Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the Philippines

A dietary pattern transition is a risk factor for the double burden of malnutrition (DBM), but related information is limited. This study aimed to identify sex differences in dietary patterns of adults in a low–middle income country and to examine their association with DBM. A total of 8957 adults (...

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Main Authors: Aileen Rodil de Juras, Wan-Chen Hsu, Yu-Yao Cheng, Li-Jung Elizabeth Ku, Tsung Yu, Cheau-Jane Peng, Susan C. Hu
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/17/3495
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author Aileen Rodil de Juras
Wan-Chen Hsu
Yu-Yao Cheng
Li-Jung Elizabeth Ku
Tsung Yu
Cheau-Jane Peng
Susan C. Hu
author_facet Aileen Rodil de Juras
Wan-Chen Hsu
Yu-Yao Cheng
Li-Jung Elizabeth Ku
Tsung Yu
Cheau-Jane Peng
Susan C. Hu
author_sort Aileen Rodil de Juras
collection DOAJ
description A dietary pattern transition is a risk factor for the double burden of malnutrition (DBM), but related information is limited. This study aimed to identify sex differences in dietary patterns of adults in a low–middle income country and to examine their association with DBM. A total of 8957 adults (4465 men and 4492 non-pregnant and non-lactating women) who participated in the 2013 Philippine National Nutrition Survey were included in the analysis. Logistic regression models were formulated to investigate the relationship between dietary patterns and DBM. The factor analysis derived seven dietary patterns for males and six patterns for females. Results showed that approximately 30% of Filipino adults suffered from DBM. The rice pattern was associated with lower odds of DBM for males only. The meat and sugar pattern in males and the protein-rich foods, cereal, and sugar pattern in females decreased DBM likelihood. An inverse relationship was observed for the vegetables and corn patterns, wherein females had an increased risk for DBM. Our findings suggest that rice-based and meat-containing patterns could play protective roles in DBM development among adults in the Philippines. Understanding sex-specific dietary patterns can be utilized to guide public health nutrition interventions in the prevention of malnutrition in all its forms.
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spelling doaj.art-c2401d19e34647b5ab79cd34806032ed2023-11-23T13:51:25ZengMDPI AGNutrients2072-66432022-08-011417349510.3390/nu14173495Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the PhilippinesAileen Rodil de Juras0Wan-Chen Hsu1Yu-Yao Cheng2Li-Jung Elizabeth Ku3Tsung Yu4Cheau-Jane Peng5Susan C. Hu6Department of Public Health, College of Medicine, National Cheng Kung University, Tainan City 701, TaiwanDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan City 701, TaiwanDepartment of Health and Nutrition, Chia Nan University of Pharmacy and Science, Tainan City 717, TaiwanDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan City 701, TaiwanDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan City 701, TaiwanDepartment of Senior Welfare and Services, Southern Taiwan University of Science and Technology, Tainan City 701, TaiwanDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan City 701, TaiwanA dietary pattern transition is a risk factor for the double burden of malnutrition (DBM), but related information is limited. This study aimed to identify sex differences in dietary patterns of adults in a low–middle income country and to examine their association with DBM. A total of 8957 adults (4465 men and 4492 non-pregnant and non-lactating women) who participated in the 2013 Philippine National Nutrition Survey were included in the analysis. Logistic regression models were formulated to investigate the relationship between dietary patterns and DBM. The factor analysis derived seven dietary patterns for males and six patterns for females. Results showed that approximately 30% of Filipino adults suffered from DBM. The rice pattern was associated with lower odds of DBM for males only. The meat and sugar pattern in males and the protein-rich foods, cereal, and sugar pattern in females decreased DBM likelihood. An inverse relationship was observed for the vegetables and corn patterns, wherein females had an increased risk for DBM. Our findings suggest that rice-based and meat-containing patterns could play protective roles in DBM development among adults in the Philippines. Understanding sex-specific dietary patterns can be utilized to guide public health nutrition interventions in the prevention of malnutrition in all its forms.https://www.mdpi.com/2072-6643/14/17/3495dietary patternsdouble burden of malnutritionadultsPhilippineslow–middle income country
spellingShingle Aileen Rodil de Juras
Wan-Chen Hsu
Yu-Yao Cheng
Li-Jung Elizabeth Ku
Tsung Yu
Cheau-Jane Peng
Susan C. Hu
Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the Philippines
Nutrients
dietary patterns
double burden of malnutrition
adults
Philippines
low–middle income country
title Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the Philippines
title_full Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the Philippines
title_fullStr Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the Philippines
title_full_unstemmed Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the Philippines
title_short Sex Differences in Dietary Patterns of Adults and Their Associations with the Double Burden of Malnutrition: A Population-Based National Survey in the Philippines
title_sort sex differences in dietary patterns of adults and their associations with the double burden of malnutrition a population based national survey in the philippines
topic dietary patterns
double burden of malnutrition
adults
Philippines
low–middle income country
url https://www.mdpi.com/2072-6643/14/17/3495
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