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Refugees experience elevated risk of chronic disease post-resettlement. Understanding contributors to refugee knowledge of the connection between food and health may help promote healthful resettlement. A random survey was conducted with Cambodian refugee and asylee women in Lowell, MA (n = 160). Knowledge of the connection between health and food categories (meat with fat, soda, fast food, high-sodium sauces, salt, vegetables, fruit, and whole grains) was assessed. High food security, literacy, and having participated in nutrition education were related to higher knowledge. Approaches to refugee health should include improving food security and should be tailored to varied literacy levels. [ABSTRACT FROM AUTHOR]

With the efficacy of antiretroviral therapy, people living with HIV (PLWH) are surviving longer and improving their health related quality of life (HRQol) has become an important long-term HIV treatment and management indicator. HRQol has been associated with various factors, including food insecurity (FI). The objective of this prospective study was to examine the association between FI and dietary diversity (HDDS) and HRQol among PLWH in Accra, Ghana. We recruited 152 PLWH from the HIV clinics of six district hospitals Accra, Ghana and utilized a prospective cohort study design with data collection at baseline, three and six months after recruitment for this study. Participants completed questionnaires measuring HRQol, FI and HDDS. Repeated measures ANOVA was used to analyze the associations between FI and HRQol as well as HDDS and HRQol separately and then together. Being food secure [0.035 (95% CI = 0.005, 0.065)] and having a high dietary diversity score [0.029 (95% CI = 0.004, 0.053)] were independently associated with an improvement in quality of life scores over time after adjusting for other covariates and each other. Interventions to improve dietary diversity and food security among PLWH have the potential to improve nutritional status as well as HRQol. [ABSTRACT FROM AUTHOR]

This analysis assessed whether caregivers’ reports about the amount of oil added to corn soy blend (CSB) porridge were consistent with lab analysis and whether reported sharing of CSB porridge was consistent with direct observation. This was a secondary analysis of a feasibility study assessing 2 programmatic changes in a supplementary feeding program for treatment of moderate acute malnutrition (MAM) in southern Malawi. Intervention groups received standard monthly rations of CSB with increased oil along with social behavior change communication (SBCC) to increase the amount of oil added to CSB porridge and reduce sharing. A control group received the standard CSB and oil ration. Self-reported data collected through structured interviews with caregivers were compared with laboratory analysis of CSB porridge samples and in-home observation over a 5-day period. On average, participants overreported the amount of oil used in prepared CSB porridge; self-report tended to be closer than the lab-assessed values to the amount recommended in the SBCC. Self-reported and observed sharing appeared consistent across groups. Overall, the self-reported and direct measures showed the same relationships among the groups. Self-report and objective measures were inconsistent but conveyed the same overall message. [ABSTRACT FROM AUTHOR]

In spite of the important role nutrition plays in the management of HIV, access to nutrition services is inadequate, especially in resource limited settings. In addition, nutrition programs for people living with HIV (PLWH) have not been sufficiently evaluated for efficacy and this study was conducted to address this gap. This study aimed to evaluate the implementation of the nutrition assessment, counseling and support (NACS) program in Accra, Ghana, and to assess whether the level of implementation of NACS was associated with the body mass index (BMI) of PLWH. A cross-sectional study was conducted in six HIV clinics (3 NACS designated and 3 non-NACS). Study participants were 152 adult PLWH at least 6 months on antiretroviral therapy and not pregnant or breastfeeding. Using a NACS implementation scale developed for this study ranging from 0 to 8 (a higher score indicating better NACS implementation), median NACS implementation score was not different between NACS-designated, and non-NACS HIV clinics (5 vs 4, p = 0.14). Almost half (47%) of the respondents were overweight or obese. A higher score on the NACS implementation scale was not significantly associated with overweight or obesity (BMI >24.9 kg/m2) after adjusting for other covariates. It was concluded that, there was poor implementation of NACS in the NACS designated HIV clinics surveyed with no nutrition counseling offered nor food support available to those who might need it. [ABSTRACT FROM AUTHOR]

Economic growth and poverty reduction are not always sufficient to improve child health and nutritional status.Heifer Internationalpromotes livestock introduction and related training for community development and poverty alleviation. These programmes do not directly address child health or nutrition. To determine effects of its activities on these important outcomes,Heiferconducted a 4-year longitudinal investigation in rural Nepal. The intervention was associated with significantly improved child anthropometry (related to the duration of intervention exposure) and child health.Heiferactivities represent a viable ‘nutrition sensitive’ intervention, but these impacts take time to manifest and be sustained. [ABSTRACT FROM PUBLISHER]

Background: Brain development in early childhood is a key determinant of later cognition, social achievement and educational success. Head circumference (HC) measurements are a simple method to assess brain growth, yet reports of these measurements are uncommon in nutritional surveys of undernourished children. Objective: To evaluate HC measurements in a population of rural Nepali children and relate these measurements to demographics, health and diet. Methods: An observational study of head growth was nested within a longitudinal evaluation of a livestock-based agricultural intervention in rural Nepal. Between 538 and 689 children (aged 6 months to 8 years) were measured (height, weight, HC) at each of six survey visits. A total of 3652 HC measurements were obtained. Results were converted toZ-scores (WHO Anthro). Results: Mean head circumferenceZ-scores (HCZ) diminished progressively over the first 4 years of life; a decline of 30% occurred between 3 and 4 years of age (−1.73 to −2.45,P < 0.0001). Overall, 56% of HCZ were <−2. Gender-adjusted HCZ (but not other measurements) were significantly lower for girls than boys [mean (SD) −2.31 (1.0)vs−1.99 (0.094),P < 0.0001]; girls more often had microcephaly (61%vs50%,P < 0.0001). For children <3 years of age, HCZ were better in those who had eaten two or more animal-source foods (ASFs) within the previous 24 h [−1.69 (.05)vs−2.08 (0.10),P = 0.001] than in those who had eaten none or only one; HCZ correlated with the number of ASFs consumed (P < 0.001). Regression analyses demonstrated that the main determinants of HCZ were age, weight-for-ageZ-scores (WAZ) and gender; 43% of the variance in HCZ in younger children was explained by WAZ and ASF consumption. Conclusion: HCs reflect brain size in young children; brain size is linked to cognitive function. Poor head growth represents another facet of the ‘silent emergency’ of child undernutrition. Routine HCZ assessments may contribute to better understanding of the links between poverty and cognitive development. [ABSTRACT FROM AUTHOR]

Public Nutrition is a field of professional study and practice that has existed for many years without being named as such. It encompasses the disciplines that deal with factors affecting the food consumption and nutritional outcomes of populations, and goes beyond the definition of Public Health Nutrition by including the study of public policy in areas outside of health and nutrition as traditionally defined, that nonetheless can have profound effects on nutrition. Career paths in Public Nutrition exist at a variety of professional levels, including practitioners and direct service providers; administrators and planners; policy makers; and researchers and educators. The professional preparation of those working in Public Nutrition typically combines education and experience in nutritional science, social science, and sometimes management and planning. The field of Public Nutrition is important in providing a critical link between advances in understanding biomedical determinants of nutrition and the application of such understanding in programs and policies. However, the study of Public Nutrition goes beyond this: it represents an agenda of research and practice in its own right. Public Nutrition includes the study of how specific policies, in varying contexts, affect food consumption and nutrition outcomes; it includes the study of determinants of program effectiveness in improving these outcomes. Specific training programs in Public Nutrition do exist; the elements of a curriculum in Public Nutrition include social science research skills (data collection, management, analysis and interpretation), an understanding of economic, social, political, and behavioral determinants of food consumption, health and nutrition; a grounding in nutritional science. Field experience is an essential part of the preparation of Public Nutrition professionals. [ABSTRACT FROM PUBLISHER]

Two‐hundred and forty households were interviewed through a survey assessing the impact on various aspects of household welfare of a large‐scale irrigation project in the Lukkos region of Morocco. Installation of milk centers to collect milk from producers for commercial purposes affected households’ economic and dietary patterns. It motivated households to procure genetically improved cattle and hence to increase their milk production. Caring for improved cattle had a positive effect on household income, but no additional effect of access to milk centers on income could be shown. This access negatively affected household consumption of dairy products and calcium intake, particularly during summer, when alternative sources of calcium were less available. A nutrition education program should address the importance of the consumption of dairy products to improve the quality of households’ diet. Expansion of rural markets will also benefit this quality through increase in the frequency of food purchase and the physical and economic access to food markets. [ABSTRACT FROM PUBLISHER]

Sincc 1982, the elderly poverty rate reported by the U.S. Census Bureau has fallen below the rate for the nonelderly population. This is cited as evidence of the success of U.S. social policies to benefit the elderly. But lower elderly poverty rates are an artifact of the fact that a lower, more stringent poverty line is applied to the elderly living in one- and two-person households, who constitute 85% of elderly persons. If the same poverty standard is applied to the elderly as to the nonelderly, the poverty rates are the same or slightly higher. The poverty line was originally based on the cost of an adequate diet. The lower standard for the elderly was based on the fact that the elderly consume fewer calories than nonelderly adults. This article shows there is no justification for this lower standard, and recommends its elimination. The overall nutrient requirements of the elderly are not lower, and the elderly spend a higher proportion of their budgets on food and on other necessities (shelter, health care) than the nonelderly. Alternative units of analysis examined under different income-pooling assumptions also show that poverty rates are not lower among the elderly than the nonelderly. [ABSTRACT FROM PUBLISHER]

The federally funded Elderly Nutrition Program is mandated to serve elders in greatest social and economic need. Yet researchers have concluded that the program underserves certain groups of elders, including those who are socially impaired and homeless and members of ethnic and other minority groups. This paper reviews the issues involved in serving elders in greatest social and economic need and suggests that reaching all of these elders with program services is not only a laudable goal but also, based on innovative models briefly described, is clearly achievable. [ABSTRACT FROM PUBLISHER]