DOI QR코드

DOI QR Code

The relationship between household income and dietary intakes of 1-10 year old urban Malaysian

  • Shariff, Zalilah Mohd (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Lin, Khor Geok (Department of Nutrition and Dietetics, Faculty of Medicine and Health, International Medical University) ;
  • Sariman, Sarina (Nutrition Programme, Faculty of Health and Life Sciences, Management and Science University) ;
  • Lee, Huang Soo (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Siew, Chin Yit (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Yusof, Barakatun Nisak Mohd (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Mun, Chan Yoke (Department of Nutrition and Dietetics, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia) ;
  • Mohamad, Maznorila (Department of Nutrition and Dietetics, Faculty of Medicine and Health, International Medical University)
  • Received : 2014.06.21
  • Accepted : 2015.03.13
  • Published : 2015.06.01

Abstract

BACKGROUND/OBJECTIVES: Diet plays an important role in growth and development of children. However, dietary intakes of children living in either rural or urban areas can be influenced by household income. This cross-sectional study examined energy, nutrient and food group intakes of 749 urban children (1-10 years old) by household income status. SUBJECTS/METHODS: Children's dietary intakes were obtained using food recall and record for two days. Diet adequacy was assessed based on recommended intakes of energy and nutrients and food group servings. RESULTS: For toddlers, all nutrients except dietary fiber (5.5 g) exceeded recommended intakes. Among older children (preschoolers and school children), calcium (548 mg, 435 mg) and dietary fiber (7.4 g, 9.4 g) did not meet recommendations while percentage of energy from total fat and saturated fats exceeded 30% and 10%, respectively. The mean sodium intakes of preschoolers (1,684 mg) and school children (2,000 mg) were relatively high. Toddlers in all income groups had similar energy and nutrient intakes and percentages meeting the recommended intakes. However, low income older children had lowest intakes of energy (P < 0.05) and most nutrients (P < 0.05) and highest proportions that did not meet recommended energy and nutrient intakes. For all food groups, except milk and dairy products, all age groups had mean intakes below the recommended servings. Compared to middle and high income groups, low income preschoolers had the lowest mean intake of fruits (0.07 serving), meat/poultry (0.78 serving) and milk/dairy products (1.14 serving) while low income toddlers and school children had the least mean intake of fruits (0.09 serving) and milk/dairy products (0.54 serving), respectively. CONCLUSION: Low socioeconomic status, as indicated by low household income, could limit access to adequate diets, particularly for older children. Parents and caregivers may need dietary guidance to ensure adequate quantity and quality of home food supply and foster healthy eating habits in children.

Keywords

References

  1. United Nations Children's Fund(US); World Health Organization(CH); The World Bank(US). UNICEF-WHO-World Bank Joint Child Malnutrition Estimates. Geneva: World Health Organization; 2012.
  2. de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 2010;92:1257-64. https://doi.org/10.3945/ajcn.2010.29786
  3. Institute for Public Health (MY). National Health and Morbidity Survey III (NHMS III). Kuala Lumpur: Ministry of Health Malaysia; 2006.
  4. Institute for Public Health (MY). National Health and Morbidity Survey 2011 (NHMS 2011). Kuala Lumpur: Ministry of Health Malaysia; 2011.
  5. Mohd Nasir MT, Norimah AK, Hazizi AS, Nurliyana AR, Loh SH, Suraya I. Child feeding practices, food habits, anthropometric indicators and cognitive performance among preschoolers in Peninsular Malaysia. Appetite 2012;58:525-30. https://doi.org/10.1016/j.appet.2012.01.007
  6. Poh BK, Kathryn Tham BL, Wong SN, Winnie Chee SS, Tee ES. Nutritional status, dietary intake patterns and nutrition knowledge of children aged 5-6 years attending kindergartens in the Klang Valley, Malaysia. Malays J Nutr 2012;18:231-42.
  7. Bucholz EM, Desai MM, Rosenthal MS. Dietary intake in Head Start vs non-Head Start preschool-aged children: results from the 1999-2004 National Health and Nutrition Examination Survey. J Am Diet Assoc 2011;111:1021-30. https://doi.org/10.1016/j.jada.2011.04.009
  8. Keita AD, Casazza K, Thomas O, Fernandez JR. Neighbourhood-level disadvantage is associated with reduced dietary quality in children. J Am Diet Assoc 2009;109:1612-6. https://doi.org/10.1016/j.jada.2009.06.373
  9. Kong A, Odoms-Young AM, Schiffer LA, Berbaum ML, Porter SJ, Blumstein L, Fitzgibbon ML. Racial/ethnic differences in dietary intake among WIC families prior to food package revisions. J Nutr Educ Behav 2013;45:39-46. https://doi.org/10.1016/j.jneb.2012.04.014
  10. Kirkpatrick SI, Dodd KW, Reedy J, Krebs-Smith SM. Income and race/ethnicity are associated with adherence to food-based dietary guidance among US adults and children. J Acad Nutr Diet 2012;112: 624-635.e6. https://doi.org/10.1016/j.jand.2011.11.012
  11. Olson CM, Bove CF, Miller EO. Growing up poor: long-term implications for eating patterns and body weight. Appetite 2007;49: 198-207. https://doi.org/10.1016/j.appet.2007.01.012
  12. Prime Minister's Department, The Economic Planning Unit (MY). Tenth Malaysia Plan 2011-2015. Putrajaya: Prime Minister's Department, The Economic Planning Unit; 2010.
  13. Ministry of Health Malaysia, National Coordinating Committee on Food and Nutrition. Recommended Nutrient Intakes for Malaysia (RNI): a Report of the Technical Working Group on Nutritional Guidelines. Putrajaya: Ministry of Health Malaysia, National Coordinating Committee on Food and Nutrition; 2005.
  14. Institute of Medicine (US). Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fatty Acids, Cholesterol, Proteins and Amino Acids. Washington, D.C.: National Academies Press; 2002.
  15. Institute of Medicine, Panel on Dietary Reference Intakes for Electrolytes and Water (US). Dietary Reference Intakes for Water, Potassium, Sodium, Chloride, and Sulfate. Washington, D.C.: National Academies Press; 2005.
  16. Ministry of Health Malaysia, National Coordinating Committee on Food and Nutrition. Malaysian Dietary Guidelines for Children and Adolescents. Putrajaya: Technical Working Group on Nutritional Guidelines; 2013.
  17. Huang TT, Howarth NC, Lin BH, Roberts SB, McCrory MA. Energy intake and meal portions: associations with BMI percentile in U.S. children. Obes Res 2004;12:1875-85. https://doi.org/10.1038/oby.2004.233
  18. Terry P, Hu FB, Hansen H, Wolk A. Prospective study of major dietary patterns and colorectal cancer risk in women. Am J Epidemiol 2001;154:1143-9. https://doi.org/10.1093/aje/154.12.1143
  19. Darmon N, Drewnowski A. Does social class predict diet quality? Am J Clin Nutr 2008;87:1107-17. https://doi.org/10.1093/ajcn/87.5.1107
  20. Castro TG, Baraldi LG, Muniz PT, Cardoso MA. Dietary practices and nutritional status of 0-24-month-old children from Brazilian Amazonia. Public Health Nutr 2009;12:2335-42. https://doi.org/10.1017/S1368980009004923
  21. Monsivais P, Drewnowski A. The rising cost of low-energy-density foods. J Am Diet Assoc 2007;107:2071-6. https://doi.org/10.1016/j.jada.2007.09.009
  22. Neumark-Sztainer D, Wall M, Perry C, Story M. Correlates of fruit and vegetable intake among adolescents. Findings from project EAT. Prev Med 2003;37:198-208. https://doi.org/10.1016/S0091-7435(03)00114-2
  23. Larson NI, Story M, Wall M, Neumark-Sztainer D. Calcium and dairy intakes of adolescents are associated with their home environment, taste preferences, personal health beliefs, and meal patterns. J Am Diet Assoc 2006;106:1816-24. https://doi.org/10.1016/j.jada.2006.08.018
  24. Beydoun MA, Wang Y. Parent-child dietary intake resemblance in the United States: evidence from a large representative survey. Soc Sci Med 2009;68:2137-44. https://doi.org/10.1016/j.socscimed.2009.03.029
  25. van Ansem WJ, Schrijvers CT, Rodenburg G, van de Mheen D. Maternal educational level and children's healthy eating behaviour: role of the home food environment (cross-sectional results from the INPACT study). Int J Behav Nutr Phys Act 2014;11:113. https://doi.org/10.1186/s12966-014-0113-0
  26. Wamani H, Astrom AN, Peterson S, Tumwine JK, Tylleskar T. Predictors of poor anthropometric status among children under 2 years of age in rural Uganda. Public Health Nutr 2006;9:320-6. https://doi.org/10.1079/PHN2006854
  27. Choi HJ, Lee HJ, Jang HB, Park JY, Kang JH, Park KH, Song J. Effects of maternal education on diet, anemia, and iron deficiency in Korean school-aged children. BMC Public Health 2011;11:870. https://doi.org/10.1186/1471-2458-11-870
  28. Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in preventing childhood obesity. Future Child 2006;16:169-86. https://doi.org/10.1353/foc.2006.0006
  29. Manios Y, Grammatikaki E, Papoutsou S, Liarigkovinos T, Kondaki K, Moschonis G. Nutrient intakes of toddlers and preschoolers in Greece: the GENESIS study. J Am Diet Assoc 2008;108:357-61. https://doi.org/10.1016/j.jada.2007.10.042
  30. Clark MA, Fox MK. Nutritional quality of the diets of US public school children and the role of the school meal programs. J Am Diet Assoc 2009;109:S44-56. https://doi.org/10.1016/j.jada.2008.10.060
  31. Zalilah MS, Khor GL, Mirnalini K, Sarina S. Food neophobia and nutritional outcomes in primary school children. J Community Nutr 2005;7:121-29.
  32. Poh BK, Ng BK, Siti Haslinda MD, Nik Shanita S, Wong JE, Budin SB, Ruzita AT, Ng LO, Khouw I, Norimah AK. Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia). Br J Nutr 2013;110 Suppl 3:S21-35. https://doi.org/10.1017/S0007114513002092
  33. Gunther AL, Buyken AE, Kroke A. Protein intake during the period of complementary feeding and early childhood and the association with body mass index and percentage body fat at 7 y of age. Am J Clin Nutr 2007;85:1626-33. https://doi.org/10.1093/ajcn/85.6.1626
  34. Gunther AL, Remer T, Kroke A, Buyken AE. Early protein intake and later obesity risk: which protein sources at which time points throughout infancy and childhood are important for body mass index and body fat percentage at 7 y of age? Am J Clin Nutr 2007;86:1765-72. https://doi.org/10.1093/ajcn/86.5.1765
  35. Rolland-Cachera MF, Deheeger M, Maillot M, Bellisle F. Early adiposity rebound: causes and consequences for obesity in children and adults. Int J Obes (Lond) 2006;30 Suppl 4:S11-7. https://doi.org/10.1038/sj.ijo.0803514
  36. Pomerleau J, Lock K, McKee M, Altmann DR. The challenge of measuring global fruit and vegetable intake. J Nutr 2004;134: 1175-80. https://doi.org/10.1093/jn/134.5.1175
  37. Krebs-Smith SM, Guenther PM, Subar AF, Kirkpatrick SI, Dodd KW. Americans do not meet federal dietary recommendations. J Nutr 2010;140:1832-8. https://doi.org/10.3945/jn.110.124826
  38. Fox MK, Condon E, Briefel RR, Reidy KC, Deming DM. Food consumption patterns of young preschoolers: are they starting off on the right path? J Am Diet Assoc 2010;110:S52-9.
  39. Ali HI, Ng SW, Zaghloul S, Harrison GG, Qazaq HS, El Sadig M, Yeatts K. High proportion of 6 to 18-year-old children and adolescents in the United Arab Emirates are not meeting dietary recommendations. Nutr Res 2013;33:447-56. https://doi.org/10.1016/j.nutres.2013.03.008
  40. Zalilah MS, Tham BL. Food security and child nutritional status among Orang Asli (Temuan) households in Hulu Langat, Selangor. Med J Malaysia 2002;57:36-50.
  41. Universiti Kebangsaan Malaysia. Nutritional Status and Dietary Habits of Primary School Children in Peninsular Malaysia. Kuala Lumpur: Universiti Kebangsaan Malaysia; 2009.
  42. Kranz S, Mitchell DC, Siega-Riz AM, Smiciklas-Wright H. Dietary fiber intake by American preschoolers is associated with more nutrientdense diets. J Am Diet Assoc 2005;105:221-5. https://doi.org/10.1016/j.jada.2004.11.005
  43. Murphy MM, Douglass JS, Johnson RK, Spence LA. Drinking flavored or plain milk is positively associated with nutrient intake and is not associated with adverse effects on weight status in US children and adolescents. J Am Diet Assoc 2008;108:631-9. https://doi.org/10.1016/j.jada.2008.01.004
  44. Nicklas TA. Calcium intake trends and health consequences from childhood through adulthood. J Am Coll Nutr 2003;22:340-56. https://doi.org/10.1080/07315724.2003.10719317
  45. Khor GL, Chee WS, Shariff ZM, Poh BK, Arumugam M, Rahman JA, Theobald HE. High prevalence of vitamin D insufficiency and its association with BMI-for-age among primary school children in Kuala Lumpur, Malaysia. BMC Public Health 2011;11:95. https://doi.org/10.1186/1471-2458-11-95
  46. Butte NF, Fox MK, Briefel RR, Siega-Riz AM, Dwyer JT, Deming DM, Reidy KC. Nutrient intakes of US infants, toddlers, and preschoolers meet or exceed dietary reference intakes. J Am Diet Assoc 2010;110:S27-37. https://doi.org/10.1016/j.jada.2010.09.004
  47. Ford CN, Slining MM, Popkin BM. Trends in dietary intake among US 2- to 6-year-old children, 1989-2008. J Acad Nutr Diet 2013;113: 35-42. https://doi.org/10.1016/j.jand.2012.08.022
  48. Popkin BM. Global nutrition dynamics: the world is shifting rapidly toward a diet linked with noncommunicable diseases. Am J Clin Nutr 2006;84:289-98.

Cited by

  1. Household food insecurity and child health vol.13, pp.2, 2016, https://doi.org/10.1111/mcn.12301
  2. Are Malaysian Children Achieving Dietary Guideline Recommendations? vol.28, pp.5_suppl, 2016, https://doi.org/10.1177/1010539516641504
  3. Fruit and Vegetable Intake Patterns and Their Associations with Sociodemographic Characteristics, Anthropometric Status and Nutrient Intake Profiles among Malaysian Children Aged 1–6 Years vol.9, pp.8, 2017, https://doi.org/10.3390/nu9080723
  4. Body Weight Status and Dietary Intakes of Urban Malay Primary School Children: Evidence from the Family Diet Study vol.4, pp.1, 2017, https://doi.org/10.3390/children4010005
  5. The effectiveness of a stage-based lifestyle modification intervention for obese children vol.18, pp.1, 2018, https://doi.org/10.1186/s12889-018-5206-2
  6. Effects of access to credit and income on dietary diversity in Ghana pp.1876-4525, 2018, https://doi.org/10.1007/s12571-018-0862-8
  7. Dietary intake of fat and fatty acids by 1–5-year-old children in Korea: a cross-sectional study based on data from the sixth Korea National Health and Nutrition Examination Survey vol.12, pp.4, 2018, https://doi.org/10.4162/nrp.2018.12.4.324
  8. Prevalence and correlates of food insecurity among Lebanese households with children aged 4–18 years: findings from a national cross-sectional study vol.22, pp.2, 2019, https://doi.org/10.1017/S1368980018003245
  9. The baseline characteristics of parents and African American girls in an online obesity prevention program: A feasibility study vol.7, pp.None, 2015, https://doi.org/10.1016/j.pmedr.2017.05.011
  10. Household Food and Nutrient Intake of Semai Aborigines of Peninsular Malaysia vol.11, pp.4, 2018, https://doi.org/10.17485/ijst/2018/v11i4/109848
  11. Review on Potential Vitamin D Mechanism with Type 2 Diabetes Mellitus Pathophysiology in Malaysia vol.6, pp.1, 2015, https://doi.org/10.12944/crnfsj.6.1.01
  12. Association between socioeconomic status and obesity among 12-year-old Malaysian adolescents vol.13, pp.7, 2015, https://doi.org/10.1371/journal.pone.0200577
  13. Perbedaan Tingkat Keragaman Pangan Balita dan Tingkat Pendidikan Orang Tua di Rumah Tangga Kawasan Rumah Pangan Lestari (KRPL) Dan Non KRPL vol.2, pp.4, 2015, https://doi.org/10.20473/amnt.v2i4.2018.364-372
  14. Pengembangan Indeks Ketahanan Pangan Rumah Tangga dan Kaitannya dengan Tingkat Kecukupan Zat Gizi dan Status Gizi Anak Balita vol.3, pp.4, 2015, https://doi.org/10.20473/amnt.v3i4.2019.201-211
  15. Oral health and nutritional status of children with cerebral palsy in northeastern peninsular Malaysia vol.40, pp.1, 2015, https://doi.org/10.1111/scd.12436
  16. Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal vol.15, pp.1, 2015, https://doi.org/10.1371/journal.pone.0227873
  17. Preference, Attitude, Recognition and Knowledge of Fruits and Vegetables Intake Among Malay Children vol.27, pp.2, 2015, https://doi.org/10.21315/mjms2020.27.2.11
  18. Inadequate vitamin D intake among pregnant women in Malaysia based on revised recommended nutrient intakes value and potential dietary strategies to tackle the inadequacy vol.15, pp.4, 2015, https://doi.org/10.4162/nrp.2021.15.4.492
  19. CORRELATION OF SNACKING FREQUENCY, HEMOGLOBIN LEVELS, PHYSICAL ACTIVITY AND POCKET MONEY WITH NUTRITIONAL STATUS IN FEMALE ADOLESCENTS vol.16, pp.3, 2015, https://doi.org/10.20473/mgi.v16i3.207-214
  20. Dietary Diversity and Undernutrition in Children Aged 6-23 Months in Sub-Saharan Africa vol.13, pp.10, 2015, https://doi.org/10.3390/nu13103431
  21. Total Fat and Fatty Acid Intake among 1-7-Year-Old Children from 33 Countries: Comparison with International Recommendations vol.13, pp.10, 2015, https://doi.org/10.3390/nu13103547
  22. Prevalence of lactose intolerance and malabsorption among children of two ethnic groups from the urban areas of Malaysia and its relation to calcium intake and bone health status vol.17, pp.1, 2022, https://doi.org/10.1007/s11657-021-01053-x