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1.
PLoS One ; 19(5): e0292005, 2024.
Article in English | MEDLINE | ID: mdl-38723022

ABSTRACT

India is the world's largest edible oil importer, and soybean oil accounts for a major portion of those imports, with implications for the Indian economy. Despite being the 4th largest globally in terms of harvested soybean area and 5th largest in terms of production, India is still heavily dependent on imports to meet the vegetable oil requirement for its population. It is therefore imperative to understand the dynamics and trends in India's soybean production to help the country achieve self-sufficiency in edible oils. This study provides the first spatially explicit analysis of soybean in India, using long-term spatial and temporal statistics at national and subnational levels, using spatial and temporal statistical analysis models to examine the historical trends and its future prospects. Our analysis details the overall soybean expansion across the country and the increase in production but we also note that the annual growth rate has declined in each consecutive decade even though the area continues to expand. The average national yield has been stagnant at around 1 T/Ha but for some of the low-producing districts, a higher yield of more than 3 T/ha is reported. For most major producing districts, soybean yields are below 1.5 T/Ha. The state of Madhya Pradesh which was the major soybean producer is now matched by the state of Maharashtra in terms of production, however, Madhya Pradesh still has the largest area under soybean. We analyzed soybean hotspot expansion in India and found that the mean center of the soybean area and production has shifted approximately 93 km towards the south and 24 km to the west as the crop is rapidly being adopted in the southern and western parts of India expanding the hotspot in these parts. District-level analysis showed that the total number of districts constituting hotspots of soybean cultivation in India has increased from 29 to 42 in three decades. Furthermore, analysis of soybean oil and meal consumption with respect to the national population, import, export, domestic production, GDP per capita, and price of soybean oil and meal suggests that soybean oil and meal are highly correlated with GDP per capita and population, indicating that consumption of soybean oil and meal is likely to increase as GDP per capita increases, and future demand is expected to rise with the anticipated growth in the Indian population. Increased soybean production can play a significant role in increasing national food security for India and reducing dependence on foreign oil imports and also help the economy with soy meal exports. Understanding the spatiotemporal variability in area and yield will help target interventions to increase production. Given the overall low yields with high variability in production, particularly in recent years primarily due to successive extreme rains and droughts in major producing districts and the overall need to increase production to meet the country's demand, there is a pressing need for government policies and research aimed at narrowing the yield gap and developing soybean varieties that are more productive and resilient to climate change.


Subject(s)
Food Security , Glycine max , Spatio-Temporal Analysis , Glycine max/growth & development , India , Humans , Soybean Oil
2.
PLoS One ; 19(5): e0302638, 2024.
Article in English | MEDLINE | ID: mdl-38718016

ABSTRACT

Hydroponics offers a promising approach to help alleviate pressure on food security for urban residents. It requires minimal space and uses less resources, but management can be complex. Microscale Smart Hydroponics (MSH) systems leverage IoT systems to simplify hydroponics management for home users. Previous work in nutrient management has produced systems that use expensive sensing methods or utilized lower cost methods at the expense of accuracy. This study presents a novel inexpensive nutrient management system for MSH applications that utilises a novel waterproofed, IoT spectroscopy sensor (AS7265x) in a transflective application. The sensor is submerged in a hydroponic solution to monitor the nutrients and MSH system predicts the of nutrients in the hydroponic solution and recommends an adjustment quantity in mL. A three-phase model building process was carried out resulting in significant MLR models for predicting the mL, with an R2 of 0.997. An experiment evaluated the system's performance using the trained models with a 30-day grow of lettuce in a real-world setting, comparing the results of the management system to a control group. The sensor system successfully adjusted and maintained nutrient levels, resulting in plant growth that outperformed the control group. The results of the models in actual deployment showed a strong, significant correlation of 0.77 with the traditional method of measuring the electrical conductivity of nutrients. This novel nutrient management system has the potential to transform the way nutrients are monitored in hydroponics. By simplifying nutrient management, this system can encourage the adoption of hydroponics, contributing to food security and environmental sustainability.


Subject(s)
Hydroponics , Nutrients , Hydroponics/methods , Nutrients/analysis , Spectrum Analysis/methods , Lactuca/growth & development , Food Security
3.
BMC Public Health ; 24(1): 1220, 2024 May 03.
Article in English | MEDLINE | ID: mdl-38698385

ABSTRACT

BACKGROUND: Minoritized racial/ethnic groups and women in the United States (US) are disproportionately burdened by food insecurity, which likely contributes to disparities in cardiovascular health (CVH). Disparities are projected to widen due to the worsening climate crisis that is straining the agricultural system including food supplies. Nonetheless, studies have not investigated the relationship between food security status and 'ideal' CVH in a large, nationally-representative and racially/ethnically diverse US sample. METHODS AND RESULTS: We investigated household food security status in relation to 'ideal' CVH among US adults (N = 157,001) using 2014-2018/2020 National Health Interview Survey data. Food security status was defined as very low, low, marginal, or high. A summed score of 4 health behaviors and 3 clinical factors totaling 7 different measures was dichotomized (yes/no) to assess modified 'ideal' CVH (mICVH). Using Poisson regression with robust variance, we estimated prevalence ratios (PRs) and 95% CIs of mICVH by household food security status. We stratified models by sex/gender and race/ethnicity. Very low food security prevalence was higher among non-Hispanic (NH)-Black (8.0%) compared to Hispanic/Latinx (5.1%), NH-White (3.1%) and NH-Asian (1.7%) adults. The association between very low versus high food security and mICVH was stronger among women (PR = 0.23 [95% CI: 0.17-0.31]) than men (PR = 0.48 [95% CI: 0.35-0.66]). Compared to NH-White adults with high food security, racially/ethnically minoritized groups with very low to high food security were generally less likely (range: [PRvery low = 0.25[95% CI: 0.14-0.44] - [PRhigh = 0.88 [95% CI: 0.79-0.97]) to meet mICVH criteria. CONCLUSIONS: Food insecurity was associated with lower mICVH prevalence and racially/ethnically minoritized groups were disproportionately burdened.


Subject(s)
Food Security , Humans , Female , Male , United States/epidemiology , Adult , Middle Aged , Food Security/statistics & numerical data , Ethnicity/statistics & numerical data , Sex Factors , Cardiovascular Diseases/ethnology , Cardiovascular Diseases/epidemiology , Young Adult , Racial Groups/statistics & numerical data , Aged , Health Status Disparities , Health Surveys
4.
Int J Mol Sci ; 25(9)2024 May 03.
Article in English | MEDLINE | ID: mdl-38732211

ABSTRACT

In the face of climate-induced challenges, understanding the intricate molecular mechanisms underlying drought tolerance in plants has become imperative [...].


Subject(s)
Droughts , Food Security , Stress, Physiological , Plants/genetics , Plants/metabolism , Gene Expression Regulation, Plant , Plant Physiological Phenomena
5.
Nutrients ; 16(9)2024 Apr 28.
Article in English | MEDLINE | ID: mdl-38732568

ABSTRACT

Household food insecurity (HFI) and poorer prenatal diet quality are both associated with adverse perinatal outcomes. However, research assessing the relationship between HFI and diet quality in pregnancy is limited. A cross-sectional online survey was conducted to examine the relationship between HFI and diet quality among 1540 pregnant women in Australia. Multiple linear regression models were used to examine the associations between HFI severity (marginal, low, and very low food security compared to high food security) and diet quality and variety, adjusting for age, education, equivalised household income, and relationship status. Logistic regression models were used to assess the associations between HFI and the odds of meeting fruit and vegetable recommendations, adjusting for education. Marginal, low, and very low food security were associated with poorer prenatal diet quality (adj ß = -1.9, -3.6, and -5.3, respectively; p < 0.05), and very low food security was associated with a lower dietary variety (adj ß = -0.5, p < 0.001). An association was also observed between HFI and lower odds of meeting fruit (adjusted odds ratio [AOR]: 0.61, 95% CI: 0.49-0.76, p < 0.001) and vegetable (AOR: 0.40, 95% CI: 0.19-0.84, p = 0.016) recommendations. Future research should seek to understand what policy and service system changes are required to reduce diet-related disparities in pregnancy.


Subject(s)
Diet , Food Insecurity , Humans , Female , Pregnancy , Cross-Sectional Studies , Adult , Australia , Young Adult , Vegetables , Fruit , Food Supply/statistics & numerical data , Food Security , Maternal Nutritional Physiological Phenomena
7.
Appetite ; 198: 107353, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38609011

ABSTRACT

Older adults vulnerable to food insecurity are at risk of poor psychological and physical health. Poor public infrastructure or proximity to food sources can exacerbate risk of food insecurity. Reduced statutory services for social care has heightened the responsibility on third sector organisations and community-led volunteering, essential to supporting healthy ageing in place and reducing the inequalities of ageing. The aim of this qualitative study was to explore how older adults' volunteering with a third sector organisation focused on food access supports food security and builds social capital for socially or economically marginalised older adults within rural and food desert communities. The study aims to bridge the knowledge gap of how volunteering in vulnerable geographies affects food insecurity and community. Semi-structured interviews were conducted with seven older (55+) volunteer 'meal makers' working with the third sector organisation Food Train and its 'Meal Makers' project. Interview recordings were transcribed and thematically analysed. Ecomap methodology was used to illustrate the lived experiences of older adult volunteers as told through the interviews. Two themes were identified by Thematic Analysis: (1) Networks, connectedness, and exposure to social capital, and (2) Supplementary support. This study finds that older adult volunteers are well placed within community interventions supporting food insecure older adults in rural or food desert communities. Ecomaps demonstrated that high social capital volunteers can mediate food access barriers and highlighted points of local knowledge and social connection. Volunteer engagement provides opportunities for food secure older adults to share local knowledge and build networks of food support and social inclusion for food insecure older adults. Older age volunteering should be advocated as a multi-faceted intervention promoting mutual health and wellbeing in volunteer and beneficiary.


Subject(s)
Food Insecurity , Food Security , Qualitative Research , Rural Population , Volunteers , Humans , Volunteers/psychology , Aged , Female , Male , Middle Aged , Social Capital , Food Supply/methods , Social Support , Empowerment , Aged, 80 and over
8.
Ecol Food Nutr ; 63(3): 268-279, 2024.
Article in English | MEDLINE | ID: mdl-38659379

ABSTRACT

This study assessed the impact of safety nets on food insecurity in households with people with disabilities (PWD) in Nigeria. Using data from the 2019 Nigeria General Household Survey, we assessed the risk of experiencing food insecurity among households and the moderating role of safety nets using households without PWDs as a reference. PWD households were three times more likely to experience severe food insecurity compared to households without PWDs. The impact of the safety net program on the risk of food insecurity showed that receiving social benefits had little effect among households with disabled members experiencing severe food insecurity.


Subject(s)
Disabled Persons , Family Characteristics , Food Insecurity , Food Security , Humans , Nigeria , Female , Male , Adult , Middle Aged , Surveys and Questionnaires , Food Supply , Young Adult
9.
PLoS One ; 19(4): e0302072, 2024.
Article in English | MEDLINE | ID: mdl-38630700

ABSTRACT

The aim of the paper is to provide an ex-post assessment of the impact of the COVID-19 pandemic on food insecurity in the EU-27 countries expressed by physical and economic food access. We analysed trade and price effects, together with food insecurity and malnutrition indicators. Actual levels of the indicators were compared with their pre-pandemic magnitudes and/or with counterfactual levels derived from predictive models. We also aimed to compare the objective statistics with the subjective consumers' perception of their households' food security. Our research indicates that the EU food trade was more resilient to COVID-19 impacts than the trade in non-food products, while food trade decreases were of a temporary nature. This did not affect the trade balance significantly; however, the import reduction threatened the physical food access in most EU countries. Regarding economic food access, the results indicate that the increase in food prices was offset by the increase in disposable income. It may suggest that the COVID-19 pandemic did not significantly affect the deterioration of economic access to food in the EU countries. However, the prevalence of severe food insecurity in the total population or the proportion of households reporting inability to afford a meal with meat, chicken, fish, or a vegetarian equivalent increased in 2020-2021 compared to 2019. This means that the comparative analysis of the real data on prices and households' income, as well as consumer financial situation and food consumption affordability, does not offer a clear answer concerning the impact of the COVID-19 pandemic on the food security of EU households.


Subject(s)
COVID-19 , Humans , Pandemics , Food Supply , Meals , Food Security
10.
PeerJ ; 12: e17281, 2024.
Article in English | MEDLINE | ID: mdl-38680897

ABSTRACT

COVID-19 has a deep impact on the economic, environmental, and social life of the global population. Particularly, it disturbed the entire agriculture supply chain due to a shortage of labor, travel restrictions, and changes in demand during lockdowns. Consequently, the world population faced food insecurity due to a reduction in food production and booming food prices. Low-income households face food security challenges because of limited income generation during the pandemic. Thus, there is a need to understand comprehensive strategies to meet the complex challenges faced by the food industry and marginalized people in developing countries. This research is intended to review the agricultural supply chain, global food security, and environmental dynamics of COVID-19 by exploring the most significant literature in this domain. Due to lockdowns and reduced industrial production, positive environmental effects are achieved through improved air and water quality and reduced noise pollution globally. However, negative environmental effects emerged due to increasing medical waste, packaging waste, and plastic pollution due to disruptions in recycling operations. There is extensive literature on the effects of COVID-19 on the environment and food security. This study is an effort to review the existing literature to understand the net effects of the pandemic on the environment and food security. The literature suggested adopting innovative policies and strategies to protect the global food supply chain and achieve economic recovery with environmental sustainability. For instance, food productivity should be increased by using modern agriculture technologies to ensure food security. The government should provide food to vulnerable populations during the pandemic. Trade restrictions should be removed for food trade to improve international collaboration for food security. On the environmental side, the government should increase recycling plants during the pandemic to control waste and plastic pollution.


Subject(s)
Agriculture , COVID-19 , Food Security , Food Supply , COVID-19/epidemiology , COVID-19/prevention & control , COVID-19/transmission , Humans , Agriculture/economics , Food Supply/economics , SARS-CoV-2 , Pandemics/prevention & control , Pandemics/economics , Recycling , Environment
11.
Nutrients ; 16(7)2024 Apr 02.
Article in English | MEDLINE | ID: mdl-38613067

ABSTRACT

Students are required to complete supervised practice hours prior to becoming Registered Dietitians and Physician Assistants. Research suggests that environmental and social factors affect dietetic interns' diets during their internship, although these factors have not been studied among physician assistant interns. This cross-sectional study utilized an online survey to compare dietetic interns' (n = 81) and physician assistant interns' (n = 79) fruit and vegetable intake, food security, barriers to healthy eating, and empowerment for making healthy dietary choices during an internship. Differences were assessed via independent t-tests and chi-square distributions. The significance was set at p < 0.05. Dietetic interns had a higher vegetable intake (p = 0.002) while physician assistant interns had higher rates of food insecurity (p = 0.040). Dietetic interns reported a greater impact on their dietary choices due to mental fatigue (p = 0.006), while physician assistant interns' dietary choices were more heavily impacted by peer influence, interactions with patients, and interactions with preceptors (p < 0.05). There was not a group difference in overall empowerment (p = 0.157), although both groups rated empowerment for asking for help with food and nutrition challenges the lowest of the empowerment sub-items. Addressing interns' unique needs may support students' educational success and wellbeing once they are professionals, promote a diverse workforce, and ensure optimal care for patients.


Subject(s)
Dietetics , Physician Assistants , Humans , Fruit , Diet, Healthy , Cross-Sectional Studies , Pilot Projects , Vegetables , Food Security
12.
BMC Bioinformatics ; 25(1): 168, 2024 Apr 27.
Article in English | MEDLINE | ID: mdl-38678218

ABSTRACT

This study investigates the impact of spatio- temporal correlation using four spatio-temporal models: Spatio-Temporal Poisson Linear Trend Model (SPLTM), Poisson Temporal Model (TMS), Spatio-Temporal Poisson Anova Model (SPAM), and Spatio-Temporal Poisson Separable Model (STSM) concerning food security and nutrition in Africa. Evaluating model goodness of fit using the Watanabe Akaike Information Criterion (WAIC) and assessing bias through root mean square error and mean absolute error values revealed a consistent monotonic pattern. SPLTM consistently demonstrates a propensity for overestimating food security, while TMS exhibits a diverse bias profile, shifting between overestimation and underestimation based on varying correlation settings. SPAM emerges as a beacon of reliability, showcasing minimal bias and WAIC across diverse scenarios, while STSM consistently underestimates food security, particularly in regions marked by low to moderate spatio-temporal correlation. SPAM consistently outperforms other models, making it a top choice for modeling food security and nutrition dynamics in Africa. This research highlights the impact of spatial and temporal correlations on food security and nutrition patterns and provides guidance for model selection and refinement. Researchers are encouraged to meticulously evaluate the biases and goodness of fit characteristics of models, ensuring their alignment with the specific attributes of their data and research goals. This knowledge empowers researchers to select models that offer reliability and consistency, enhancing the applicability of their findings.


Subject(s)
Food Security , Africa , Food Security/methods , Spatio-Temporal Analysis , Humans , Computer Simulation , Poisson Distribution
13.
Nutrients ; 16(8)2024 Apr 10.
Article in English | MEDLINE | ID: mdl-38674810

ABSTRACT

Food security, food sustainability, and malnutrition represent critical global challenges. Th urgency of comprehensive action is evident in the need for research collaboration between the food industry, agriculture, public health, and nutrition. This article highlights the role of philanthropy, of a non-profit organization, in supporting research and development and filling financial gaps. The article also explores the interplay of nutrition, agriculture, and government and policy, positioning philanthropy as a catalyst for transformative change and advocating for collaborative efforts to comprehensively address global food challenges. In addition, the discussion also underscores the ethical complexities surrounding charitable food aid, especially in terms of the dignity and autonomy of its recipients. The paper concludes by proposing future directions and implications, advocating for diversified intervention portfolios and collaborative efforts involving governments, businesses, and local communities. Apart from that, the importance of answering and alleviating ethical dilemmas related to food charity assistance needs to be a concern for future studies related to philanthropy because of the significant challenges faced by the contemporary food system, which include food security, health, and nutritional sustainability.


Subject(s)
Agriculture , Fund Raising , Humans , Agriculture/ethics , Fund Raising/ethics , Food Supply , Nutrition Policy , Food Security , Charities , Food Assistance/ethics
14.
Nutrients ; 16(8)2024 Apr 21.
Article in English | MEDLINE | ID: mdl-38674924

ABSTRACT

Although adequate nutritional status during pregnancy is necessary to support optimal fetal development, many low-income women have poor access to fresh, high-nutrient foods. To address these challenges, a pediatric fruit and vegetable (FV) prescription program was expanded to include pregnant women, providing one prescription for fresh FVs worth 15 US dollars during each prenatal office visit for redemption at farmers'/mobile markets. This analysis describes baseline sociodemographic characteristics, food security, and dietary intake among 253 pregnant women in Flint, Michigan in 2022-23. Dietary recall data were collected and analyzed using the Automated Self-Administered 24-h Tool developed by the US National Cancer Institute, with nutrition output reported in relation to adherence to US Dietary Guidelines. Most participants (mean ± SD age 26.51 ± 4.90 years) identified as African American (53%) and were receiving publicly funded health insurance (66%). Most (75%) reported no food insecurity, yet the majority failed to meet dietary recommendations for whole grains (99.3%), vegetables (93.1%), dairy (93.1%), and fruits (69.4%). Moreover, most did not meet micronutrient recommendations through food sources, including vitamin D (100%), iron (98.6%), folic acid (98.6%), vitamin A (82.6%), calcium (68.8%), and vitamin C (62.5%). Results raise deep concerns regarding diet and nutrition among pregnant women in this US city.


Subject(s)
Food Security , Fruit , Vegetables , Humans , Female , Pregnancy , Michigan , Adult , Prenatal Care/methods , Diet , Young Adult , Nutritional Status , Poverty
15.
BMC Public Health ; 24(1): 985, 2024 Apr 08.
Article in English | MEDLINE | ID: mdl-38589821

ABSTRACT

BACKGROUND: Malnutrition is a worldwide problem that impacts every country, affecting one in three individuals, including Ghana. According to estimates from the Food and Agriculture Organization (FAO), 690 million people were undernourished globally in 2019. Malnutrition is no exception in rural cocoa communities in Ghana. The expansion of cocoa is causing food insecurity and low dietary diversity in most cocoa-growing areas. There is little information on the food security status and dietary diversity among male-headed and female-headed cocoa households in the Juaboso-Bia cocoa landscape. Thus, this study sought to explore the dietary diversity distribution, food security status, sources of staple food, food unavailability periods, food production status, themes contributing to low dietary diversity and food insecurity, and perception of the impact of cocoa expansion on crop diversification among male-headed and female-headed cocoa households in the study area. METHODS: Both quantitative and qualitative research methods were employed to address the research questions. The study collected 200 semi-structured questionnaire data and 14 in-depth interview data from cocoa household heads in the Juaboso-Bia landscape. The survey data was cleaned and analysis, such as household dietary diversity status, food security status, and binary logistic regression were performed in the Statistical Package for Social Scientists (SPSS). The in-depth interviews were analyzed using thematic analysis. RESULTS: Through this study, it was revealed that 62.8% of the male-headed cocoa households had medium to high dietary diversity compared to their female counterparts 39.3%. About 47.9% of the male-headed households were food secure than the female-headed households (29.1%). Moreover, the months that both male and female-headed households recalled facing severe food unavailability were July and June. In addition, climate change/variability, unavailable lands, poverty, large household size, and gender stereotypes were themes promoting low dietary diversity and food insecurity among male and female-headed households. Furthermore, sex, total household income, and cropland conversion to cocoa were the variables influencing household heads' perception of the impact of cocoa expansion on crop diversification. CONCLUSIONS: The study showed that the male-headed cocoa households had high dietary diversity and were food secure than the female-headed cocoa households, lending credence to the conceptual framework applied in this study. There is a significant relationship between household head gender and food security status. Therefore, this study recommends the following interventions to improve dietary diversity and food security among male and female-headed cocoa households: raise awareness about the need for diverse diets and provide practical information on how to incorporate a greater variety of food groups into their daily meals; and promote gender equity and inclusivity in food security interventions. Future research could investigate how gender mainstreaming policies in agriculture have helped empower and improve the food security of female-headed households in Ghana.


Subject(s)
Food Supply , Malnutrition , Humans , Male , Female , Ghana , Diet , Family Characteristics , Meals , Food Security
17.
Braz J Biol ; 84: e278045, 2024.
Article in English | MEDLINE | ID: mdl-38511777

ABSTRACT

The institutionalization of participation is a topic that has been discussed in different ways over the last few decades. There are many diverse aspects of the agricultural sector and rural communities that can be identified and used to bring about a major change in agriculture. Community supported agriculture (CSA) is one of the participatory and sustainable approaches that can be used in this regard. CSA is a relatively new socioeconomic model for producing food materials, increasing food security, improving the quality of food materials and conserving agricultural land, plants and animals. This research aimed to design a CSA model that was operationalized in Markazi province, Iran, with the aim of increasing food security. It was a survey study applied through a questionnaire. The statistical population (N=110) consisted of all active farmers in Ghazel Dareh village who were selected through the census method. The necessary information was collected through a questionnaire (84 of which were completed and returned) and analyzed using SPSS v. 25 and LISREL. The results showed that economic, socio-institutional, policy-making, educational and infrastructural factors significantly influenced the development of CSA. Infrastructural and socio-institutional factors with impact factors of 0.88 and 0.54 had the largest and smallest effect on CSA, respectively. Finally, since all impact factors were positive, we can say that improving each of these factors could improve the development of CSA in the study area.


Subject(s)
Agriculture , Food Supply , Humans , Crops, Agricultural , Rural Population , Food Security
18.
BMC Public Health ; 24(1): 885, 2024 Mar 22.
Article in English | MEDLINE | ID: mdl-38519902

ABSTRACT

There is voluminous literature on Food Security in Africa. This study explicitly considers the spatio-temporal factors in addition to the usual FAO-based metrics in modeling and understanding the dynamics of food security and nutrition across the African continent. To better understand the complex trajectory and burden of food insecurity and nutrition in Africa, it is crucial to consider space-time factors when modeling and interpreting food security. The spatio-temporal anova model was found to be superior(employing statistical criteria) to the other three models from the spatio-temporal interaction domain models. The results of the study suggest that dietary supply adequacy, food stability, and consumption status are positively associated with severe food security, while average food supply and environmental factors have negative effects on Food Security and Nutrition. The findings also indicate that severe food insecurity and malnutrition are spatially and temporally correlated across the African continent. Spatio-temporal modeling and spatial mapping are essential components of a comprehensive practice to reduce the burden of severe food insecurity. likewise, any planning and intervention to improve the average food supply and environment to promote sustainable development should be regional instead of one size fit all.


Subject(s)
Malnutrition , Humans , Malnutrition/epidemiology , Nutritional Status , Diet , Africa , Food Supply/methods , Food Security
19.
Article in English | MEDLINE | ID: mdl-38541342

ABSTRACT

Older adults are at a greater risk for food insecurity compared to the general population. This study aimed to describe changes in diet quality and food insecurity following a free meal program at low-income, older adult housing complexes. Study participants were recruited from two low-income older adult public housing complexes in Kentucky. Fifty participants were enrolled and received 1-4 free weekly meals across 3 months as part of the Meals on Wings pilot program. Surveys and a 24 h dietary recall were completed at baseline and 3 months. Participants were predominately female, 69 years of age, and Black or African American race. Food security status (FSS) and dietary quality through the Healthy Eating Index (HEI) were assessed as primary measures. Participants were placed in "at-risk" categories of the (1a) lower quartile of the HEI and (1b) lower than 51% HEI, or (2) "low" or "very low" food security status based on the USDA Household Food Security Screener (FSS). Multiple linear regression (MLR) models were conducted for HEI and FSS scores to include time, group, time*group interaction, and control of meal utilization percentage (i.e., dose). The MLR for the HEI quartile had a significant time by quartile interaction that was present for an increase in the HEI in Q1 (n = 12; 32.42 ± 5.95% to n = 6; 46.10 ± 10.62%; p < 0.0001) and a decrease in the HEI for Q4 (n = 12; 70.68 ± 7.13% to n = 9; 52.36 ± 11.57%; p < 0.0001). For those low food security participants (n = 24; 48.0%), the average food insecurity score from the 6-item USDA screener improved from 4.09 ± 1.62 at baseline to 2.63 ± 2.41 at 3 months (p = 0.0064). The MLR for the FSS had a significant group*time interaction (p = 0.0071). In our population, particularly those vulnerable with lowest dietary quality and food insecurity status, we did see improvements across the free meal pilot program. However, a small sample, limited generalizability, and limited data collection measures urge caution when using these results to extrapolate for the general population. However, the current results are promising and should encourage further investigation of the effects of meal assistance programs on the health and well-being of older adults.


Subject(s)
Food Assistance , Quality Improvement , Humans , Female , Aged , Pilot Projects , Diet , Meals , Food Security , Food Supply
20.
Nutrients ; 16(6)2024 Mar 07.
Article in English | MEDLINE | ID: mdl-38542679

ABSTRACT

Parents' feeding practices are a function of child eating behaviors, health, and other factors. Adherence to the Satter Division of Responsibility in Feeding (sDOR) model has not been examined relating to child BMI, household food security, or child eating behavior. This study evaluates the adherence to sDOR in relation to child eating behavior, nutrition risk, BMI-for-age, dietary intake, and food security. Ninety-one parent-child (3 to <6 years) dyads completed a cross-sectional asymmetric survey in August-November 2019; n = 69 parents from the original sample completed additional and retrospective questions in June 2021. Main outcomes included sDOR adherence (sDOR.2-6y™), a Child Eating Behavior Questionnaire (CEBQ), nutrition risk (NutriSTEP®), the USDA 6-item screener, the Block Kids Food Screener, and eating competence (ecSI 2.0™). The children's weight and height were investigator-measured. Associations were tested with Pearson's r and Chi Square for continuous and categorical variables, independent sample t-test, one-way ANOVA, or Mann-Whitney U compared means. The dietary comparisons used Spearman's rho correlation coefficient. sDOR adherence was associated with a lower nutrition risk (r = 0.26, p = 0.03) and showed convergent validation with child eating behavior for three child eating behavior (CEBQ) constructs. sDOR.2-6y™ was not related to the child BMI-for-age z-score (r = 0.11, p = 0.39, n = 69). NutriSTEP® was associated with dietary quality and higher ecSI 2.0TM (r = 0.32, p = 0.008, n = 69). No associations between sDOR.2-6y™ and food security or dietary intake were noted.


Subject(s)
Feeding Behavior , Nutritional Status , Humans , Child, Preschool , Child , Body Mass Index , Cross-Sectional Studies , Retrospective Studies , Surveys and Questionnaires , Child Behavior , Food Security
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