Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Food insecurity, diet quality and body composition

Data from the Healthy Life Trajectories Initiative (HeLTI) pilot survey in urban Soweto, South Africa

Bibliographic Data

ID15090526
AuthorsSarah H Kehoe (0000-0003-2584-7999, MRC Lifecourse Epidemiology Unit), Stephanie V Wrottesley (0000-0002-5419-2920, South African Medical Research Council, corresponding author), Lisa J Ware (0000-0002-9762-4017, South African Medical Research Council), Lisa Ware, Alessandra Prioreschi (0000-0002-6913-0706, South African Medical Research Council), Catherine E Draper (0000-0002-2885-437X, South African Medical Research Council), Kate Ward (0000-0003-1422-7938), Kate A Ward (0000-0001-7034-6750, South African Medical Research Council), Stephen Lye, Stephen J Lye (0000-0002-3305-4406, University of Toronto), Shane A Norri (0000-0001-7124-3788, South African Medical Research Council), Shane A Norris
Year2021
Volume24
Issue7
Pages1629-1637
Publication date2021-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s136898002100046x
PMID33632371
OpenAlexW3129316551
LanguageEN
Citations received12
References cited41

Objective: To determine whether food security, diet diversity and diet quality are associated with anthropometric measurements and body composition among women of reproductive age. The association between food security and anaemia prevalence was also tested. Design: Secondary analysis of cross-sectional data from the Healthy Life Trajectories Initiative (HeLTI) study. Food security and dietary data were collected by an interviewer-administered questionnaire. Hb levels were measured using a HemoCue, and anaemia was classified as an altitude-adjusted haemoglobin level Setting: The urban township of Soweto, Johannesburg, South Africa. Participants: Non-pregnant women aged 18–25 years ( n 1534). Results: Almost half of the women were overweight or obese (44 %), and 9 % were underweight. Almost a third of women were anaemic (30 %). The prevalence rates of anaemia and food insecurity were similar across BMI categories. Food insecure women had the least diverse diets, and food security was negatively associated with diet quality (food security category v . diet quality score: B = –0·35, 95 % CI –0·70, –0·01, P = 0·049). Significant univariate associations were observed between food security and total lean mass. However, there were no associations between food security and body size or composition variables in multivariate models. Conclusions: Our data indicate that food security is an important determinant of diet quality in this urban-poor, highly transitioned setting. Interventions to improve maternal and child nutrition should recognise both food security and the food environment as critical elements within their developmental phases

Anthropometry · Body mass index · Environmental health · Food security · Geography · Overweight · Underweight · Child Nutrition and Water Access · Demography · Food Security and Health in Diverse Populations · Medicine · Obesity, Physical Activity, Diet · Gerontology

  • Young women's health behaviours in context

    Open Access•Catherine E Draper, Molebogeng Motlhatlhedi et al.•Social Sciences & Humanities Open•2025

  • Retention in the Bukhali trial in Soweto, South Africa

    Open Access•Catherine E Draper, Nosibusiso Tshetu et al.•BMJ Global Health•2025

  • Perceptions of preconception health messaging and responsibility

    Open Access•Caitlin Victoria Gardiner, Lerato Mohlomi et al.•Journal of Biosocial Science•2025

  • Black South Africans Who Migrate Away From Their Rural Homes and Their Chances of Having Abdominal Obesity

    Open Access•Tyler W Myroniuk, Carren Ginsburg et al.•American Journal of Human Biology•2025

  • Moderators of Food Insecurity and Diet Quality in Pairs of Mothers and Their Children

    Open Access•Christine Aggeli, Maria Patelida et al.•Children•2022

  • Dietary patterns and their socio-demographic correlates in the context of migration and urbanisation demonstrate nutrition transitions in South Africa

    Open Access•Chantel F Pheiffer, Stephen T Mcgarvey et al.•Global Public Health•2024

  • What values drive communities’ nutrition priorities in a resource constrained urban area in South Africa

    Open Access•Agnes Erzse, Teurai Rwafa-Ponela et al.•BMC Public Health•2023

  • Correlates of access to ICT and food security of the poor in South Africa’s Soshanguve

    Open Access•Oludele Akinloye Akinboade, Trevor Taft et al.•GeoJournal•2022

  • Unpacking the "black box" of global food insecurity and mental health

    Open Access•L J Weaver, Caroline Owens et al.•Social Science & Medicine•2021

  • Food insecurity and mental health among children and adolescents in sub-Saharan Africa

    Open Access•Ibrahim Kasujja, Crick Lund et al.•Children and Youth Services Review•2025

  • Food insecurity and coping strategies and their association with anxiety and depression

    Open Access•Siphiwe N Dlamini, Ashleigh Craig et al.•Public Health Nutrition•2023

  • Food insecurity and coping strategies associate with higher risk of anxiety and depression among South African households with children

    Open Access•Siphiwe N Dlamini, Asanda Mtintsilana et al.•Public Health Nutrition•2024

  • The double burden of malnutrition

    Open Access•J Wells, Jonathan C Wells et al.•The Lancet•2020

  • The community childhood hunger identification project

    Open Access•Cheryl Wehler, Cheryl A Wehler et al.•Journal of Nutrition Education…•1992

  • Nutrition Transition and the Global Diabetes Epidemic

    Open Access•Barry M Popkin•Current Diabetes Reports•2015

  • Dynamics of the double burden of malnutrition and the changing nutrition reality

    Open Access•Barry M Popkin, Carlos Corvalán et al.•The Lancet•2020

  • Dietary quality among men and women in 187 countries in 1990 and 2010

    Open Access•Fumiaki Imamura, Renata Micha et al.•The Lancet Global Health•2015

  • The nutrition transition

    Open Access•Barry M Popkin, Penny Gordon‐larsen et al.•International Journal of Obesity•2004

  • The Food Insecurity–Obesity Paradox

    Open Access•Lauren M Dinour, Dara Bergen et al.•Journal of the American Dietetic…•2007

  • Global nutrition dynamics

    Open Access•Barry M Popkin•American Journal of Clinical…•2006

  • Individual Weight Change Is Associated with Household Food Security Status

    Open Access•Parke E Wilde, Parke Wilde et al.•The Journal of Nutrition•2006

  • Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI

    Open Access•Crystal Man Ying Lee, Rachel R Huxley et al.•Journal of Clinical Epidemiology•2008

  • Household Food Insecurity Access Scale (HFIAS) for Measurement of Food Access: Indicator Guide: Version 3

    Jennifer Coates, Anne Swindale et al.•PsycEXTRA Dataset•2007

  • Obesity and the nutrition transition in Sub‐Saharan Africa

    Open Access•Nelia P Steyn, Zandile June‐Rose Mchiza•Annals of the New York Academy of…•2014

  • What Are We Assessing When We Measure Food Security? A Compendium and Review of Current Metrics

    Open Access•Andrew D Jones, Francis Ngure et al.•Advances in Nutrition•2013

  • How food insecurity could lead to obesity in LMICs

    Open Access•Penny Farrell, Anne Marie Thow et al.•Health Promotion International•2018

  • Maternal and early life nutrition and physical activity

    Open Access•Alessandra Prioreschi, Stephanie V Wrottesley et al.•Global Health Action•2017

  • An Assessment of the Food and Nutrition Security Status of Weaned 7–12 Months Old Children in Rural and Peri-Urban Communities of Gauteng and Limpopo Provinces, South Africa

    Open Access•Sithandiwe Ntila, Muthulisi Siwela et al.•International Journal of…•2017

  • In urban South Africa, 16 year old adolescents experience greater health equality than children

    Open Access•Paula L Griffiths, P Griffiths et al.•Economics & Human Biology•2013

  • Age and gender influence healthy eating and physical activity behaviours in South African adolescents and their caregivers

    Open Access•Stephanie V Wrottesley, E N Bosire et al.•Public Health Nutrition•2021

  • Food variety and dietary diversity scores in children

    Open Access•NP Steyn, Johanna H Nel et al.•Public Health Nutrition•2006

  • Dietary intake and body composition in HIV-positive and -negative South African women

    Open Access•Stephanie V Wrottesley, Lisa K Micklesfield et al.•Public Health Nutrition•2014

  • Household Food Security and Hunger in Rural and Urban Communities in the Free State Province, South Africa

    Corinna May Walsh, Francois C Van Rooyen et al.•Ecology of Food and Nutrition•2015

  • Studying a Population Undergoing Nutrition Transition

    Chiedza Zingoni, Shane A Norri et al.•Ecology of Food and Nutrition•2009

  • The Association Between Food Insecurity and Inflammation in the US Adult Population

    Charitha Gowda, Craig Hadley et al.•American Journal of Public Health•2012

Unique citing works12
Citations per year2,4
Citation span2021 - 2025 (5)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 12

Tools

Open DOIOpen Access
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae