Abstract
Objective:
To elucidate gender differences in dietary intake among adults in lowland Nepalese communities.
Subjects and methods:
For 122 male and 195 female subjects aged 20 years and over from 94 randomly selected households, interviews using a 19-item food frequency questionnaire were conducted. To determine the portion sizes of these foods, the samples consumed by 56 subjects in a full 1-day period were weighed. Energy expenditure was estimated by time spent on daily activities.
Results:
Gender differences in per-day energy and protein intakes were related to sex differences in body size and energy expenditure. Apparent gender differences in the crude intakes disappeared when they were expressed by nutrient density (mg or μg/MJ) since micronutrient intakes were significantly correlated with energy intake. However, males’ iron intake was larger even after adjustment for energy intake, attributing to their larger portion sizes of commonly consumed staple foods and higher frequencies of consuming luxury foods (fish and tea).
Conclusion:
The intrahousehold unequal distribution of food incurs risk of iron deficiency among female subjects.
Sponsorship:
This study was financially supported by the Ajinomoto Foundation for Dietary Culture and the Alliance for Global Sustainability Program.
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References
Anonymous (1992). Women on the short end of the loaf: intrahousehold food allocation among members of poor Nepalese families. Nutr Rev 50, 236–239.
Awumbila M, Momsen JH (1995). Gender and the environment: women's time use as a measure of environmental change. Glob Env Change 5, 337–397.
Chaudhury RH (1988). Adequacy of child dietary intake relative that of other family members. Food Nutr Bull 10, 4–7.
Christian P, West KP, Khatry SK, Katz J, Shrestha SR, Pradhan EK et al (1998). Night blindness of pregnancy in rural Nepal – Nutritional and health risks. Int J Epidemiol 27, 231–237.
Christian P, West KP, Kimbrough-Pradhan E, LeClerq SC, Khatry SK, Shrestha SR (2004). Cigarette smoking during pregnancy in rural Nepal: risk factors and effects of β-carotene and vitamin A supplementation. Eur J Clin Nutr 58, 204–211.
De Maeyer E (1989). Preventing and Controlling Iron Deficiency Anaemia through Primary Health Care. World Health Organization: Geneva.
Faber M, Phungula MAS, Venter SL, Dhansay MA, Benad AJS (2002). Home gardens focusing on the production of yellow and dark-green leafy vegetables increase the serum retinal concentrations of 2–5-y-old children in South Africa. Am J Clin Nutr 76, 1048–1054.
FAO/WHO/UNU (1985). Energy and Protein Requirements WHO Technical Report Series No. 724. WHO: Geneva.
Garrow JS, James WPT, Ralph A (2000). Human Nutrition and Dietetics, 10th edn. Churchill Livingstone: Edinburgh.
Gillespie S (1998). Major Issues in the Control of Iron Deficiency. The Micronutrient Initiative and UNICEF: Ontario.
Gittelsohn J (1991). Opening the box: intrahousehold food allocation in rural Nepal. Soc Sci Med 19, 1141–1154.
Gittelsohn J, Thapa M, landman LT (1997). Cultural factors, caloric intake and micronutrient sufficiency in rural Nepali households. Soc Sci Med 44, 1739–1749.
Gittelsohn J, Vastine AE (2003). Sociocultural and household factors impacting on the selection, allocation and consumption of animal source foods: current knowledge and application. J Nutr 133, 4036S–4041S.
Gurung S (1994). Gender dimension of eco-crisis and resource management. In: Allen M (ed) Anthropology of Nepal: Peoples, Problems and Processes. Mandala Book: Kathmandu. pp 330–338.
Hardinsyah, Briawan D (1990). Judgement and Planning for Food Consumption. Institut Pertanian Bogor: Bogor.
Hassan N, Ahmad K (1986). Household distribution of energy intake and its relationship to socio-economic and anthropometric variables. Food Nutr Bull 8, 3–6.
Health and Welfare Statistics Association (2004). The state of the national health. J Health Welfare Stat 51, 57.
Helen Keller International/Asia-Pacific (2001). Homested Food Production – a Strategy to Combat Malnutrition and Poverty. Helen Keller International: Jakarta.
Helen Keller International and World Food Programme (1988). Tables of Nutrient Composition of Bangladeshi Foods. Helen Keller International: Dhaka.
Informal Sector Research and Study Center (2002). District Demographic Profile of Nepal. Informal Sector Research & Study Center: Kathmandu.
James WPT, Schofield EC (1990). Human Energy Requirements: a Manual for Planners and Nutritionists. Oxford University Press: Oxford.
Katz J, West KP, Khatry SK, Christian P, LeClerq SC, Kimbrough-Pradhan E et al (2003). Risk factors for early infant mortality in Sarlahi district, Nepal. Bull World Health Org 81, 717–725.
Katz J, West KP, Khatry SK, Kimbrough-Pradhan E, LeClerq SC, Christian P, et al., NNIP-2 Study Group (2000). Maternal low-dose vitamin A or β-carotene supplementation has no effect on fetal loss and early infant mortality: a randomized cluster trial in Nepal. Am J Clin Nutr 71, 1570–1576.
Kennedy E (1983). Determinants of family and preschooler food consumption. Food Nutr Bull 5, 22–29.
Messer E (1997). Intra-household allocation of food and health care: current findings and understandings – Introduction. Soc Sci Med 44, 1675–1684.
Miller BD (1997). Social class, gender and intrahousehold food allocations to children in south Asia. Soc Sci Med 44, 1685–1695.
Ministry of Agriculture (1994). Nutrient Contents in Nepalese Foods. Ministry of Agriculture: Kathmandu.
Ministry of Health (1997). Family Health Survey. Department of Health Services: Kathmandu.
Momsen JH (1996). Wemen farmers: environmental managers in the world. In: Uitto JI, Ono A, (eds). Population, Land Management, and Environmental Change. United Nations University: Tokyo. pp 28–33.
New Era (1986). A baseline Survey for the Joint Nutrition Support Programme. Kathmandu.
Ohtsuka R, Kawabe T, Takasaka K, Watanabe C, Abe T (2002). Human Ecology. University of Tokyo Press: Tokyo. (in Japanese).
Ohtsuka R, Sudo N, Sekiyama M, Watanabe C, Inaoka T, Kadono T (2004). Gender difference in daily time and space use among Bangladeshi villagers under arsenic hazard: application of the compact spot-check method. J Biosoc Sci 36, 317–332.
Panter-Brick C (1996). Seasonal and sex variation in physical activity levels among agro-pastoralists in Nepal. Am J Phys Anthropol 100, 7–21.
Panter-Brick C (2003). Issues of work capacity, pace, and sustainability in relation to work context and nutritional status. Am J Hum Biol 15, 498–513.
Ramakrishnan U, Darnton-Hill I (2002). Assessment and control of vitamin A deficiency disorders. J Nutr 132, 2947S–2953S.
Shetty PS, James WPT (1994). Body Mass Index: A Measure of Chronic Energy Deficiency in Adults. Food and Agriculture Organization: Rome.
Silwal UK (1995). Population Growth and Agricultural Change in Nepal. Vikas Publishing House: Kathmandu.
SPSS Inc (2004). SPSS User's Guide: Base 13.0J. SPSS Inc.: Chicago.
Sudo N, Sekiyama M, Watanabe C, Bokul MH, Ohtsuka R (2004). Gender differences in food and energy intake among adult villagers in northwestern Bangladesh: a food frequency questionnaire survey. Int J Food Sci Nutr 55, 499–509.
UNICEF (1998). The State of the World's Children 1998. Oxford University Press for UNICEF: Oxford.
Weiner JS, Lourie JA (1981). Practical Human Biology. Academic Press: London.
West KP, Katz J, Khatry SK, LeClerq SC, Pradhan EK, Shrestha SR et al. (1999). Double blind, cluster randomised trial of low dose supplementation with vitamin A or β carotene on mortality related to pregnancy in Nepal. Br Med J 318, 570–575.
Willet W (1998). Nature of variation in diet. In: Willet W (ed). Nutritional Epidemiology, 2nd edn. Oxford University Press: New York. pp 33–49.
Willet W, Stampeer M (1998). Implications of total energy intake for epidemiologic analyses. In: Willet W (ed). Nutritional Epidemiology, 2nd edn. Oxford University Press: New York. pp 33–49.
World Health Organization (1997). The World Health Report: Conquering, Suffering, Enriching Humanity. WHO: Geneva.
Acknowledgements
This study was conducted with financial support from the Ajinomoto Foundation for Dietary Culture, and the Alliance for Global Sustainability Program. Wedeeply thank Ms Bindu Sharma, Ms Rachana Shakya, Ms Rushma Shakya, Ms Palpasa Shakya, Ms Debika Shrestha, Ms Sabina Manandhar, and Ms Prabina Shrestha for collaboration in the field, and finally but mostly the villagers who participated in this study.
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Guarantor: N Sudo.
Contributors: NS was responsible for the nutritional studies in the field, data analysis and preparation of the manuscript with RO. MS collaborated in collection of food records, FFQ and anthropometric measurements and computation of food and nutrient intakes. MM was responsible for field studies from the beginning of the project and liaised with the local health workers. RO organized the study as the chief investigator and was responsible for time allocation study.
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Sudo, N., Sekiyama, M., Maharjan, M. et al. Gender differences in dietary intake among adults of Hindu communities in lowland Nepal: assessment of portion sizes and food consumption frequencies. Eur J Clin Nutr 60, 469–477 (2006). https://doi.org/10.1038/sj.ejcn.1602339
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DOI: https://doi.org/10.1038/sj.ejcn.1602339
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