Dietary intake and micronutrient adequacy among adults engaged in agriculture in rural Sri Lanka: findings from a cross-sectional baseline survey
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| Title: | Dietary intake and micronutrient adequacy among adults engaged in agriculture in rural Sri Lanka: findings from a cross-sectional baseline survey |
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| Authors: | Caroline A Joyce, Bess L Caswell, Aulo Gelli, Sonja Y Hess, Hasara Sitisekara, Christine P Stewart, Xiuping Tan, Renuka Jayatissa, Kalana Peiris, Renuka Silva, Deanna K Olney |
| Source: | Public Health Nutr Public Health Nutrition, Vol 28 (2025) |
| Publisher Information: | Cambridge University Press (CUP), 2025. |
| Publication Year: | 2025 |
| Subject Terms: | Male, Adult, Rural Population, RC620-627, Micronutrient intake, Nutritional Status, Agriculture, Middle Aged, Nutrition Surveys, Diet Surveys, Diet assessment, Diet, Young Adult, Cross-Sectional Studies, Humans, Female, Micronutrients, Fruit and vegetables, Public aspects of medicine, RA1-1270, Nutritional diseases. Deficiency diseases, Energy Intake, Prevalence of adequacy, Research Paper, Sri Lanka |
| Description: | Objective: To characterise food group consumption, assess the contribution of food groups to energy and micronutrient intake, and estimate usual nutrient intake among adults in rural Sri Lanka. Design: A baseline survey (December 2020–February 2021) was conducted as part of an agriculture-based, nutrition-sensitive resilience program evaluation. Dietary intake was assessed using telephone-based 24-h recalls (n 1283), with repeat recalls from 769 participants. Mean daily intake of food groups and their contribution to energy and nutrient intakes were calculated. The National Cancer Institute method was used to estimate usual intakes and the prevalence of adequate micronutrient intake (PAI). Differences by sex, district, and wealth were assessed using t tests and ANOVA. Setting: Forty-five rural villages throughout Sri Lanka. Participants: Men and women from households in the program evaluation study area. Results: On average, grains and coconut milk provided 56 % and 12 % of energy, respectively. Rice, fish, dairy, and pulses were the primary sources of micronutrients. Participants consumed 118 ± 117 g of vegetables and 71 ± 243 g of fruit per day. PAI was < 25 % for calcium, zinc, niacin, folate, and vitamins B6, B12, and C, reflecting low consumption of animal-source foods (80 g/day), whole grains, fruit, and vegetables (F&V). Significant differences in food group consumption by socio-demographic subgroup were observed among districts and wealth quintiles. Conclusions: We observed high consumption of rice and coconut milk and low prevalence of micronutrient adequacy. We recommend increasing animal-source food, whole grain, and F&V consumption to close nutrient gaps, as well as research to identify effective solutions to increase micronutrient intake. |
| Document Type: | Article Other literature type |
| Language: | English |
| ISSN: | 1475-2727 1368-9800 |
| DOI: | 10.1017/s1368980025000072 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/39881626 https://doaj.org/article/3e2e2e8162d04425a1bb215d4f89b6a6 |
| Rights: | CC BY URL: http://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. |
| Accession Number: | edsair.doi.dedup.....b2473fec6518bdf82692df66d4eef2ce |
| Database: | OpenAIRE |
| Abstract: | Objective: To characterise food group consumption, assess the contribution of food groups to energy and micronutrient intake, and estimate usual nutrient intake among adults in rural Sri Lanka. Design: A baseline survey (December 2020–February 2021) was conducted as part of an agriculture-based, nutrition-sensitive resilience program evaluation. Dietary intake was assessed using telephone-based 24-h recalls (n 1283), with repeat recalls from 769 participants. Mean daily intake of food groups and their contribution to energy and nutrient intakes were calculated. The National Cancer Institute method was used to estimate usual intakes and the prevalence of adequate micronutrient intake (PAI). Differences by sex, district, and wealth were assessed using t tests and ANOVA. Setting: Forty-five rural villages throughout Sri Lanka. Participants: Men and women from households in the program evaluation study area. Results: On average, grains and coconut milk provided 56 % and 12 % of energy, respectively. Rice, fish, dairy, and pulses were the primary sources of micronutrients. Participants consumed 118 ± 117 g of vegetables and 71 ± 243 g of fruit per day. PAI was < 25 % for calcium, zinc, niacin, folate, and vitamins B6, B12, and C, reflecting low consumption of animal-source foods (80 g/day), whole grains, fruit, and vegetables (F&V). Significant differences in food group consumption by socio-demographic subgroup were observed among districts and wealth quintiles. Conclusions: We observed high consumption of rice and coconut milk and low prevalence of micronutrient adequacy. We recommend increasing animal-source food, whole grain, and F&V consumption to close nutrient gaps, as well as research to identify effective solutions to increase micronutrient intake. |
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| ISSN: | 14752727 13689800 |
| DOI: | 10.1017/s1368980025000072 |
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