Association of socioeconomic status and food security with anthropometric indices among 2-5 year-old urban and rural children in Hamedan city

Subject Areas :

Golnaz  Majdizadeh ¹ (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Zahra  Vafaei Mastanabady ² (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Zahra  Zare ³ (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Mena  Farazi ⁴ (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Zahra  Mohammadizadeh ⁵ (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Ariyo  Movahedi ⁶ (Department of Nutrition, Science and Research Branch, Islamic Azad University, Tehran, Iran)
Mina  Minaie ⁷ (Community Nutrition Department, Ministry of Health and Medical Education, Tehran, Iran)
Zahra  Abdollahi ⁸ (Community Nutrition Department, Ministry of Health and Medical Education, Tehran, Iran)
Ahmadreza  Dorosty Motlagh ⁹ (Department of Community Nutrition, School of Nutritional Sciences & Dietetics, Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran)
Maryam  Zarei ¹⁰ (Department of Community Nutrition, Ministry of Health and Medical Education, Tehran, Iran)
Arezoo  Kavei ¹¹ (Department of Nutrition Improvement, Deputy of Health, Hamadan University of Medical Sciences and Health Services, Hamedan, Iran)
Hassan  Hamedi ¹² (Department of Food Safety and Hygiene, Science and Research Branch, Islamic Azad University, Tehran, Iran)

Received: 2019-08-18 Accepted : 2019-12-03 Published : 2019-11-01

Keywords: Pediatric, Food security, Anthropometric indices, Hamedan city,

Abstract :

Food insecurity is one of the issues that have a serious impact on the nutritional status of all individuals in society, especially children and given that food insecurity can be a precursor of health, developmental and nutritional problems, determining the factors associated with it, is also essential in any community it seems. According to this, this study aimed to determine the relationship between food security, socioeconomic status and anthropometric indices in children 2-5 years in Hamedan city. In this analytical descriptive cross-sectional study, 683 children 2-5 years (360 boys, 323 girls) from Hamedan city and villages were selected by systematic cluster sampling methods from the Hamedan University of Medical sciences. HFLAS 9-item questionnaire to investigate food security, and also, a general questionnaire was completed through interviews with mothers of children. Also, children of anthropometric Z scores were measured by using the world health organization (WHO) Anthro software basal on WHO 2007 standards. Eventually, data were analyzed by SPSS software. According to this study, there was a significant correlation between the mother's and father's education and occupation, frequency of snack and food security with children's weight for age (p <0.05). Also, there was a significant correlation between the mother's and father's job, frequency of snack with children's weight for height (p <0.05). While BMI for age had a significant correlation with maternal education, (p <0.05). Also, height for age correlated with the mother’s education and occupation, father’s education, number of snacks and food security (p <0.05). Also, no significant difference was found between other components (p>0.05). The result of this study shown that there was a significant correlation between food security, Z score height for age, Z scores BMI for age, mother's and father's education, mother's job and socioeconomic status of the household.

References:

1. Minaie M, Movahedi A, Dorosty Motlagh A, Abdollahi Z, Jazayer A. Association of socioeconomic status and food security with anthropometric indices among 2-5-years-old urban children in eight different cities in Iran. International Journal of Preventive Medicine 2019;10:173.


2. Moccia P. (2009). Progress for children: A report card on child protection: UNICEF.


3. Lahmann NA, Tannen A, Suhr R. Underweight and malnutrition in home care: A multicenter study. Clinical Nutrition. 2016;35(5):1140-6.


4. Waxman A. WHO global strategy on diet, physical activity and health. Food and Nutrition Bulletin. 2004;25(3):292-302.


5. WHO. Nutrition Landscape Information System (NLIS) country profile indicators: interpretation guide. World Health Organization. 2010.


6. WHO. The state of food security and nutrition in the world 2018: Building climate resilience for food security and nutrition. World Health Organization. 2018.


7. Burgess A. Undernutrition in adults and children: causes, consequences and what we can do. South Sudan Medical Journal. 2008;1(2):18-22.


8. Borji M, Moradi M, Otaghi M, Tartjoman A. Relationship between nutritional status, food insecurity, and causes of hospitalization of children with infectious diseases. Journal of Comprehensive Pediatrics. 2018;9(2).


9. Central Statistical Agency [Ethiopia]: Ethiopia Demographic and Health Survey 2011. 2012, Addis Ababa, Ethiopia, Calverton, Maryland, USA: Central statistical agency and ICF International.


10. Mohammadi F, Omidvar N, Harrison GG, Ghazi-Tabatabaei M, Abdollahi M, Houshiar-Rad A, et al. Is household food insecurity associated with overweight/obesity in women? Iranian Journal of Public Health. 2013;42(4):380.


11. Abdurahman AA, Mirzaei K, Dorosty AR, Rahimiforoushani A, Kedir H. Household food insecurity may predict underweightand wasting among children aged 24–59 months. Ecology of Food and Nutrition. 2016;55(5):456-72.


12. Mohammadi F, Omidvar N, Houshiar-Rad A, Khoshfetrat M-R, Abdollahi M, Mehrabi Y. Validity of an adapted Household Food Insecurity Access Scale in urban households in Iran. Public Health Nutrition. 2012;15(1):149-57.


13. Mirshekar S, Safavi S, Yadegarfar G. The relationship between food insecurity and stunting combined with obesity and overweight in children aged 7 to 11 years in Zabol, Iran. Iranian Journal of Epidemiology. 2017;12(4):44-54.


14. Karam Soltani Z, Dorosty A, Ashrafiyan M, Siasi F, Jazayeri A. Obesity and Food security in school children in Yazd city. Science Information Database. 2007;65(7):68-76.


15. Basirat Reyhane, Salehi Abarghouei A, Esmaeil Zade A. Investigating the relationship between household food insecurity and obesity in Farrokhshahr elementary school students. Koomesh Journal of Semnan Medical Sciences University.13(2):254-63.


16. 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. The Journal of Nutrition. 2007;137(12):2747-55.


17. Poulsen MN, Bailey-Davis L, Pollak J, Hirsch AG, Schwartz BS. Household food insecurity and home food availability in relation to youth diet, body mass index, and adiposity. Journal of the Academy of Nutrition and Dietetics. 2019;119(10), 1666-75.


18. Mulu E, Mengistie B. Household food insecurity and its association with nutritional status of under five children in Sekela District, Western Ethiopia: a comparative cross-sectional study. BMC Nutrition. 2017;3(1):35.


19. Razmpoosh E, Khosravi H, Nadjarzadeh A. The relationship between nutritional status and anthropometric indices among 2-5-Year old children in Tehran. Journal of Nutrition and Food Security. 2018; 3(4), 202-8.


20. Osei A, Pandey P, Spiro D, Nielson J, Shrestha R, Talukder Z, et al. Household food insecurity and nutritional status of children aged 6 to 23 months in Kailali District of Nepal. Food and Nutrition Bulletin. 2010;31(4):483-94.


21. Speirs KE, Fiese BH, Team SKR. The relationship between food insecurity and BMI for preschool children. Maternal and Child Health Journal. 2016;20(4):925-33.


22. Mohammadpour Kalde M, Fouladvand M, Avokh Keisami M. Food insecurity as a risk factor for obesity in low-income women in Bushehr. Iranian South Medical Journal. 2011;13(4):263-72.


23. Nord M, Andrews M, Carlson S. Household food security in the United States, 2007. United States Department of Agriculture, Economic Research Report. 2007;66.


24. Chen J, Che J. Food insecurity in Canadian households. Health Reports. 2001;12(4):11.


25. Hadley C, Zodhiates A, Sellen DW. Acculturation, economics and food insecurity among refugees resettled in the USA: a case study of West African refugees. Public Health Nutrition. 2007;10(4):405-12.


26. Jafari Sani M, Bakhshoude M. Investigating the spatial distribution of poverty and food insecurity in urban and rural households in Iran. Agriculture Economics and Development. 2008;16(61):103-23.


27. Dast GS, Mahboub S, Toutounchi H, OSTAD RA. Determinants of food insecurity: a cross–sectional study in Tabriz. Research and Sciences Journal of Ardabil University of Medical Sciences. 2006;6(3):233-9.


28. Safarpour M, Dorosty A, Hosseini SM, Noshari FR, Safarpour M, Maskooni MD, et al. The prevalence and consequences of food insecurity and its association with socio-economic factors. Knowledge and Health. 2013;8(4):193-8.