Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia

BACKGROUND/OBJECTIVES This study aimed to examine the food security status of urban poor adolescents and its association with diet quality. SUBJECTS/METHODS A cross-sectional survey was conducted among 188 adolescents aged 13–18 yrs living in Kuala Lumpur, Malaysia. Household food insecurity an...

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Main Authors: Ee, Janice Fang Tay, Kaur, Satvinder, Wui, Wui Tham, Wan, Ying Gan, Che Ya, Nik Norasma, Choon, Hui Tan, En, Serene Hui Tung
Format: Article
Published: The Korean Nutrition Society and the Korean Society of Community Nutrition 2023
Online Access:http://psasir.upm.edu.my/id/eprint/108041/
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author Ee, Janice Fang Tay
Kaur, Satvinder
Wui, Wui Tham
Wan, Ying Gan
Che Ya, Nik Norasma
Choon, Hui Tan
En, Serene Hui Tung
author_facet Ee, Janice Fang Tay
Kaur, Satvinder
Wui, Wui Tham
Wan, Ying Gan
Che Ya, Nik Norasma
Choon, Hui Tan
En, Serene Hui Tung
author_sort Ee, Janice Fang Tay
building UPM Institutional Repository
collection Online Access
description BACKGROUND/OBJECTIVES This study aimed to examine the food security status of urban poor adolescents and its association with diet quality. SUBJECTS/METHODS A cross-sectional survey was conducted among 188 adolescents aged 13–18 yrs living in Kuala Lumpur, Malaysia. Household food insecurity and dietary intake data were collected using the Radimer/Cornell hunger and food insecurity instrument and 2-day 24-h dietary recalls, respectively. Diet quality was determined using the Malaysian Healthy Eating Index (HEI). Weight and height were measured and body mass index-for-age, as well as height-for-age z scores were calculated. RESULTS The present study revealed that 47.9% of the adolescents experienced household food insecurity, 24.5% experienced individual food insecurity, 18.6% household food security, and 9.0% child hunger. The mean score of diet quality was 56.83 ± 10.09, with a significantly lower HEI score among food insecure adolescents (household food insecure, individual food insecure, and child hunger) than household food secure adolescents (P = 0.001). The differences between food secure and food insecure households were found to be significant for energy (P = 0.001) and nutrients including proteins (P = 0.006), carbohydrates (P = 0.005), dietary fiber (P = 0.001), folate (P < 0.001), and vitamin C (P = 0.006). The multiple linear regression showed that adolescents who experienced food insecurity (β = −0.328; P = 0.003) were found to be significantly associated with poor diet quality (F = 2.726; P < 0.01), wherein 13.3% of the variation in the diet quality was explained by the food security status. CONCLUSIONS Experiencing food insecurity contributed to poor diet quality among urban poor adolescents. Further longitudinal studies are needed to comprehensively understand this association to improve food insecurity and diet quality among urban poor communities.
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institution Universiti Putra Malaysia
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spelling upm-1080412024-09-26T04:12:01Z http://psasir.upm.edu.my/id/eprint/108041/ Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia Ee, Janice Fang Tay Kaur, Satvinder Wui, Wui Tham Wan, Ying Gan Che Ya, Nik Norasma Choon, Hui Tan En, Serene Hui Tung BACKGROUND/OBJECTIVES This study aimed to examine the food security status of urban poor adolescents and its association with diet quality. SUBJECTS/METHODS A cross-sectional survey was conducted among 188 adolescents aged 13–18 yrs living in Kuala Lumpur, Malaysia. Household food insecurity and dietary intake data were collected using the Radimer/Cornell hunger and food insecurity instrument and 2-day 24-h dietary recalls, respectively. Diet quality was determined using the Malaysian Healthy Eating Index (HEI). Weight and height were measured and body mass index-for-age, as well as height-for-age z scores were calculated. RESULTS The present study revealed that 47.9% of the adolescents experienced household food insecurity, 24.5% experienced individual food insecurity, 18.6% household food security, and 9.0% child hunger. The mean score of diet quality was 56.83 ± 10.09, with a significantly lower HEI score among food insecure adolescents (household food insecure, individual food insecure, and child hunger) than household food secure adolescents (P = 0.001). The differences between food secure and food insecure households were found to be significant for energy (P = 0.001) and nutrients including proteins (P = 0.006), carbohydrates (P = 0.005), dietary fiber (P = 0.001), folate (P < 0.001), and vitamin C (P = 0.006). The multiple linear regression showed that adolescents who experienced food insecurity (β = −0.328; P = 0.003) were found to be significantly associated with poor diet quality (F = 2.726; P < 0.01), wherein 13.3% of the variation in the diet quality was explained by the food security status. CONCLUSIONS Experiencing food insecurity contributed to poor diet quality among urban poor adolescents. Further longitudinal studies are needed to comprehensively understand this association to improve food insecurity and diet quality among urban poor communities. The Korean Nutrition Society and the Korean Society of Community Nutrition 2023 Article PeerReviewed Ee, Janice Fang Tay and Kaur, Satvinder and Wui, Wui Tham and Wan, Ying Gan and Che Ya, Nik Norasma and Choon, Hui Tan and En, Serene Hui Tung (2023) Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia. Nutrition Research and Practice, 17 (2). 269 - 283. ISSN 1976-1457; ESSN: 2005-6168 https://e-nrp.org/DOIx.php?id=10.4162/nrp.2023.17.2.269 10.4162/nrp.2023.17.2.269
spellingShingle Ee, Janice Fang Tay
Kaur, Satvinder
Wui, Wui Tham
Wan, Ying Gan
Che Ya, Nik Norasma
Choon, Hui Tan
En, Serene Hui Tung
Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia
title Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia
title_full Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia
title_fullStr Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia
title_full_unstemmed Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia
title_short Food security and diet quality among urban poor adolescents in Kuala Lumpur, Malaysia
title_sort food security and diet quality among urban poor adolescents in kuala lumpur, malaysia
url http://psasir.upm.edu.my/id/eprint/108041/
http://psasir.upm.edu.my/id/eprint/108041/
http://psasir.upm.edu.my/id/eprint/108041/