Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional study

Abstract Background Data on dietary intake in Guinea-Bissau is limited. The main purpose of this study was to compare mean daily energy intake (EI) with mean daily energy expenditure (EE) for a moderately active lifestyle in health-seeking individuals with a body mass index < 20.0 kg/m2. Furtherm...

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Main Authors: Cecilie Blenstrup Patsche, Frauke Rudolf, Antonio Mateus da Silva Mendes, Idalina da Cunha, Victor Francisco Gomes, Christian Wejse, Charlotte Jeppesen
Format: Article
Language:English
Published: BMC 2019-02-01
Series:BMC Nutrition
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40795-019-0276-9
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author Cecilie Blenstrup Patsche
Frauke Rudolf
Antonio Mateus da Silva Mendes
Idalina da Cunha
Victor Francisco Gomes
Christian Wejse
Charlotte Jeppesen
author_facet Cecilie Blenstrup Patsche
Frauke Rudolf
Antonio Mateus da Silva Mendes
Idalina da Cunha
Victor Francisco Gomes
Christian Wejse
Charlotte Jeppesen
author_sort Cecilie Blenstrup Patsche
collection DOAJ
description Abstract Background Data on dietary intake in Guinea-Bissau is limited. The main purpose of this study was to compare mean daily energy intake (EI) with mean daily energy expenditure (EE) for a moderately active lifestyle in health-seeking individuals with a body mass index < 20.0 kg/m2. Furthermore, dietary composition was evaluated by estimates of macronutrient energy distribution, individual dietary diversity scores, and the identification of frequently consumed food items, stratified by sex. Methods A cross-sectional dietary survey was conducted at the suburban health- and demographic surveillance site in Guinea-Bissau, West Africa, from May 2014–February 2015. Each participant answered one interviewer-administered 24-h dietary recall at baseline, from which dietary intake was assessed. Differences in dietary intake between men and women were analysed using the X 2 test or Fisher’s Exact test for categorical outcomes, and the Student’s t-test for continuous variables. Results Forty-three men and forty-eight women were included. Mean EI for men was 6326 kJ/d (sd 2104) and for women 6822 kJ/d (sd 2210). Mean EE for a moderately active lifestyle with a physical activity level of 1.75 was 10,479 kJ/d (sd 658) for men and 8729 kJ/d (sd 731) for women. Both men and women had a significantly lower mean EI compared with mean EE (p-values both < 0.001). Dietary diversity was low with a score of 3.5 (sd 1.0) for men and 4.0 (sd 1.3) for women, p-value 0.046. Macronutrient energy was distributed as 66% (sd 11) carbohydrate, 15% (sd 5) protein, and 19% (sd 9) fat, with no significant difference in distribution between men and women. Consumption of starchy and sugary carbohydrates accounted for two thirds of mean EI. Cereals were the main source of protein, in place of animal protein. Conclusions Both men and women in this study had low mean EI compared with mean EE for a moderately active lifestyle. Dietary intake was characterized by a seemingly low dietary diversity and imbalanced macronutrient energy distribution, comprising insufficient fat intake and excess carbohydrate intake. Cereals were the main source of protein. Trial registration PACTR2009110001673419. Registered 22 Oct 2009.
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spelling doaj.art-352b9ff93c844a1c9b0413a29ecf40842022-12-21T23:56:25ZengBMCBMC Nutrition2055-09282019-02-01511810.1186/s40795-019-0276-9Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional studyCecilie Blenstrup Patsche0Frauke Rudolf1Antonio Mateus da Silva Mendes2Idalina da Cunha3Victor Francisco Gomes4Christian Wejse5Charlotte Jeppesen6Bandim Health Project, INDEPTH networkBandim Health Project, INDEPTH networkBandim Health Project, INDEPTH networkBandim Health Project, INDEPTH networkBandim Health Project, INDEPTH networkBandim Health Project, INDEPTH networkSection for Health Promotion and Health Services, Department of Public Health, Aarhus UniversityAbstract Background Data on dietary intake in Guinea-Bissau is limited. The main purpose of this study was to compare mean daily energy intake (EI) with mean daily energy expenditure (EE) for a moderately active lifestyle in health-seeking individuals with a body mass index < 20.0 kg/m2. Furthermore, dietary composition was evaluated by estimates of macronutrient energy distribution, individual dietary diversity scores, and the identification of frequently consumed food items, stratified by sex. Methods A cross-sectional dietary survey was conducted at the suburban health- and demographic surveillance site in Guinea-Bissau, West Africa, from May 2014–February 2015. Each participant answered one interviewer-administered 24-h dietary recall at baseline, from which dietary intake was assessed. Differences in dietary intake between men and women were analysed using the X 2 test or Fisher’s Exact test for categorical outcomes, and the Student’s t-test for continuous variables. Results Forty-three men and forty-eight women were included. Mean EI for men was 6326 kJ/d (sd 2104) and for women 6822 kJ/d (sd 2210). Mean EE for a moderately active lifestyle with a physical activity level of 1.75 was 10,479 kJ/d (sd 658) for men and 8729 kJ/d (sd 731) for women. Both men and women had a significantly lower mean EI compared with mean EE (p-values both < 0.001). Dietary diversity was low with a score of 3.5 (sd 1.0) for men and 4.0 (sd 1.3) for women, p-value 0.046. Macronutrient energy was distributed as 66% (sd 11) carbohydrate, 15% (sd 5) protein, and 19% (sd 9) fat, with no significant difference in distribution between men and women. Consumption of starchy and sugary carbohydrates accounted for two thirds of mean EI. Cereals were the main source of protein, in place of animal protein. Conclusions Both men and women in this study had low mean EI compared with mean EE for a moderately active lifestyle. Dietary intake was characterized by a seemingly low dietary diversity and imbalanced macronutrient energy distribution, comprising insufficient fat intake and excess carbohydrate intake. Cereals were the main source of protein. Trial registration PACTR2009110001673419. Registered 22 Oct 2009.http://link.springer.com/article/10.1186/s40795-019-0276-9Dietary intakeNutrition assessmentWest AfricaUndernutrition24-h dietary recallGuinea-Bissau
spellingShingle Cecilie Blenstrup Patsche
Frauke Rudolf
Antonio Mateus da Silva Mendes
Idalina da Cunha
Victor Francisco Gomes
Christian Wejse
Charlotte Jeppesen
Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional study
BMC Nutrition
Dietary intake
Nutrition assessment
West Africa
Undernutrition
24-h dietary recall
Guinea-Bissau
title Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional study
title_full Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional study
title_fullStr Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional study
title_full_unstemmed Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional study
title_short Dietary intake in undernourished adults living in Guinea-Bissau; a cross-sectional study
title_sort dietary intake in undernourished adults living in guinea bissau a cross sectional study
topic Dietary intake
Nutrition assessment
West Africa
Undernutrition
24-h dietary recall
Guinea-Bissau
url http://link.springer.com/article/10.1186/s40795-019-0276-9
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