Frequent Consumption of Micronutrient-Rich Foods Is Associated With Reduced Risk of Anemia Among Adolescent Girls and Boys in Indonesia: A Cross-Sectional Study
| Autor: | Marthe Knijff, Jee Hyun Rah, Doddy Izwardy, Julia Suryantan, Airin Roshita |
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| Rok vydání: | 2021 |
| Předmět: |
Reduced risk
medicine.medical_specialty Adolescent Anemia Cross-sectional study Geography Planning and Development 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Environmental health Vegetables Animals Humans Medicine Micronutrients 030212 general & internal medicine Motor skill Consumption (economics) Nutrition and Dietetics business.industry Public health Cognition Micronutrient medicine.disease Cross-Sectional Studies Indonesia business Food Science |
| Zdroj: | Food and Nutrition Bulletin. 42:S59-S71 |
| ISSN: | 1564-8265 0379-5721 |
| DOI: | 10.1177/0379572120977455 |
| Popis: | Background: Anemia is a global public health concern. Its devastating consequences include impaired cognitive and motor development, reduced work productivity, and adverse birth outcomes, all of which apply to adolescents, as well as adults and children. Objective: This study aimed to examine the determinants of anemia in Indonesian adolescent girls and boys from Klaten and Lombok Barat districts. Methods: A total of 2150 adolescents who participated in a cross-sectional household survey were included in the analysis. The dietary intake of adolescents was assessed using a 7-day food frequency questionnaire. The relationship between anemia status, dietary intake, and other hypothesized determinants was assessed for adolescent girls and boys on a separate basis, using complex samples Cox regression analysis. Variables were selected for inclusion in multivariate models if they were significantly associated with the dependent variable in univariate models ( P < .05). Results: The prevalence of anemia among adolescent girls and boys was 19% and 5%, respectively. In multivariate analyses, frequent consumption of animal-based iron-rich foods was significantly associated with a lower risk of anemia (prevalence ratio [PR]: 0.59; 95% CI: 0.36-0.97) among adolescent girls, whereas a higher intake of vitamin A-rich fruits and vegetables was associated with a reduced risk of anemia (PR: 0.41; 95% CI: 0.20-0.85) among adolescent boys, after adjustment for all potential confounders. Conclusions: Increased consumption of iron- and vitamin A-rich foods through the implementation of gender-responsive Social Behaviour Change Communication (SBCC) interventions is warranted. This should be coupled with improved coverage and quality of iron and folic acid supplementation programs in adolescents. |
| Databáze: | OpenAIRE |
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