Are Households in Kiribati Nutrition Secure? A Case Study of South Tarawa and Butaritari.

BACKGROUND AND OBJECTIVES: This study assessed the nutritional status among householders in urban South Tarawa and rural Butaritari in Kiribati. METHODS AND STUDY DESIGN: In this cross-sectional study, we assessed energy and nutrient intakes, food variety scores, and dietary diversity scores of men and women from 468 households randomly selected in South Tarawa (n = 161) and Butaritari (n = 307) using a 24-hour dietary recall. Nutrient adequacy ratios and mean adequacy ratios of selected nutrients were also determined from 3-day weighed food records collected among participants living in a further 28 households from South Tarawa (n = 29) and Butaritari (n = 44). RESULTS: Based on the 24-hour dietary recall, the average energy intake for men and women was 2536 kcals and 2068 kcals, respectively. Carbohydrate (CHO), fat, and protein intakes for men and women were 332.5 g, 76.5 g, and 130.4 g and 291.7 g, 55.1 g, and 103.5 g, respectively. The mean and standard deviation of household Food Variety Score and Dietary Diversity Score was 3.90 ± 1.25 and 5.44 ± 1.92, respectively. Intakes of vitamin A, calcium, and iron, and zinc were notably deficient in both locations, with the urban participants having lower intakes of vitamin B-1, vitamin B-2, magnesium, and potassium than their rural counterparts. Mean sodium intakes exceeded recommendations for all age groups in South Tarawa except children aged 4 to 6 years. CONCLUSIONS: Food consumption patterns of the households in South Tarawa and Butaritari reflected high consumption of nontraditional diets and refined foods, which manifested in inadequate micronutrient intake estimates and low dietary diversity: strong risk factors for noncommunicable diseases such as obesity and diabetes.

Review of Methodologies for Assessing Sustainable Diets and Potential for Development of Harmonised Indicators.

The underlying values and priorities that drive policy responses depend largely on the constructs that researchers and decision makers select to measure and the metrics used. Despite much recent attention being given to sustainable diets and food systems and to the importance of clearly measuring sustainability to meet targets, to achieve goals, and to appraise dietary and environmental policies, it is not commonly agreed how the different indicators of sustainable diets are assessed. The evidence base for assessment of these indicators are frequently weak, fragmented, and arbitrary. The aim of this paper was to compare a range of published methods and indicators for assessing sustainable diets and food systems in order to harmonise them. Keyword and reference searches were performed in PubMed, Scopus, CAB Abstracts, and Web of Knowledge. Fifty-two studies (21 proposed methods and 31 used methods) that combined environment, nutrition and health, and socioeconomic aspects of sustainable diets were reviewed. The majority (over 90%) of the studies focused on high-income countries. Twenty-eight studies assessed the environmental effects of different dietary practices, eight of the studies examined the nutrition and health indicators used for assessing sustainable food systems, and seven studies assessed the social and economic costs of diets. A classification of the elements was developed, and common elements are proposed for standardizing. These elements were categorized into nutrition and health indicators, environment indicators, and socioeconomic indicators. Standardized or harmonized indicators can be used for consistency and applicability purposes and to support, implement, and monitor relevant policies.

Quantitative estimates of dietary intake in households of South Tarawa, Kiribati.

BACKGROUND AND OBJECTIVES: Malnutrition is a public health problem especially among the Pacific Small Island developing nations. This study assessed malnutrition with dietary intakes in households of South Tarawa, Kiribati, a West Pacific Island Nation State. METHODS AND STUDY DESIGN: A cross-sectional community-based study design was used. One hundred and sixty-one households were selected from Betio, Bikenibeu and Teaorereke towns using a systematic random sampling method. About 35% each of the households was selected from Bikenebue and Besio while 30.4% was selected from Teaoraeke. Family (including children) dietary surveys including 24- hour dietary recall were administered to assess adequacy of nutrient intakes and dietary diversity using Household Diet Diversity Scores. A 3-day weighed food record was collected on a sub-sample. Data were analysed using FoodWorks Pro 8 for nutrient intake and Statistical Product for Service Solution (SPSS) version 21 for descriptive statistics. RESULTS: Sixty-one percent of the subjects had the lowest dietary diversity, 36.3% had a medium dietary diversity and only 2.7% had the highest dietary diversity. Based on the weighed food record results (n=29), male subjects of all age groups had adequate intakes of riboflavin, niacin, vitamin C, magnesium, iron and zinc, but had high intakes of protein and sodium; and low intakes of potassium and calcium. Female subjects had adequate intakes of vitamin C, iron, magnesium and zinc, but had high intakes of protein and sodium; and low intakes of potassium and calcium. CONCLUSIONS: Across all groups, 61% of the adult Kiribati population studied showed low dietary diversity, and a high prevalence of multiple micronutrient deficiencies.

Gender roles, family relationships, and household food and nutrition security in Ohafia matrilineal society in Nigeria.

This study examined gender roles, family relationships, food security, and nutritional status of households in Ohafia: a matrilineal society in Nigeria. A cross-sectional descriptive study was conducted. Multistage sampling technique was used to select 287 households from three villages: Akanu, Amangwu, and Elu. Qualitative and quantitative data collection methods were adopted, namely, focus group discussions and questionnaires. Anthropometric measurements (height and weight for mothers and children and Mid-Upper Arm Circumference for young children) were taken using standard techniques. The body mass index of women was calculated. All nutritional indices were compared with reference standards. Food insecurity was assessed using the Household Hunger Scale and Dietary Diversity Score, then analysed using the Statistical Product for Service Solution version 21. Data analysis used descriptive statistics. Most (91.2%) of the respondents were female. The matrilineal system known as ikwu nne or iri ala a nne (inheritance through mothers' lineage) is still in place but is changing. One important benefit of the system is the access to land by women. Whereas women participated actively in agriculture, food preparation, and care of family, the men were moving to off-farm activities. High prevalence of household food insecurity (66%) and signs of malnutrition including moderate to severe stunting (48.4%) and wasting (31.7%) in children, household hunger (34.5%), and overweight (27.5%) and obesity (19.2%) among mothers were observed. These communities urgently need gender sensitive food and nutrition interventions.

Fat-Related Anthropometric Variables and Regional Patterns of Body Size and Adiposity of Adolescents in Aba South LGA, Abia State, Nigeria.

AIM: This study assessed fat-related anthropometric variables and regional patterns of body size and adiposity of adolescents in Aba South LGA. METHODS: A total number of 600 adolescents who were secondary school students aged 10 to 19 years wereselected from 61 registered secondary schools. A multi-random sampling technique was used to select the patients. Ethical approval and informed consent were obtained from the patients who participated in the study. Each patient was subjected to weight, height, mid-upper arm circumference (MUAC), and skinfolds measurements using standard methods. Body fat percentage was calculated by the formulas described by Slaughter, Siris, and Shailk equations. Descriptive statistics of frequencies, percentages, mean, and standard deviation were used to examine the gender-specific anthropometric indices. Chi-square and independent t test were also applied to determine the differences between the parameters or variables of the genders at P< .05. RESULTS: The respondents aged 19 years had the highest measurement for triceps (14.60 mm), thigh (35.05 mm), and MUAC (25.95 mm), while those aged 18 years had the highest measurement for suprailiac (15.00 mm) and subscapular (16.94 mm). Females had more fat deposits than males in all the skinfold sites. They also had a significantly ( P = .05) higher body fat percentage than males. A multiple regression analysis revealed that maximum calf fat was a strong predictor of body fat percentage of the patients. CONCLUSION: High prevalence of obesity was found in this study, and the 3 equations of body fat percentage showed similar findings that more females than males had higher body fat percentage.