Cargando…

Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India

BACKGROUND: Indigenous people globally experience poor nutrition outcomes, with women facing the greater burden. Munda, a predominant tribe in Jharkhand, India, live in a biodiverse food environment but yet have high levels of malnutrition. OBJECTIVES: To assess diets and the nutritional status of M...

Descripción completa

Detalles Bibliográficos
Autores principales: Ghosh-Jerath, Suparna, Kapoor, Ridhima, Bandhu, Ashish, Singh, Archna, Downs, Shauna, Fanzo, Jessica
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470035/
https://www.ncbi.nlm.nih.gov/pubmed/36110104
http://dx.doi.org/10.1093/cdn/nzac102
_version_ 1784788763288797184
author Ghosh-Jerath, Suparna
Kapoor, Ridhima
Bandhu, Ashish
Singh, Archna
Downs, Shauna
Fanzo, Jessica
author_facet Ghosh-Jerath, Suparna
Kapoor, Ridhima
Bandhu, Ashish
Singh, Archna
Downs, Shauna
Fanzo, Jessica
author_sort Ghosh-Jerath, Suparna
collection PubMed
description BACKGROUND: Indigenous people globally experience poor nutrition outcomes, with women facing the greater burden. Munda, a predominant tribe in Jharkhand, India, live in a biodiverse food environment but yet have high levels of malnutrition. OBJECTIVES: To assess diets and the nutritional status of Munda tribal women and explore associations with their Indigenous food consumption, dietary diversity, and socioeconomic and demographic profiles. METHODS: A cross-sectional study with a longitudinal component to capture seasonal dietary intake was conducted in 11 villages of the Khunti district, Jharkhand. Household surveys and FFQs, supplemented with 2-d 24-h dietary recall and anthropometric assessments on 1 randomly selected woman per household were conducted. RESULTS: Limited access to diverse foods from a natural food environment (Food Accessed Diversity Index score of 0.3 ± 0.3) was observed. More than 90% women in both seasons had usual nutrient intakes below the estimated average requirements for all nutrients except protein and vitamin C; 35.5% of women were underweight. The mean Minimum Dietary Diversity Score among women (MDDS) was low [2.6 ± 0.6 in wet monsoon; 3 ± 0.7 in winters (acceptable ≥5)]. Higher MDDS contributed to higher usual nutrient intakes (P <0.001). Indigenous food intakes in both seasons (wet monsoon and winter) were low, e.g. Indigenous green leafy vegetables [10.5 and 27.8% of the recommended dietary intake (RDI), respectively], other vegetables (5.2% and 7.8% of RDI, respectively), and fruits (5.8 and 22.8% of RDI, respectively). Despite low intakes, the Indigenous food consumption score was positively associated with usual intake of vitamin A, riboflavin, vitamin C, pyridoxine, and calcium (P < 0.05) in the wet monsoon and thiamine, riboflavin, and zinc (P < 0.001) in winters. After adjusting for covariates, Indigenous food consumption was associated with a higher usual intake of vitamin A (P  < 0.001) in the wet monsoon season. CONCLUSION: Contextual food-based interventions promoting Indigenous foods and increasing dietary diversity have the potential to address malnutrition in Munda women.
format Online
Article
Text
id pubmed-9470035
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-94700352022-09-14 Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India Ghosh-Jerath, Suparna Kapoor, Ridhima Bandhu, Ashish Singh, Archna Downs, Shauna Fanzo, Jessica Curr Dev Nutr Original Research BACKGROUND: Indigenous people globally experience poor nutrition outcomes, with women facing the greater burden. Munda, a predominant tribe in Jharkhand, India, live in a biodiverse food environment but yet have high levels of malnutrition. OBJECTIVES: To assess diets and the nutritional status of Munda tribal women and explore associations with their Indigenous food consumption, dietary diversity, and socioeconomic and demographic profiles. METHODS: A cross-sectional study with a longitudinal component to capture seasonal dietary intake was conducted in 11 villages of the Khunti district, Jharkhand. Household surveys and FFQs, supplemented with 2-d 24-h dietary recall and anthropometric assessments on 1 randomly selected woman per household were conducted. RESULTS: Limited access to diverse foods from a natural food environment (Food Accessed Diversity Index score of 0.3 ± 0.3) was observed. More than 90% women in both seasons had usual nutrient intakes below the estimated average requirements for all nutrients except protein and vitamin C; 35.5% of women were underweight. The mean Minimum Dietary Diversity Score among women (MDDS) was low [2.6 ± 0.6 in wet monsoon; 3 ± 0.7 in winters (acceptable ≥5)]. Higher MDDS contributed to higher usual nutrient intakes (P <0.001). Indigenous food intakes in both seasons (wet monsoon and winter) were low, e.g. Indigenous green leafy vegetables [10.5 and 27.8% of the recommended dietary intake (RDI), respectively], other vegetables (5.2% and 7.8% of RDI, respectively), and fruits (5.8 and 22.8% of RDI, respectively). Despite low intakes, the Indigenous food consumption score was positively associated with usual intake of vitamin A, riboflavin, vitamin C, pyridoxine, and calcium (P < 0.05) in the wet monsoon and thiamine, riboflavin, and zinc (P < 0.001) in winters. After adjusting for covariates, Indigenous food consumption was associated with a higher usual intake of vitamin A (P  < 0.001) in the wet monsoon season. CONCLUSION: Contextual food-based interventions promoting Indigenous foods and increasing dietary diversity have the potential to address malnutrition in Munda women. Oxford University Press 2022-09-13 /pmc/articles/PMC9470035/ /pubmed/36110104 http://dx.doi.org/10.1093/cdn/nzac102 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the American Society for Nutrition. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Ghosh-Jerath, Suparna
Kapoor, Ridhima
Bandhu, Ashish
Singh, Archna
Downs, Shauna
Fanzo, Jessica
Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India
title Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India
title_full Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India
title_fullStr Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India
title_full_unstemmed Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India
title_short Indigenous Foods to Address Malnutrition: An Inquiry into the Diets and Nutritional Status of Women in the Indigenous Community of Munda Tribes of Jharkhand, India
title_sort indigenous foods to address malnutrition: an inquiry into the diets and nutritional status of women in the indigenous community of munda tribes of jharkhand, india
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9470035/
https://www.ncbi.nlm.nih.gov/pubmed/36110104
http://dx.doi.org/10.1093/cdn/nzac102
work_keys_str_mv AT ghoshjerathsuparna indigenousfoodstoaddressmalnutritionaninquiryintothedietsandnutritionalstatusofwomenintheindigenouscommunityofmundatribesofjharkhandindia
AT kapoorridhima indigenousfoodstoaddressmalnutritionaninquiryintothedietsandnutritionalstatusofwomenintheindigenouscommunityofmundatribesofjharkhandindia
AT bandhuashish indigenousfoodstoaddressmalnutritionaninquiryintothedietsandnutritionalstatusofwomenintheindigenouscommunityofmundatribesofjharkhandindia
AT singharchna indigenousfoodstoaddressmalnutritionaninquiryintothedietsandnutritionalstatusofwomenintheindigenouscommunityofmundatribesofjharkhandindia
AT downsshauna indigenousfoodstoaddressmalnutritionaninquiryintothedietsandnutritionalstatusofwomenintheindigenouscommunityofmundatribesofjharkhandindia
AT fanzojessica indigenousfoodstoaddressmalnutritionaninquiryintothedietsandnutritionalstatusofwomenintheindigenouscommunityofmundatribesofjharkhandindia