Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: https://www.sciepub.com/journal/jfnr Editor-in-chief: Prabhat Kumar Mandal
Open Access
Journal Browser
Go
Journal of Food and Nutrition Research. 2020, 8(9), 516-527
DOI: 10.12691/jfnr-8-9-8
Open AccessArticle

Usual Nutrient and Food Intake of Filipino Stunted Children: Does It Matter?

Imelda Angeles-Agdeppa1 and Marvin B. Toledo1,

1Food and Nutrition Research Institute, Department of Science and Technology, Taguig City 1631, Philippine

Pub. Date: September 24, 2020

Cite this paper:
Imelda Angeles-Agdeppa and Marvin B. Toledo. Usual Nutrient and Food Intake of Filipino Stunted Children: Does It Matter?. Journal of Food and Nutrition Research. 2020; 8(9):516-527. doi: 10.12691/jfnr-8-9-8

Abstract

The study focuses on the nutrient and food intakes of stunted children aged 3-5 y/o, 6-9 y/o, and 10-12 y/o. and determine the association between dietary factors and the prevalence of stunting. Data from the 2013 National Nutrition Survey in the Philippines were used. Stunting was defined as height-for-age < -2 SD of the reference population. Dietary factors were estimated based on the 24-h food recall. Results showed that stunted children had higher nutrients deficiencies. They had lower consumption of cereals, tubers, and roots, meat, poultry, and fish, and dairy. Compared to the lowest counterparts (Q1), preschoolers with higher intake of calcium (Q4) (OR=0.53, 95% CI: 0.38, 0.76) were less likely to become stunted, young school-aged with higher intakes of crude protein (Q4) (OR=0.59, 95% CI: 0.41, 0.84), iron (Q4) (OR=0.67, 95% CI: 0.46, 0.97) and lower intake of magnesium (Q4) (OR=1.42, 95% CI: 1.02, 1.98) have lower odds to become stunted, and older school-aged with higher intake of protein and thiamin (Q4) were associated with 40% and 34% reduced odds of being stunted (OR=0.60, 95% CI: 0.42, 0.87) (OR=0.66, 95% CI: 0.45, 0.98). Higher calcium and protein intake significantly influenced the reduction of the risk of being stunted among children.

Keywords:
stunting usual nutrient intake food intake DDS prevalence of inadequacy

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  World Health Organization (WHO), “Stunting in a Nutshell,” Available: https://www.who.int/nutrition/healthygrowthproj_stunted_videos/ en/ [Accessed February 18, 2020].
 
[2]  World Health Organization (WHO), “Global Nutrition Report,” Available: https://globalnutritionreport.org/reports/global- nutrition-report-2018/conclusion-critical-steps-get-nutrition-track/ [Accessed February 18, 2020].
 
[3]  United Nations International Children's Emergency Fund (UNICEF), “Malnutrition,” Available: https://data.unicef.org/topic/nutrition/malnutrition/ [Accessed February 18, 2020].
 
[4]  World Bank, “New Country Classifications by Income Level: 2018-2019,” Available: https://blogs.worldbank.org/opendata/new-country-classifications- income-level-2018-2019 [Accessed February 18, 2020].
 
[5]  Food and Nutrition Research Institute- Department of Science and Technology (FNRI-DOST), “Expanded National Nutrition Survey: Pre-school and School Children,” Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines. 2015.
 
[6]  Denney L., Angeles-Agdeppa, I., Capanzana, M. V., Toledo, M. B., Donohue, J., and Carriquiry, A., “Nutrient Intakes and Food Sources of Filipino Infants, Toddlers and Young Children are Inadequate: Findings from the National Nutrition Survey 2013,” Nutrients 10(11) 1730. 2018.
 
[7]  Angeles-Agdeppa I., Denney, L., and M.V, Capanzana, “Usual Energy and Nutrient Intakes and Food Sources of Filipino Children Aged 6-12 Years from the 2013 National Nutrition Survey,” Nestlé Nutrition Institute Workshop Series 91: 111-122. 2019.
 
[8]  Food and Nutrition Research Institute- Department of Science and Technology (FNRI-DOST), “Expanded National Nutrition Survey: Food Security,” Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines. 2015.
 
[9]  Food and Nutrition Research Institute- Department of Science and Technology (FNRI-DOST), “Philippine Nutrition Facts and Figures 2013: 8th National Nutrition Survey: Dietary Survey,” Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines. 2015.
 
[10]  Angeles-Agdeppa, I., Lenighan, Y.M., Jacquier, E.F., Toledo, M. B., and Capanzana M. V., “The Impact of Wealth Status on Food Intake Patterns in Filipino School-Aged Children and Adolescents,” Nutrients 11(12):2910. 2019.
 
[11]  Food and Nutrition Research Institute- Department of Science and Technology (FNRI-DOST), “Philippine Nutrition Facts and Figures 2013: 8th National Nutrition Survey: Anthropometric Survey,” Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines. 2015.
 
[12]  World Health Organization (WHO), “WHO Child Growth Standards,” Geneva. Available: https://www.who.int/childgrowth/standards/Technical_report.pdf [Accessed February 18, 2020].
 
[13]  World Health Organization (WHO), “Growth reference data for 5-19 years,” Geneva. Available: https://www.who.int/growthref/en/ [Accessed February 18, 2020].
 
[14]  Food and Nutrition Research Institute- Department of Science and Technology (FNRI-DOST), “Philippine Nutrition Facts and Figures 2013: 8th National Nutrition Survey: Overview,” Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines. 2015.
 
[15]  Lopez-Olmedo, N., Carriquiry A. L., Rodriguez-Ramirez S., Ramírez-Silva, I., Espinosa-Montero, J., Hernández-Barrera, L., Campirano, F., Martínez-Tapia, B., and Rivera, J. A., “Usual intake of added sugars and saturated fats is high while dietary fiber is low in the Mexican population,” The Journal of Nutrition 46, 1856S-1865S. 2016.
 
[16]  Institute of Medicine, National Academy of Science, “Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids,” The National Academies Press. Washington, DC, USA. 2002.
 
[17]  Kennedy, G., Ballard, T., and Dop, M., “Guidelines for Measuring Household and Individual Dietary Diversity,” Rome: FAO. 2010.
 
[18]  Bullecer, E. R., Rabuco, L. B., Aninao, D. A. B., De Roxas, R. C., Esguerra, J. C. A., Lim, P. R. U., and Malimban, R. C., “Dietary diversity score as an indicator of nutritional adequacy of diets among 16-19-year-old adolescents,” Acta Medica Philippina 46. 28-33. 2012.
 
[19]  Food and Nutrition Research Institute- Department of Science and Technology (FNRI-DOST), “Philippine Dietary Reference Intakes 2015,” Food and Nutrition Research Institute, Taguig City, Metro Manila, Philippines. 2015.
 
[20]  Carriquiry, A. L., “Assessing the Prevalence of Nutrient Inadequacy,” Public Health Nutrition 2(1), 23-33. 1999.
 
[21]  Yu, P., Denney, L., Zheng, Y, Vinyes-Pares, G., Reidy, K. C., Eldridge A. L., Wang, P., and Zhang, Y., “Food Groups consumed by infants and toddlers in urban areas of China,” Food and Nutrition Research. 60(0) 30289. 2016.
 
[22]  Zhang, Z., Cogswell, M. E., Gillespie, C., Fang, J., Loustalot, F., Dai, S., Carriquiry, A. L., Kuklina, E. V., Hong, Y., Merritt, R., and Yang, Q., “Association between Usual Sodium and Potassium Intake and Blood Pressure and Hypertension among U.S. Adults: NHANES 2005-2010,” PLos ONE 8(10): e75289. 2013.
 
[23]  Food and Agriculture Organization of the United Nation, “FAOSTAT”. Available: http://www.fao.org/faostat/en/#country/171 [Accessed March 20, 2020].
 
[24]  Tessema, M., Gunaratna, N. S., Brouwer, I. D., Donato, K., Cohen, J. L., McConnell, M., Belachew, T., Belayneh, D., and De Groote, H., “Associations among High-Quality Protein and Energy Intake, Serum Transthyretin, Serum Amino Acids and Linear Growth of Children in Ethiopia,” Nutrients 10(11), 1776. 2018.
 
[25]  Sunny, B. S., DeStavola, B., Dube, A., Kondowe, S., Crampin, A. C., Glynn, J. R.,“Does Early Linear Growth Failure Influence Later School Performance? A Cohort Study in Karonga District, Northern Malawi,” PLoS ONE 13(11): e0200380. 2018.
 
[26]  Haile, D., Nigatu, D., Gashaw, K., and Demelash, H., “Height for age Z score and Cognitive Function are Associated with Academic Performance among School Children Aged 8-11 Years Old,” Archives of Public Health 74:17. 2016.
 
[27]  Kollias, H., “Research Review: A Calorie Isn’t a Calorie”. Precision Nutrition. Available: https://www.precisionnutrition.com/digesting-whole-vs- processed-foods [Accessed March 21, 2020).
 
[28]  Tomm, S., “Five Reason the Body Needs Energy”. Healthy Eating. December 7, 2018. Available: https://healthyeating.sfgate.com/five-reasons-body-needs-energy- 4673.html [Accessed on March 20, 2020].
 
[29]  Doinea, M. “Analysis upon the Influence of Calorie Intake on the Human Body,” Body Building Science Journal. Vol. 1. 2009.
 
[30]  Gibson, R. S., Manger, M. S., Krittaphol, W., Pongcharoen, T., Gowachirapant, S., Bailey, K. B., and Winichagoon, P., “Does zinc deficiency play a role in stunting among primary school children in NE Thailand?,” British Journal of Nutrition 97(1) 167-75. 2007.
 
[31]  Alshammari, E., Suneetha, E., Adnan, M., Khan, S., Alazzeh, A., “Growth Profile and Its Association with Nutrient Intake and Dietary Patterns among Children and Adolescents in Hail Region of Saudi Arabia,” BioMed Research International 1-9. 2017.
 
[32]  United Nations International Children's Emergency Fund (UNICEF), “Nutrition”. Available: https://www.unicef.org/nutrition/index_iodine.html [Accessed March 20, 2020].
 
[33]  Palacios, C., “The Role of Nutrients in Bone Health, from A to Z,” Critical Reviews in Food and Nutrition. 46. 621-8. 2006.
 
[34]  Monma, Y., Niu, K., Iwasaki, K., Tomita, N., Nakaya, N., Hozawa, A., Kuriyama, S., Takayama, S., Seki, T., Takeda, T., Yaegashi, N., Ebihara, S., Arai, H., Nagatomi, R., and Tsuji, I., “Dietary patterns associated with fall-related fracture in elderly Japanese: a population based prospective study,” BMC Geriatrics. 10: 31. 2010.
 
[35]  Pasiakos, S. M., “Exercise and amino acid anabolic cell signaling and the regulation of skeletal muscle mass”. Nutrients 4(7): 740-758. 2012.
 
[36]  Peterlik, M., Boonen, S., Cross, H. S., Lamberg-Allardt, C., “Vitamin D and calcium insufficiency-related chronic diseases: an emerging world-wide public health problem,” International Journal of Environmental Research and Public Health 6(10): 2585-2607. 2009.
 
[37]  Boonen, S., Lips, P., Bouillon, R., Bischoff-Ferrari, H. A., Vanderschueren, D., and Haentjens, P., “Need for additional calcium to reduce the risk of hip fracture with vitamin d supplementation: evidence from a comparative meta-analysis of randomized controlled trials,” Journal of Clinical Endocrinology and Metabolism. 92(4):1415-1423. 2007.
 
[38]  Prasad, A. S., “Discovery of human zinc deficiency: its impact on human health and disease,” Advance Nutrition 4(2): 176-190. 2013.
 
[39]  MacDonald, R. S., “The role of zinc in growth and cell proliferation,” Journal of Nutrition 130(5S Suppl): 1500S-8S. 2000.
 
[40]  Clegg, M. S., Hanna, L. A., Niles, B. J., and Keen, C. L., “Zinc deficiency-induced cell death,” IUBMB Life 57(10): 661-669. 2005.
 
[41]  Black, M. M., “Effects of vitamin B12 and folate deficiency on brain development in children,” Food and Nutrition Bulletin 29(2 Suppl): S126-S131. 2008.
 
[42]  Ankar, A. and Kumar, A., “Vitamin B12 Deficiency (Cobalamin),” In: StatPearls. Treasure Island (FL): StatPearl Publishing. 2020.
 
[43]  Maxfield L. and Crane, J.S., “Vitamin C Deficiency (Scurvy)” In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2020.
 
[44]  Heaney, R. P., “Phosphorus nutrition and the treatment of osteoporosis,” Mayo Clinical Proceedings. 79(1):91-97. 2004.
 
[45]  Esfarjani, F., Roustaee, R., Mohammadi-Nasrabadi, F., and Esmaillzadeh, A., “Major Dietary Patterns in Relation to Stunting among Children in Tehran, Iran”. Journal of Health, Population and Nutrition 31(2): 202-210.
 
[46]  Black, R. E., Williams, S. M., Jones, I. E., and Goulding, A., “Children Who Avoid Drinking Cow Milk Have Low Dietary Calcium Intakes and Poor Bone Health,” American Journal of Clinical Nutrition 76(3), 675-80. 2002.
 
[47]  Taher, E., Elkoly, M., Zaghloul, S., and Mohhamed, H., “Predictors of Stunting among Children Attending the National Nutrition Institute in Egypt”. The Egyptian Journal of Community Medicine. 2018. Vol. 36 No.1, 2018.
 
[48]  Krebs, N. F., Mazariegos, M., Tshefu, A., Bose, C., Sami, N., Chomba, E., Carlo, W., Goco, N., Kindem, M., Wright, L. L., Hambidge, K. M., and Complementary Feeding Study Group, “Meat consumption is associated with less stunting among toddlers in four diverse low-income settings,” Food and Nutrition Bulletin 32(3) 185-191. 2011.
 
[49]  Klurfeld, D. M., “What is the role of meat in a healthy diet?” Animal Frontiers, Volume 8, Issue 3, Pages 5-10. 2018.
 
[50]  United States Department of Agriculture (USDA), “Why is it important to make lean or low-fat choices from the Protein Foods Group?” Nutrients and health benefit. Available: https://www.choosemyplate.gov/eathealthy/protein-foods/protein- foods-nutrients-health [Accessed March 20, 2020].
 
[51]  Pearson, K., “Medical Review: What are the Key Functions of Carbohydrates?” November 9, 2017 Available: https://www.healthline.com/nutrition/carbohydrate-functions [Accessed March 20, 2020).
 
[52]  Van Stuijvenberg, M. E., Nel, J., Schoeman, S. E., Lombard, C. J., du Plessis, L. M., and Dhansay, M. A. “A. Low Intake of Calcium and Vitamin D is Associated with Stunting in 2-5-Year-Old Children from an Impoverished South African Community”. European Journal of Nutrition & Food Safety 5(5): 459-460.
 
[53]  Dibba, B., Prentice, A., Ceesay, M., Stirling, D. M., Cole, T. J., and Poskitt, E.,“Effect of calcium supplementation on bone mineral accretion in Gambian children accustomed to a low-calcium diet,” American Journal of Clinical Nutrition. 71(2): 544-549. 2000.
 
[54]  Tai, V., Leung, W., Grey, A., Reid, I. R., and Bolland, M. J., “Calcium intake and bone mineral density: systematic review and meta-analysis”. BMJ 351: h4183. 2015.
 
[55]  Ernalia, Y., Dwi, L., Suyanto, U., and Restuastuti, T., “Different Intakes of Energy and Protein in Stunted and Non-stunted Elementary School Children in Indonesia,” KnE Life Sciences, pages 4(4): 556-62. 2018.
 
[56]  Lee, D. E. R., “Children's Protein Consumption in Southeast Asia: Consideration of Quality as Well as Quantity of Children's Protein Consumption in Southeast Asia,” Wharton Research Scholars. 115. 2014.
 
[57]  Save The Children International, “Annual Review 2015,” Available: https://resourcecentre.savethechildren.net/node/14970/pdf/save_th e_children_annual_review_2015.pdf [Accessed March 20, 2020].
 
[58]  Bonjour, J. P., “Dietary protein: an essential nutrient for bone health,” Journal of the American College of Nutrition 24(6 Suppl):526S-36S. 2005.
 
[59]  Kerstetter, J. E., Kenny, A. M. and Insogna, K. L., “Dietary protein and skeletal health: a review of recent human research,” Current Opinion in Lipidology 22(1): 16-20. 2011.
 
[60]  Shams-White, M. M., Chung, M., Du, M., Fu, Z., Insogna, K. L., Karlsen, M. C., LeBoff, M. S., Shapses, S. A., Sackey, J., Wallace, T. C., and Weaver, C. M., “Dietary protein and bone health: a systematic review and meta-analysis from the National Osteoporosis Foundation,” American Journal of Clinical Nutrition 105(6):1528-1543. 2017.
 
[61]  Munger, R. G., Cerhan, J. R., & Chiu, B. C., “Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women,” American Journal of Clinical Nutrition 69(1): 147-152. 1999.
 
[62]  Wu, G., Fanzo, J., Miller, D. D., Pingali, P., Post, M., Steiner, J. L., and Thalacker-Mercer, A. E. “Production and supply of high-quality food protein for human consumption: sustainability, challenges, and innovations,” Annals of the New York Academy of Sciences, 1321, 1-19. 2014.