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BMC Public Health
Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Dietary diversity and nutritional adequacy among married Filipino immigrant women: The Filipino Women’s Diet and Health Study (FiLWHEL)

Authors: Grace P. Abris, Na-Hui Kim, Sherlyn Mae P. Provido, Sangmo Hong, Sung Hoon Yu, Chang Beom Lee, Jung Eun Lee

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Migration has an influence on health behavior and food intake. Dietary variety is a key component to high-quality diets because a single food item does not contain a variety of nutrients and may not reflect nutritional adequacy. We aimed to compare the dietary diversity scores (DDS), food variety scores (FVS), and nutrient adequacy levels of married Filipino immigrant women in Korea to those of Korean women.

Methods

We matched the data of 474 participants aged 20-57 years from the Filipino Women’s Diet and Health Study (FiLWHEL) by age category with those of married Korean women randomly selected from the Korea National Health and Nutrition Examination Survey (KNHANES). Dietary information in FiLWHEL and KNHANES were assessed through the 24-hour recall method. We calculated the DDS by summing the number of eleven food groups consumed (DDS 10 g if they consumed at least 10 g/day; DDS all if they consumed any amount) and the FVS by counting the number of food items consumed. For nutrient adequacy, we calculated the probability of adequacy (PA) and intake below the estimated average requirement (EAR).

Results

Filipino women had a lower DDS and FVS in comparison to Korean women. The means (±SDs) of DDS 10 g, DDS all, and FVS for Filipino women versus Korean women were 6.0 (±1.6) versus 6.8 (±1.5) (p < 0.001), 6.7 (±1.7) versus 7.9 (±1.4) (p < 0.001) and 9.2 (±3.3) versus 14.7 (±4.9) (p < 0.001), respectively. When we compared each food group, the intakes of fish, other seafood, legumes/seeds/nuts, eggs, vegetables, and fruits were lower for Filipino women than for Korean women. The mean probability of adequacy (MPA) of nutrient intake of the nine selected nutrients was lower for Filipino women in comparison to Korean women. The mean (±SD) was 0.55 (±0.28) versus 0.66 (±0.26), respectively.

Conclusions

Our findings showed that married Filipino immigrant women in Korea had lower dietary variety scores in comparison to Korean women. This was reflected in their nutritional adequacy. Nutrition education focusing on the promotion of eating a variety of foods may be needed for Filipino immigrant women in Korea.
Appendix
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Literature
1.
Kim AE. Global migration and South Korea: foreign workers, foreign brides and the making of a multicultural society. Ethn Racial Stud. 2009;32:70–92.CrossRef
2.
3.
4.
Yang SJ, Choi HY, Chee YK, Kim JA. Prevalence and Correlates of Obesity and Overweight Among Asian Immigrant Women in Korea. Asia Pac J Public Health. 2012;24:620–30.CrossRefPubMed
5.
Barnes PM, Adams PF, Powell-Griner E. Health characteristics of the Asian adult population: United States, 2004-2006. Adv Data. 2008:1–22.
6.
Narayan KM, Aviles-Santa L, Oza-Frank R, Pandey M, Curb JD, McNeely M, Araneta MR, Palaniappan L, Rajpathak S, Barrett-Connor E, et al. Report of a National Heart, Lung, And Blood Institute Workshop: heterogeneity in cardiometabolic risk in Asian Americans In the U.S. Opportunities for research. J Am Coll Cardiol. 2010;55:966–73.CrossRefPubMed
7.
McCracken M, Olsen M, Chen MS, Jemal A, Thun M, Cokkinides V, Deapen D, Ward E. Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin. 2007;57:190–205.CrossRefPubMed
8.
Ryan C, Shaw R, Pliam M, Zapolanski AJ, Murphy M, Valle HV, Myler R. Coronary heart disease in Filipino and Filipino-American patients: prevalence of risk factors and outcomes of treatment. J Invasive Cardiol. 2000;12:134–9.PubMed
9.
Choi SE, Chow VH, Chung SJ, Wong ND. Do Risk Factors Explain the Increased Prevalence of Type 2 Diabetes Among California Asian Adults? J Immigr Minor Health. 2011;13:803–8.CrossRefPubMed
10.
Araneta MR, Barrett-Connor E. Ethnic differences in visceral adipose tissue and type 2 diabetes: Filipino, African-American, and white women. Obes Res. 2005;13:1458–65.CrossRefPubMed
11.
Kim GS, Kim B, Moon SS, Park CG, Cho YH. Correlates of depressive symptoms in married immigrant women in Korea. J Transcult Nurs. 2013;24:153–61.CrossRefPubMed
12.
Kim M-J, Kim Y-J. Experience of Relationship between Mother-In-Law and Daughter-In-Law among Korea Rural Married Immigrant Women: With a Focus on Daughter-Inlaws from China, Vietnam and the Philippines Who Live with their Mother-In-Laws in Korea. Indian Journal of Science and Technology. 2015:307–14.
13.
Marangoni F, Cetin I, Verduci E, Canzone G, Giovannini M, Scollo P, Corsello G, Poli A. Maternal Diet and Nutrient Requirements in Pregnancy and Breastfeeding. An Italian Consensus Document. Nutrients. 2016;8
14.
Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998;101:539–49.PubMed
15.
Leach H. Food habits. Oxford/New York. Tokyo: Oxford University Press; 1999.
16.
Lv N, Cason KL. Dietary pattern change and acculturation of Chinese Americans in Pennsylvania. J Am Diet Assoc. 2004;104:771–8.CrossRefPubMed
17.
Rosenmöller DL, Gasevic D, Seidell J, Lear SA. Determinants of changes in dietary patterns among Chinese immigrants: a cross-sectional analysis. Int J Behav Nutr Phys Act. 2011;8:42.CrossRefPubMedPubMedCentral
18.
Wandel M, Råberg M, Kumar B, Holmboe-Ottesen G. Changes in food habits after migration among South Asians settled in Oslo: the effect of demographic, socio-economic and integration factors. Appetite. 2008;50:376–85.CrossRefPubMed
19.
Batis C, Hernandez-Barrera L, Barquera S, Rivera JA, Popkin BM. Food acculturation drives dietary differences among Mexicans, Mexican Americans, and non-Hispanic Whites. J Nutr. 2011;141:1898–906.CrossRefPubMedPubMedCentral
20.
21.
Lee KW, Cho MS. The traditional Korean dietary pattern is associated with decreased risk of metabolic syndrome: findings from the Korean National Health and Nutrition Examination Survey, 1998-2009. J Med Food. 2014;17:43–56.CrossRefPubMed
22.
Lee KW, Cho MS. The Development and Validation of the Korean Dietary Pattern Score (KDPS). Korean J Food Culture. 2010;25:652–60.
23.
Kang IH. Taste of Korea. Daehan Textbook: Seoul; 1988.
24.
25.
National Health and Medical Research Council. Australian Dietary Guidelines. Australian Government Printing Service: Canberra; 2013.
26.
27.
WHO/FAO (World Health Organization/Food and Agriculture Organization of the United Nations): Preparation and use of food-based dietary guidelines. Report of a joint FAO/WHO consultation, Nicosia, Cyprus, 2-7 March 1995. In. Geneva: Nutrition Programme, World Health Organization; 1998.
28.
Foote JA, Murphy SP, Wilkens LR, Basiotis PP, Carlson A. Dietary variety increases the probability of nutrient adequacy among adults. J Nutr. 2004;134:1779–85.CrossRefPubMed
29.
Bernstein MA, Tucker KL, Ryan ND, O'Neill EF, Clements KM, Nelson ME, Evans WJ, Singh MAF. Higher dietary variety is associated with better nutritional status in frail elderly people. J Am Diet Assoc. 2002;102:1096–104.CrossRefPubMed
30.
Kant AK, Schatzkin A, Harris TB, Ziegler RG, Block G. Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr. 1993;57:434–40.CrossRefPubMed
31.
McCullough ML, Feskanich D, Stampfer MJ, Giovannucci EL, Rimm EB, Hu FB, Spiegelman D, Hunter DJ, Colditz GA, Willett WC. Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance. Am J Clin Nutr. 2002;76:1261–71.CrossRefPubMed
32.
Conklin AI, Monsivais P, Khaw KT, Wareham NJ, Dietary Diversity FNG, Cost D. Incidence of Type 2 Diabetes in the United Kingdom: A Prospective Cohort Study. PLoS Med. 2016;13:e1002085.CrossRefPubMedPubMedCentral
33.
Lucenteforte E, Garavello W, Bosetti C, Talamini R, Zambon P, Franceschi S, Negri E, La Vecchia C. Diet diversity and the risk of squamous cell esophageal cancer. Int J Cancer. 2008;123:2397–400.CrossRefPubMed
34.
Garavello W, Giordano L, Bosetti C, Talamini R, Negri E, Tavani A, Maisonneuve P, Franceschi S, La Vecchia C. Diet diversity and the risk of oral and pharyngeal cancer. Eur J Nutr. 2008;47:280–4.CrossRefPubMed
35.
La Vecchia C, Munoz SE, Braga C, Fernandez E, Decarli A. Diet diversity and gastric cancer. Int J Cancer. 1997;72:255–7.CrossRefPubMed
36.
Isa F, Xie LP, Hu Z, Zhong Z, Hemelt M, Reulen RC, Wong YC, Tam PC, Yang K, Chai C, et al. Dietary consumption and diet diversity and risk of developing bladder cancer: results from the South and East China case-control study. Cancer Causes Control. 2013;24:885–95.CrossRefPubMed
37.
Fernandez E, Negri E, La Vecchia C, Franceschi S. Diet diversity and colorectal cancer. Prev Med. 2000;31:11–4.CrossRefPubMed
38.
Fernandez E, D'Avanzo B, Negri E, Franceschi S, La Vecchia C. Diet diversity and the risk of colorectal cancer in northern Italy. Cancer Epidemiol Biomarkers Prev. 1996;5:433–6.PubMed
39.
Lee JH, Chang KJ. The relationship between the diversity of food intake and nutrient intake among Korean college students participating in a nutrition education class via the internet. Korean Journal of Community Nutrition. 2003;8:689–98.
40.
Lee S, Ju D, Paik H, Shin C, Lee H. Assessment of dietary intake obtained by 24-hour recall method in adults living in Yeonchon Area (2): assessment based on food group intake. Korean J Nutr. 1998;31:343–53.
41.
42.
Lachat C, Hawwash D, Ocke MC, Berg C, Forsum E, Hornell A, Larsson C, Sonestedt E, Wirfalt E, Akesson A, et al. Strengthening the Reporting of Observational Studies in Epidemiology-Nutritional Epidemiology (STROBE-nut): An Extension of the STROBE Statement. PLoS Med. 2016;13:e1002036.CrossRefPubMedPubMedCentral
43.
Hornell A, Berg C, Forsum E, Larsson C, Sonestedt E, Akesson A, Lachat C, Hawwash D, Kolsteren P, Byrnes G, et al. Perspective: An Extension of the STROBE Statement for Observational Studies in Nutritional Epidemiology (STROBE-nut): Explanation and Elaboration. Advances in nutrition. 2017;8:652–78.CrossRefPubMedPubMedCentral
44.
Abris GP, Hong S, Provido SM, Lee JE, Lee CB. Filipino women's diet and health study (FiLWHEL): design and methods. Nutr Res Pract. 2017;11:70–5.CrossRefPubMed
45.
Kweon S, Kim Y, Jang MJ, Kim Y, Kim K, Choi S, Chun C, Khang YH, Oh K. Data resource profile: the Korea National Health and Nutrition Examination Survey (KNHANES). Int J Epidemiol. 2014;43:69–77.CrossRefPubMedPubMedCentral
46.
The Korean Nutrition Society: Nutritional assessment program 'CAN-Pro 4.0 [CD-ROM]'. 2011.
47.
Food and Nutrition Research Institute (FNRI). The Philippine Food Composition Tables. 7th ed; 1997.
48.
49.
50.
Steyn NP, Nel JH, Nantel G, Kennedy G, Labadarios D. Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? Public Health Nutr. 2006;9:644–50.CrossRefPubMed
51.
Hatloy A, Torheim LE, Oshaug A. Food variety--a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. Eur J Clin Nutr. 1998;52:891–8.CrossRefPubMed
52.
FAO and FHI 360: Minimum Dietary Diversity for Women: A Guide to Measurement. In. Rome: FAO; 2016.
53.
Daniels MC, Adair LS, Popkin BM, Truong YK. Dietary diversity scores can be improved through the use of portion requirements: an analysis in young Filipino children. Eur J Clin Nutr. 2009;63:199–208.CrossRefPubMed
54.
Institute of Medicine Food and Nutrition Board: Dietary Reference Intakes. Applications in Dietary Assessment. Washington, DC: National Academy Press; 2000.
55.
Carriquiry AL. Assessing the prevalence of nutrient inadequacy. Public Health Nutr. 1999;2:23–33.CrossRefPubMed
56.
National Research Council. Nutrient Adequacy: Assessment Using Food Consumption Surveys. Washington, DC: National. Academy of Sciences. 1986;
57.
58.
Kennedy GL, Pedro MR, Seghieri C, Nantel G, Brouwer I. Dietary diversity score is a useful indicator of micronutrient intake in non-breast-feeding Filipino children. J Nutr. 2007;137:472–7.CrossRefPubMed
59.
Azadbakht L, Mirmiran P, Azizi F. Variety scores of food groups contribute to the specific nutrient adequacy in Tehranian men. Eur J Clin Nutr. 2005;59:1233–40.CrossRefPubMed
60.
Mirmiran P, Azadbakht L, Azizi F. Dietary diversity within food groups: An indicator of specific nutrient adequacy in Tehranian women. J Am Coll Nutr. 2006;25:354–61.CrossRefPubMed
61.
Ministry of Health & Welfare. The Korean Nutrition Society: Dietary reference intakes for Koreans 2015. Seoul: Ministry of Health & Welfare, The Korean Nutrition Society; 2015.
62.
Savy M, Martin-Prevel Y, Sawadogo P, Kameli Y, Delpeuch F. Use of variety/diversity scores for diet quality measurement: relation with nutritional status of women in a rural area in Burkina Faso. Eur J Clin Nutr. 2005;59:703–16.CrossRefPubMed
63.
Kant AK, Graubard BI. A comparison of three dietary pattern indexes for predicting biomarkers of diet and disease. J Am Coll Nutr. 2005;24:294–303.CrossRefPubMed
64.
Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F. Dietary diversity score and cardiovascular risk factors in Tehranian adults. Public Health Nutr. 2006;9:728–36.CrossRefPubMed
65.
Azadbakht L, Mirmiran P, Azizi F. Dietary diversity score is favorably associated with the metabolic syndrome in Tehranian adults. Int J Obes. 2005;29:1361–7.CrossRef
66.
Azadbakht L, Esmaillzadeh A. Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth. Public Health Nutr. 2010;14:62–9.CrossRefPubMed
67.
Nusser SM, Carriquiry AL, Dodd KW, Fuller WA. A semiparametric transformation approach to estimating usual daily intake distributions. J Am Stat Assoc. 1996;91:1440–9.CrossRef
Metadata
Title
Dietary diversity and nutritional adequacy among married Filipino immigrant women: The Filipino Women’s Diet and Health Study (FiLWHEL)
Authors
Grace P. Abris
Na-Hui Kim
Sherlyn Mae P. Provido
Sangmo Hong
Sung Hoon Yu
Chang Beom Lee
Jung Eun Lee
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5233-z

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