Nutritional Quality of Diets of Adults (20-40 Years) in Delhi, India
DOI:
https://doi.org/10.21048/IJND.2023.60.3.32325Keywords:
Nutrient inadequacies, HFSS foods, diet quality, young adults, dietary consumption, EAR and RDAAbstract
Rise in prevalence of diet related non communicable diseases can be prevented by following balanced and healthy diets. The study aimed to assess adequacy of nutrient and food group intakes along with frequency of consumption of foods High in Fat, Sugar and Salt (HFSS). The study was a cross-sectional study with non-probability purposive sampling method. A total of 589 adults (20-40 years) were selected from housing colonies from four geographical zones of city. Dietary intake was assessed using 24-hour dietary recall method. Frequency and amount of foods consumed was recorded using a semi quantitative Food Frequency Questionnaire (FFQ). The differences in food groups and nutrient intakes across socio-demographic groups were assessed using Independent sample t-test and Mann-Whitney U test. Statistical significance was assumed at 5% level (p<0.05). Most participants had nutrient intakes lower than the EAR for calcium (97%), zinc (98%), riboflavin (100%), niacin (68%), vitamin B6 (96%) and vitamin A (60%). All participants had lower intakes of pulses, green leafy vegetables, other vegetables, fruits, milk and milk products, oilseed and nuts when compared to the recommended intakes. HFSS foods-sweet plain biscuits (46%), fried namkeen (37%), roasted namkeen (30%), non-carbonated drinks (29%) and deep-fried foods (25%) were eaten regularly by more than one fourth of participants. Participants occasionally consumed pizzas (60%), chat (54%), dosa (50%) and burgers (48%). Therefore, reducing the share of foods high in fat, sugar and salt and enabling healthier selection of food groups through behaviour change communication strategies will ensure adequate nutrient intakes.
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References
Shankar, B., Agrawal, S., Beaudreault, A.R., Avula, L., Martorell, R., Osendarp, S., Prabhakaran, D. and Mclean, M.S. Dietary and nutritional change in India: Implications for strategies, policies, and interventions. Annals of the New York Academy of Sciences, 2017, 1395, 49-59. DOI: https://doi.org/10.1111/nyas.13324
NFHS-5. National Family Health Survey - 5. India Fact Sheet, 2020-2021. International Institute for Population Sciences. Ministry of Health and Family Welfare. Government of India, 2021.
Keshari, P. and Mishra, C. Growing menace of fast food consumption in India: Time to act. Int. J. Comm. Med. Pub. Health, 2016, 3, 1355-1362. DOI: https://doi.org/10.18203/2394-6040.ijcmph20161600
Popkin, B.M. Relationship between shifts in food system dynamics and acceleration of the global nutrition transition. Nutr. Rev., 2017, 75, 73-82. DOI: https://doi.org/10.1093/nutrit/nuw064
FSSAI. Report of the Expert group on Consumption of Fat, Sugar and Salt and its Health effects on Indian population, 2017.
Vasselli, J.R., Scarpace, P.J., Harris, R.B.S. and Banks, W.A. Dietary components in the development of leptin resistance. Adv. Nutr., 2013, 4, 164-175. DOI: https://doi.org/10.3945/an.112.003152
NNMB. National Nutrition Monitoring Bureau. Diet andNutritional Status of Urban Population in India and Prevalence of obesity, hypertension, diabestes and hyperlipidemia in urban men and women - NNMB brief report on urban nutrition. Technical report No.- 27, 2017.
Nunn, R.L., Kehoe, S.H., Chopra, H., Sahariah, S.A., Gandhi, M., Di Gravio, C., Coakley, P.J., Cox, V.A., Sane, H., Shivshankaran, D., Marley-Zagar, E., Margetts, B.M., Jackson, A.A., Potdar, R.D. and Fall, C.H.D. Dietary micronutrient intakes among women of reproductive age in Mumbai slums. Eur. J. Clin. Nutr., 2019, 73, 1536-1545. DOI: https://doi.org/10.1038/s41430-019-0429-6
ICMR-NIN. What India Eats. A Report of the Expert Group of the Indian Council of Medical Research, National Institute of Nutrition. Department of Health Research. Ministry of Health and Family Welfare. Governement of India, 2018.
Custodio, M.C., Ynion, J., Samaddar, A., Cuevas, R.P., Mohanty, S.K., Ray, A. and Demont, M. Unraveling heterogeneity of consumers’ food choice: Implications for nutrition interventions in eastern India. Global Food Security, 2021. DOI: https://doi.org/10.1016/j.gfs.2021.100497
Gupta, V., Khanna, K. and Gupta, R. A study on the street food dimensions and its effects on consumer attitude and behavioural intentions. Tourism Rev., 2018, 73. DOI: https://doi.org/10.1108/TR-03-2018-0033
Muncipal Corporation of Delhi. Circle Rate Calculator. Delhi Online Registration Information System. Government of National Capital Territory of Delhi, 2014.
Singh, T., Sharma, S. and Nagesh, S. Socio-economic status scales updated for 2017. Int. J. Res. Med. Sci., 2017, 5, 3264. DOI: https://doi.org/10.18203/2320-6012.ijrms20173029
Raina, U., Kashyap, S., Narula, V., Thomas, S., Suvira, Vir, S., Chopra, S. Basic Food Preparation: A Complete Manual, 3rd edn. Orient Blackswan Pvt. Ltd, New Delhi, 2008.
Raj, R. and Kurpad, A. Nutritive Value of Common Indian Cooked Foods: Nutrition in Obesity and Diabetes, 1st edn. Jaypee Brothers Medical Publishers, New Delhi, 2015.
ICMR-NIN. Recommended Dietary Allowances and Estimated Average Requirements - Nutrient Requirements for Indians. A Report of the Expert Group of the Indian Council of Medical Research. National Institute of Nutrition-Hyderabad, India, 2020.
Sharma, S., Akhtar, F., Singh, R.K. and Mehra, S. Dietary Intake across Reproductive Life Stages of Women in India: A Cross-Sectional Survey from 4 Districts of India. J. Nutr. Metabol., 2020, 2020, 9549214. DOI: https://doi.org/10.1155/2020/9549214
Du, W., Wang, H., Wang, Z., Zhang, J., Su, C., Jia, X., Zhang, J., Jiang, H., Huang, F., Ouyang, Y., Wang, Y., Li, L. and Zhang, B. Dietary vitamin a intake among Chinese adults: Findings from CNTCS2015. Nutr. J., 2018, 17, 1-11. DOI: https://doi.org/10.1186/s12937-018-0369-3
Davies, A., Rangan, A. and Allman-Farinelli, M. Dietary behaviors that place young adults at risk for future osteoporosis. Nutr., 2020, 12, 1-11. DOI: https://doi.org/10.3390/nu12061800
Shalini, T., Sivaprasad, M., Balakrishna, N., Madhavi, G., Radhika, M.S., Kumar, B.N., Pullakhandam, R. and Reddy, G.B. Micronutrient intakes and status assessed by probability approach among the urban adult population of Hyderabad city in South India. Eur. J. Nutr., 2019, 58, 3147-3159. DOI: https://doi.org/10.1007/s00394-018-1859-y
Churuangsuk, C., Kherouf, M., Combet, E. and Lean, M. Low-carbohydrate diets for overweight and obesity: A systematic review of the systematic reviews. Obes. Rev., 2018, 19, 1700-1718. DOI: https://doi.org/10.1111/obr.12744
Sartorius, K., Sartorius, B., Madiba, T.E. and Stefan, C. Does high-carbohydrate intake lead to increased risk of obesity? A systematic review and meta-analysis. BMJ. Open, 2018, 8, 1-9. DOI: https://doi.org/10.1136/bmjopen-2017-018449
Rao, N.D., Min, J., DeFries, R., Ghosh-Jerath, S., Valin, H. and Fanzo, J. Healthy, affordable and climate-friendly diets in India. Global Environmental Change, 2018, 154-165. DOI: https://doi.org/10.1016/j.gloenvcha.2018.02.013
Balk, J., Connorton, J.M., Wan, Y., Lovegrove, A., Moore, K.L., Uauy, C., Sharp, P.A. and Shewry, P.R. Improving wheat as a source of iron and zinc for global nutrition. Nutr. Bulle., 2019, 44, 53-59. DOI: https://doi.org/10.1111/nbu.12361
Sales, C.H., Rogero, M.M., Sarti, F.M. and Fisberg, R.M. Prevalence and factors associated with iron deficiency and anemia among residents of urban areas of são paulo, brazil. Nutr., 2021, 13, 1-18. DOI: https://doi.org/10.3390/nu13061888
Siegrist, M. and Hartmann, C. Impact of sustainability perception on consumption of organic meat and meat substitutes. Appetite, 2019, 132, 196-202. DOI: https://doi.org/10.1016/j.appet.2018.09.016
Young, M.F., Nguyen, P., Tran, L.M., Avula, R. and Menon, P. A double edged sword? Improvements in economic conditions over a decade in India led to declines in undernutrition as well as increases in overweight among adolescents and women. J. Nutr., 2020, 150, 364-372. DOI: https://doi.org/10.1093/jn/nxz251
Mathur, P., Kulothungan, V., Leburu, S., Krishnan, A., Chaturvedi, H.K., Salve, H.R., Amarchand, R., Nongkynrih, B., Kumar, P.G., Vinay Urs, K.S., Ramakrishnan, L., Laxmaiah, A., Boruah, M., Kumar, S., Patro, B.K., Raghav, P.R., Rajkumar, P., Sarma, P.S., Sharma, R. and Garg, S. National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population. PLoS ONE, 2021, 16, 1-17. DOI: https://doi.org/10.1371/journal.pone.0246712
Chae, W., Ju, Y.J., Shin, J., Jang, S.I. and Park, E.C. Association between eating behaviour and diet quality: Eating alone vs. eating with others. Nutr. J., 2018, 17, 1-11. DOI: https://doi.org/10.1186/s12937-018-0424-0
Kaur, J., Kaur, M., Webster, J. and Kumar, R. Protocol for a cluster randomised controlled trial on information technology-enabled nutrition intervention among urban adults in Chandigarh (India): SMART eating trial. Global Health Action, 2018, 11, 1419738. DOI: https://doi.org/10.1080/16549716.2017.1419738
Gupta, S., Sundar, N. and Pingali, P.L. Market access, production diversity and diet diversity: evidence from India. Fd. Nutr. Bulle., 2020, 41, 167-185. DOI: https://doi.org/10.1177/0379572120920061
Loukrakpam, B., Rajendran, A., Madhari, R.S., Boiroju, N.K. and Longvah, T. Dietary adequacy and nutritional status of Meitei community of Manipur, Northeast India. Mate. Child Nutr., 2020, 16, 1-12. DOI: https://doi.org/10.1111/mcn.13046
Warren, A.M., Frongillo, E.A., Nguyen, P.H. and Menon, P. Nutrition intervention using behavioral change communication without additional material inputs increased expenditures on key food groups in bangladesh. J. Nutr., 2020, 150, 1284-1290. DOI: https://doi.org/10.1093/jn/nxz339
WHO. World Health Organization, 2020, Healthy diet [factsheet]. Viewed on 11th September 2021 : https://www.who.int/news-room/fact-sheets/detail/healthy-diet
Ghatpande, N.S., Apte, P.P., Naik, S.S. and Kulkarni, P.P. Fruit and vegetable consumption and their association with the indicators of iron and inflammation status among adolescent girls. J. Am. College. Nutr., 2019, 38, 218-226. DOI: https://doi.org/10.1080/07315724.2018.1492470
Cui, J., Lian, Y., Zhao, C., Du, H., Han, Y., Gao, W., Xiao, H. and Zheng, J. Dietary fibers from fruits and vegetables and their health benefits via modulation of gut microbiota. Comp. Rev. Fd. Sci. Fd. Safety, 2019, 18, 1514-1532. DOI: https://doi.org/10.1111/1541-4337.12489
Del Río-Celestino, M. and Font, R. The health benefits of fruits and vegetables. Fds, 2020, 9, 1-4. DOI: https://doi.org/10.3390/foods9030369
Mazzoni, L., Ariza Fernández, M.T. and Capocasa, F. Potential health benefits of fruits and vegetables. Appl. Sci., 2021, 11, 2-5. DOI: https://doi.org/10.3390/app11198951
MoHFW. Ministry of Health and Family Welfare. Report of Task Force on Balanced and Healthy Diets. Nutrition and IDD Cell. Directorate General of Health Services (DGHS), Government of India, 2020.
EAT Lancet Commission. Healthy Diets From Sustainable Food Systems : Food Planet Health. Summary Report of the EAT-Lancet Commission. The Lancet, 2019.
Dhruv, S., Iyer, U., Gohil, U. and Bahaguna. Consumption pattern of foods high in fat, salt and sugar in the adult population of urban Vadodara. The J. Res. ANGRAU, 2022, 1, 58-66.
Mithra, P., Unnikrishnan, B., Thapar, R., Kumar, N., Hegde, S., Kamat, A.M., Kulkarni, V., Holla, R., Darshan, B.B., Tanuj, K., Guddattu, V. and Kumar, A. Snacking behaviour and its determinants among college-going students in Coastal South India. J. Nutr. Metabol., 2018, 2018, 6785741. DOI: https://doi.org/10.1155/2018/6785741
Durga, A. and Manorenj, S. Dietary pattern in adult patients with acute stroke in South India: A Case-Control Study from a Tertiary Care Center in Hyderabad. J. Neurosci. Rural Prac., 2019, 10, 283-293. DOI: https://doi.org/10.4103/jnrp.jnrp_237_18
Bhatt, R., Madan, J. and Moitra, P. Determinants of food choice in a school environment. Ind. J. Publ. Health Res. Develop., 2019, 10, 302-307. DOI: https://doi.org/10.5958/0976-5506.2019.02443.4
Graudal, N.A., Hubeck-Graudal, T. and Jurgens, G. Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride. Cochrane Database of System. Rev., 2017, 4, CD004022. DOI: https://doi.org/10.1002/14651858.CD004022.pub4
Branca, F., Lartey, A., Oenema, S., Aguayo, V., Stordalen, G.A., Richardson, R., Arvelo, M. and Afshin, A. Transforming the food system to fight non-communicable diseases. BMJ, 2019, 364, 1-7. DOI: https://doi.org/10.1136/bmj.l296
Cook, N.R., He, F.J., MacGregor, G.A. and Graudal, N. Sodium and health-concordance and controversy. BMJ., 2020, 369, m2440. DOI: https://doi.org/10.1136/bmj.m2440
He, F.J., Tan, M., Ma, Y. and MacGregor, G.A. Salt reduction to prevent hypertension and cardiovascular disease: JACC State-of-the-Art review. J. Am. Colle. Cardiol., 2020, 75, 632-647. DOI: https://doi.org/10.1016/j.jacc.2019.11.055
Leng, G., Adan, R.A.H., Belot, M., Brunstrom, J.M., De Graaf, K., Dickson, S.L., Hare, T., Maier, S., Menzies, J., Preissl, H., Reisch, L.A., Rogers, P.J. and Smeets, P.A.M. The determinants of food choice. Proc. Nutr. Society, 2017, 76, 316-327. DOI: https://doi.org/10.1017/S002966511600286X
Drewnowski, A. and Monsivais, P. Taste, cost, convenience, and food choices. In present knowledge in nutrition, Elsevier, 2020, 2, 185-200. DOI: https://doi.org/10.1016/B978-0-12-818460-8.00010-1
Roy, D., Boss, R., Saroj, S., Karandikar, B., Pradhan, M. and Pandey, H. Snack food consumption across the pune transect in india: A comparison of dietary behaviors based on consumer characteristics and locations. Nutr., 2021, 13, 4325. DOI: https://doi.org/10.3390/nu13124325
Bassi, S., Bahl, D., Arora, M., Tullu, F.T., Dudeja, S. and Gupta, R. Food environment in and around schools and colleges of Delhi and National Capital Region (NCR) in India. BMC Public Health, 2021, 21, 1-13. DOI: https://doi.org/10.1186/s12889-021-11778-6
Sánchez-Romero, L.M., Canto-Osorio, F., González-Morales, R., Colchero, M.A., Ng, S.W., Ramírez-Palacios, P., Salmerón, J. and Barrientos-Gutiérrez, T. Association between tax on sugar sweetened beverages and soft drink consumption in adults in Mexico: Open cohort longitudinal analysis of Health Workers Cohort Study. The BMJ., 2020, 369, m1311. DOI: https://doi.org/10.1136/bmj.m1311
Gopalan, H.S., Misra, A. and Jayawardena, R. Nutrition and diabetes in South Asia. Eur. J. Clin. Nutr., 2018, 72, 1267-1273. DOI: https://doi.org/10.1038/s41430-018-0219-6
Krishnamoorthy, Y., Ganesh, K. and Sakthivel, M. Fat taxation in India: A critical appraisal of need, public health impact and challenges in nationwide implementation. Health Promotion Perspectives, 2020, 10, 8-12. DOI: https://doi.org/10.15171/hpp.2020.04
Thow, A.M., Downs, S.M., Mayes, C., Trevena, H., Waqanivalu, T. and Cawleye, J. Fiscal policy to improve diets and prevent noncommunicable diseases: From recommendations to action. Bulletin of the World Health Organization, 2018, 96, 201-210. DOI: https://doi.org/10.2471/BLT.17.195982
Carters-White, L., Chambers, S., Skivington, K. and Hilton, S. Whose rights deserve protection? Framing analysis of responses to the 2016 committee of advertising practice consultation on the non-broadcast advertising of foods and soft drinks to children. Food Policy, 2021, 104, 102139. DOI: https://doi.org/10.1016/j.foodpol.2021.102139
FSSAI. Food Safety and Standards Authority of India. The Hindu. Rockefeller Foundation selects FSSAI as finalist for Food System Vision Prize. Ministry of Health and Family Welfare, Government of India, 2020.
FSSAI. Food Safety and Standards Authority of India. FnB news. Eat Right India among top visionaries for Food Systems Vision Prize. Ministry of Health and Family Welfare, Government of India, 2021.