Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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Household food insecurity, diet quality, and weight status among indigenous women (Mah Meri) in Peninsular Malaysia

  • Pei, Chong Su (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Appannah, Geeta (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Sulaiman, Norhasmah (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia)
  • Received : 2017.10.13
  • Accepted : 2018.03.02
  • Published : 2018.04.01
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Abstract

BACKGROUND/OBJECTIVES: This cross-sectional study assessed household food security status and determined its association with diet quality and weight status among indigenous women from the Mah Meri tribe in Peninsular Malaysia. SUBJECTS/METHODS: The Radimer/Cornell Hunger and Food Insecurity Instrument and the Malaysian Healthy Eating Index (HEI) were used to assess household food security status and diet quality, respectively. Information on socio-demographic characteristics and 24-hour dietary recall data were collected through face-to-face interview, and anthropometric measurements including weight, height, and body mass index (BMI) were obtained from 222 women. RESULTS: Majority of households (82.9%) experienced different levels of food insecurity: 29.3% household food insecurity, 23.4% individual food insecurity, and 30.2% fell into the child hunger group. The food-secure group had significantly fewer children and smaller household sizes than the food-insecure groups (P < 0.05). The mean household income, income per capita, and food expenditure significantly decreased as food insecurity worsened (P < 0.001). The food-secure group had significantly higher Malaysian HEI scores for grains and cereals (P < 0.01), as well as for meat, poultry, and eggs (P < 0.001), than the food-insecure groups. The child-hunger group had significantly higher fat (P < 0.05) and sodium (P < 0.001) scores than the food-secure and household food-insecure groups. Compared to the individual food-insecure and child-hunger groups, multivariate analysis of covariance showed that the food-secure group was significantly associated with a higher Malaysian HEI score while the household food-insecure group was significantly associated with a higher BMI after controlling for age (P < 0.025). CONCLUSIONS: The majority of indigenous households faced food insecurity. Food insecurity at the individual and child levels was associated with lower quality of diet, while food insecurity at the household level was associated with higher body weight. Therefore, a substantial effort by all stakeholders is warranted to improve food insecurity among poorer households. The results suggest a pressing need for nutritional interventions to improve dietary intake among low income households.

Keywords

References

  1. United Nations Development Programme. UNDP and indigenous peoples: a policy of engagement [Internet]. New York (NY): United Nations Development Programme; 2001 [cited 2017 March 1]. Available from: http://www.undp.org/content/dam/aplaws/publication/en/publications/environment-energy/www-ee-library/local-dev elopment/undp-and-indigenous-peoples-a-policy-of-engagement/UNDP_Policy_of_Engagement_with_Indigenous_Peoples.pdf?download.
  2. Jais A. The Mahmeri scuplture heritage in Malaysia: an exploratory study. Proceedings of 2010 International Conference on Humanities, Historical and Social Sciences; 2010 February 26-28; Singapore. Liverpool: World Academic Press; 2010. p. 482-5.
  3. Nicholas C, Baer A. Health care for the Orang Asli: consequences of paternalism and colonialism. In: Chee HL, Barraclough S, editors. Health Care in Malaysia: the Dynamics of Provision, Financing and Access. London: Routledge; 2007. p.119-36.
  4. Food and Agriculture Organization. Rome declaration on world food security and world food summit plan of action 1996 [Internet]. Rome: Food and Agriculture Organization; 1996 [cited 2017 March 1]. Available from: http://www.fao.org/docrep/003/w3613e/w3613e00.HTM.
  5. Tanumihardjo SA, Anderson C, Kaufer-Horwitz M, Bode L, Emenaker NJ, Haqq AM, Satia JA, Silver HJ, Stadler DD. Poverty, obesity, and malnutrition: an international perspective recognizing the paradox. J Am Diet Assoc 2007;107:1966-72. https://doi.org/10.1016/j.jada.2007.08.007
  6. Lim H, Chee H. Nutritional status and reproductive health of Orang Asli women in two villages in Kuantan, Pahang. Malays J Nutr 1998;4:31-54.
  7. Zalilah MS, Tham BL. Food security and child nutritional status among Orang Asli (Temuan) households in Hulu Langat, Selangor. Med J Malaysia 2002;57:36-50.
  8. 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;18:412-22.
  9. Ministry of Health Malaysia. National plan of action Malaysia III 2016-2025 [Internet]. Putrajaya: Ministry of Health Malaysia; 2016 [cited 2017 March 20]. Available from: http://nutrition.moh.gov.my/wp-content/uploads/2016/12/NPANM _III.pdf.
  10. Huet C, Rosol R, Egeland GM. The prevalence of food insecurity is high and the diet quality poor in Inuit communities. J Nutr 2012;142:541-7. https://doi.org/10.3945/jn.111.149278
  11. Leung CW, Epel ES, Ritchie LD, Crawford PB, Laraia BA. Food insecurity is inversely associated with diet quality of lower-income adults. J Acad Nutr Diet 2014;114:1943-1953.e2. https://doi.org/10.1016/j.jand.2014.06.353
  12. Dharod JM, Croom JE, Sady CG. Food insecurity: its relationship to dietary intake and body weight among Somali refugee women in the United States. J Nutr Educ Behav 2013;45:47-53. https://doi.org/10.1016/j.jneb.2012.03.006
  13. Leyna GH, Mmbaga EJ, Mnyika KS, Hussain A, Knut-Inge K. Food insecurity is associated with food consumption patterns and anthropometric measures but not serum micronutrient levels in adults in rural Tanzania. Public Health Nutr 2010;13:1438-44.
  14. Isanaka S, Mora-Plazas M, Lopez-Arana S, Baylin A, Villamor E. Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogota, Colombia. J Nutr 2007;137:2747-55. https://doi.org/10.1093/jn/137.12.2747
  15. Hanson KL, Sobal J, Frongillo EA. Gender and marital status clarify associations between food insecurity and body weight. J Nutr 2007;137:1460-5. https://doi.org/10.1093/jn/137.6.1460
  16. Radimer KL, Olson CM, Campbell CC. Development of indicators to assess hunger. J Nutr 1990;120:1544-8. https://doi.org/10.1093/jn/120.suppl_11.1544
  17. Tee ES. Nutrient Composition of Malaysian Foods. 4th ed. Kuala Lumpur: Institiut Penyelidikan Perubatan; 1997.
  18. National Coordinating Committee on Food and Nutrition (MY). Malaysian Dietary Guidelines. Kuala Lumpur: Ministry of Health Malaysia; 2010.
  19. Lee TT, Norimah AK, Safiah MY. Development of Healthy Eating Index for Malaysian adults. Proceedings of 26th Scientific Conference of the Nutrition Society of Malaysia; 2011 March 24-25; Kuala Lumpur, Malaysia. Selangor: Nutrition Society of Malaysia; 2011. p. 101-2.
  20. Goh HW, Norimah AK. Validation of Healthy Eating Index (HEI) for Malaysian adults. Proceedings of 27th Scientific Conference of the Nutrition Society of Malaysia; 2012 May 24-25; Kuala Lumpur, Malaysia. Selangor: Nutrition Society of Malaysia; 2012. p. 139.
  21. World Health Organization. Obesity: preventing and managing the global epidemic [Internet]. Geneva: World Health Organization; 2000 [cited 2017 June 12]. Available from: http://apps.who.int/iris/bitstream/10665/42330/1/WHO_TRS_894.pdf?ua=1&ua=1.
  22. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 5th ed. Boston (MA): Pearson Education; 2007.
  23. Economic Planning Unit (MY). Brief household income & poverty statistics newsletter, 2012 & 2014 [Internet]. Putrajaya: Economic Planning Unit; 2014 [cited 2017 December 3]. Available from: http://epu.gov.my/sites/default/files/Perangkaan%20Pendapatan%20%26%20Kemiskinan%20Isi%20Rumah%20Sepintas%20Lalu%2C%202012%20%26%202014.pdf.
  24. Shariff ZM, Khor GL. Household food insecurity and coping strategies in a poor rural community in Malaysia. Nutr Res Pract 2008;2:26-34. https://doi.org/10.4162/nrp.2008.2.1.26
  25. Shariff ZM, Sulaiman N, Jalil RA, Yen WC, Yaw YH, Taib MN, Kandiah M, Lin KG. Food insecurity and the metabolic syndrome among women from low income communities in Malaysia. Asia Pac J Clin Nutr 2014;23:138-47.
  26. Central Bank of Malaysia. Inflation and the cost of living [Internet]. Kuala Lumpur: Central Bank Malaysia; 2015 [cited 2017 December 3]. Available from: https://www.bnm.gov.my/files/publication/ar/en/2015/cp01_003_box_updated.pdf.
  27. Department of Statistics Malaysia. Consumer price index Malaysia February 2016 [Internet]. Kuala Lumpur: Department of Statistics of Malaysia; 2016 [cited 2017 December 4]. Available from: https://www.dosm.gov.my/v1/index.php?r=column/pdfPrev&id=cjFMV21DRHNHZnNVbkhnYmh5Tm9HUT09.
  28. Nurfahilin T, Norhasmah S. Factors and coping strategies related to food insecurity and nutritional status among Orang Asli women in Malaysia. Int J Public Health Clin Sci 2015;2:55-66.
  29. Ali Naser I, Jalil R, Wan Muda WM, Wan Nik WS, Mohd Shariff Z, Abdullah MR. Association between household food insecurity and nutritional outcomes among children in Northeastern of Peninsular Malaysia. Nutr Res Pract 2014;8:304-11.
  30. Loopstra R, Tarasuk V. Severity of household food insecurity is sensitive to change in household income and employment status among low-income families. J Nutr 2013;143:1316-23. https://doi.org/10.3945/jn.113.175414
  31. Dachner N, Ricciuto L, Kirkpatrick SI, Tarasuk V. Food purchasing and food insecurity: among low-income families in Toronto. Can J Diet Pract Res 2010;71:e50-6.
  32. Sulaiman N, Shariff ZM, Jalil RA, Taib MN, Kandiah M, Samah AA. Validation of the Malaysian Coping Strategy Instrument to measure household food insecurity in Kelantan, Malaysia. Food Nutr Bull 2011;32:354-64.
  33. Mohamadpour M, Sharif ZM, Keysami MA. Food Insecurity, health and nutritional status among sample of palm-plantation households in Malaysia. J Health Popul Nutr 2012;30:291-302.
  34. Ihab AN, Rohana AJ, Wan Manan WM, Wan Suriati WN, Zalilah MS, Rusli AM. Food expenditure and diet diversity score are predictors of household food insecurity among low income households in rural district of Kelantan Malaysia. Pak J Nutr 2012;11:967-73. https://doi.org/10.3923/pjn.2012.967.973
  35. Nnakwe NE. Dietary patterns and prevalence of food insecurity among low-income families participating in community food assistance programs in a midwest town. Fam Consum Sci Res J 2008;36:229-42. https://doi.org/10.1177/1077727X07311682
  36. Gustafson DJ. Rising food costs & global food security: key issues & relevance for India. Indian J Med Res 2013;138:398-410.
  37. Norhasmah S Jr, Zalilah MS, Mohd Nasir MT, Kandiah M, Asnarulkhadi AS. A qualitative study on coping strategies among women from food insecurity households in Selangor and Negeri Sembilan. Malays J Nutr 2010;16:39-54.
  38. Fieldhouse P. Food and Nutrition: Customs and Culture. 2nd ed. New York (NY): Chapman & Hall; 1995.
  39. Haemamalar K, Zalilah MS, Neng AA. Nutritional status of Orang Asli (Che Wong tribe) adults in Krau wildlife reserve, Pahang. Malays J Nutr 2010;16:55-68.
  40. Ey Chua EY, Zalilah MS, Ys Chin YS, Norhasmah S. Dietary diversity is associated with nutritional status of Orang Asli children in Krau Wildlife Reserve, Pahang. Malays J Nutr 2012;18:1-13.
  41. Nord M, Andrews M, Carlson S. Household food security in the United States, 2008 [Internet]. Washington, D.C.: U. S. Department of Agriculture; 2009 [cited 2018 January 3]. Available from: https://ageconsearch.umn.edu/bitstream/55953/2/ERR83%20full%20doc.pdf.
  42. Hadley C, Patil CL. Seasonal changes in household food insecurity and symptoms of anxiety and depression. Am J Phys Anthropol 2008;135:225-32. https://doi.org/10.1002/ajpa.20724
  43. Kirkpatrick SI, Tarasuk V. Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents. J Nutr 2008;138:604-12. https://doi.org/10.1093/jn/138.3.604
  44. Drewnowski A. Obesity, diets, and social inequalities. Nutr Rev 2009;67 Suppl 1:S36-9. https://doi.org/10.1111/j.1753-4887.2009.00157.x

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