Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia.
<h4>Background</h4>In Indonesia, food security and dietary patterns varied by regions. This might lead to differences in problem nutrients (PN) and should be considered in developing local-specific food-based recommendations (FBRs) for stunting prevention.<h4>Objectives</h4>T...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0314552 |
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| author | Umi Fahmida Indriya Laras Pramesthi Sari Kusuma Arienta R P Sudibya Rahmawati Rahmawati Dini Suciyanti Gusnedi Gusnedi Aly Diana |
| author_facet | Umi Fahmida Indriya Laras Pramesthi Sari Kusuma Arienta R P Sudibya Rahmawati Rahmawati Dini Suciyanti Gusnedi Gusnedi Aly Diana |
| author_sort | Umi Fahmida |
| collection | DOAJ |
| description | <h4>Background</h4>In Indonesia, food security and dietary patterns varied by regions. This might lead to differences in problem nutrients (PN) and should be considered in developing local-specific food-based recommendations (FBRs) for stunting prevention.<h4>Objectives</h4>This study aims to identify PNs in diet of under-five children in selected 37 stunting priority districts in Indonesia and assess whether the number of PNs was associated with district food security status.<h4>Methods</h4>Linear programming analysis (LP) using Optifood was done using single 24-hour dietary recall data Ministry of Health 2016 Food Consumption Survey. PN was defined as nutrient which did not meet 100% Recommended Nutrient Intake (RNI) based on Indonesian-RNI in the 2-best-diets scenario. District's food security status was determined using Food Security Vulnerability Atlas 2018.<h4>Results</h4>The top three PNs amongst under-five childrenwere iron, folate, vitamin B12 (6-11mo); folate, calcium, zinc (12-23mo); folate, calcium, vitamin C (24-35mo); and calcium, folate, vitamin C (36-59mo). There were no significant differences in number of PNs based on food security status. After integrating the nutrient-dense foods into FBRs, the number of districts with dietary inadequacy decreased for the top-3 problem nutrients in each age group, with the exception of iron for infants.<h4>Conclusions</h4>Our findings showed that problem nutrients and dietary inadequacy were prevalent in diet of under-five children, even in food-secure areas. Promoting locally available nutrient-dense foods through FBRs (nutrition-specific intervention) and ensuring availability and access to these foods (nutrition-sensitive intervention) are recommended. Additional intervention(s), particularly for iron in infants, are required. |
| format | Article |
| id | doaj-art-ebdabfd89f364cf3bb19d99168f47873 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-ebdabfd89f364cf3bb19d99168f478732025-01-08T05:32:54ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031455210.1371/journal.pone.0314552Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia.Umi FahmidaIndriya Laras PramesthiSari KusumaArienta R P SudibyaRahmawati RahmawatiDini SuciyantiGusnedi GusnediAly Diana<h4>Background</h4>In Indonesia, food security and dietary patterns varied by regions. This might lead to differences in problem nutrients (PN) and should be considered in developing local-specific food-based recommendations (FBRs) for stunting prevention.<h4>Objectives</h4>This study aims to identify PNs in diet of under-five children in selected 37 stunting priority districts in Indonesia and assess whether the number of PNs was associated with district food security status.<h4>Methods</h4>Linear programming analysis (LP) using Optifood was done using single 24-hour dietary recall data Ministry of Health 2016 Food Consumption Survey. PN was defined as nutrient which did not meet 100% Recommended Nutrient Intake (RNI) based on Indonesian-RNI in the 2-best-diets scenario. District's food security status was determined using Food Security Vulnerability Atlas 2018.<h4>Results</h4>The top three PNs amongst under-five childrenwere iron, folate, vitamin B12 (6-11mo); folate, calcium, zinc (12-23mo); folate, calcium, vitamin C (24-35mo); and calcium, folate, vitamin C (36-59mo). There were no significant differences in number of PNs based on food security status. After integrating the nutrient-dense foods into FBRs, the number of districts with dietary inadequacy decreased for the top-3 problem nutrients in each age group, with the exception of iron for infants.<h4>Conclusions</h4>Our findings showed that problem nutrients and dietary inadequacy were prevalent in diet of under-five children, even in food-secure areas. Promoting locally available nutrient-dense foods through FBRs (nutrition-specific intervention) and ensuring availability and access to these foods (nutrition-sensitive intervention) are recommended. Additional intervention(s), particularly for iron in infants, are required.https://doi.org/10.1371/journal.pone.0314552 |
| spellingShingle | Umi Fahmida Indriya Laras Pramesthi Sari Kusuma Arienta R P Sudibya Rahmawati Rahmawati Dini Suciyanti Gusnedi Gusnedi Aly Diana Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia. PLoS ONE |
| title | Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia. |
| title_full | Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia. |
| title_fullStr | Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia. |
| title_full_unstemmed | Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia. |
| title_short | Problem nutrients in diet of under-five children and district food security status: Linear programming analyses of 37 stunting priority districts in Indonesia. |
| title_sort | problem nutrients in diet of under five children and district food security status linear programming analyses of 37 stunting priority districts in indonesia |
| url | https://doi.org/10.1371/journal.pone.0314552 |
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