Search Results (143)

This study explores how the Household Dietary Diversity Score (HDDS) and spatial visualization can inform food governance in Chile, focusing on socio-demographic and geographical determinants affecting food consumption patterns. A national household database (n = 4047), including households from 2019 (n = 3967; 98.02%) and 2020 (n = 80; 1.98%), provided by the “Family Support Program of Food Self-Sufficiency” (FSPFS) of the Ministry of Social Development and Family, was analyzed. The findings revealed that Chilean vulnerable households were led mostly by women (86.6%), with an age average of 55.9 ± 15.6 years old, versus 68.9 ± 12.9 years in the case of men. The intake frequency analysis showed that dairy, fruits, and vegetables were below the recommended values in at least half of the households, and that fats and sugars were above recommended levels. Regarding the HDDS (0–189), the national average was 91.4 ± 20.6 and was significantly influenced by the number of minors in the households, water access, food access issues, and residing in the Zona Sur. Finally, the spatial visualization showed that the Zona Central had higher consumption of fruits and vegetables, while the extreme zones Norte Grande and Zona Austral showed higher intakes of fats and sugars. These findings emphasize the importance of leveraging data insights like the HDDS and spatial visualization to enhance food security and inform food governance strategies. Full article

This study examined access to water, food, and nutrition programs among marginalized communities in Southern Punjab, Pakistan, and their effects on nutrition. Both qualitative and quantitative data were used in this study. We held two focus group discussions (one with 10 males and one with 10 females) and conducted in-depth interviews with 15 key stakeholders, including 20 mothers and 10 healthcare providers. A survey of 235 households was carried out to evaluate water and food insecurity, with the data analyzed using Wilcoxon’s rank-sum test, t-test, and Pearson’s chi-square test. The results revealed that 90% of households experienced moderate-to-severe water insecurity, and 73% faced moderate-to-severe food insecurity. Household water and food insecurity were positively correlated with each other (correlation coefficient = 0.205; p = 0.004). Greater household water (p = 0.028) and food insecurity (p < 0.001) were both associated with higher perceived stress. Furthermore, lower socioeconomic status was strongly related to higher levels of water (p < 0.001) and food insecurity (p < 0.001). Qualitative findings highlight the impact of colonial and post-colonial policies, which have resulted in water injustice, supply issues, and corruption in water administration. Women face significant challenges in fetching water, including stigma, harassment, and gender vulnerabilities, leading to conflicts and injuries. Water scarcity and poor quality adversely affect sanitation, hygiene, and breastfeeding practices among lactating mothers. Structural adjustment policies have exacerbated inflation and reduced purchasing power. Respondents reported a widespread lack of dietary diversity and food quality. Nutrition programs face obstacles such as the exclusion of people with low social and cultural capital, underfunding, weak monitoring, health sector corruption, and the influence of formula milk companies allied with the medical community and bureaucracy. This study concludes that addressing the macro-political and economic causes of undernutrition should be prioritized to improve nutrition security in Pakistan. Full article

Food insecurity remains a pressing issue globally, exacerbated in regions like sub-Saharan Africa, where rural communities face significant challenges in accessing nutritious food. The Eastern Cape Province of South Africa is particularly vulnerable, with high levels of poverty and limited infrastructure contributing to food insecurity among its rural households. In response to these challenges, family food gardens have emerged as a promising strategy to enhance local food production, improve dietary diversity, and foster economic resilience within these communities. Despite the potential benefits of family food gardens, empirical evidence of their effectiveness in mitigating food insecurity at the household level in the Eastern Cape Province is scarce and remains limited. Understanding the factors that influence the success of these gardens, including socio-economic, environmental, and institutional determinants, is crucial for optimizing their impact and scalability. Hence, this study sought to comprehensively explore and investigate the role of family food gardens in improving food security within rural households in the Eastern Cape Province. It seeks to identify the determinants that contribute to the success of these gardens and their potential to alleviate food insecurity. The study made use of a descriptive research design, and the study utilized purposive sampling to gather data from 130 rural households via structured questionnaires. Data analyses incorporated in the study included the Household Dietary Diversity Score and logit regression model to explore the impacts and determinants of family food gardens on food security. The study findings underscore the significant positive contributions of family food gardens to rural communities. They serve as vital sources of fresh crops and vegetables, supplementing household nutrition and providing temporary employment. Constraints identified in the study include financial limitations, theft, water scarcity, inadequate fencing, and limited market access. The study insights highlight the fact that socio-economic and institutional factors such as age, gender, household income, and access to credit are critical influencers of family food garden success. These empirical results offer practical implications for policymakers, governmental agencies, and local communities seeking to promote sustainable agricultural practices and alleviate food insecurity. The research highlights how essential family food gardens are for improving food security among rural families in the Eastern Cape Province. The findings suggest that a joint effort is needed from the government, policymakers, NGOs, and local communities to overcome challenges and make the most of social and economic resources. By working together, these groups can enhance the role of family food gardens, making them a more effective solution for local food production and a stronger defence against food insecurity in the region. Full article

Dietary diversity is one of the fundamental factors of nutritional security and a proxy used to measure diet quality. The objective of this study was to investigate the relationship between village chicken availability and the dietary diversity of households along a rural–urban gradient. Face-to-face interviews were conducted using a structured questionnaire in rural (n = 100), peri-urban (n = 100), and urban (n = 100) areas of Pietermaritzburg uMgungundlovu District, KwaZulu-Natal, in South Africa. A positive relationship between distance from the city center and village chicken flock sizes (p < 0.001) was observed. Consumption of vegetables increased with an increase in distance from the city center (p < 0.01). A quadratic relationship was observed between distance from the city center and consumption of livestock-derived foods (LDFs) (p < 0.05). Consumption of LDFs increased with an increase in village chicken flock sizes (p < 0.05). Consumption of vegetables increased with an increase in village chicken flock sizes (p < 0.01). Food variety score (FVS) increased with an increase in distance from the city center (p < 0.05). Assessing the availability of village chickens across rural–urban gradients is a worthy opportunity to utilize to improve households’ dietary diversity and alleviate poverty. It can be concluded that expanding village flock sizes could enhance the dietary diversity of households. Full article

Rural residents in China are still at risk of malnutrition, and increasing dietary diversity is crucial to improving their health. This study empirically analyzed the impact of non-farm employment on the dietary diversity of rural left-behind family members based on the China Land Economy Survey (CLES) 2020–2021 panel data at the farm and village levels. Dietary diversity was measured using the dietary diversity score (DDS) and the Chinese Food Guide Pagoda Score (CFGPS). The empirical results show that non-farm employment significantly enhances the dietary diversity of rural left-behind household members, including animal food diversity and plant food diversity. This result verifies the altruism phenomenon of non-farm employment in family diet. Mechanism analysis shows that non-farm employment enhances the dietary diversity of rural left-behind family members by increasing the level of family income, Internet accessibility, and family education. Heterogeneity analysis shows that non-farm employment does not enhance the dietary diversity of rural empty nesters and even has a negative impact. This reminds us that the nutritional health of rural empty nesters needs attention in the context of rapid urbanization and aging. Full article

Coenzyme Q10 (CoQ10) is a food active component with blood-pressure-improving properties. However, the association between the variety and quantity of different sources of dietary CoQ10 and new-onset hypertension remains uncertain. We aimed to investigate the associations between the diversity and quantity of CoQ10 intake from eight major food sources and new-onset hypertension risk. A total of 11,489 participants were included. Dietary intake was evaluated via three consecutive 24 h recalls and household food inventory. The diversity score of CoQ10 sources was calculated by the sum of food groups consumed in the ideal range. Cox proportional hazard models were used for evaluating their associations with hypertension. Model performance was assessed by ROC analyses and 200-times ten-fold cross-validation. The relationships between CoQ10 and hypertension were U-shaped for meat, egg, vegetable, and fruit sources, inverse J-shaped for fish, and nut sources, and L-shaped for dairy products sources (all p-values < 0.001). A higher diversity score was associated with lower hypertension risk (HR (95% CI): 0.66 (0.64, 0.69)). The mean areas under the ROC curves for 6, 12 and 18 years were 0.81, 0.80 and 0.78, respectively. There is a negative correlation between the diversity of CoQ10 with moderate intake from different sources and new-onset hypertension. One diversity score based on CoQ10 was developed. Full article

Given the ‘subsistence’ character of smallholder production, agricultural production diversification is often seen as an effective strategy for smallholders to improve their diets’ diversity and nutritional status, yet the existing evidence remains inadequate. The study applies bibliometric data from the “Web of Science” database to synthesize 46 papers from developing countries to explore the relationship between production diversity, dietary diversity, and nutrition in smallholder households. The study identifies the most influential journals, authors, organizations, and countries and reveals research themes related to agricultural production and food security. This data analysis can help researchers target potential collaborators and access influential literature in agricultural production diversity and dietary diversity research. In addition, the results showed that agricultural production diversity potentially influences households’ dietary diversity, with mixed results: Agricultural production diversification is the primary way to improve food and nutritional security among smallholder families with low socio-economic status, inaccessible transportation, and poverty; market access and trade have more potential to improve dietary diversity among smallholder households with well-developed markets and higher income levels; the significant measures of agricultural production diversity include Crop Counts, FGPD, SI, and SWDI; the significant measures of dietary diversity include HDDS and IDDS. This paper provides a roadmap for agricultural production and food security researchers by conducting a systematic review of the literature, summarizing some research methods and perspectives applicable to local socio-economic development. Full article

Nutrient-dense, acceptable foods are needed in low-resource settings. Rice bran, a global staple byproduct of white rice processing, is rich in amino acids, fibers, and vitamins, when compared to other cereal brans. This pilot study examines the nutritional contribution of rice bran to the daily diets of mother–child pairs in rural southwest Guatemala. Thirty households were screened. Mothers (≥18 years) and children (6 to 24 months) completed 24 h dietary recalls at baseline and after 12 weeks (endline) for diet intake and diversity analyses. During biweekly visits for 12 weeks, households with <5 members received 14 packets containing 60 g of heat-stabilized rice bran, and those with ≥5 members received 28 packets. The macro- and micro-nutrient contributions of rice bran and whole, cooked black beans were included in dietary simulation models with average intakes established between the recalls and for comparison with dietary reference intakes (DRIs). A baseline child food frequency questionnaire was administered. The 27 mothers and 23 children with complete recalls were included in analyses. Daily maternal consumption of 10 g/d of rice bran plus 100 g/d of black beans resulted in all achieving at least 50% of the fiber, protein, magnesium, niacin, potassium, and thiamin DRIs. Daily child consumption of 3 g/d of rice bran plus 10 g/d of black beans resulted in all achieving at least 50% of the magnesium, niacin, phosphorous, and thiamine DRIs. For 15/17 food categories, male children had a higher intake frequency, notably for animal-source foods and coffee. Dietary rice bran coupled with black beans could improve nutritional adequacy, especially for fiber and key micro-nutrients, with broader implications for addressing maternal and child malnutrition in low-resource settings. Full article

Despite the robust literature base that has explored links between household crop diversity and children’s dietary diversity, evidence continues to yield mixed results regarding the efficacy of crop diversity in improving childhood dietary outcomes. Given the variance in the association between agrobiodiversity and dietary diversity, we identified wealth and distance to markets as potential factors that may impact these relationships. Through a series of Ordinary Least Square (OLS) regressions, this study examines the associations between crop diversity and dietary diversity among households at different levels of wealth in 10 sub-Saharan African countries. Drawing on the Integrated Public Use Microdata Series and Demographic and Health Surveys system, we find that the significance and direction of the association between crop diversity (as proxied using the Simpsons Diversity Index) and children’s dietary diversity (as measured using the Household Dietary Diversity Score) vary by wealth quintile across countries and households: in richer households, crop diversity has a negative effect on dietary diversity, and in poorer households, there is no significant effect. This study indicates the need to understand contextual factors that impact the relationship between agricultural diversity and dietary diversity to inform development policies. Full article

Rising food insecurity (FI) and the increased prices of animal-based foods could compromise vitamin B12 (B12) intake and serum levels in food-insecure people. Our study aims to determine the prevalence of low levels of serum B12 and its inadequate dietary intake among a nationally representative sample of Lebanese adults aged 18 to 64 years, while exploring the impact of FI and identifying other potential predictors. The B12 intake was assessed using a food frequency questionnaire and the mean of two non-consecutive 24 h recalls. The B12 serum levels were also examined. To examine the time trends in the B12 serum levels and dietary intake, the data from a large representative digitized database of 6290 participants were collected, along with the examination of FAOSTAT food consumption data both before and during the economic crisis period. Our findings revealed that 47.3% of households in Lebanon experienced FI. The inadequate intake of B12 food sources was prevalent in 52.5% of participants, and 61.1% presented with low (23%) or intermediate (38.1%) levels of serum B12. The food-secure households had a higher proportion of B12 intake from meats (p = 0.004), while traditional foods contributed more to food-insecure households (p = 0.000). The participants who were female, unemployed, food-insecure, and had low dietary diversity were about two to three times more likely to have inadequate B12 intake. The predictors of low levels of serum B12 included residing in Beqaa (OR = 2.856 and 95% CI = 1.018–8.01) and having inadequate B12 intake (OR = 1.788 and 95% CI = 1.2–2.65). The findings from observing the time trends in the consumption and the serum levels of B12 indicate a considerable decline in the consumption of most animal-based foods compared to the pre-crisis period, associated with a decline in the serum levels of B12. In conclusion, an alarming prevalence of low dietary intake and low serum levels of B12 was revealed among Lebanese adults, and the indirect effect of FI on B12 serum levels mediated through B12 intake was inferred. Full article

Background: More than a quarter of children who are affected by severe acute undernutrition reside in Sub-Saharan Africa. Incorrect feeding practices have a negative impact on a child’s health in both the short and the long term, and the interval from conception to two years is the most critical for the development of undernutrition-related complications. These first 1000 days of life also represent an “opportunity window” for early interventions, hence, having a clear insight into dietary habits and the determinants of diet quality is fundamental to improving nutritional counseling practices. Objectives: To investigate incorrect feeding practices, dietary diversity determinants and nutritional status in children aged 6–23 months. Methods: Prospective quali-quantitative observational study conducted at the Missionary Catholic Hospital of Chiulo (Angola) from March to April 2023. Results: Of 250 children, global acute malnutrition affected 25.2% and was associated with starting complementary feeding at <4 months of age (p = 0.007) and not achieving the minimum meal frequency (p < 0.0001). Minimum dietary diversity was found in 11.2%, minimum meal frequency was experienced by 72.8%, and the minimum acceptable diet was found in 11.2% of participants. The minimum dietary diversity was reached only by households with access to food from five or more major food groups (p = 0.007) or the money to buy food from five or more major food groups (p = 0.008) and was higher in households where the householder had a higher educational level (p = 0.002). Regarding the determinants linked to family traditions and beliefs, the main religion-associated beliefs concerned the impurity of pork (n = 25) and fish (n = 8), while eggs (n = 19) and cow milk (n = 8) were the main food types that were deemed harmful for children. Conclusions: Although some factors (economic and religious) may be difficult to overcome, other factors linked to erroneous beliefs (dangerous foods) or incorrect feeding practices (early weaning and an incorrect frequency of meals) can be targeted, to improve the effectiveness of nutritional counseling practices. Full article

In recent decades, China has made significant strides in food and nutrition security, yet challenges persist in the western rural regions, especially in Guangxi. Farming households in this area face heightened vulnerability due to limited arable land and environmental hazards, leading to increased efforts to boost income through horticultural crop farming. This study explores the impact of citrus farming and crop diversification on household dietary diversity within the context of the existing literature, examining trade-offs between subsistence and income-generating farming. Using OLS regression techniques and a mediating effect model, the analysis focuses on distinct contexts within citrus farming, utilizing survey data from households engaged in the cultivation of both citrus and non-citrus. Results reveal that while citrus cultivation moderately contributes to dietary diversity, its primary influence lies in encouraging farmers to diversify food purchases, with the mediating effect from market purchases exceeding 50%. Diversifying crop production, including staple crops and vegetables alongside citrus, proves more effective in enhancing dietary diversity among citrus farming households. Crop diversification positively influences dietary diversity, partially addressing household self-sufficiency. While extensive crop diversification may not be the ultimate solution to food security challenges, promoting specific diversification systems shows promise in the context of sustainable agriculture goals. Full article

Achieving sustainable and healthy food systems in support of human and planetary health is a global challenge. We systematically reviewed papers (n = 2322) showing how village chicken products (meat, eggs, and offal) contribute to sustainable and healthy food systems for children along a rural–urban gradient. A total of 72 articles, representing all different sections covered in this review, were finally included. Production of village chickens contributed positively on livestock-derived food consumption by children. Households who owned chickens were likely to move from medium to high dietary diversity. Children from households that owned chickens had lower odds of anemia (1.07) and higher height-for-age (HAZ) and weight-for-age (WAZ) scores. Egg intervention increased HAZ and WAZ for children by 0.63 [95% confidence interval (CI), 0.38–0.88] and 0.61 [95% CI, 0.45–0.77], respectively. Village chicken ownership had positive effect on children’s poultry meat and egg consumption. Per capita consumption of chicken by girls and boys combined was 38.2 g/day, where girls had 36.9 g/day and boys had 39.4 g/day. Children from households that owned chickens consumed eggs 2.8 more times per week compared to children from households without chickens. Moving along a rural–urban gradient, village chicken production was less common. Improved production and quality of village chicken products, and policies supporting optimal maternal and child intake these products are required. Full article

In a time of environmental degradation and increasing demand for safe food production, traditional fish farming is gaining global attention. Utilizing indigenous agricultural methods founded on traditional knowledge contributes to sustainability by safeguarding the ecosystem and preserving biodiversity. However, it is still less studied whether traditional farming systems based on indigenous knowledge currently in place are improving the socioeconomic conditions of farmers. Hence, this study was conducted with the following objectives: (i) to reveal the present status of traditional fish farming systems, (ii) to define the socioeconomic profile of the farmers, (iii) to identify the problems associated with traditional fish farming, and (iv) to show the inter-relationship between fish farming and socioeconomic development. For achieving these objectives, data were collected from 100 small-scale fish farmers from a rural coastal area of Bangladesh through a well-structured questionnaire, focus group discussion, and cross-check interviews. Our findings showed that most of the homestead ponds were small-sized (44%) and shallow (61%) where a polyculture system was prevalent (91%). The majority of the ponds (77%) were found to be perennial, 60% of which had single ownership. Socioeconomic data revealed that the highest number of farmers (42%) earned 1000.00 to 1500.00 USD annually, and 62% of the respondents took fish farming as their secondary occupation. Among the farmers, 62% had primary education, whereas 7% had no education, and only 26% of the farmers had official training in fish farming, indicating that culture management was mainly based on indigenous knowledge. A total of 55% of the farmers had 5 to 10 family members, and 80% of them lived in joint families. Furthermore, 40% of the farmers owned tin shed houses, whereas the maximum (60%) utilized katcha toilets. However, almost half of the farmers (57%) utilized their own funds for fish farming, and the majority (90%) had access to their own tube well. The study found that the biggest obstacles to fish farming were pressure from large families, a lack of education and training, a lack of quality seed and feed, outbreaks of fish diseases, an inadequate supply of water during the dry season, and a lack of adequate funding. However, Pearson correlation showed that there was a significant positive association between age and experience (r = 0.908, p < 0.01) and age and income (r = 0.326, p < 0.01). Multiple regression analyses also demonstrated that age and experience in fish farming played a significant role in increased annual income. In conclusion, 94% of the respondents claimed that fish farming had improved their socioeconomic situation. Homestead pond fish farming through indigenous knowledge increased household fish consumption with a source of protein and micronutrients, improved dietary diversity, and generated extra household income, which inferred their better sustenance. Full article

Land degradation, food and tenure insecurity are significant problems in the northern highlands of Ethiopia, particularly in the region known as the country’s famine corridor. Addressing these twine issues in the region has become a focal point for both local and international organizations, underscoring the significance of preventive measures. Since 2000, the Government of Ethiopia (GoE) has been implementing sustainable land management and certification programs. This study aims on households involved in these programs, specifically in Dessie Zuria and Kutaber Woredas, South Wello Zone (SWZ). The primary objectives of the research were to assess households’ current food security status, identify factors influencing their food security, and classify coping and survival strategies employed by households during food shortages. Primary and secondary sources have been used to collect both qualitative and quantitative data. Quantitative data were collected from surveyed households and analyzed USING SPSS software version 26, whereas qualitative data were transcribed, grouped, and interpreted in line with the aim of the research. Three food security models, namely the Household Food Balance Model, Months of Adequate Household Food Provisioning, and Household Dietary Diversity Score, were employed to evaluate food security. Consequently, a significant percentage of the surveyed households, amounting to 88.3%, 35.6%, and 93.8%, were found to experience food insecurity according to the respective models. Rainfall shortages and variability, crop pests and diseases, shrinking farm plots, and land degradation are among the identified food security determinants. During dearth periods, households deploy a variety of coping and survival strategies. To mitigate food insecurity stemming from both natural and socio-economic factors, the research suggests several recommendations. These include advocating for tenure policy reforms by the GoE, and the local governments should promote the adoption of efficient land management practices, instituting a land certification system based on cadasters, encouraging family planning, boosting investments in education and literacy, raising awareness and providing training in climate-smart agriculture techniques, educating communities on optimal grain utilization, saving, trade, and storage methods, facilitating opportunities for income generation through off-farm and non-farm activities, and offering support for crop and livestock diversification. Full article