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Household food insecurity and maternal dietary quality during pregnancy and early postpartum period in rural Bangladesh (268.3)
Author(s) -
Na Muzi,
West Keith,
Shamim Abu,
Shaikh Saijuddin,
Mehra Sucheta,
Labrique Alain,
Ali Hasmot,
Wu Lee,
Klemm Rolf,
Christian Parul
Publication year - 2014
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.28.1_supplement.268.3
Subject(s) - micronutrient , pregnancy , medicine , food insecurity , malnutrition , food security , food frequency questionnaire , postpartum period , demography , environmental health , nutrition transition , rural area , body mass index , geography , biology , agriculture , endocrinology , genetics , archaeology , pathology , sociology , overweight
Household food insecurity (HFI) is a cause of chronic malnutrition in rural South Asia, although little is known about how measured, long‐term diets of women of reproductive age covary by reported level of food security (FS). This relationship was examined during a micronutrient intervention trial in rural northern Bangladesh. We prospectively assessed diet by a 7‐day food frequency questionnaire among a cohort of 14,377 mothers in the 1 st and 3 rd trimester of pregnancy, and at 3 mo postpartum, or ~1 yr period. A HFI index was created from a 9‐item standardized tool, asked at 6 mo postpartum. At each time, dietary quality, reflected by the number of major food groups represented in the diet, decreased progressively with poorer FS, driven by reductions in animal source and other nutrient dense foods. On average, the proportion with which women reported any weekly intake of dairy, meat, eggs and fruit decreased from 51 to 19%, 51 to 17%, 56 to 16% and 34 to 10% as the HFI decreased from secure to severely insecure (all p for trend <0.001). Staple grains changed little (~90% to 85%, p<0.001), but edible oil intake was unaffected (at ~100%) by gradient of HFI. Although declining with HFI (p<0.001), 蠅80% of all women reported eating fish the previous week. Antenatal and early postnatal dietary quality is lower in a dose‐response way, while grain and oil intake are least affected by chronic HFI in rural Bangaldesh. Grant Funding Source : Supported by the Bill and Melinda Gates Foundation (Grant GH614)