Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian school-going adolescent girls in West Java
Poor diet is a risk factor for anemia, overweight, and obesity among adolescent girls. However, comprehensive assessment on dietary quality and habits in this population is limited. We assessed the association of meal patterning, dietary quality, and dietary diversity with both anemia and overweight...
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| creator | Agustina, Rina Nadiya, Khairun Andini, El A Setianingsih, Ainanur A Sadariskar, Arini A Prafiantini, Erfi Wirawan, Fadila Karyadi, Elvina Raut, Manoj K |
| description | Poor diet is a risk factor for anemia, overweight, and obesity among adolescent girls. However, comprehensive assessment on dietary quality and habits in this population is limited. We assessed the association of meal patterning, dietary quality, and dietary diversity with both anemia and overweight-obesity.
We conducted a cross-sectional survey in 335 school-going adolescent girls aged 12-19 years from three districts in West Java using multi-stage cluster sampling. Meal patterning, Dietary Quality Index for Adolescents (DQI-A), and Dietary Diversity Score (DDS) were determined using 2-day 24-h recall.
Of the girls, 45% were anemic and 17% overweight or obese. Eating occasions of 3-4 times (AOR 2.68, 95% CI 1.21-5.98) and >4 times (AOR 2.43, 95% CI 1.01-5.83) were associated with greater odds of developing anemia compared to eating occasions of |
| doi_str_mv | 10.1371/journal.pone.0231519 |
| format | Article |
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We conducted a cross-sectional survey in 335 school-going adolescent girls aged 12-19 years from three districts in West Java using multi-stage cluster sampling. Meal patterning, Dietary Quality Index for Adolescents (DQI-A), and Dietary Diversity Score (DDS) were determined using 2-day 24-h recall.
Of the girls, 45% were anemic and 17% overweight or obese. Eating occasions of 3-4 times (AOR 2.68, 95% CI 1.21-5.98) and >4 times (AOR 2.43, 95% CI 1.01-5.83) were associated with greater odds of developing anemia compared to eating occasions of <3 times. Adolescent girls who skipped dinner had greater odds of being overweight or obese (AOR 2.13, 95% CI 1.10-4.10) and were less likely to be anemic (AOR 0.56, 95%CI 0.33-0.95) compared to those who did not skip dinner. Difference in energy intake was found between girls who had dinner and skipped dinner (p = 0.05). Mean total DQI-A score was 44.4% ± 7.71% and DDS was 4.0 out of 9.0. DQI-A score was significantly higher in non-anemic compared to anemic girls. Moreover, each unit increment of 1% of total DQI-A score was associated with a 3.967 g/dL increases of hemoglobin after adjustment for confounders. We found differences in total DQI-A score between normal-weight and overweight or obese girls. DDS score was not significantly different between groups, although lower meat, chicken, and fish consumption were correlated with anemia (p<0.01).
Overall, the girls had poor dietary quality and diversity. The findings therefore indicated the importance of improving dietary quality and diversity in a regular meal pattern, especially meal frequency and meal skipping, to reduce the risk of anemia and overweight-obesity among adolescent girls.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0231519</identifier><identifier>PMID: 32324775</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescents ; Anemia ; Biology and Life Sciences ; Body weight ; Child development ; Data collection ; Developing countries ; Diet ; Eating ; Energy intake ; Food ; Food habits ; Girls ; Hemoglobin ; Hospitals ; Households ; Iron ; LDCs ; Malnutrition ; Meal pattern ; Meat ; Medical education ; Medicine ; Medicine and Health Sciences ; Methods ; Nutrition research ; Obesity ; Obesity in adolescence ; Obesity in children ; Overweight ; Patterning ; People and Places ; Population ; Poultry ; Quality ; Quality assessment ; Quality management ; Response rates ; Risk analysis ; Risk factors ; Risk reduction ; Studies ; Surveys ; Teenage girls ; Teenagers ; Variables</subject><ispartof>PloS one, 2020-04, Vol.15 (4), p.e0231519-e0231519</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Agustina et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Agustina et al 2020 Agustina et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5379-da4cae65ed025d6e60b3e6ecc3cf85d7ab5f1d24908b49d23f5c55fd14de54bd3</citedby><cites>FETCH-LOGICAL-c5379-da4cae65ed025d6e60b3e6ecc3cf85d7ab5f1d24908b49d23f5c55fd14de54bd3</cites><orcidid>0000-0003-1322-3863 ; 0000-0002-8464-1037</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179884/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179884/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32324775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Gebremedhin, Samson</contributor><creatorcontrib>Agustina, Rina</creatorcontrib><creatorcontrib>Nadiya, Khairun</creatorcontrib><creatorcontrib>Andini, El A</creatorcontrib><creatorcontrib>Setianingsih, Ainanur A</creatorcontrib><creatorcontrib>Sadariskar, Arini A</creatorcontrib><creatorcontrib>Prafiantini, Erfi</creatorcontrib><creatorcontrib>Wirawan, Fadila</creatorcontrib><creatorcontrib>Karyadi, Elvina</creatorcontrib><creatorcontrib>Raut, Manoj K</creatorcontrib><title>Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian school-going adolescent girls in West Java</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Poor diet is a risk factor for anemia, overweight, and obesity among adolescent girls. However, comprehensive assessment on dietary quality and habits in this population is limited. We assessed the association of meal patterning, dietary quality, and dietary diversity with both anemia and overweight-obesity.
We conducted a cross-sectional survey in 335 school-going adolescent girls aged 12-19 years from three districts in West Java using multi-stage cluster sampling. Meal patterning, Dietary Quality Index for Adolescents (DQI-A), and Dietary Diversity Score (DDS) were determined using 2-day 24-h recall.
Of the girls, 45% were anemic and 17% overweight or obese. Eating occasions of 3-4 times (AOR 2.68, 95% CI 1.21-5.98) and >4 times (AOR 2.43, 95% CI 1.01-5.83) were associated with greater odds of developing anemia compared to eating occasions of <3 times. Adolescent girls who skipped dinner had greater odds of being overweight or obese (AOR 2.13, 95% CI 1.10-4.10) and were less likely to be anemic (AOR 0.56, 95%CI 0.33-0.95) compared to those who did not skip dinner. Difference in energy intake was found between girls who had dinner and skipped dinner (p = 0.05). Mean total DQI-A score was 44.4% ± 7.71% and DDS was 4.0 out of 9.0. DQI-A score was significantly higher in non-anemic compared to anemic girls. Moreover, each unit increment of 1% of total DQI-A score was associated with a 3.967 g/dL increases of hemoglobin after adjustment for confounders. We found differences in total DQI-A score between normal-weight and overweight or obese girls. DDS score was not significantly different between groups, although lower meat, chicken, and fish consumption were correlated with anemia (p<0.01).
Overall, the girls had poor dietary quality and diversity. The findings therefore indicated the importance of improving dietary quality and diversity in a regular meal pattern, especially meal frequency and meal skipping, to reduce the risk of anemia and overweight-obesity among adolescent girls.</description><subject>Adolescents</subject><subject>Anemia</subject><subject>Biology and Life Sciences</subject><subject>Body weight</subject><subject>Child development</subject><subject>Data collection</subject><subject>Developing countries</subject><subject>Diet</subject><subject>Eating</subject><subject>Energy intake</subject><subject>Food</subject><subject>Food habits</subject><subject>Girls</subject><subject>Hemoglobin</subject><subject>Hospitals</subject><subject>Households</subject><subject>Iron</subject><subject>LDCs</subject><subject>Malnutrition</subject><subject>Meal pattern</subject><subject>Meat</subject><subject>Medical education</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Nutrition research</subject><subject>Obesity</subject><subject>Obesity in adolescence</subject><subject>Obesity in children</subject><subject>Overweight</subject><subject>Patterning</subject><subject>People and Places</subject><subject>Population</subject><subject>Poultry</subject><subject>Quality</subject><subject>Quality assessment</subject><subject>Quality management</subject><subject>Response rates</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Risk reduction</subject><subject>Studies</subject><subject>Surveys</subject><subject>Teenage 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of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian school-going adolescent girls in West Java</title><author>Agustina, Rina ; Nadiya, Khairun ; Andini, El A ; Setianingsih, Ainanur A ; Sadariskar, Arini A ; Prafiantini, Erfi ; Wirawan, Fadila ; Karyadi, Elvina ; Raut, Manoj K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5379-da4cae65ed025d6e60b3e6ecc3cf85d7ab5f1d24908b49d23f5c55fd14de54bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescents</topic><topic>Anemia</topic><topic>Biology and Life Sciences</topic><topic>Body weight</topic><topic>Child development</topic><topic>Data collection</topic><topic>Developing countries</topic><topic>Diet</topic><topic>Eating</topic><topic>Energy intake</topic><topic>Food</topic><topic>Food 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one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agustina, Rina</au><au>Nadiya, Khairun</au><au>Andini, El A</au><au>Setianingsih, Ainanur A</au><au>Sadariskar, Arini A</au><au>Prafiantini, Erfi</au><au>Wirawan, Fadila</au><au>Karyadi, Elvina</au><au>Raut, Manoj K</au><au>Gebremedhin, Samson</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian school-going adolescent girls in West Java</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-04-23</date><risdate>2020</risdate><volume>15</volume><issue>4</issue><spage>e0231519</spage><epage>e0231519</epage><pages>e0231519-e0231519</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Poor diet is a risk factor for anemia, overweight, and obesity among adolescent girls. However, comprehensive assessment on dietary quality and habits in this population is limited. We assessed the association of meal patterning, dietary quality, and dietary diversity with both anemia and overweight-obesity.
We conducted a cross-sectional survey in 335 school-going adolescent girls aged 12-19 years from three districts in West Java using multi-stage cluster sampling. Meal patterning, Dietary Quality Index for Adolescents (DQI-A), and Dietary Diversity Score (DDS) were determined using 2-day 24-h recall.
Of the girls, 45% were anemic and 17% overweight or obese. Eating occasions of 3-4 times (AOR 2.68, 95% CI 1.21-5.98) and >4 times (AOR 2.43, 95% CI 1.01-5.83) were associated with greater odds of developing anemia compared to eating occasions of <3 times. Adolescent girls who skipped dinner had greater odds of being overweight or obese (AOR 2.13, 95% CI 1.10-4.10) and were less likely to be anemic (AOR 0.56, 95%CI 0.33-0.95) compared to those who did not skip dinner. Difference in energy intake was found between girls who had dinner and skipped dinner (p = 0.05). Mean total DQI-A score was 44.4% ± 7.71% and DDS was 4.0 out of 9.0. DQI-A score was significantly higher in non-anemic compared to anemic girls. Moreover, each unit increment of 1% of total DQI-A score was associated with a 3.967 g/dL increases of hemoglobin after adjustment for confounders. We found differences in total DQI-A score between normal-weight and overweight or obese girls. DDS score was not significantly different between groups, although lower meat, chicken, and fish consumption were correlated with anemia (p<0.01).
Overall, the girls had poor dietary quality and diversity. The findings therefore indicated the importance of improving dietary quality and diversity in a regular meal pattern, especially meal frequency and meal skipping, to reduce the risk of anemia and overweight-obesity among adolescent girls.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>32324775</pmid><doi>10.1371/journal.pone.0231519</doi><tpages>e0231519</tpages><orcidid>https://orcid.org/0000-0003-1322-3863</orcidid><orcidid>https://orcid.org/0000-0002-8464-1037</orcidid><oa>free_for_read</oa></addata></record> |
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| recordid | cdi_plos_journals_2394191761 |
| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescents Anemia Biology and Life Sciences Body weight Child development Data collection Developing countries Diet Eating Energy intake Food Food habits Girls Hemoglobin Hospitals Households Iron LDCs Malnutrition Meal pattern Meat Medical education Medicine Medicine and Health Sciences Methods Nutrition research Obesity Obesity in adolescence Obesity in children Overweight Patterning People and Places Population Poultry Quality Quality assessment Quality management Response rates Risk analysis Risk factors Risk reduction Studies Surveys Teenage girls Teenagers Variables |
| title | Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian school-going adolescent girls in West Java |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T21%3A08%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Associations%20of%20meal%20patterning,%20dietary%20quality%20and%20diversity%20with%20anemia%20and%20overweight-obesity%20among%20Indonesian%20school-going%20adolescent%20girls%20in%20West%20Java&rft.jtitle=PloS%20one&rft.au=Agustina,%20Rina&rft.date=2020-04-23&rft.volume=15&rft.issue=4&rft.spage=e0231519&rft.epage=e0231519&rft.pages=e0231519-e0231519&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0231519&rft_dat=%3Cgale_plos_%3EA621763313%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2394191761&rft_id=info:pmid/32324775&rft_galeid=A621763313&rft_doaj_id=oai_doaj_org_article_89ef9852bfff454c894861f974855154&rfr_iscdi=true |