Nutr Res Pract.  2015 Apr;9(2):174-179. 10.4162/nrp.2015.9.2.174.

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

• Wibowo Y
• Sutrisna B
• Hardinsyah H
• Djuwita R
• Korib M M
• Syafiq A
• Tilden A
• Najib M

• KMID: 2313826
• DOI: http://doi.org/10.4162/nrp.2015.9.2.174

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.

Keyword

Food distribution; malnutrition; Indonesia

MeSH Terms

Carbohydrates
Child
Eating
Education
Family Characteristics
Humans
Indonesia
Malnutrition*
Mothers
Nutritional Status
Overweight
Prevalence
Carbohydrates

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