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Nakonechna A, van Bergen A, Anantharachagan A, Arnold D, Johnston N, Nadeau K, Rutkowski K, Sindher SB, Sriaroon P, Thomas I, Vijayadurai P, Wagner A, Davis CM. Fish and shellfish allergy: Presentation and management differences in the UK and US-analysis of 945 patients. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY. GLOBAL 2024; 3:100309. [PMID: 39253105 PMCID: PMC11381858 DOI: 10.1016/j.jacig.2024.100309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 05/19/2024] [Accepted: 06/04/2024] [Indexed: 09/11/2024]
Abstract
Background Seafood allergy (SA), including allergy to shellfish (crustacean and mollusks) and fish, is among the 4 most common food allergies causing anaphylaxis, but there are limited data showing SA clinical management in different countries. Objective We sought to characterize a large cohort of patients with fish and shellfish allergy and to facilitate standardization of future care for this increasingly common allergic disease. Methods We performed a retrospective, observational, noninterventional study from 945 patients from 2015 to 2019 in 7 hospitals in the United States and the United Kingdom to evaluate SA. A chi-square test was used to detect differences in family history, medical history, and current symptoms between patients in 2 countries. Results Underdiagnosed anaphylaxis in patients with SA was associated with underuse of epinephrine (adrenaline) autoinjectors in both countries. Oral food challenge was used only when skin or serologic test results were negative. Asthma and allergic rhinitis were more common in the US patients with SA, but eczema was more common in UK patients with SA (P < .001). Respiratory, gastrointestinal, and neurological symptoms were higher in UK patients with SA than in US patients with SA (P < .001). Conclusions In international multicenter cohorts of patients with fish and shellfish allergy, there are opportunities for improvement in management. Physician identification of anaphylaxis, use of diagnostic oral food challenges, and anaphylaxis treatment with epinephrine are areas with significant knowledge gaps in need of improvement in the United Kingdom and the United States. There is an opportunity for the development of unified, standardized diagnostic protocols for SA with distribution for allergists and trainees.
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Affiliation(s)
- Alla Nakonechna
- University of Liverpool, Liverpool, United Kingdom
- Department of Immunology and Allergy, Hull University Teaching Hospitals NHS Foundation Trust, Hull, United Kingdom
- Clinical Immunology and Allergy Unit, Sheffield Teaching Hospitals Foundation NHS Trust, Sheffield, United Kingdom
| | | | - Ariharan Anantharachagan
- Department of Allergy & Clinical Immunology, Royal Preston Hospital Lancashire Teaching Hospitals NHS Foundation Trust, Preston, United Kingdom
| | - Dilani Arnold
- Clinical Immunology and Allergy Unit, Sheffield Teaching Hospitals Foundation NHS Trust, Sheffield, United Kingdom
| | - Nicole Johnston
- The University of Texas Health Science Center, McGovern Medical School, Houston, Tex
| | - Kari Nadeau
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, Mass
| | - Krzysztof Rutkowski
- Department of Adult Allergy, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
| | - Sayantani B Sindher
- Sean N. Parker Center for Allergy and Asthma Research, Stanford University, Palo Alto, Calif
| | - Panida Sriaroon
- University of South Florida Morsani College of Medicine, Johns Hopkins All Children's Hospital, St Petersburg, Fla
| | - Iason Thomas
- Department of Adult Allergy, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
| | - Pavaladurai Vijayadurai
- Department of Allergy & Clinical Immunology, Royal Preston Hospital Lancashire Teaching Hospitals NHS Foundation Trust, Preston, United Kingdom
| | - Annette Wagner
- Department of Allergy, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom
| | - Carla M Davis
- Division of Immunology, Allergy, and Retrovirology, Baylor College of Medicine/Texas Children's Hospital, Houston, Tex
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Golden CD, Hartmann AC, Gibbons E, Todinanahary G, Troell MF, Ampalaza G, Behivoke F, David JM, Durand JD, Falinirina AM, Frånberg C, Declèrque F, Hook K, Kelahan H, Kirby M, Koenen K, Lamy T, Lavitra T, Moridy F, Léopold M, Little MJ, Mahefa JC, Mbony J, Nicholas K, Nomenisoa ALD, Ponton D, Rabarijaona RR, Rabearison M, Rabemanantsoa SA, Ralijaona M, Ranaivomanana HS, Randriamady HJ, Randrianandrasana J, Randriatsara HO, Randriatsara RM, Rasoanirina M, Ratsizafy MR, Razafiely KF, Razafindrasoa N, Romario, Solofoarimanana MY, Stroud RE, Tsiresimiary M, Volanandiana AJ, Volasoa NV, Vowell B, Zamborain-Mason J. HIARA study protocol: impacts of artificial coral reef development on fisheries, human livelihoods and health in southwestern Madagascar. Front Public Health 2024; 12:1366110. [PMID: 39076417 PMCID: PMC11284108 DOI: 10.3389/fpubh.2024.1366110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2024] [Accepted: 06/24/2024] [Indexed: 07/31/2024] Open
Abstract
The Health Impacts of Artificial Reef Advancement (HIARA; in the Malagasy language, "together") study cohort was set up in December 2022 to assess the economic and nutritional importance of seafood for the coastal Malagasy population living along the Bay of Ranobe in southwestern Madagascar. Over the course of the research, which will continue until at least 2026, the primary question we seek to answer is whether the creation of artificial coral reefs can rehabilitate fish biomass, increase fish catch, and positively influence fisher livelihoods, community nutrition, and mental health. Through prospective, longitudinal monitoring of the ecological and social systems of Bay of Ranobe, we aim to understand the influence of seasonal and long-term shifts in marine ecological resources and their benefits to human livelihoods and health. Fourteen communities (12 coastal and two inland) were enrolled into the study including 450 households across both the coastal (n = 360 households) and inland (n = 90 households) ecosystems. In the ecological component, we quantify the extent and health of coral reef ecosystems and collect data on the diversity and abundance of fisheries resources. In the social component, we collect data on the diets, resource acquisition strategies, fisheries and agricultural practices, and other social, demographic and economic indicators, repeated every 3 months. At these visits, clinical measures are collected including anthropometric measures, blood pressure, and mental health diagnostic screening. By analyzing changes in fish catch and consumption arising from varying distances to artificial reef construction and associated impacts on fish biomass, our cohort study could provide valuable insights into the public health impacts of artificial coral reef construction on local populations. Specifically, we aim to assess the impact of changes in fish catch (caused by artificial reefs) on various health outcomes, such as stunting, underweight, wasting, nutrient intake, hypertension, anxiety, and depression.
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Affiliation(s)
- Christopher D. Golden
- Department of Nutrition, School of Public Health, Harvard University, Boston, MA, United States
- Department of Environmental Health, School of Public Health, Harvard University, Boston, MA, United States
- Madagascar Health and Environmental Research (MAHERY), Maroantsetra, Madagascar
| | - Aaron C. Hartmann
- Department of Organismic and Evolutionary Biology, Faculty of Arts and Sciences, Harvard University, Cambridge, MA, United States
| | | | - Gildas Todinanahary
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Max F. Troell
- Beijer Institute of Ecological Economics, Stockholm, Sweden
- Stockholm Resilience Centre, Stockholm University, Stockholm, Sweden
| | - Gaelle Ampalaza
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Faustinato Behivoke
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Jean Marie David
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Jean-Dominique Durand
- UMR9190 Centre Pour la Biodiversité Marine, l’exploitation et la Conservation (MARBEC), Sète, France
| | | | - Christopher Frånberg
- Department of Ecology, Environment and Plant Sciences, Faculty of Science, Stockholm University, Stockholm, Sweden
| | - Frédéric Declèrque
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Kimberly Hook
- Department of Epidemiology, School of Public Health, Harvard University, Boston, MA, United States
| | - Heather Kelahan
- Department of Nutrition, School of Public Health, Harvard University, Boston, MA, United States
| | - Megumi Kirby
- Department of Organismic and Evolutionary Biology, Faculty of Arts and Sciences, Harvard University, Cambridge, MA, United States
| | - Karestan Koenen
- Department of Nutrition, School of Public Health, Harvard University, Boston, MA, United States
| | - Thomas Lamy
- UMR9190 Centre Pour la Biodiversité Marine, l’exploitation et la Conservation (MARBEC), Sète, France
| | - Thierry Lavitra
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Franciana Moridy
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | | | - Mark J. Little
- Department of Organismic and Evolutionary Biology, Faculty of Arts and Sciences, Harvard University, Cambridge, MA, United States
| | - Jean C. Mahefa
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Jovial Mbony
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Khristopher Nicholas
- Department of Nutrition, School of Public Health, Harvard University, Boston, MA, United States
| | - Aina Le Don Nomenisoa
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | | | - Roddy R. Rabarijaona
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
- National School of Computer Science, University of Fianarantsoa, Fianarantsoa, Madagascar
| | - Mihary Rabearison
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | | | - Mbolahasina Ralijaona
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | | | - Hervet J. Randriamady
- Department of Nutrition, School of Public Health, Harvard University, Boston, MA, United States
| | | | - Hanitra O. Randriatsara
- Service de la Santé Mentale, Direction de Lutte contre les Maladies Non Transmissibles, Ministère de la Santé Publique, Antananarivo, Madagascar
| | - Roddy M. Randriatsara
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Madeleine Rasoanirina
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Michel R. Ratsizafy
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Kinasa F. Razafiely
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | - Nivohanitra Razafindrasoa
- Centre Hospitalier Universitaire de Soins et de Santé PubliqueAnalakely (CHUSSPA), Antananarivo, Madagascar
| | - Romario
- Institute of Fisheries and Marine Sciences, University of Toliara, Toliara, Madagascar
| | | | - Rocky E. Stroud
- Department of Epidemiology, School of Public Health, Harvard University, Boston, MA, United States
| | | | | | | | | | - Jessica Zamborain-Mason
- Department of Nutrition, School of Public Health, Harvard University, Boston, MA, United States
- Department of Environmental Health, School of Public Health, Harvard University, Boston, MA, United States
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Saha M, Ng H, Odjidja EN, Saha M, Olivier P, McCaffrey TA, Thilsted SH. Small Fish Big Impact: Improving Nutrition during Pregnancy and Lactation, and Empowerment for Marginalized Women. Nutrients 2024; 16:1829. [PMID: 38931183 PMCID: PMC11206690 DOI: 10.3390/nu16121829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Revised: 06/05/2024] [Accepted: 06/07/2024] [Indexed: 06/28/2024] Open
Abstract
Undernutrition and micronutrient deficiencies such as anemia are considered significant public health challenges in Bangladesh, which enhancing fish consumption is a well-established food-based intervention to address these. This paper documents the establishment of community-based fish chutney production and reports the impact of its consumption on mid-upper arm circumference (MUAC) and hemoglobin (Hb) levels among targeted 150 pregnant and lactating women (PLW) in rural Bangladesh. A fish chutney was developed using locally available ingredients followed by a series of laboratory tests, including nutrient composition, shelf-life and food safety. A community-based fish chutney production process was designed to: (1) supply locally available ingredients for processing; (2) establish two fish drying sites; (3) initiate a community-based production site; and (4) distribute fish chutney to PLW for one year by six women nutrition field facilitators. Then a pre- and post-intervention study was designed for a selected 150 PLW to receive 30 g of fish chutney daily for 12 months. Differences in mean MUAC and Hb levels pre- and post-consumption were analyzed using one-way analysis of variance. Consumption of 30 g of fish-chutney resulted in significant increases of the mean values of Hb levels and MUAC among the targeted PLW.
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Affiliation(s)
- Manika Saha
- Faculty of Information Technology, Monash University, Clayton 3168, Australia
| | - Heidi Ng
- Digital Nutrition Lab, Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia;
| | | | - Mallika Saha
- Department of Biology, Texas State University, San Marcos, TX 78666, USA;
| | - Patrick Olivier
- Action Lab, Faculty of Information Technology, Monash University, Clayton 3168, Australia;
| | - Tracy A. McCaffrey
- Digital Nutrition Lab, Department of Nutrition, Dietetics and Food, Monash University, Notting Hill 3168, Australia;
| | - Shakuntala Haraksingh Thilsted
- Nutrition, Health & Food Security Impact Platform, Consortium of International Agricultural Research Centers (CGIAR), Washington, DC 20005, USA;
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Lacerda EMDA, Bertoni N, Alves-Santos NH, Carneiro LBV, Schincaglia RM, Boccolini CS, Castro IRRD, Anjos LAD, Berti TL, Kac G, Rodrigues Farias D, de Freitas MB, Normando P, Andrade PG. Minimum dietary diversity and consumption of ultra-processed foods among Brazilian children 6-23 months of age. CAD SAUDE PUBLICA 2023; 39:e00081422. [PMID: 37878864 PMCID: PMC10599228 DOI: 10.1590/0102-311xen081422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 04/03/2023] [Accepted: 05/04/2023] [Indexed: 10/27/2023] Open
Abstract
The study aimed to estimate the prevalence of minimum dietary diversity (MDD) and consumption of ultra-processed foods in children 6-23 months of age according to sociodemographic variables. Three indicators of complementary feeding of 4,354 children from the Brazilian National Survey on Child Nutrition (ENANI-2019) were built based on a questionnaire about food consumption on the day before the interview: MDD, consumption of ultra-processed foods, and MDD without the consumption of ultra-processed foods. The prevalence and 95%CI were calculated, stratified by macroregion; race/skin color, education and work status of the mother or caregiver; enrollment in the Brazilian Income Transfer Program; household food security; sanitation; and child enrollment in daycare/school. The overall prevalence of MDD was 63.4%, with lower prevalences among children who lived in the North Region (54.8%), whose mothers or caregivers had 0-7 years of education (50.6%), and lived under moderate or severe food insecurity (52.6%). Ultra-processed foods were consumed by 80.5% of the children, with the highest prevalence in the North Region (84.5%). The prevalence of MDD without ultra-processed foods was 8.4% and less prevalent among children with black mothers or caregivers (3.6%) and among those whose mother or caregiver had 8-10 years of education (3.6%). The most frequently consumed food groups from the MDD indicator were grains, roots and tubers (90.2%), dairy products (81%) and those from ultra-processed food were sweet or salty cookies/crackers (51.3%) and instant flours (41.4%). The ubiquitous presence of ultra-processed foods in the diets of Brazilian children and the low frequency of diversified foods, especially among the most vulnerable populations, indicate the need to strengthen policies and programs to ensure adequate and healthy infant nutrition.
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Affiliation(s)
| | - Neilane Bertoni
- Divisão de Pesquisa Populacional, Instituto Nacional de Câncer José Alencar Gomes da Silva, Rio de Janeiro, Brasil
| | - Nadya Helena Alves-Santos
- Instituto de Estudos em Saúde e Biológicas, Universidade Federal do Sul e Sudeste do Pará, Belém, Brasil
| | | | | | - Cristiano Siqueira Boccolini
- Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil
| | | | | | - Talita Lelis Berti
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
| | - Gilberto Kac
- Instituto de Nutrição Josué de Castro, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil
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Akseer N, Tasic H, Adeyemi O, Heidkamp R. Concordance and determinants of mothers' and children's diets in Nigeria: an in-depth study of the 2018 Demographic and Health Survey. BMJ Open 2023; 13:e070876. [PMID: 37433728 PMCID: PMC10347484 DOI: 10.1136/bmjopen-2022-070876] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 06/22/2023] [Indexed: 07/13/2023] Open
Abstract
OBJECTIVES Improving the diversity of the diets in young children 6-23 months is a policy priority in Nigeria and globally. Studying the relationship between maternal and child food group intake can provide valuable insights for stakeholders designing nutrition programmes in low-income and middle-income countries. DESIGN We examined the relationship between maternal and child dietary diversity among 8975 mother-child pairs using the Nigeria 2018 Demographic and Health Survey (DHS). We assessed concordance and discordance between maternal and child food group intake using the McNemar's χ2 test, and the determinants of child minimum dietary diversity (MDD-C) including women MDD (MDD-W) using hierarchical multivariable probit regression modelling. SETTING Nigeria. PARTICIPANTS 8975 mother-child pairs from the Nigeria DHS. PRIMARY AND SECONDARY OUTCOME MEASURES MDD-C, MDD-W, concordance and discordance in the food groups consumed by mothers and their children. RESULTS MDD increased with age for both children and mothers. Grains, roots and tubers had high concordance in mother-child dyads (90%); discordance was highest for legumes and nuts (36%), flesh foods (26%), and fruits and vegetables (39% for vitamin-A rich and 57% for other). Consumption of animal source food (dairy, flesh foods, eggs) was higher for dyads with older mothers, educated mothers and more wealthy mothers. Maternal MDD-W was the strongest predictor of MDD-C in multivariable analyses (coef 0.27; 95% CI 0.25 to 0.29, p<0.000); socioeconomic indicators including wealth (p<0.000), mother's education (p<0.000) were also statistically significant in multivariable analyses and rural residence (p<0.000) was statistically significant in bivariate analysis. CONCLUSION Programming to address child nutrition should be aimed at the mother-child dyad as their food consumption patterns are related and some food groups appear to be withheld from children. Stakeholders including governments, development partners, non-governmental organizations, donors and civil society can act on these findings in their efforts to address undernutrition in the global child population.
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Affiliation(s)
- Nadia Akseer
- International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Hana Tasic
- Modern Scientist Global, St Catharines, Ontario, Canada
| | - Olutayo Adeyemi
- Department of Human Nutrition and Dietetics, University of Ibadan, Ibadan, Nigeria
| | - Rebecca Heidkamp
- International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA
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Teferi T, Endalk G, Ayenew GM, Fentahun N. Inadequate dietary diversity practices and associated factors among postpartum mothers in Gambella town, Southwest Ethiopia. Sci Rep 2023; 13:7252. [PMID: 37142603 PMCID: PMC10160103 DOI: 10.1038/s41598-023-29962-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2022] [Accepted: 02/14/2023] [Indexed: 05/06/2023] Open
Abstract
The shortage of diversified diets in lactating postpartum mothers is a severe problem in developing countries. The promotion of diverse diets is important to improving micronutrient nourishment and adequate energy intake for lactating mothers. To date, there is limited evidence regarding inadequate dietary diversity practices among lactating postpartum mothers in Gambella region. The study is aimed to determine inadequate dietary diversity practice and associated factors among lactating postpartum mothers in Gambella city, southwest Ethiopia. Mixed methods were employed on 407 randomly selected lactating postpartum mothers and 15 purposively selected key informants from February 28 to March 24, 2021. A pre-tested questionnaire and interview guide were used for data collection. Data were analyzed using Statistical Package for the Social Sciences version 21 software. Binary logistic regression models were used to determine the associated factors of dietary diversity. Qualitative data were analyzed manually through a thematic approach. The prevalence of inadequate dietary diversity practice was 60.2%. Having no education (AOR = 3.74, 95% CI: 1.18, 11.88), employed women(AOR = 0.37, 95% CI: 0.18, 0.75), meal frequency < 3 meals (AOR = 2.92, 95% CI: 1.04, 8.71), time taken to market > 30 min (AOR = 4.20, 95% CI: 2.01, 8.76), not received nutrition education (AOR = 2.0, 95% CI:1.09, 3.68), having home gardening (AOR = 0.32, 95% CI: 0.18, 0.57) and having big animals (AOR = 0.12, 95% CI: 0.05, 0.29) were significant factors of inadequate dietary diversity practice. Diet habits, food taboos, low social status of women in ownership of household assets, low family support, order of feeding, child preference for resource distribution in a polygamous family, and health care provider's advice were the main mentioned reasons for inadequate dietary diversity practices. The prevalence of inadequate dietary diversity practices were high compared to previous studies. Having no education, employed women, meal frequency < 3 meals, time taken to market > 30 min, not receiving nutrition education, having a home garden, and having big animals were significant factors of inadequate dietary diversity practice. Nutrition intervention focused on nutrition education to increase meal frequency should be provided for lactating postpartum mothers to improve inadequate dietary diversity practices.
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Affiliation(s)
- Taye Teferi
- Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Genet Endalk
- Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | | | - Netsanet Fentahun
- Department of Nutrition and Dietetics, School of Public Health, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
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Anyanwu OA, Folta SC, Zhang FF, Chui K, Chomitz VR, Kartasurya MI, Naumova EN. Fish-To Eat or Not to Eat? A Mixed-Methods Investigation of the Conundrum of Fish Consumption in the Context of Marine Pollution in Indonesia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5582. [PMID: 37107864 PMCID: PMC10138686 DOI: 10.3390/ijerph20085582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 04/11/2023] [Accepted: 04/11/2023] [Indexed: 05/11/2023]
Abstract
Background: The Indonesian government faces a dilemma of promoting fish consumption for its health benefits and to ease food insecurity, while at the same time seeking effective approaches to reduce the high levels of marine pollution. However, the factors associated with fish consumption in the face of persistent high levels of marine pollution are not well elucidated in the literature. Objectives: This was an explorative study to investigate the sociodemographic factors related to fish consumption and to understand the perspectives of expert informants on marine pollution and its impact on fish quality and availability in Indonesia. Methods: We characterized fish consumption among respondents aged 15 years and older in the fifth wave of the Indonesian Family Life Survey (n = 31,032), based on their sociodemographic profiles, and developed multinomial regression models to assess the relationship between respondents' sociodemographic profiles and quintiles of fish consumption. We also conducted in-depth interviews on fish consumption and marine pollution with key informants from Indonesia (n = 27). We then used a convergent mixed-methods design to synthesize the results of both datasets. Results: Fish was the most frequently consumed animal-source food reported by survey respondents: 2.8 (±2.6) days/week. More younger respondents (15-19 years) reported relatively lower consumption of fish (9.3% in Q1 versus 5.9% in Q5) compared to respondents 50 years and older (37% in Q1 versus 39.9% in Q5; p < 0.01). When classified by region, more respondents from the Java region reported lower consumption of fish (86.5% in Q1 versus 53% in Q5; p < 0.01). Key-informants' perspectives corroborated the survey results by indicating that the younger generation tends not to want to consume fish; informants expanded the survey results by suggesting that fish is scarce in the Java region due to high levels of marine pollution. Informants further implied that there is low awareness about the impact of marine pollution on fish quality among most of the Indonesian population. Conclusion: Evidence from both data sources converge on differential preference for fish consumption by age group. Informants' perspectives also link marine pollution to fish scarcity, which poses a threat to food security among low-income Indonesians and to human health globally. More studies are needed to corroborate our findings and inform policy guidelines to reduce marine pollution while promoting fish consumption in Indonesia.
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Affiliation(s)
- Oyedolapo A. Anyanwu
- Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Ave, Boston, MA 02111, USA
| | - Sara C. Folta
- Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Ave, Boston, MA 02111, USA
| | - Fang Fang Zhang
- Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Ave, Boston, MA 02111, USA
| | - Kenneth Chui
- Public Health & Community Medicine, School of Medicine, Tufts University, 136 Harrison Ave, Boston, MA 02111, USA
| | - Virginia R. Chomitz
- Public Health & Community Medicine, School of Medicine, Tufts University, 136 Harrison Ave, Boston, MA 02111, USA
| | - Martha I. Kartasurya
- Department of Public Health Nutrition, Diponegoro University, Semarang 50275, Jawa Tengah, Indonesia;
| | - Elena N. Naumova
- Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Ave, Boston, MA 02111, USA
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Ramenzoni VC. Taboos, food avoidances, and diseases: Local epistemologies of health among Coastal Endenese in Eastern Indonesia. FRONTIERS IN SUSTAINABLE FOOD SYSTEMS 2023. [DOI: 10.3389/fsufs.2023.977694] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
To advance interventions targeting malnutrition among small-scale fishing societies, knowledge on the role played by taboos and dietary avoidances on the consumption of fish related products becomes crucial. The article builds upon ethnographic fieldwork (participant observation, focus groups and interviews), dietary questionnaires (n: 112), and archival research among Coastal Endenese in Eastern Indonesia to understand the role played by taboos and dietary preferences in regulating intake of marine products. Moving beyond binary notions of “good” and “bad” when considering the food-system implications of taboos, it explores how local beliefs about illness and food shape dietary practices that can have concrete consequences for an individual's health. Endenese consider fish as having originated from terrestrial creatures, creating a continuous cycle of movement from land to sea and back. Within this cosmology, food is seen as a medium that can bring about healthy outcomes but also disease. Results emphasize the need to understand taboos and food avoidances within the larger cosmological and religious system but also underscore the changing nature of dietary preferences and values due to market integration processes which may have long-term repercussions on health. This information is key to the design of culturally sensitive dietary strategies and alternative livelihoods approaches that seek to minimize poverty.
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Partelow S, Nagel B, Paramita AO, Buhari N. Seafood consumption changes and COVID-19 impact index in West Nusa Tenggara, Indonesia. PLoS One 2023; 18:e0280134. [PMID: 36652444 PMCID: PMC9847987 DOI: 10.1371/journal.pone.0280134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2021] [Accepted: 12/21/2022] [Indexed: 01/19/2023] Open
Abstract
This empirical study examines seafood consumption patterns in the province of West Nusa Tenggara, Indonesia at the regency level, and analyzes changes in consumption patterns during the COVID-19 (SARS-CoV-2) virus outbreak. We used a stratified semi-random general population survey administered online through mobile devices from November 24th-December 31st 2020 for rapid assessment and dissemination, which received 1518 respondents. Our findings enabled us to generate a COVID-19 impact index at the regency level, indicating an urban-to-rural gradient in the degree of change in seafood consumption patterns, with rural areas incurring more changes. During COVID-19, 61% of respondents ate less seafood than normal, 66% stated seafood was more expensive, and 37% stated that the seafood they normally buy was not available. Respondents also bought 5% less fresh or raw seafood, and 4.3% more pre-cooked seafood products during the pandemic. Traditional markets, mobile vendors, and food stands remain the most frequent access points for seafood, although access decreased during the pandemic for all, with mini- and supermarket access slightly increasing. Raw and fresh seafood purchases from travelling merchants decreased 12.5% during the pandemic. A larger percentage of women (~10% more than men) eat fish at least once per week, and women eat a larger diversity of seafood products. However, men classified themselves on average in a higher income class than women both before and during the pandemic, and men were significantly more likely to agree that they had enough money to buy the food they wanted during the pandemic. Overall, respondents who indicated eating a higher frequency of fish per week, were significantly more likely to agree that they ate less fish during the pandemic. Respondents on Sumbawa island were significantly more likely to agree that the fisheries products were not available during the pandemic.
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Affiliation(s)
- Stefan Partelow
- Leibniz Centre for Tropical Marine Research (ZMT), Bremen, Germany
| | - Ben Nagel
- Leibniz Centre for Tropical Marine Research (ZMT), Bremen, Germany
- Jacobs University, Bremen, Germany
| | - Adiska Octa Paramita
- Leibniz Centre for Tropical Marine Research (ZMT), Bremen, Germany
- Jacobs University, Bremen, Germany
| | - Nurliah Buhari
- University of Mataram, Lombok, West Nusa Tenggara, Indonesia
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Marinda PA, Chalula F, Khayeka-Wandabwa C, Audain K, Thilsted SH. Dietary diversity and nutritional status of children aged 6-59 months from rural fishing and non-fishing communities in Zambia. SCIENTIFIC AFRICAN 2022. [DOI: 10.1016/j.sciaf.2022.e01527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
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11
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Fish consumption pathways and food security in an Indonesian fishing community. Food Secur 2022. [DOI: 10.1007/s12571-022-01323-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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12
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Gutka consumption and dietary partialities explaining anemia in women of a coastal slum of Karachi, Pakistan: A mixed-method study. PLoS One 2022; 17:e0276893. [PMID: 36315485 PMCID: PMC9621450 DOI: 10.1371/journal.pone.0276893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 10/15/2022] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND Limited literature is available on the dietary pattern and its consequences on health of women living in coastal slums of Karachi, Pakistan. MATERIAL AND METHODS The study employed a mixed-method approach where concurrent quantitative and qualitative assessments were carried out. An analytical cross-sectional survey was conducted to collect information on demographic, household, obstetrics characteristics, and dietary pattern of married women of reproductive age (MWRA). Blood samples were collected to identify the hemoglobin level to determine anemia. For the qualitative component, focus group discussions were carried out with women and in-depth interviews with shopkeepers to understand the availability of food items at household level and in local markets respectively. In addition, observational visits were carried out at different points in time to the local market to document the availability of iron-rich foods for the community. RESULTS The overall prevalence of anemia in sample population was 68.0%. Women with no formal education (AOR: 2.93 95% CI: 1.90-4.52), who consumed gutka (AOR: 2.84 95% CI: 1.81-4.46), did not eat red meat (AOR: 1.68 95% CI: 1.06-2.65), and only had seafood (AOR: 4.56 95% CI: 1.38-15.02) were more likely to be anemic as compared to their counterparts. Qualitative data revealed that any kind of meat and fruits were beyond the reach of community people due to non-affordable cost. A high percentage of women used a locally produced recreational substance known as gutka which gives them a feeling of wellbeing and suppresses hunger. CONCLUSION In our study population, lack of access to diversity of food items, illiteracy, and use of gutka are the statistically significant factors which are associated with anemia in married women of this coastal slum area. The lack of demand for diversity in food is related to poverty and preference of spending money on gutka.
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Taneyan Lanjang Shared Home Gardens and Sustainable Rural Livelihoods of Ethnic Madurese in Madura Island, Indonesia. SUSTAINABILITY 2022. [DOI: 10.3390/su14105960] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
The ethnic Madurese are among the top five most populous ethnic groups in Indonesia. Their traditional settlements have a special design called Taneyan Lanjang (TL). TL settlements consist of several elements, which are arranged in a specific pattern that is affected by local and Islamic culture. The gardening space of a TL settlement—here referred to as the shared home garden (SHG)—is shared by several family households. The ethnic Madurese apply traditional knowledge to manage their home gardens. This study investigated the features of TLs and SHGs, mostly in relation to cultural matters, the utilization of plants, management based on local knowledge, and their contribution to rural livelihoods. The study area consisted of the four regencies of Madura Island, Indonesia. A total of 200 TL settlements were observed, and 4 key informants and 400 respondents who were engaged in TL were questioned through in-depth interviews. The plant species cultivated in the SHGs were recorded and identified according to the database of The Plant List. In total, 108 plant species within 40 plant families were recorded. Fabaceae had the highest number of species, with 10 species (9.26%), most of which are used as food (65.7%). We identified and characterized the most important services and functions provided by SHGs to rural livelihoods that directly benefit rural communities.
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Cartmill MK, Blackmore I, Sarange C, Mbeyu R, Cheupe C, Cheupe J, Kamau-Mbuthia E, Iannotti L, Wamukota A, Humphries A, Lesorogol C. Fish and complementary feeding practices for young children: Qualitative research findings from coastal Kenya. PLoS One 2022; 17:e0265310. [PMID: 35286341 PMCID: PMC8920237 DOI: 10.1371/journal.pone.0265310] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 02/28/2022] [Indexed: 11/23/2022] Open
Abstract
This study examines barriers to fish consumption during the complementary feeding period in two coastal counties of Kenya with high rates of child malnutrition. Study findings indicate that young child fish consumption is impacted by factors related to accessibility, food preferences, and caregiver's knowledge and beliefs about fish during the complementary feeding period. These factors are influenced by prominent community figures such as elder women and health workers, whose own beliefs and understandings are impacted by underlying cultural norms, potentially limiting fish consumption. To our knowledge, this is the first study conducted in the coastal region of Kenya to focus on understanding fish consumption attitudes and beliefs during the complementary feeding phase. Our findings represent a critical first step towards the creation of more effective policies and interventions to address the significant nutritional disparities that exist in the study population.
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Affiliation(s)
- Mary Kate Cartmill
- Brown School, Washington University in St. Louis, St. Louis, Missouri, United States of America
| | - Ivy Blackmore
- Brown School, Washington University in St. Louis, St. Louis, Missouri, United States of America
| | | | - Ruth Mbeyu
- Department of Human Nutrition, Egerton University, Nakuru, Kenya
| | | | - Joaquim Cheupe
- Department of Environmental Sciences, Pwani University, Kilifi, Kenya
| | | | - Lora Iannotti
- Brown School, Washington University in St. Louis, St. Louis, Missouri, United States of America
| | - Andrew Wamukota
- Department of Environmental Sciences, Pwani University, Kilifi, Kenya
| | - Austin Humphries
- Department of Fisheries, Animal and Veterinary Sciences, University of Rhode Island, Kingston, Rhode Island, United States of America
- Graduate School of Oceanography, University of Rhode Island, Narragansett, Rhode Island, United States of America
| | - Carolyn Lesorogol
- Brown School, Washington University in St. Louis, St. Louis, Missouri, United States of America
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Gibson E, Stacey N, Sunderland TCH, Adhuri DS. Coping or adapting? Experiences of food and nutrition insecurity in specialised fishing households in Komodo District, eastern Indonesia. BMC Public Health 2021; 21:355. [PMID: 33588828 PMCID: PMC7885255 DOI: 10.1186/s12889-021-10248-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 01/14/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND There is growing recognition of the need for fish to be better integrated into nutrition-sensitive strategies for addressing malnutrition. Fish are overwhelmingly produced by the small-scale sector, which supports food and nutrition security directly through the provision of fish and indirectly through the generation of income which can be used to purchase other desired foods. However, there has been relatively little research on the extent of food and nutrition security in specialised fishing communities. This study assessed food and nutrition security among households in specialised fishing communities in Komodo District, eastern Indonesia. METHODS We assessed the seasonal nutrition quality of household diets using the Food Consumption Score for nutritional analysis and food insecurity using the Household Food Insecurity Access Scale in 66 households across three communities, using a modified cluster sampling strategy. We calculated and generated descriptive statistics for these indicators with Microsoft Excel and ran a logistic generalized linear mixed model to determine factors associated with severe food insecurity using SPSS. We used semi-structured interviews and focus group discussions to understand perceptions of, change over time, and strategies for dealing with food shortfalls. RESULTS While most households have acceptable access to nutritious foods, especially protein and heme iron-rich foods, nearly one half of households consumed vitamin A rich foods on less than 3 days of the 7-day recall period in either season. More than half of households reported experiencing a moderate or severe level of food insecurity, with higher food insecurity in the wet season. Low maternal education (OR: 3.8, 95%CI 1.5-9.9) and lower household wealth (OR: 0.5, 95%CI 0.3-0.9) were found to be associated with a severe level of food insecurity. Household's consumptive and non-consumptive response strategies reflect adaptation to chronic food insecurity but are nutritionally and economically unsustainable. CONCLUSION Households in specialised fishing communities in Komodo District consumed diets with low diversity and experienced high levels of food insecurity. There is a need for culturally-appropriate nutrition-sensitive strategies to enhance food and nutrition security in vulnerable fishing communities.
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Affiliation(s)
- Emily Gibson
- Research Institute for the Environment and Livelihoods, Charles Darwin University, Ellengowan Drive, Darwin, Northern Territory Australia
| | - Natasha Stacey
- Research Institute for the Environment and Livelihoods, Charles Darwin University, Ellengowan Drive, Darwin, Northern Territory Australia
| | - Terry C. H. Sunderland
- Department of Forest and Conservation Sciences, University of British Colombia, 2424 Main Mall, Vancouver, Canada
- Centre for International Forestry Research, Bogor, Indonesia
| | - Dedi S. Adhuri
- Research Centre for Society and Culture, Indonesia Institute of Sciences, Jl.Jend Gatot Subroto 10, Jakarta, Indonesia
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Hayuningtyas A, Dewi YA, Octavia L, Pulungan A, Agustina R. Dietary quality score is positively associated with serum adiponectin level in Indonesian preschool-age children living in the urban area of Jakarta. PLoS One 2021; 16:e0246234. [PMID: 33539478 PMCID: PMC7861444 DOI: 10.1371/journal.pone.0246234] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2019] [Accepted: 01/18/2021] [Indexed: 11/23/2022] Open
Abstract
An unhealthy diet during childhood directly impacts the risk of developing noncommunicable diseases (NCDs) later on in life. However, well-documented information on this issue is lacking. We investigated the dietary quality of young Indonesian children and assessed the relationship to serum adiponectin levels as an early marker of NCDs. Eighty-five (44 girls and 41 boys) Indonesian preschool-age children in East Jakarta were included in this study. Dietary intake data were gathered by collecting repeated 24-hour recalls for one weekday and one day during the weekend, which were then further converted into participants' Healthy Eating Index (HEI) 2015 scores. Meanwhile, an enzyme-linked immunosorbent assay was performed to determine the serum adiponectin level. A multiple regression analysis was performed to assess the association between the HEI 2015 score and serum adiponectin, adjusting for potential confounders. The mean HEI 2015 score was 33.2 ± 8.3 points, which was far below the recommended score of ≥ 80 points, while the mean serum adiponectin was 10.3 ± 4.1 μg/mL. Multiple linear regression testing showed that a one-point increase in the HEI 2015 score was significantly associated with an increase in the serum adiponectin level by 0.115 μg/mL after adjusting for exclusive breastfeeding history (β = 0.115; 95% CI = 0.010-0.221; p = 0.032). In conclusion, better adherence of young children to a healthy diet has a positive association with their adiponectin level. This result suggests that strengthening children's dietary quality from an early age by involving all parties in the children's environment (e.g., parents, teachers at school, policymakers) may help to reduce the risk of NCDs later on in childhood and during adult life.
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Affiliation(s)
- Anastasia Hayuningtyas
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Yayang Aditia Dewi
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Lestari Octavia
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Aman Pulungan
- Department of Child Health, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
| | - Rina Agustina
- Department of Nutrition, Faculty of Medicine, Universitas Indonesia—Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia
- Human Nutrition Research Centre, Indonesia Medical Education and Research Institute Indonesia, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
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Martínez-Martínez MI, Alegre-Martínez A, Cauli O. Omega-3 Long-Chain Polyunsaturated Fatty Acids Intake in Children: The Role of Family-Related Social Determinants. Nutrients 2020; 12:E3455. [PMID: 33187190 PMCID: PMC7697719 DOI: 10.3390/nu12113455] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Revised: 11/09/2020] [Accepted: 11/10/2020] [Indexed: 12/17/2022] Open
Abstract
Omega-3 long-chain polyunsaturated fatty acids play a central role in neuronal growth and in the development of the human brain, since they are essential elements which depend on intake through diet to ensure an adequate amount. Fish and seafood are the main dietary sources of these fatty acids in Spain and in other countries. In order to assess the effect of the intake of common foods containing high amounts of omega-3 polyunsaturated fatty acids, a food frequency questionnaire was administered to parents of children and adolescents attending a primary school in Valencia (Spain), and the intake of dietary omega-3 such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) was estimated based on their fish/seafood consumption. Low frequencies of intake were significantly (p < 0.05) lower for many types of fish/seafood in children compared to adolescents. 27.5% of children/adolescents did not eat lean fish or other types (19.8% of the sample did not eat fatty fish, and 71.8% did not eat smoked fish) and 20-60% of the sample consumed seafood only once-three times a month, leading to a reduced estimated intake of EPA+DHA below that recommended for both groups by public health agencies. Social aspects, such as the type of work done by mothers and their educational levels are significant factors (p < 0.05 in both cases) affecting children's/adolescents' intake of DHA+EPA. Dietary interventions to increase the consumption of fish and seafood are strongly advised, and health promotion strategies should be aimed at the family level and fight against gender disparities.
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Affiliation(s)
- María Isabel Martínez-Martínez
- Frailty and Cognitive Impairment Organized Group (FROG), University of Valencia, 46010 Valencia, Spain;
- Department of Nursing, University of Valencia, 46013 Valencia, Spain
| | - Antoni Alegre-Martínez
- Department of Biomedical Sciences, Cardenal Herrera University CEU, Avenida Seminario, s/n, 46113 Moncada, Valencia, Spain;
| | - Omar Cauli
- Frailty and Cognitive Impairment Organized Group (FROG), University of Valencia, 46010 Valencia, Spain;
- Department of Nursing, University of Valencia, 46013 Valencia, Spain
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