Association between farming and chronic energy deficiency in rural South India.

<h4>Objective</h4>To examine factors associated with chronic energy deficiency (CED) and anaemia in disadvantaged Indian adults who are mostly involved in subsistence farming.<h4>Design</h4>A cross-sectional study in which we collected information on socio-demographic factors...

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Autores principales:	Asvini K Subasinghe, Karen Z Walker, Roger G Evans, Velandai Srikanth, Simin Arabshahi, Kamakshi Kartik, Kartik Kalyanram, Amanda G Thrift
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/2c76f3d4e6f24963b581da0a627fd536
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spelling	oai:doaj.org-article:2c76f3d4e6f24963b581da0a627fd5362021-11-18T08:35:32ZAssociation between farming and chronic energy deficiency in rural South India.1932-620310.1371/journal.pone.0087423https://doaj.org/article/2c76f3d4e6f24963b581da0a627fd5362014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24475286/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>To examine factors associated with chronic energy deficiency (CED) and anaemia in disadvantaged Indian adults who are mostly involved in subsistence farming.<h4>Design</h4>A cross-sectional study in which we collected information on socio-demographic factors, physical activity, anthropometry, blood haemoglobin concentration, and daily household food intake. These data were used to calculate body mass index (BMI), basal metabolic rate (BMR), daily energy expenditure, and energy and nutrient intake. Multivariable backward stepwise logistic regression was used to assess socioeconomic and lifestyle factors associated with CED (defined as BMI<18 kg/m²) and anaemia.<h4>Setting</h4>The study was conducted in 12 villages, in the Rishi Valley, Andhra Pradesh, India.<h4>Subjects</h4>Individuals aged 18 years and above, residing in the 12 villages, were eligible to participate.<h4>Results</h4>Data were available for 1178 individuals (45% male, median age 36 years (inter quartile range (IQR 27-50)). The prevalence of CED (38%) and anaemia (25%) was high. Farming was associated with CED in women (2.20, 95% CI: 1.39-3.49) and men (1.71, 95% CI: (1.06-2.74). Low income was also significantly associated with CED, while not completing high school was positively associated with anaemia. Median iron intake was high: 35.7 mg/day (IQR 26-46) in women and 43.4 mg/day (IQR 34-55) in men.<h4>Conclusions</h4>Farming is an important risk factor associated with CED in this rural Indian population and low dietary iron is not the main cause of anaemia. Better farming practice may help to reduce CED in this population.Asvini K SubasingheKaren Z WalkerRoger G EvansVelandai SrikanthSimin ArabshahiKamakshi KartikKartik KalyanramAmanda G ThriftPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e87423 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Asvini K Subasinghe Karen Z Walker Roger G Evans Velandai Srikanth Simin Arabshahi Kamakshi Kartik Kartik Kalyanram Amanda G Thrift Association between farming and chronic energy deficiency in rural South India.
description	<h4>Objective</h4>To examine factors associated with chronic energy deficiency (CED) and anaemia in disadvantaged Indian adults who are mostly involved in subsistence farming.<h4>Design</h4>A cross-sectional study in which we collected information on socio-demographic factors, physical activity, anthropometry, blood haemoglobin concentration, and daily household food intake. These data were used to calculate body mass index (BMI), basal metabolic rate (BMR), daily energy expenditure, and energy and nutrient intake. Multivariable backward stepwise logistic regression was used to assess socioeconomic and lifestyle factors associated with CED (defined as BMI<18 kg/m²) and anaemia.<h4>Setting</h4>The study was conducted in 12 villages, in the Rishi Valley, Andhra Pradesh, India.<h4>Subjects</h4>Individuals aged 18 years and above, residing in the 12 villages, were eligible to participate.<h4>Results</h4>Data were available for 1178 individuals (45% male, median age 36 years (inter quartile range (IQR 27-50)). The prevalence of CED (38%) and anaemia (25%) was high. Farming was associated with CED in women (2.20, 95% CI: 1.39-3.49) and men (1.71, 95% CI: (1.06-2.74). Low income was also significantly associated with CED, while not completing high school was positively associated with anaemia. Median iron intake was high: 35.7 mg/day (IQR 26-46) in women and 43.4 mg/day (IQR 34-55) in men.<h4>Conclusions</h4>Farming is an important risk factor associated with CED in this rural Indian population and low dietary iron is not the main cause of anaemia. Better farming practice may help to reduce CED in this population.
format	article
author	Asvini K Subasinghe Karen Z Walker Roger G Evans Velandai Srikanth Simin Arabshahi Kamakshi Kartik Kartik Kalyanram Amanda G Thrift
author_facet	Asvini K Subasinghe Karen Z Walker Roger G Evans Velandai Srikanth Simin Arabshahi Kamakshi Kartik Kartik Kalyanram Amanda G Thrift
author_sort	Asvini K Subasinghe
title	Association between farming and chronic energy deficiency in rural South India.
title_short	Association between farming and chronic energy deficiency in rural South India.
title_full	Association between farming and chronic energy deficiency in rural South India.
title_fullStr	Association between farming and chronic energy deficiency in rural South India.
title_full_unstemmed	Association between farming and chronic energy deficiency in rural South India.
title_sort	association between farming and chronic energy deficiency in rural south india.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/2c76f3d4e6f24963b581da0a627fd536
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Association between farming and chronic energy deficiency in rural South India.

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