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. 2015 Apr;9(2):174-9.
doi: 10.4162/nrp.2015.9.2.174. Epub 2015 Feb 12.

Relationship between intra-household food distribution and coexistence of dual forms of malnutrition

Yulianti Wibowo  1 , Bambang Sutrisna  1 , Hardinsyah Hardinsyah  2 , Ratna Djuwita  1 , Mondastri Korib M  1 , Ahmad Syafiq  1 , Atmarita Tilden  3 , Mardiati Najib  1
Affiliations

Relationship between intra-household food distribution and coexistence of dual forms of malnutrition

Yulianti Wibowo et al. Nutr Res Pract. 2015 Apr.

Abstract

Background/objectives: The relationship between food intake and nutritional status has been clearly established. Yet, there are only limited studies on food intake among family members and their nutritional status. The study examined the relationship between intra-household food distribution and coexistence of dual forms of malnutrition (DFM) in the same household.

Subjects/methods: Households with a malnourished child and overweight mother were categorized as DFM. Intra-household food distribution among family members was reported using ratios, which are a measure of individual intakes as compared to all household member intakes adjusted to RDA.

Results: A 1,899 families were included in the study. The prevalence of DFM was 29.8% (95%CI 26.5-31.2). Children consumed lower amounts of energy (OR 1.34; 95%CI 1.06-1.69, P = 0.011), carbohydrates (OR 1.2; 95%CI1.03-1.61, P = 0.022), protein (OR 1.3; 95%CI 1.03-1.64, P = 0.026), and fat (OR 1.3; 95%CI 1.05-1.66, P = 0.016) than their mothers and other family members. In contrast, mothers consumed more carbohydrates than children and other family members (OR1.24; 95%CI 1.02-1.51, P = 0.03).

Conclusions: This study is the first to report on the food distribution among family members and its relationship with occurrence of DFM in Indonesia. The results confirm the occurrence of an unequal food distribution between children and mothers, which increases risk of DFM in the household. The results also demonstrate that nutritional education at the household level is important to increase awareness of the impact of DFM.

Keywords: Food distribution; Indonesia; malnutrition.

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References

    1. Doak CM, Adair LS, Bentley M, Monteiro C, Popkin BM. The dual burden household and the nutrition transition paradox. Int J Obes (Lond) 2005;29:129–136. - PubMed
    1. Doak CM, Adair LS, Monteiro C, Popkin BM. Overweight and underweight coexist within households in Brazil, China and Russia. J Nutr. 2000;130:2965–2971. - PubMed
    1. Doak C, Adair L, Bentley M, Fengying Z, Popkin B. The underweight/overweight household: an exploration of household sociodemographic and dietary factors in China. Public Health Nutr. 2002;5:215–221. - PubMed
    1. Saibul N, Shariff ZM, Lin KG, Kandiah M, Ghani NA, Rahman HA. Food variety score is associated with dual burden of malnutrition in Orang Asli (Malaysian indigenous peoples) households: implications for health promotion. Asia Pac J Clin Nutr. 2009;18:412–422. - PubMed
    1. Garrett J, Ruel M. Stunted child-overweight mother pairs: an emerging policy concern? 17th International Congress of Nutrition. Ann Nutr Metab. 2001;45:404.