 207 PBM and 226 meat products available from 14 retailers in the UK. We extracted data on energy density, total and saturated fat, protein, fiber, and salt per 100 g from product packaging and calculated the nutrient profile of each product. Compared to meat, PBM had significantly lower energy density, total fat, saturated fat, protein, and significantly higher fiber. Salt content was significantly higher in five out of six PBM categories. Based on the UK’s Nutrient Profiling Model, 14% of PBM and 40% of meat products were classified as “less healthy” (p < 0.001). When considering the UK’s front-of-pack labelling criteria 20% of the PBM and 46% of meat products were considered high in either total fat, saturated fat, or salt (p < 0.001). Nearly three quarters of PBM products did not meet the current UK salt targets. PBM products have a better nutrient profile compared to meat equivalents. However, more progress is needed to reduce salt in these products.
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22
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Caspi CE, Davey C, Barsness CB, Wolfson J, Peterson H, Pratt RJ. Applying the Healthy Eating Index-2015 in a Sample of Choice-Based Minnesota Food Pantries to Test Associations Between Food Pantry Inventory, Client Food Selection, and Client Diet. J Acad Nutr Diet 2021; 121:2242-2250. [PMID: 34103273 PMCID: PMC8530893 DOI: 10.1016/j.jand.2021.05.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Revised: 04/15/2021] [Accepted: 05/06/2021] [Indexed: 11/19/2022]
Abstract
BACKGROUND Food pantry clients are at a high risk for diet-related chronic disease and suboptimal diet. Relatively little research has examined diet quality measures in choice-based food pantries where clients can choose their own food. OBJECTIVE This study tested whether the diet quality scores for food at the pantry were associated with client food selection scores, and whether client food selection scores at the pantry were associated with client diet intake scores. DESIGN This cross-sectional regression analysis, part of a larger evaluation study (SuperShelf), used baseline data from client and food pantry surveys, food pantry inventories, assessments of client food selections ("client carts"), and single 24-hour client dietary recalls. PARTICIPANTS/SETTING The analysis includes 316 clients who completed a survey (282 of whom completed a dietary recall measure) from one of 16 choice-based Minnesota food pantries during 2018-2019. Adult English, Spanish, or Somali-speaking clients were eligible in the case that they had selected food on the day of recruitment at their food pantry visit. MAIN OUTCOME MEASURES A Healthy Eating Index-2015 (HEI-2015) Total score and 13 subcomponent scores were calculated for: pantry food inventories of food available on the shelf, client carts, and a 24-hour client dietary recall. STATISTICAL ANALYSIS Descriptive statistics were generated for client and food pantry characteristics, and for HEI-2015 Total score and subcomponent scores. Linear regression models tested the association between HEI-2015 Total score and subcomponent scores for food pantry inventory and client carts, and for client carts and dietary recalls, adjusted for covariates. RESULTS Food pantry inventory HEI-2015 Total score averaged 65.1, client cart Total score averaged 60.8, and dietary recall Total score averaged 50.9. The diet quality scores for inventory were not associated with client cart scores, except for Added Sugars (P = .005). Client cart HEI-2015 Total score was positively associated with client diet HEI-2015 Total score (P = .002) and associations for Total Fruits, Whole Fruits, Total Vegetables, Greens and Beans, Whole Grains, Seafood and Plant Proteins, and Added Sugars subcomponents were statistically significant. CONCLUSIONS In choice-based Minnesota food pantries, the diet quality of food selected by clients was positively associated with client diet quality.
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Affiliation(s)
- Caitlin E Caspi
- Rudd Center for Food Policy and Obesity, University of Connecticut, Hartford; Department of Allied Health Sciences, University of Connecticut, Storrs; Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis.
| | - Cynthia Davey
- Biostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, Minneapolis
| | - Christina Bliss Barsness
- Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis
| | - Julian Wolfson
- Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis
| | - Hikaru Peterson
- Department of Applied Economics, University of Minnesota, St Paul
| | - Rebekah J Pratt
- Program in Health Disparities Research, Department of Family Medicine and Community Health, University of Minnesota, Minneapolis
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Evenosky S, Lewis E, DiSantis KI. A Mixed Methods Case Study of Food Shopping in a Community with High Infant Mortality. Nutrients 2021; 13:3845. [PMID: 34836108 PMCID: PMC8623881 DOI: 10.3390/nu13113845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 10/25/2021] [Accepted: 10/27/2021] [Indexed: 11/29/2022] Open
Abstract
In the U.S., preterm birth disproportionately impacts certain racial/ethnic groups, with Black women experiencing preterm birth at a rate 50% higher than other groups. Among the numerous factors that likely contribute to these increased rates are neighborhood characteristics, such as food environment. In this mixed-methods case study, we evaluated how pregnant women living in a predominately minority, lower income community with high preterm birth rates navigate and perceive their food environment. Qualitative interviews were performed to assess perceptions of food environment (n = 7) along with geographic and observational assessments of their food environment. Participants traveled an average of 2.10 miles (SD = 1.16) and shopped at an average of 3 stores. They emphasized the importance of pricing and convenience when considering where to shop and asserted that they sought out healthier foods they thought would enhance their pregnancy health. Observational assessments of stores' nutrition environment showed that stores with lower nutritional scores were in neighborhoods with greater poverty and a higher percent Black population. Future policies and programmatic efforts should focus on improving nutrition during pregnancy for women living in communities with high rates of poor birth outcomes. Availability, affordability, and accessibility are key aspects of the food environment to consider when attempting to achieve birth equity.
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Affiliation(s)
- Sarah Evenosky
- College of Health Sciences, Arcadia University, Glenside, PA 19038, USA
| | - Eleanor Lewis
- Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA;
| | - Katherine I. DiSantis
- College of Population Health, Thomas Jefferson University, Philadelphia, PA 19107, USA;
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Nava-Amante PA, Betancourt-Núñez A, Vizmanos B, Salas-García MA, Bernal-Orozco MF, Vargas-García EJ, Díaz-López A. Prevalence and Risk Factors of Food Insecurity among Mexican University Students' Households. Nutrients 2021; 13:nu13103426. [PMID: 34684437 PMCID: PMC8541269 DOI: 10.3390/nu13103426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2021] [Revised: 09/19/2021] [Accepted: 09/23/2021] [Indexed: 11/16/2022] Open
Abstract
Household food insecurity (FI) remains a major public health challenge worldwide. Data about perceived FI and its risk factors in Mexican university students are lacking. We aimed to assess FI's prevalence and factors affecting it among university students' households in Mexico. This cross-sectional analysis involved 7671 university students' households using the 2018 Mexican National of Household Income and Expenditure Survey data. Variables analyzed included sociodemographic characteristics, and the 12-item validated Mexican Scale for Food Security (EMSA). Multivariable logistic regression modelling was performed to identify FI risk factors. The overall household FI prevalence was 30.8%. According to FI severity, prevalence rates were 16.3% for mild-FI, 8.8% for moderate-FI, and 5.7% for severe-FI. Low socioeconomic status (OR = 2.72; 95%CI: 2.09-3.54), low education level of household's head (OR = 2.36; 95%CI: 1.90-2.94), self-ascription to an indigenous group (OR = 1.59; 95%CI: 1.41-1.79), attending public university (OR = 1.27; 95%CI: 1.13-1.43), female-headed household (OR = 1.26; 95%CI: 1.13-1.40), having worked recently (OR = 1.19; 95%CI: 1.07-1.33), and being in second year of studies (OR = 1.17; 95%CI: 1.03-1.33), were significantly related to FI. Our results confirm that FI is highly prevalent among Mexican university students' households and that sociodemographic factors are essential in addressing this concern. Findings highlight the need for preventive programs and policies to alleviate FI.
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Affiliation(s)
- Pablo Alejandro Nava-Amante
- Doctorado en Ciencias de la Nutrición Traslacional, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdeG), Guadalajara 44320, Mexico; (P.A.N.-A.); (M.A.S.-G.); (M.F.B.-O.)
| | - Alejandra Betancourt-Núñez
- Doctorado en Ciencias de la Nutrición Traslacional, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdeG), Guadalajara 44320, Mexico; (P.A.N.-A.); (M.A.S.-G.); (M.F.B.-O.)
- Instituto Traslacional de Nutrigenética y Nutrigenómica, CUCS, UdeG, Guadalajara 44340, Mexico
- Correspondence: (A.B.-N.); (B.V.); Tel.: +52-(33)-1058-5200 (ext. 33872) (A.B.-N. & B.V.)
| | - Barbara Vizmanos
- Doctorado en Ciencias de la Nutrición Traslacional, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdeG), Guadalajara 44320, Mexico; (P.A.N.-A.); (M.A.S.-G.); (M.F.B.-O.)
- Instituto Traslacional de Nutrigenética y Nutrigenómica, CUCS, UdeG, Guadalajara 44340, Mexico
- Correspondence: (A.B.-N.); (B.V.); Tel.: +52-(33)-1058-5200 (ext. 33872) (A.B.-N. & B.V.)
| | - Miguel Amaury Salas-García
- Doctorado en Ciencias de la Nutrición Traslacional, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdeG), Guadalajara 44320, Mexico; (P.A.N.-A.); (M.A.S.-G.); (M.F.B.-O.)
| | - María Fernanda Bernal-Orozco
- Doctorado en Ciencias de la Nutrición Traslacional, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara (UdeG), Guadalajara 44320, Mexico; (P.A.N.-A.); (M.A.S.-G.); (M.F.B.-O.)
- Instituto Traslacional de Nutrigenética y Nutrigenómica, CUCS, UdeG, Guadalajara 44340, Mexico
| | - Elisa J. Vargas-García
- Departamento de Ciencias de la Salud, Universidad Iberoamericana León, León 37238, Mexico;
| | - Andrés Díaz-López
- Serra Hunter Fellow, Universitat Rovira i Virgili (URV), 43201 Reus, Spain;
- Nutrition and Mental Health Research Group (NUTRISAM), Rovira i Virgili University (URV), 43201 Reus, Spain
- Institut d’Investigació Sanitària Pere Virgili (IISPV), 43201 Reus, Spain
- Centro de Investigación Biomédica en Red Fisiopatología de la Obesidad y la Nutrición (CIBEROBN), Institute of Health Carlos III, 28029 Madrid, Spain
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Derso A, Bizuneh H, Keleb A, Ademas A, Adane M. Food insecurity status and determinants among Urban Productive Safety Net Program beneficiary households in Addis Ababa, Ethiopia. PLoS One 2021; 16:e0256634. [PMID: 34570794 PMCID: PMC8476016 DOI: 10.1371/journal.pone.0256634] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 08/11/2021] [Indexed: 11/18/2022] Open
Abstract
Background Measuring household food insecurity in specific geographic areas provides vital information that enables appropriate and effective intervention measures to be taken. To that end, this study aimed to assess the prevalence of food insecurity and associated factors among Urban Productive Safety Net Program (UPSNP) beneficiary households in Addis Ababa, Ethiopia’s capital city. Methods A community-based cross-sectional study was conducted among 624 UPSNP beneficiary households in nine districts of Addis Ababa from June to July 2019. A multi-stage sampling method was used; study participants were selected using a simple random sampling technique after establishing the proportionally allocated sample size for 9 districts. Data were collected by trained personnel using a pretested, structured questionnaire. The outcome variable was food insecurity as measured by Household Food Insecurity Access Scale (HFIAS), a tool developed by the Food and Nutrition Technical Assistance Scale (FANTA) and validated for developing countries, including Ethiopia. A binary (crude odds ratio [COR]) and multivariable (adjusted odds ratio [AOR]) logistic regression analysis were employed at 95% CI (confidence interval). From the bivariate analysis, factors having a p-value<0.25 were included in the multivariable analysis. From the multivariable analysis, any variable at p-value < 0.05 at 95% CI was declared significantly associated with household food insecurity. Model fitness was also checked using the Hosmer-Lemeshow test with p-value>0.05. Results The prevalence of household food insecurity was 77.1% [95%CI:73.8–80.7] during the month prior to the survey. Illiteracy of household head [AOR: 2.56; 95%CI:1.08–6.07], family size of 4 or more [AOR: 1.87, 95%CI:1.08–3.23], high dependency ratio [AOR: 3.95; 95%CI:1.31–11.90], household lack of access to credit [AOR:2.85; 95%CI:1.25–6.49], low household income [AOR: 4.72; 95%CI:2.32–9.60] and medium household income [AOR: 9.78; 95%CI:4.29–22.35] were significantly associated with household food insecurity. Conclusion We found that three in four of Addis Ababa’s UPSNP beneficiary households were food-insecure. Implementation of measures to improve household income, minimize the dependency ratio of households, and arrange access to credit services are paramount ways to tackle food insecurity problems in Addis Ababa.
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Affiliation(s)
- Atimen Derso
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Hailemichael Bizuneh
- Department of Public Health, Saint Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
| | - Awoke Keleb
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Ayechew Ademas
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
| | - Metadel Adane
- Department of Environmental Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia
- * E-mail:
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Naylor RL, Kishore A, Sumaila UR, Issifu I, Hunter BP, Belton B, Bush SR, Cao L, Gelcich S, Gephart JA, Golden CD, Jonell M, Koehn JZ, Little DC, Thilsted SH, Tigchelaar M, Crona B. Blue food demand across geographic and temporal scales. Nat Commun 2021; 12:5413. [PMID: 34526495 PMCID: PMC8443621 DOI: 10.1038/s41467-021-25516-4] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Accepted: 08/09/2021] [Indexed: 11/24/2022] Open
Abstract
Numerous studies have focused on the need to expand production of 'blue foods', defined as aquatic foods captured or cultivated in marine and freshwater systems, to meet rising population- and income-driven demand. Here we analyze the roles of economic, demographic, and geographic factors and preferences in shaping blue food demand, using secondary data from FAO and The World Bank, parameters from published models, and case studies at national to sub-national scales. Our results show a weak cross-sectional relationship between per capita income and consumption globally when using an aggregate fish metric. Disaggregation by fish species group reveals distinct geographic patterns; for example, high consumption of freshwater fish in China and pelagic fish in Ghana and Peru where these fish are widely available, affordable, and traditionally eaten. We project a near doubling of global fish demand by mid-century assuming continued growth in aquaculture production and constant real prices for fish. Our study concludes that nutritional and environmental consequences of rising demand will depend on substitution among fish groups and other animal source foods in national diets.
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Affiliation(s)
| | - Avinash Kishore
- International Food Policy Research Institute (IFPRI), New Delhi, India
| | | | | | | | - Ben Belton
- WorldFish, Bayan Lepas, Malaysia
- Michigan State University, East Lansing, MI, USA
| | - Simon R Bush
- Wageningen University, Wageningen, The Netherlands
| | - Ling Cao
- Shanghai Jiao Tong University, Shanghai, China
| | - Stefan Gelcich
- Pontificia Universidad Católica de Chile, Santiago, Chile
| | | | | | - Malin Jonell
- Beijer Institute of Ecological Economics, The Royal Swedish Academy of Sciences, Stockholm, Sweden
- Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden
- Royal Swedish Academy of Science, Stockholm, Sweden
| | | | | | | | | | - Beatrice Crona
- Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden
- Royal Swedish Academy of Science, Stockholm, Sweden
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Stephens L, Rains C, Benjamin-Neelon SE. Connecting Families to Food Resources amid the COVID-19 Pandemic: A Cross-Sectional Survey of Early Care and Education Providers in Two U.S. States. Nutrients 2021; 13:3137. [PMID: 34579014 PMCID: PMC8465308 DOI: 10.3390/nu13093137] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 09/04/2021] [Accepted: 09/07/2021] [Indexed: 02/07/2023] Open
Abstract
Early care and education (ECE) settings are important avenues for reaching young children and their families with food and nutrition resources, including through the U.S. federally funded Child and Adult Care Food Program (CACFP). Researchers conducted a cross-sectional survey of ECE providers in two U.S. states in November 2020 to identify approaches used to connect families with food and nutrition resources amid the COVID-19 pandemic. Logistic regression models were used to estimate odds of sites reporting no approaches and adjusted Poisson models were used to estimate the incidence rate ratio of the mean number of approaches, comparing sites that participate in CACFP to those that did not. A total of 589 ECE sites provided responses. Of those, 43% (n = 255) participated in CACFP. CACFP participating sites were more likely to report using any approaches to connecting families to food resources and significantly more likely to report offering "grab and go" meals, providing meal delivery, distributing food boxes to families, and recommending community food resources than non-CACFP sites. This study suggests that CACFP sites may have greater capacity to connect families to food resources amid emergencies than non-CACFP participating sites.
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Affiliation(s)
- Lacy Stephens
- National Farm to School Network, P.M.B. #104, 8770 West Bryn Mawr Ave, Suite 1300, Chicago, IL 60631, USA
| | - Caroline Rains
- Research Triangle Institute International, 3040 East Cornwallis Road, Research Triangle Park, NC 27709, USA;
| | - Sara E. Benjamin-Neelon
- Department of Health, Behavior and Society, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD 21205, USA;
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Gazan R, Maillot M, Reboul E, Darmon N. Pulses Twice a Week in Replacement of Meat Modestly Increases Diet Sustainability. Nutrients 2021; 13:nu13093059. [PMID: 34578936 PMCID: PMC8466503 DOI: 10.3390/nu13093059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 08/25/2021] [Accepted: 08/28/2021] [Indexed: 01/22/2023] Open
Abstract
The French food-based dietary guidelines recommend eating pulses at least twice a week and to reduce meat consumption. This study assessed the impact on the sustainability characteristics (nutrition, cost, environment) of individual diets of meeting the pulse guideline. Dietary data of 2028 adults from the Esteban survey were completed with the nutritional content (considering bioavailability on iron, zinc and protein), price and environmental impacts of foods. When the pulse guideline (i.e., 57 g/day) was not met, two substitution scenarios raised the quantity of pulses to the recommended level, in replacement of an equivalent portion of (i) starches or (ii) meat. Only 9.6% of the participants reached the pulse guideline. Diet sustainability characteristics improved with the meat scenario (nutritional indicators improved; diet cost, greenhouse gas emissions and acidification decreased), while several indicators deteriorated with the starches scenario. Zinc available for absorption slightly decreased in both scenarios while iron available for absorption decreased in the meat scenario only. Increasing pulse consumption to two portions/week could modestly improve the sustainability of diets when pulses replace meat but not starches. Cultural acceptability of that substitution still needs to be proven, and iron and zinc status of individuals at risk of deficiency should be monitored.
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Affiliation(s)
- Rozenn Gazan
- MS-Nutrition, 13005 Marseille, France;
- Correspondence: ; Tel.: +33-491-324-594
| | | | | | - Nicole Darmon
- MOISA, Université de Montpellier, CIRAD, CIHEAM-IAMM, INRAE, Institut Agro, 34060 Montpellier, France;
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Liu A, Han A, Chai L. Assessing the Nutrient Adequacy in China's Food Supply from 1965 to 2018. Nutrients 2021; 13:nu13082734. [PMID: 34444894 PMCID: PMC8400167 DOI: 10.3390/nu13082734] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 08/06/2021] [Accepted: 08/07/2021] [Indexed: 12/31/2022] Open
Abstract
Nutritional intake has important impacts on human health. A sufficient supply of nutrients is required to ensure high-level nutrition in a population. Assessment of nutrient supply adequacy can help to develop evidence-based policies and thereby promote public health. This study estimates the supply adequacy of nutrients in China's food system from 1965 to 2018 at the national level, aiming to reveal whether the supply of nutrients meets the demand. The results show that the nutrient supply in China's food system has experienced a sharp increase in the past five decades, and the deficiency in nutrient supply has been greatly mitigated. Although most nutrients such as potassium are already sufficiently supplied in China's current food system, some nutrients, especially calcium and zinc, still need a further enlarged supply to improve the nutrition condition of the Chinese population. Besides encouraging a healthy diet, supply-side regulation, e.g., fortification and enrichment, is also needed to improve nutrient availability. This study helps people better understand the development and current situation of nutrient adequacy in China's food supply, thereby providing information and implications for policymakers.
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Affiliation(s)
- Ao Liu
- International College Beijing, China Agricultural University, Beijing 100083, China; (A.L.); (A.H.)
| | - Aixi Han
- International College Beijing, China Agricultural University, Beijing 100083, China; (A.L.); (A.H.)
| | - Li Chai
- International College Beijing, China Agricultural University, Beijing 100083, China; (A.L.); (A.H.)
- College of Economics and Management, China Agricultural University, Beijing 100083, China
- Correspondence:
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Janda KM, Ranjit N, Salvo D, Nielsen A, Lemoine P, Casnovsky J, van den Berg A. Correlates of Transitions in Food Insecurity Status during the Early Stages of the COVID-19 Pandemic among Ethnically Diverse Households in Central Texas. Nutrients 2021; 13:2597. [PMID: 34444757 PMCID: PMC8401244 DOI: 10.3390/nu13082597] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 07/23/2021] [Accepted: 07/26/2021] [Indexed: 11/25/2022] Open
Abstract
Food insecurity increased substantially in the USA during the early stages of the 2020 COVID-19 pandemic. The purpose of this study was to identify potential sociodemographic and food access-related factors that were associated with continuing or transitioning into food insecurity in a diverse population. An electronic survey was completed by 367 households living in low-income communities in Central Texas during June-July 2020. Multinomial logistic regression models were developed to examine the associations among food insecurity transitions during COVID-19 and various sociodemographic and food access-related factors, including race/ethnicity, children in the household, loss of employment/wages, language, and issues with food availability, accessibility, affordability, and stability during the pandemic. Sociodemographic and food access-related factors associated with staying or becoming newly food insecure were similar but not identical. Having children in the household, changes in employment/wages, changing shopping location due to food availability, accessibility and/or affordability issues, issues with food availability, and stability of food supply were associated with becoming newly food insecure and staying food insecure during the pandemic. Identifying as Latino and/or Black was associated with staying food insecure during COVID-19. These findings suggest that the COVID-19 pandemic did not create new food insecurity disparities. Rather, the pandemic exacerbated pre-existing disparities.
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Affiliation(s)
- Kathryn M. Janda
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Nalini Ranjit
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Deborah Salvo
- Prevention Research Center, Brown School, Washington University in St. Louis, St. Louis, MO 63130, USA;
| | - Aida Nielsen
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
| | - Pablo Lemoine
- Centro Nacional de Consultoría, Bogotá 110221, Colombia;
| | | | - Alexandra van den Berg
- UTHealth School of Public Health, Austin, TX 78701, USA; (N.R.); (A.N.); (A.v.d.B.)
- Michael and Susan Dell Center for Healthy Living, Austin, TX 78701, USA
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Dobrzyńska M, Drzymała-Czyż S, Jakubowski K, Kurek S, Walkowiak J, Przysławski J. Copper and Zinc Content in Infant Milk Formulae Available on the Polish Market and Contribution to Dietary Intake. Nutrients 2021; 13:nu13082542. [PMID: 34444702 PMCID: PMC8400833 DOI: 10.3390/nu13082542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2021] [Revised: 07/22/2021] [Accepted: 07/23/2021] [Indexed: 11/16/2022] Open
Abstract
The inappropriate concentration of copper (Cu) and zinc (Zn) in formulae for infants can lead to abnormal micronutrient intake and adverse health outcomes. This study aimed to determine the concentration of Cu and Zn in different formulae and evaluate the Cu/Zn ratio. Besides, the daily intake (DI) of both micronutrients was estimated. Cu and Zn concentration in 103 formulae for infants, available in the Polish market, were assessed using atomic absorption spectrometry. The estimated DI was calculated from the average energy requirements for the 0-6 months aged infants. The microelement content of formulae was mostly in good agreement with that declared by the manufacturer (5-10% variations compared to the labeled values). The Cu/Zn ratio ranged from 1:8 to 1:25. The estimated DI of Cu was in the range of 0.14-1.11 mg/day. Six (6.7%) of the formulae did not meet the recommended range of Cu intake, especially during the first month of life and in the case of formulae for special medical purposes. The estimated DI of Zn varied from 2.27-11.25 mg/day. In most cases, the concentration of Cu and Zn in infant formulae was within the recommended range. It would be advisable to consider monitoring the DI of Cu and reconsider the Cu content in formulae for infants in proportion to its expected consumption.
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Affiliation(s)
- Małgorzata Dobrzyńska
- Department of Bromatology, Poznan University of Medical Sciences, 42 Marcelińska Street, 60-354 Poznań, Poland; (S.D.-C.); (K.J.); (J.P.)
- Correspondence: ; Tel.: +48-61-854-71-98
| | - Sławomira Drzymała-Czyż
- Department of Bromatology, Poznan University of Medical Sciences, 42 Marcelińska Street, 60-354 Poznań, Poland; (S.D.-C.); (K.J.); (J.P.)
| | - Karol Jakubowski
- Department of Bromatology, Poznan University of Medical Sciences, 42 Marcelińska Street, 60-354 Poznań, Poland; (S.D.-C.); (K.J.); (J.P.)
| | - Szymon Kurek
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, 27/33 Szpitalna Street, 60-572 Poznań, Poland; (S.K.); (J.W.)
| | - Jarosław Walkowiak
- Department of Pediatric Gastroenterology and Metabolic Diseases, Poznan University of Medical Sciences, 27/33 Szpitalna Street, 60-572 Poznań, Poland; (S.K.); (J.W.)
| | - Juliusz Przysławski
- Department of Bromatology, Poznan University of Medical Sciences, 42 Marcelińska Street, 60-354 Poznań, Poland; (S.D.-C.); (K.J.); (J.P.)
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Matias SL, Rodriguez-Jordan J, McCoin M. Integrated Nutrition and Culinary Education in Response to Food Insecurity in a Public University. Nutrients 2021; 13:nu13072304. [PMID: 34371814 PMCID: PMC8308405 DOI: 10.3390/nu13072304] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Revised: 06/25/2021] [Accepted: 07/01/2021] [Indexed: 11/16/2022] Open
Abstract
Food insecurity is an emerging issue for college students. A nutrition course with an integrated teaching kitchen was developed to address this issue at a large public university. We aimed to determine changes in food insecurity and stress among students who took the course. The course consisted of weekly lectures followed by teaching kitchen lab sessions to teach basic nutrition and culinary concepts and expose students to hands-on skill development cooking experiences. Using a pre-post design, enrolled students completed an anonymous online survey at the beginning and the end of the semester. Food security was assessed with the USDA Six-Item Food Security Module; stress was measured using the Perceived Stress Scale (PSS). Pre- and post-data were linked for 171 participants. Paired data statistical analysis comparing the post- vs. the pre-test showed an increase in food security and a decrease in very low security rates (from 48% to 70%, and from 23% to 6%, respectively; p < 0.0001), and a decrease on the average PSS score, indicating lower stress (from (Mean ± SD) 19.7 ± 5.9 to 18.1 ± 6.0; p = 0.0001). A nutrition and culinary course may be an effective response to food insecurity and could potentially improve students’ wellbeing.
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Zhuang X, Liu Y, Gittelsohn J, Lewis E, Song S, Ma Y, Wen D. Sugar-Sweetened Beverages Consumption and Associated Factors among Northeastern Chinese Children. Nutrients 2021; 13:2233. [PMID: 34209665 PMCID: PMC8308402 DOI: 10.3390/nu13072233] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 06/18/2021] [Accepted: 06/26/2021] [Indexed: 01/04/2023] Open
Abstract
(1) Background: The present study aimed to investigate the association between home-related factors, community environmental factors, and sugar-sweetened beverages (SSBs) intake among Northeastern Chinese children. (2) Methods: Cross-sectional. Children with complete data were included in the analysis (n = 901). A questionnaire modified according to BEVQ-15 measured the intake of SSBs. Logistic regression was applied to determine the factors associated with the consumption of SSBs. IBM SPSS Statistics 23.0 was applied to perform all statistical analyses. (3) Results: The mean total amount of SSBs consumed on a weekly basis was 2214.04 ± 2188.62 mL. Children's weekly pocket money, frequency of SSBs purchase, SSBs availability at home, the number of accessible supermarkets, and frequency of weekly visits to convenience stores were all found to be associated with a high intake of SSBs among all children. Among children of normal weight, the findings indicated that weekly pocket money, SSBs availability at home, and number of accessible supermarkets were associated with a high SSBs intake. At the same time, frequency of SSBs purchase, mother's SSBs intake, and frequency of weekly visits to convenience stores were associated with a high SSBs intake among children with obesity. (4) Conclusions: Given the potential negative health effects of high SSBs intake, it is crucial to pay attention to home-related factors and community environment.
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Affiliation(s)
- Xuxiu Zhuang
- Institute of Health Science, China Medical University, Shenyang 110000, China; (X.Z.); (Y.L.); (S.S.); (Y.M.)
| | - Yang Liu
- Institute of Health Science, China Medical University, Shenyang 110000, China; (X.Z.); (Y.L.); (S.S.); (Y.M.)
| | - Joel Gittelsohn
- Human Nutrition Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA; (J.G.); (E.L.)
| | - Emma Lewis
- Human Nutrition Center, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA; (J.G.); (E.L.)
| | - Shenzhi Song
- Institute of Health Science, China Medical University, Shenyang 110000, China; (X.Z.); (Y.L.); (S.S.); (Y.M.)
| | - Yanan Ma
- Institute of Health Science, China Medical University, Shenyang 110000, China; (X.Z.); (Y.L.); (S.S.); (Y.M.)
| | - Deliang Wen
- Institute of Health Science, China Medical University, Shenyang 110000, China; (X.Z.); (Y.L.); (S.S.); (Y.M.)
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Pineda E, Brunner EJ, Llewellyn CH, Mindell JS. The retail food environment and its association with body mass index in Mexico. Int J Obes (Lond) 2021; 45:1215-1228. [PMID: 33597735 PMCID: PMC8159738 DOI: 10.1038/s41366-021-00760-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 11/24/2020] [Accepted: 01/20/2021] [Indexed: 11/08/2022]
Abstract
BACKGROUND/OBJECTIVE Mexico has one of the highest rates of obesity and overweight worldwide, affecting 75% of the population. The country has experienced a dietary and food retail transition involving increased availability of high-calorie-dense foods and beverages. This study aimed to assess the relationship between the retail food environment and body mass index (BMI) in Mexico. SUBJECTS/METHODS Geographical and food outlet data were obtained from official statistics; anthropometric measurements and socioeconomic characteristics of adult participants (N = 22,219) came from the nationally representative 2012 National Health and Nutrition Survey (ENSANUT). Densities (store count/census tract area (CTA)) of convenience stores, restaurants, fast-food restaurants, supermarkets and fruit and vegetable stores were calculated. The association of retail food environment variables, sociodemographic data and BMI was tested using multilevel linear regression models. RESULTS Convenience store density was high (mean (SD) = 50.0 (36.9)/CTA) compared with other food outlets in Mexico. A unit increase in density of convenience stores was associated with a 0.003 kg/m2 (95% CI: 0.0006, 0.005, p = 0.011) increase in BMI, equivalent to 0.34 kg extra weight for an adult 1.60 m tall for every additional 10% store density increase (number of convenience stores per CTA (km2)). Metropolitan areas showed the highest density of food outlet concentration and the highest associations with BMI (β = 0.01, 95% CI: 0.004-0.01, p < 0.001). A 10% store density increase in these areas would represent a 1 kg increase in weight for an adult 1.60 m tall. CONCLUSIONS Convenience store density was associated with higher mean BMI in Mexican adults. An excessive convenience store availability, that offers unhealthy food options, coupled with low access to healthy food resources or stores retailing healthy food, including fruits and vegetables, may increase the risk of higher BMI. This is the first study to assess the association of the retail food environment and BMI at a national level in Mexico.
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Affiliation(s)
- Elisa Pineda
- Research Department of Epidemiology and Public Health, University College London, London, UK.
- Centre for Health Economics & Policy Innovation (CHEPI), Imperial College Business School, London, UK.
- School of Public Health, Imperial College London, London, UK.
| | - Eric J Brunner
- Research Department of Epidemiology and Public Health, University College London, London, UK
| | - Clare H Llewellyn
- Research Department of Behavioural Science and Health, University College London, London, UK
| | - Jennifer S Mindell
- Research Department of Epidemiology and Public Health, University College London, London, UK
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Wang Y, Chen X, Yang Y, Cui Y, Xu R. Risk perception and resource scarcity in food procurement during the early outbreak of COVID-19. Public Health 2021; 195:152-157. [PMID: 34126399 PMCID: PMC8716324 DOI: 10.1016/j.puhe.2021.04.020] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2021] [Revised: 04/12/2021] [Accepted: 04/28/2021] [Indexed: 11/04/2022]
Abstract
OBJECTIVES The retail food industry, a major essential business, is among the very few thriving sectors during the COVID-19 pandemic. However, such prosperity on the store side does not guarantee a sufficient food supply for all populations. This study aims to understand if people's risk perception and food security status shaped their food procurement behaviors during the early outbreak of the pandemic. STUDY DESIGN Extended from the theory of risk perception, food consumers may behave differently during a disastrous event in terms of store patronization. The study evaluates how food procurement behaviors are affected by perceived risk aversion, resource scarcity, and consumers' food security status. METHODS The study examines how people with different food security statuses made grocery shopping decisions at the risk of epidemic exposure based on a nationwide survey of 2590 participants in the U.S. during the early break of the pandemic in April 2020. The study uses a moderated mediation analysis on in-store shopping frequency and food expenditure. RESULTS People having a food-secure status before the pandemic spent significantly more as a result of the reduced shopping frequency (i.e., the secure-insecure subgroup β = -0.18, P < .01; the secure-secure subgroup β = -0.35, P < .01). The increase in food expenditure was insignificant for people who were food-insecure before the pandemic (i.e., the insecure-insecure subgroup, β = -0.01, P > .05; the insecure-secure subgroup, β = -0.11, P > .05). CONCLUSIONS The study reports that in general people reduced the frequency of grocery shopping trips to avoid epidemic exposure while increasing the food expenditure per trip. The increase in food expenditure was not statistically significant among the food-insecure populations likely due to their budget constraints.
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Affiliation(s)
- Y Wang
- Department of Marketing and Management, State University of New York at Oswego, Oswego, NY, 13126, USA
| | - X Chen
- Department of Geography, University of Connecticut, Storrs, CT, 06269, USA; Institute for Collaboration on Health, Intervention, and Policy (InCHIP), USA.
| | - Y Yang
- Department of Tourism and Hospitality Management, Temple University, Philadelphia, PA, 19122, USA
| | - Y Cui
- Department of Geography, University of Connecticut, Storrs, CT, 06269, USA
| | - R Xu
- Institute for Collaboration on Health, Intervention, and Policy (InCHIP), USA; Department of Allied Health Sciences, University of Connecticut, Storrs, CT, 06269, USA
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Bascuñán KA, Rodríguez JM, Osben C, Fernández A, Sepúlveda C, Araya M. Pandemic Effects and Gluten-Free Diet: An Adherence and Mental Health Problem. Nutrients 2021; 13:nu13061822. [PMID: 34071870 PMCID: PMC8229361 DOI: 10.3390/nu13061822] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 04/28/2021] [Accepted: 05/03/2021] [Indexed: 12/12/2022] Open
Abstract
The COVID-19 pandemic has been present for many months, influencing diets such as the gluten-free diet (GFD), which implies daily challenges even in non-pandemic conditions. Persons following the GFD were invited to answer online ad hoc and validated questionnaires characterizing self-perceptions of the pandemic, current clinical condition, dietary characteristics, adherence to GFD, anxiety, and depression. Of 331 participants, 87% experienced shortage and higher cost of food and 14.8% lost their jobs. Symptoms increased in 29% and 36.6% failed to obtain medical help. Although 52.3% increased food preparation at home and purchased alternative foodstuffs, 53.8% had consumed gluten-containing foods. The Health Eating Index was intermediate/"needs improvement" (mean 65.6 ± 13.3 points); in 49.9% (perception) and 44.4% (questionnaire), adherence was "bad". Anxiety and depression scores were above the cutoff in 28% and 40.4%, respectively. Adherence and mental health were strongly related. The likelihood of poor adherence was 2.3 times higher (p < 0.004) in participants declaring that pandemic altered GFD. Those suffering depressive symptoms were 1.3 times more likely to have poor adherence (p < 0.000). Depression and faulty GFD (mandatory for treatment) appear, affecting a high proportion of participants, suggesting that support measures aimed at these aspects would help improve the health condition of people that maintain GFD. Comparisons of data currently appearing in the literature available should be cautious because not only cultural aspects but conditions and timing of data collection are most variable.
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Affiliation(s)
- Karla A. Bascuñán
- Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7810000, Chile; (K.A.B.); (J.M.R.); (C.O.); (A.F.); (C.S.)
- Department of Nutrition, Faculty of Medicine, University of Chile, Santiago 8380453, Chile
| | - Juan Manuel Rodríguez
- Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7810000, Chile; (K.A.B.); (J.M.R.); (C.O.); (A.F.); (C.S.)
| | - Carla Osben
- Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7810000, Chile; (K.A.B.); (J.M.R.); (C.O.); (A.F.); (C.S.)
| | - Alan Fernández
- Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7810000, Chile; (K.A.B.); (J.M.R.); (C.O.); (A.F.); (C.S.)
- Department of Nutrition, Faculty of Medicine, University of Chile, Santiago 8380453, Chile
| | - Carlos Sepúlveda
- Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7810000, Chile; (K.A.B.); (J.M.R.); (C.O.); (A.F.); (C.S.)
- Laboratorio de Ciencias del Ejercicio, Clínica Meds, Santiago 7500000, Chile
| | - Magdalena Araya
- Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago 7810000, Chile; (K.A.B.); (J.M.R.); (C.O.); (A.F.); (C.S.)
- Corporación de Apoyo al Celíaco (COACEL), Santiago 7810000, Chile
- Correspondence: ; Tel.: +56-9-95395667
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Clemens KK, Le B, Anderson KK, Shariff SZ. Childhood food insecurity and incident diabetes: A longitudinal cohort study of 34 042 children in Ontario, Canada. Diabet Med 2021; 38:e14396. [PMID: 32876966 DOI: 10.1111/dme.14396] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2020] [Revised: 08/12/2020] [Accepted: 08/26/2020] [Indexed: 12/12/2022]
Abstract
AIM To examine the association between childhood food insecurity and incident diabetes. METHODS Using health administrative databases linked to the Canadian Community Health Survey, we conducted a population-based cohort study of children aged <18 years from Ontario, Canada. Children without diabetes who had a household response to the Canadian Community Health Survey Household Food Security Survey Module were followed for a median of 9.5 years for incident diabetes. Multivariable Cox proportional hazards models were used to examine the association between childhood food insecurity and incident diabetes, adjusted sequentially for important clinical and socio-economic risk factors. RESULTS We included 34 042 children, of whom 5.3% lived in food-insecure households. There were 184 new cases of diabetes, diagnosed at a median age of 16 and 18.5 years in food-secure and food-insecure children, respectively. In unadjusted analysis, childhood food insecurity was associated with an increased risk of incident diabetes (hazard ratio 1.69, 95% CI 1.01 to 2.81). When adjusted for clinical and socio-economic confounders, the relationship was no longer statistically significant (hazard ratio 1.55, 95% CI 0.91 to 2.66, adjusted for clinical confounders; hazard ratio 1.30, 95% CI 0.72 to 2.37, adjusted for clinical/socio-economic confounders). Our results remained robust in sensitivity analyses. CONCLUSIONS Although food-insecure children are a medically and socially vulnerable population, they do not appear to be at increased risk of incident diabetes over a median of 9.5 years.
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Affiliation(s)
- K K Clemens
- Department of Medicine, Division of Endocrinology and Metabolism, London, ON, Canada
- Department of Epidemiology and Biostatistics, London, ON, Canada
- ICES, London, ON, Canada
- Lawson Health Research Institute, London, ON, Canada
- Centre for Diabetes, Endocrinology and Metabolism, St Joseph's Hospital, London, ON, Canada
| | | | - K K Anderson
- Department of Epidemiology and Biostatistics, London, ON, Canada
- ICES, London, ON, Canada
- Lawson Health Research Institute, London, ON, Canada
| | - S Z Shariff
- ICES, London, ON, Canada
- Lawson Health Research Institute, London, ON, Canada
- Arthur Labatt Family School of Nursing, Western University, London, ON, Canada
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Li J, Verteramo Chiu LJ, Gómez MI, Bills NL. Strategies to reduce risk perception among grocery shoppers in the US: A survey study. PLoS One 2021; 16:e0251060. [PMID: 33909663 PMCID: PMC8081199 DOI: 10.1371/journal.pone.0251060] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 04/19/2021] [Indexed: 02/04/2023] Open
Abstract
During the COVID-19 lockdown in the US, many businesses were shut down temporarily. Essential businesses, most prominently grocery stores, remained open to ensure access to food and household essentials. Grocery shopping presents increased potential for COVID-19 infection because customers and store employees are in proximity to each other. This study investigated shoppers' perceptions of COVID-19 infection risks and put them in context by comparing grocery shopping to other activities outside home, and examined whether a proactive preventive action by grocery stores influence shoppers' perceived risk of COVID-19 infection. Our data were obtained via an anonymous online survey distributed between April 2 and 10, 2020 to grocery shoppers in New York State (the most affected by the pandemic at the time of the study) and Washington State (the first affected by the pandemic). We found significant factors associated with high levels of risk perception on grocery shoppers. We identified some effective preventive actions that grocery stores implement to alleviate anxiety and risk perception. We found that people are generally more concerned about in-store grocery shopping relative to other out-of-home activities. Findings suggest that a strict policy requiring grocery store employees to use facemasks and gloves greatly reduced shoppers' perceived risk rating of infection of themselves by 37.5% and store employees by 51.2%. Preventive actions by customers and businesses are critical to reducing the unwitting transmission of COVID-19 as state governments prepare to reopen the economy and relax restrictions on activities outside home.
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Affiliation(s)
- Jie Li
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, United States of America
| | - Leslie J. Verteramo Chiu
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, United States of America
- Department of Population Medicine and Diagnostic Sciences, Cornell University, Ithaca, NY, United States of America
| | - Miguel I. Gómez
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, United States of America
| | - Nelson L. Bills
- Charles H. Dyson School of Applied Economics and Management, Cornell University, Ithaca, NY, United States of America
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Abstract
There is no agreement regarding the role of fresh fruit and vegetables’ affordability, accessibility and availability, or access in general, on obesity rates. In this article we investigated whether access to fresh fruit and vegetables is related to better biometric indicators such as weight and body mass index. Using mediation and matching methods and assuming that farmers and traditional market sellers have easy access to fruit and vegetables, we found that having better access is not associated to a reduction in weight or body mass index. Potential explanations for this result are that better access was not associated with fresh fruit and vegetables’ consumption and fruit and vegetables’ consumption was not associated with weight and body mass index. Also, fresh fruit and vegetables’ sellers had a higher weight and body mass index compared to the rest of the population but, a similar weight and body mass index compared to people with their same educational level. Therefore, variations on weight and body mass index were more associated with educational level rather than with access. Access may not be the single story to explain fruit and vegetable consumption.
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Affiliation(s)
- Andres Silva
- Department of Economics, Government and Communication, Universidad Central de Chile, Santiago, Chile
- * E-mail:
| | - Pilar Jano
- Business School and Center of Economics and Regional Policy (CEPR), Universidad Adolfo Ibáñez, Viña del Mar, Chile
| | - Nicolás Von Hausen
- Analysis Unit, Servicio Nacional de Capacitación y Empleo, Ministerio del Trabajo, Santiago, Chile
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Nieman CM, Rudman AN, Chory ML, Murray GD, Fairbanks L, Campbell LM. Fishing for food: Values and benefits associated with coastal infrastructure. PLoS One 2021; 16:e0249725. [PMID: 33857188 PMCID: PMC8049240 DOI: 10.1371/journal.pone.0249725] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Accepted: 03/23/2021] [Indexed: 11/19/2022] Open
Abstract
While there is substantial literature about the socio-cultural characteristics and values associated with recreational and commercial fisheries in the U.S., studies directed at those who ‘fish for food’—those who depend on consuming their catch to various degrees—are relatively sparse. Using qualitative data collected through 80 semi-structured interviews with fishers in the summer and fall of 2018 in Carteret County, North Carolina, this study aims to better understand the group of recreational fishers who consume their catch by describing social and cultural dimensions and values associated with fishing for food, examining the role of infrastructure in facilitating access to benefits associated with this activity, and considering how knowledge of existing licensing regulations surrounding subsistence license waivers affect this fishing community. Interviews conducted at free public fishing structures in the region revealed that fishers derive a variety of values and benefits from fishing at these sites, including access to recreation, nutrition, a social community, and mental health benefits, which were found to be negatively impacted by Hurricane Florence in September 2018. We also found an informal economy of sharing catch on- and off-site that extends the reach and benefits facilitated by public infrastructure to people beyond those using it directly. Overall, we call for conceptualizations of ‘fishing for food’ that include aspects that go beyond traditional definitions of ‘subsistence’ or ‘recreational’ fishing such as food security, access, and less obvious social and cultural motivations behind the activity. These findings are a compelling rationalization for the creation and maintenance of formal and informal fishing places locally and, by extension, in other coastal areas, given the array of benefits provided by access to these types of locations.
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Affiliation(s)
- Cassandra M. Nieman
- Duke University Marine Lab, Nicholas School of the Environment, Duke University, Beaufort, North Carolina, United States of America
- Oak Ridge Institute for Science and Education, Environmental Protection Agency, Washington, DC, United States of America
| | - Alexie N. Rudman
- Duke University Marine Lab, Nicholas School of the Environment, Duke University, Beaufort, North Carolina, United States of America
- * E-mail:
| | - Margaret L. Chory
- Duke University Marine Lab, Nicholas School of the Environment, Duke University, Beaufort, North Carolina, United States of America
| | - Grant D. Murray
- Duke University Marine Lab, Nicholas School of the Environment, Duke University, Beaufort, North Carolina, United States of America
| | - Luke Fairbanks
- Division of Coastal Sciences, School of Ocean Science and Engineering, The University of Southern Mississippi, Ocean Springs, Mississippi, United States of America
| | - Lisa M. Campbell
- Duke University Marine Lab, Nicholas School of the Environment, Duke University, Beaufort, North Carolina, United States of America
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Sharma A, Abbas H, Siddiqui MQ. Modelling the inhibitors of cold supply chain using fuzzy interpretive structural modeling and fuzzy MICMAC analysis. PLoS One 2021; 16:e0249046. [PMID: 33848286 PMCID: PMC8043388 DOI: 10.1371/journal.pone.0249046] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2020] [Accepted: 03/09/2021] [Indexed: 11/19/2022] Open
Abstract
The Cold Supply Chain (CSC) is an integral part of the supply chain of perishable products. The aim of this research is to examine the inhibitors that have a major impact on the performance of CSC operations in the United Arab Emirates (UAE). This study provides a synthesis and suggests a hierarchical model among CSC inhibitors and their respective relevance. The hierarchical synthesis of twelve (12) primary CSC inhibitors is achieved through a comprehensive literature review and consultation with academics and CSC professionals. This study used semi-structured interviews, a fuzzy interpretive structural modeling (FISM) and a Fuzzy-MICMAC (FMICMAC) analysis to explore and establish the relationship between and among identified inhibitors. FISM is used to examine the interaction between inhibitors, while FMICMAC analysis is used to examine the nature of inhibitors on the basis of their dependence and driving power. The results of the FISM and FMICMAC analysis show the inter-relationships and relative dominance of identified inhibitors. The results show that some inhibitors are of high strategic importance due to their high driving power and low dependence. These inhibitors seek more management attention in order to improve their effectiveness. The result of a hierarchical model helps to understand the influence of a particular inhibitor on others. 'Higher capital and operating costs' occupy the highest level in the FISM model. The 'fragmented cold supply chains', 'lack of skilled labor', 'inadequate information system infrastructure' and 'lack of commitment by top level management' had strong driving power but weak dependence, which characterizes them as independent inhibitors. Management should be extra careful when dealing with these inhibitors as they influence the effects of other variables at the top of the FISM hierarchy in the overall management of the cold supply chain. The study also suggests a number of recommendations for addressing these inhibitors in cold supply chains operating in the UAE. With due attention and care for these inhibitors, the operation of the cold supply chains is likely to be even more successful.
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Affiliation(s)
- Anshuman Sharma
- College of Business Administration, Ajman University, Ajman, United Arab Emirates
| | - Haidar Abbas
- Salalah College of Applied Sciences, University of Technology and Applied Sciences, Salalah, Oman
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Leung CW, Wolfson JA. Food Insecurity Among Older Adults: 10-Year National Trends and Associations with Diet Quality. J Am Geriatr Soc 2021; 69:964-971. [PMID: 33403662 PMCID: PMC8341441 DOI: 10.1111/jgs.16971] [Citation(s) in RCA: 50] [Impact Index Per Article: 16.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 10/28/2020] [Accepted: 11/11/2020] [Indexed: 01/10/2023]
Abstract
BACKGROUND/OBJECTIVES Food insecurity has emerged as a critical health issue for older adults. Food insecurity has been shown to disrupt healthy eating patterns, but these associations have not been widely studied among older adults. The objectives of the present study were to: (1) examine national trends in food insecurity across a 10-year period, and (2) evaluate the associations between food insecurity and multiple diet quality indices in a recent and nationally representative sample of adults aged 60 or older. DESIGN Cross-sectional analysis of the 2007-2016 National Health and Nutrition Examination Surveys. SETTING Nationally representative sample of the United States. PARTICIPANTS The analytic sample was comprised of 5,097 adults aged 60 or older, with household incomes at or below 300% of the federal poverty level. MEASUREMENTS Household food security was measured using the 18-item US Household Food Security Survey Module. Diet was assessed using two 24-hour dietary recalls. Multivariate linear and logistic regression models examined the associations between household food security and three evidence-based diet quality indices, adjusting for sociodemographic and health characteristics. RESULTS Across the 10-year period, food insecurity increased significantly from 5.5% to 12.4% among older adults; this increase was more pronounced among lower-income older adults. From the linear regression models, food insecurity was associated with lower scores on the Healthy Eating Index (β = -1.90, 95% confidence interval (CI) = -3.70, -0.09), the Alternate Healthy Eating Index-2010 (β = -1.47, 95% CI = -2.51, -0.44), and the Mediterranean Diet Score (β = -0.54, 95% CI = -1.06, -0.01) after multivariate adjustment. Further adjustment for the presence of chronic medical conditions did not attenuate these results. CONCLUSION Food insecurity is associated with lower overall diet quality among older adults, supporting the need for clinical efforts to identify those at risk of food insecurity and public health efforts to alleviate food insecurity and promote healthy eating behaviors among older adults.
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Affiliation(s)
- Cindy W Leung
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
| | - Julia A Wolfson
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
- Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA
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Nasaruddin N, Jinap S, Samsudin NI, Kamarulzaman NH, Sanny M. Prevalence of mycotoxigenic fungi and assessment of aflatoxin contamination: a multiple case study along the integrated corn-based poultry feed supply chain in Malaysia. J Sci Food Agric 2021; 101:1812-1821. [PMID: 32893877 DOI: 10.1002/jsfa.10795] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 08/19/2020] [Accepted: 09/07/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Corn, a main feed ingredient in the livestock industry, is one of the most susceptible crops to fungal infection and aflatoxin contamination. Livestock feeding on aflatoxin (AF)-contaminated feed have been shown to experience feed refusal, and decreased growth rate, milk production, and feed efficiency. In poultry, AF poisoning causes weight loss, poor feed efficiency, and reduced egg production and egg weight. The present work therefore aimed to determine the prevalence of mycotoxigenic fungi and the occurrence of AF contamination along the integrated corn-based poultry feed supply chain in Malaysia. A total of 51 samples were collected from different points along the feed supply chain from integrated poultry feed companies. The samples were subjected to mycological analyses (fungal isolation, enumeration, identification), and AFs were quantified by high-performance liquid chromatography equipped with a fluorescence detector (HPLC-FLD). RESULTS Samples collected from sampling point 1 (company A) and sampling point 9 (company B) yielded the highest total fungal load (>log 4 CFU g-1 ). The prevalent fungal genera isolated were Aspergillus, Fusarium, and Penicillium spp. Aflatoxin B1 was detected in 8.3% of corn samples, and 7.4% of corn-based poultry feed samples along the feed supply chain, whereas AFs B2 , G1 , and G2 were not detected. CONCLUSION The incidence of mycotoxigenic fungi along the integrated poultry feed supply chain warrant continuous monitoring of mycotoxin contamination to reduce the exposure risk of mycotoxin intake in poultry. © 2020 Society of Chemical Industry.
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Affiliation(s)
- Norafidah Nasaruddin
- Laboratory of Food Safety and Food Integrity, Institute of Tropical Agriculture and Food Security, Universiti Putra Malaysia, Serdang, Malaysia
| | - Selamat Jinap
- Laboratory of Food Safety and Food Integrity, Institute of Tropical Agriculture and Food Security, Universiti Putra Malaysia, Serdang, Malaysia
- Department of Food Science, Faculty of Food Science and Technology, Universiti Putra Malaysia, Serdang, Malaysia
| | - Nik Ip Samsudin
- Laboratory of Food Safety and Food Integrity, Institute of Tropical Agriculture and Food Security, Universiti Putra Malaysia, Serdang, Malaysia
- Department of Food Science, Faculty of Food Science and Technology, Universiti Putra Malaysia, Serdang, Malaysia
| | - Nitty H Kamarulzaman
- Laboratory of Halal Policy and Management, Halal Products Research Institute, Universiti Putra Malaysia, Serdang, Malaysia
- Department of Agribusiness and Bioresource Economics, Faculty of Agriculture, Universiti Putra Malaysia, Serdang, Malaysia
| | - Maimunah Sanny
- Laboratory of Food Safety and Food Integrity, Institute of Tropical Agriculture and Food Security, Universiti Putra Malaysia, Serdang, Malaysia
- Department of Food Science, Faculty of Food Science and Technology, Universiti Putra Malaysia, Serdang, Malaysia
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45
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Jilcott Pitts SB, Wu Q, Truesdale KP, Rafferty AP, Haynes-Maslow L, Boys KA, McGuirt JT, Fleischhacker S, Johnson N, Kaur AP, Bell RA, Ammerman AS, Laska MN. A four-year observational study to examine the dietary impact of the North Carolina Healthy Food Small Retailer Program, 2017-2020. Int J Behav Nutr Phys Act 2021; 18:44. [PMID: 33761952 PMCID: PMC7990380 DOI: 10.1186/s12966-021-01109-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Accepted: 03/05/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The North Carolina (NC) Healthy Food Small Retailer Program (HFSRP) was passed into law with a $250,000 appropriation (2016-2018) providing up to $25,000 in funding to small food stores for equipment to stock healthier foods and beverages. This paper describes an observational natural experiment documenting the impact of the HFSRP on store food environments, customers' purchases and diets. METHODS Using store observations and intercept surveys from cross-sectional, convenience customer samples (1261 customers in 22 stores, 2017-2020; 499 customers in 7 HFSRP stores, and 762 customers in 15 Comparison stores), we examined differences between HFSRP and comparison stores regarding: (1) change in store-level availability, quality, and price of healthy foods/beverages; (2) change in healthfulness of observed food and beverage purchases ("bag checks"); and, (3) change in self-reported and objectively-measured (Veggie Meter®-assessed skin carotenoids) customer dietary behaviors. Differences (HFSRP vs. comparison stores) in store-level Healthy Food Supply (HFS) and Healthy Eating Index-2010 scores were assessed using repeated measure ANOVA. Intervention effects on diet were assessed using difference-in-difference models including propensity scores. RESULTS There were improvements in store-level supply of healthier foods/beverages within 1 year of program implementation (0 vs. 1-12 month HFS scores; p = 0.055) among HFSRP stores only. Comparing 2019 to 2017 (baseline), HFSRP stores' HFS increased, but decreased in comparison stores (p = 0.031). Findings indicated a borderline significant effect of the intervention on self-reported fruit and vegetable intake (servings/day), though in the opposite direction expected, such that fruit and vegetable intake increased more among comparison store than HFSRP store customers (p = 0.05). There was no significant change in Veggie Meter®-assessed fruit and vegetable intake by customers shopping at the intervention versus comparison stores. CONCLUSIONS Despite improvement in healthy food availability, there was a lack of apparent impact on dietary behaviors related to the HFSRP, which could be due to intervention dose or inadequate statistical power due to the serial cross-sectional study design. It may also be that individuals buy most of their food at larger stores; thus, small store interventions may have limited impact on overall eating patterns. Future healthy retail policies should consider how to increase intervention dose to include more product marketing, consumer messaging, and technical assistance for store owners.
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Affiliation(s)
- Stephanie B. Jilcott Pitts
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834 USA
| | - Qiang Wu
- Department of Biostatistics, East Carolina University, Greenville, NC 27834 USA
| | - Kimberly P. Truesdale
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA
- Healthy Weight Research Center, University of Minnesota School of Public Health, Minneapolis, MN 55454 USA
| | - Ann P. Rafferty
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834 USA
| | - Lindsey Haynes-Maslow
- Department of Agricultural & Human Sciences, North Carolina State University, Raleigh, 27695 USA
| | - Kathryn A. Boys
- Department of Agricultural & Resource Economics, North Carolina State University, Raleigh, 27695 USA
| | - Jared T. McGuirt
- Department of Nutrition, University of North Carolina at Greensboro, Greensboro, 27412 NC USA
| | | | - Nevin Johnson
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834 USA
| | - Archana P. Kaur
- Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC 27834 USA
| | - Ronny A. Bell
- Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, 27157 USA
- Wake Forest Baptist Comprehensive Cancer Center, Winston-Salem, NC 27157 USA
| | - Alice S. Ammerman
- Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA
- Center for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599 USA
| | - Melissa N. Laska
- Healthy Weight Research Center, University of Minnesota School of Public Health, Minneapolis, MN 55454 USA
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46
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Pradhan A, S. R, D. J. N, Panda AK, Wagh RD, Maske MR, R. V. B. Farming System for Nutrition-a pathway to dietary diversity: Evidence from India. PLoS One 2021; 16:e0248698. [PMID: 33735281 PMCID: PMC7971902 DOI: 10.1371/journal.pone.0248698] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Accepted: 03/03/2021] [Indexed: 11/18/2022] Open
Abstract
Farming is the main livelihood of a majority of people in India. The country is also home to a large population of undernourished people. This indicates potential for mainstreaming the nutrition dimension in the farming system to impact on nutrition outcomes. A Farming System for Nutrition (FSN) study was conducted in two agro-ecologically different locations from 2013-2018, to explore the feasibility of nutrition-sensitive agricultural interventions. The baseline survey in 2013-2014 revealed that the population in the study area was largely undernourished and that household diets were cereal-dominated. The FSN model was designed in consultation with community members, to increase availability of nutrient-dense cereals and pulses, by enhancing production and crop diversification at the farm level, promoting cultivation of nutrient-rich fruits and vegetables in nutrition gardens and supporting interventions to promote access to animal foods. Nutrition awareness initiatives were undertaken to build capacity at the local level and translate production diversity to consumption diversity. An endline survey was conducted in 2017 (July-October), following three years of intervention. Crop, vegetable and animal food production and food consumption was compared with the baseline data. There was evidence of higher production and consumption of nutrient rich foods, improved household dietary diversity; and understanding and acceptance of nutrition-sensitive agriculture. The number of items consumed under each food group, frequency of consumption of food and average per capita intake of nutrient-rich foods were found to have improved. The results provide evidence regarding feasibility of location-specific FSN models to promote sustainable and healthy diets, using locally available plant and animal food resources, to address nutrition deficiencies in farm families.
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Affiliation(s)
- Aliza Pradhan
- ICAR-National Institute of Abiotic Stress Management, Baramati, Pune, India
| | - Raju S.
- M. S. Swaminathan Research Foundation (MSSRF), Taramani, Chennai, India
| | - Nithya D. J.
- M. S. Swaminathan Research Foundation (MSSRF), Taramani, Chennai, India
| | | | | | | | - Bhavani R. V.
- M. S. Swaminathan Research Foundation (MSSRF), Taramani, Chennai, India
- * E-mail:
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47
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Kang MG, Yook SM, Hwang JY. Is It What They Eat or How Much They Eat That Matters More in Adults with Food Insecurity in a Wealthy-Country Context? Nutrients 2021; 13:851. [PMID: 33807652 PMCID: PMC7999059 DOI: 10.3390/nu13030851] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 02/26/2021] [Accepted: 03/02/2021] [Indexed: 11/29/2022] Open
Abstract
This study aimed to investigate whether dietary quantity and/or quality differ according to food security levels in the Korean adult population. Dietary adequacy and quality were evaluated by the Korean Dietary Reference Intake and the Korean Healthy Eating Index (KHEI) for adults, respectively, according to three food security levels, i.e., food security, low food security, and very low food security. A total of 7144 Korean adults (aged 19 to 64 years) were selected from cross-sectional data from the 2013-2015 Korean National Health and Nutrition Examination Surveys. The risk of inadequate nutrient intakes of protein (p trend = 0.021) and phosphorus (p trend = 0.002) increased according to food insecurity levels after adjustment for putative risk factors. The total KHEI scores (p < 0.001) as well as scores of having breakfast (p < 0.001) were lowest in the very low food security group. Among KHEI components, adults with food insecurity were less likely to get full scores from intakes of mixed grains (p trend = 0.016), total fruit (p trend = 0.039), fresh fruit (p trend = 0.043), and breakfast (p trend < 0.001). In addition, food-insecure adults were more likely to get zero score from intakes of fresh fruit (p trend = 0.020), milk and dairy products (p trend = 0.049), breakfast (p trend < 0.001), % of energy from sweets and beverages (p trend = 0.002), and total energy (p trend = 0.033). In conclusion, food security levels were associated with how much they ate, as well what they ate, in adults in South Korea. These results implied that the diet adequacy as well as moderation and balance could be carefully treated with food assistance or nutrition intervention once nutritional adequacy has mostly been met. In addition, targeted intervention programs tailored to diverse contexts for improving food insecurity may prevent unintended consequences due to easy access to inexpensive obesogenic foods in adults with food insecurity.
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Affiliation(s)
- Min Gyeong Kang
- Nutrition Education Major, Graduate School of Education, Sangmyung University, Seoul 03016, Korea;
| | - Sung-Min Yook
- Department of Foodservice Management and Nutrition, Graduate School, Sangmyung University, Seoul 03016, Korea;
| | - Ji-Yun Hwang
- Major of Foodservice Management and Nutrition, Sangmyung University, Seoul 03016, Korea
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48
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Tuthill EL, Maltby A, Conteh J, Sheira LA, Miller JD, Onono M, Weiser SD, Young SL. Persistent Food Insecurity, but not HIV, is Associated with Depressive Symptoms Among Perinatal Women in Kenya: A Longitudinal Perspective. AIDS Behav 2021; 25:847-855. [PMID: 32989575 PMCID: PMC7886965 DOI: 10.1007/s10461-020-03047-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2020] [Indexed: 02/06/2023]
Abstract
Food insecurity (FI) is an understudied risk factor for depression among perinatal women in sub-Saharan Africa. We therefore explored the longitudinal relationship between FI and depressive symptoms among a cohort of perinatal women of mixed HIV status (n = 371) in Kenya (NCT02974972, NCT02979418). Using longitudinal linear and logistic regressions with random effects, we assessed bivariate and adjusted associations between maternal FI and depressive symptoms. HIV status was also assessed as a potential effect modifier. At baseline, 58% of pregnant women had probable depression (CES-D score > 16) and 84% were severely food insecure. In adjusted analyses, severely food-insecure women had 5.90 greater odds (95% CI 2.32, 15.02, p < 0.001) of having probable depression and scored 4.58 points higher on the CES-D scale (SE: 1.04, p < 0.001) relative to food-secure women. HIV status did not modify the association between FI and depressive symptoms. Interventions to reduce FI may reduce perinatal depression, benefiting mothers and their infants.
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Affiliation(s)
- Emily L Tuthill
- Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA, USA
| | - Ann Maltby
- Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA, USA
| | - Jalang Conteh
- Division of HIV, Infectious Disease, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Lila A Sheira
- Division of HIV, Infectious Disease, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Joshua D Miller
- Department of Anthropology, Northwestern University, 1819 Hinman Ave., Evanston, IL, 60208, USA
| | - Maricianah Onono
- Kenya Medical Research Institute- Center for Microbiology Research, Nairobi, Kenya
| | - Sheri D Weiser
- Division of HIV, Infectious Disease, and Global Medicine, Department of Medicine, University of California San Francisco, San Francisco, CA, USA
| | - Sera L Young
- Department of Anthropology, Northwestern University, 1819 Hinman Ave., Evanston, IL, 60208, USA.
- Institute for Policy Research, Northwestern University, 2040 Sheridan Road, Evanston, IL, 60208-4100, USA.
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49
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Ohri-Vachaspati P, Acciai F, Lloyd K, Tulloch D, DeWeese RS, DeLia D, Todd M, Yedidia MJ. Evidence That Changes in Community Food Environments Lead to Changes in Children's Weight: Results from a Longitudinal Prospective Cohort Study. J Acad Nutr Diet 2021; 121:419-434.e9. [PMID: 33309589 PMCID: PMC8742245 DOI: 10.1016/j.jand.2020.10.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 09/22/2020] [Accepted: 10/14/2020] [Indexed: 11/05/2022]
Abstract
BACKGROUND Strategies to improve the community food environment have been recommended for addressing childhood obesity, but evidence substantiating their effectiveness is limited. OBJECTIVE Our aim was to examine the impact of changes in availability of key features of the community food environment, such as supermarkets, small grocery stores, convenience stores, upgraded convenience stores, pharmacies, and limited service restaurants, on changes in children's body mass index z scores (zBMIs). DESIGN We conducted a longitudinal cohort study. PARTICIPANTS/SETTING Two cohorts of 3- to 15-year-old children living in 4 low-income New Jersey cities were followed during 2- to 5-year periods from 2009 through 2017. Data on weight status were collected at 2 time points (T1 and T2) from each cohort; data on food outlets in the 4 cities and within a 1-mile buffer around each city were collected multiple times between T1 and T2. MAIN OUTCOME MEASURES We measured change in children's zBMIs between T1 and T2. STATISTICAL ANALYSIS Changes in the food environment were conceptualized as exposure to changes in counts of food outlets across varying proximities (0.25 mile, 0.5 mile, and 1.0 mile) around a child's home, over different lengths of time a child was exposed to these changes before T2 (12 months, 18 months, and 24 months). Multivariate models examined patterns in relationships between changes in zBMI and changes in the food environment. RESULTS Increased zBMIs were observed in children with greater exposure to convenience stores over time, with a consistent pattern of significant associations across varying proximities and lengths of exposure. For example, exposure to an additional convenience store over 24 months within 1 mile of a child's home resulted in 11.7% higher odds (P = 0.007) of a child being in a higher zBMI change category at T2. Lower zBMIs were observed in children with increased exposure to small grocery stores selling an array of healthy items, with exposure to an additional small grocery store within 1 mile over 24 months, resulting in 37.3% lower odds (P < 0.05) of being in a higher zBMI change category at T2. No consistent patterns were observed for changes in exposure to supermarkets, limited service restaurants, or pharmacies. CONCLUSIONS Increased availability of small grocery stores near children's homes may improve children's weight status, whereas increased availability of convenience stores is likely to be detrimental.
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Affiliation(s)
| | - Francesco Acciai
- College of Health Solutions, Arizona State University, Phoenix, AZ
| | - Kristen Lloyd
- Center for State Health Policy, Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ
| | - David Tulloch
- Center for Remote Sensing and Spatial Analysis, Department of Landscape Architecture, Rutgers University, New Brunswick, NJ
| | - Robin S DeWeese
- College of Health Solutions, Arizona State University, Phoenix, AZ
| | - Derek DeLia
- MedStar Health Research Institute, Hyattsville, MD; Department of Plastic and Reconstructive Surgery, Georgetown University School of Medicine, Washington, DC
| | - Michael Todd
- Edson College of Nursing and Health Innovation, Arizona State University, Phoenix
| | - Michael J Yedidia
- Center for State Health Policy, Institute for Health, Health Care Policy and Aging Research, Rutgers University, New Brunswick, NJ
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50
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Lange SJ, Calancie L, Onufrak SJ, Reddy KT, Palmer A, Lowry Warnock A. Associations between Food Policy Councils and Policies That Support Healthy Food Access: A National Survey of Community Policy Supports. Nutrients 2021; 13:nu13020683. [PMID: 33672716 PMCID: PMC7924387 DOI: 10.3390/nu13020683] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 02/08/2021] [Accepted: 02/13/2021] [Indexed: 11/20/2022] Open
Abstract
Food policy councils (FPCs) are one form of community coalition that aims to address challenges to local food systems and enhance availability, accessibility, and affordability of healthy foods for local residents. We used data from the 2014 National Survey of Community-Based Policy and Environmental Supports for Healthy Eating and Active Living, a nationally representative survey of US municipalities (n = 2029), to examine the prevalence of FPCs and cross-sectional associations between FPCs and four types of supports for healthy food access (approaches to help food stores, practices to support farmers markets, transportation-related supports, and community planning documents). Overall, 7.7% of municipalities reported having a local or regional FPC. FPCs were more commonly reported among larger municipalities with ≥50,000 people (29.2%, 95% Confidence Interval (CI): 21.6, 36.8) and western region municipalities (13.2%, 95% CI: 9.6, 16.8). After multivariable adjustment, municipalities with FPCs had significantly higher odds of having all four types of supports, compared to those without FPCs (adjusted odds ratio (aOR) range: 2.4–3.4). Among municipalities with FPCs (n = 156), 41% reported having a local government employee or elected official as a member, and 46% had a designated health or public health representative. Although FPCs were uncommon, municipalities that reported having a local or regional FPC were more likely to report having supports for healthy food access for their residents.
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Affiliation(s)
- Samantha J. Lange
- Oak Ridge Institute for Science and Education (ORISE) Research Participation Program, Oak Ridge, TN 37870, USA
- Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity, and Obesity, Atlanta, GA 30341, USA; (S.J.O.); (A.L.W.)
- Correspondence:
| | - Larissa Calancie
- ChildObesity180, Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA;
| | - Stephen J. Onufrak
- Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity, and Obesity, Atlanta, GA 30341, USA; (S.J.O.); (A.L.W.)
| | | | - Anne Palmer
- Johns Hopkins Center for a Livable Future, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21202, USA;
| | - Amy Lowry Warnock
- Centers for Disease Control and Prevention, Division of Nutrition, Physical Activity, and Obesity, Atlanta, GA 30341, USA; (S.J.O.); (A.L.W.)
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