Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study
Abstract Objective: To quantify and compare concurrent within-person trends in lifestyle risks, nutrition status and drivers of food choice among urban migrants in Central Asia. Design: We collected panel data on household structure, drivers of food choice, nutrition knowledge and diverse measur...
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Cambridge University Press
2025-01-01
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| Series: | Public Health Nutrition |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S136898002400243X/type/journal_article |
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| author | Sabri Bromage Shamil Tazhibayev Xin Zhou Chang Liu Enkhtsetseg Tserenkhuu Oksana Dolmatova Munkhbat Khishignemekh Leyla Musurepova Wusigale Soninkhishig Tsolmon Enkhjargal Tsendjav Davaasambuu Enkhmaa Rajesh Kumar Rai Bayarmaa Enkhbat Bilige Menghe Davaasambuu Ganmaa |
| author_facet | Sabri Bromage Shamil Tazhibayev Xin Zhou Chang Liu Enkhtsetseg Tserenkhuu Oksana Dolmatova Munkhbat Khishignemekh Leyla Musurepova Wusigale Soninkhishig Tsolmon Enkhjargal Tsendjav Davaasambuu Enkhmaa Rajesh Kumar Rai Bayarmaa Enkhbat Bilige Menghe Davaasambuu Ganmaa |
| author_sort | Sabri Bromage |
| collection | DOAJ |
| description |
Abstract
Objective:
To quantify and compare concurrent within-person trends in lifestyle risks, nutrition status and drivers of food choice among urban migrants in Central Asia.
Design:
We collected panel data on household structure, drivers of food choice, nutrition knowledge and diverse measures of nutrition status and lifestyle risk from urban migrants at 0, 3, 6 and 9 months using harmonised methodology in two cities. Trends were analysed using mixed-effects models and qualitatively compared within and between cities.
Setting:
Ulaanbaatar, Mongolia, and Almaty, Kazakhstan.
Participants:
200 adults (22–55 years) who migrated to these cities within the past 2 years.
Results:
Adjusting for age and sex, each month since migration was positively associated with fasting TAG in Almaty (0·55 mg/dl; 95 % CI: 0·13, 0·94) and BMI (0·04 kg/m2; 95 % CI: 0·01, 0·07), body fat (0·14 %; 95 % CI: 0·01, 0·26) and fasting glucose (0·04 mmol/l; 95 % CI: 0·02, 0·05) and lipids in Ulaanbaatar (P < 0·05). In Almaty, nutrition knowledge (measured using an objective 20-point scale) declined despite improvements in diet quality (measured by Prime Diet Quality Score). The influence of food availability, price and taste on food choice increased in Almaty (P < 0·05). Upon multivariable adjustment, nutrition knowledge was positively associated with diet quality in Almaty and adherence to ‘acculturated’ diet patterns in both cities (P < 0·05). Different trends in smoking, sleep quality and generalised anxiety were observed between cities.
Conclusions:
Findings indicate heterogeneous shifts in nutrition, lifestyles and drivers of food choice among urban migrants in Central Asia and provide an evidence base for focused research and advocacy to promote healthy diets and enable nutrition-sensitive food environments.
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| format | Article |
| id | doaj-art-4dd81fa98004464b9ab52e5862f5f929 |
| institution | Kabale University |
| issn | 1368-9800 1475-2727 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj-art-4dd81fa98004464b9ab52e5862f5f9292025-02-03T12:04:12ZengCambridge University PressPublic Health Nutrition1368-98001475-27272025-01-012810.1017/S136898002400243XLongitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative studySabri Bromage0https://orcid.org/0000-0002-6552-4871Shamil Tazhibayev1Xin Zhou2Chang Liu3Enkhtsetseg Tserenkhuu4Oksana Dolmatova5Munkhbat Khishignemekh6Leyla Musurepova7 Wusigale8Soninkhishig Tsolmon9Enkhjargal Tsendjav10Davaasambuu Enkhmaa11Rajesh Kumar Rai12https://orcid.org/0000-0002-5249-9937Bayarmaa Enkhbat13Bilige Menghe14Davaasambuu Ganmaa15Community Nutrition Unit, Institute of Nutrition, Mahidol University, 999 Phutthamonthon 4 Road, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand Department of Nutrition, Harvard T.H. Chan School of Public Health, 655 Huntington Avenue, Building 2, Boston, MA 02115, United States of AmericaDepartment of Micronutrients, Kazakh Academy of Nutrition, 66 Klochkov Street, Almaty 050008, KazakhstanDepartment of Biostatistics, Yale School of Public Health, 60 College Street, New Haven, CT 06520-0834, United States of AmericaDepartment of Biostatistics, Yale School of Public Health, 60 College Street, New Haven, CT 06520-0834, United States of AmericaMongolian Health Initiative, Royal Plaza, Bayanzurkh District, Ulaanbaatar 13312, MongoliaDepartment of Micronutrients, Kazakh Academy of Nutrition, 66 Klochkov Street, Almaty 050008, KazakhstanMongolian Health Initiative, Royal Plaza, Bayanzurkh District, Ulaanbaatar 13312, MongoliaDepartment of Micronutrients, Kazakh Academy of Nutrition, 66 Klochkov Street, Almaty 050008, KazakhstanKey Laboratory of Dairy Biotechnology and Engineering, Ministry of Education, Inner Mongolia Agricultural University, Hohhot 010018, ChinaTana Lab, Graduate School of Business, Mongolian University of Science and Technology, 8th Khoroo, Baga Toiruu 34, Sukhbaatar District, Ulaanbaatar 14191, MongoliaMongolian Health Initiative, Royal Plaza, Bayanzurkh District, Ulaanbaatar 13312, MongoliaNational Center for Maternal and Child Health, Khuvisgalchdin Street, Bayangol District, Ulaanbaatar 16060, MongoliaHuman Nutrition Unit, Institute of Nutrition, Mahidol University, 999 Phutthamonthon 4 Road, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand Department of Global Health and Population, Harvard T.H. Chan School of Public Health, 665 Huntington Avenue, Building 1, Boston, MA 02115, United States of AmericaDepartment of Pathology & Forensic Medicine, School of Biomedicine, Mongolian National University of Medical Sciences, S. Zorig Street, Ulaanbaatar 14210, Mongolia Department of Pathology, Mongolia-Japan Hospital, Mongolian National University of Medical Sciences, Baruun Janjin 25 573, Ulaanbaatar 13270, MongoliaKey Laboratory of Dairy Biotechnology and Engineering, Ministry of Education, Inner Mongolia Agricultural University, Hohhot 010018, ChinaDepartment of Nutrition, Harvard T.H. Chan School of Public Health, 655 Huntington Avenue, Building 2, Boston, MA 02115, United States of America Mongolian Health Initiative, Royal Plaza, Bayanzurkh District, Ulaanbaatar 13312, Mongolia Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School, 181 Longwood Avenue, Boston, MA 02115, United States of America Abstract Objective: To quantify and compare concurrent within-person trends in lifestyle risks, nutrition status and drivers of food choice among urban migrants in Central Asia. Design: We collected panel data on household structure, drivers of food choice, nutrition knowledge and diverse measures of nutrition status and lifestyle risk from urban migrants at 0, 3, 6 and 9 months using harmonised methodology in two cities. Trends were analysed using mixed-effects models and qualitatively compared within and between cities. Setting: Ulaanbaatar, Mongolia, and Almaty, Kazakhstan. Participants: 200 adults (22–55 years) who migrated to these cities within the past 2 years. Results: Adjusting for age and sex, each month since migration was positively associated with fasting TAG in Almaty (0·55 mg/dl; 95 % CI: 0·13, 0·94) and BMI (0·04 kg/m2; 95 % CI: 0·01, 0·07), body fat (0·14 %; 95 % CI: 0·01, 0·26) and fasting glucose (0·04 mmol/l; 95 % CI: 0·02, 0·05) and lipids in Ulaanbaatar (P < 0·05). In Almaty, nutrition knowledge (measured using an objective 20-point scale) declined despite improvements in diet quality (measured by Prime Diet Quality Score). The influence of food availability, price and taste on food choice increased in Almaty (P < 0·05). Upon multivariable adjustment, nutrition knowledge was positively associated with diet quality in Almaty and adherence to ‘acculturated’ diet patterns in both cities (P < 0·05). Different trends in smoking, sleep quality and generalised anxiety were observed between cities. Conclusions: Findings indicate heterogeneous shifts in nutrition, lifestyles and drivers of food choice among urban migrants in Central Asia and provide an evidence base for focused research and advocacy to promote healthy diets and enable nutrition-sensitive food environments. https://www.cambridge.org/core/product/identifier/S136898002400243X/type/journal_articleUrban migrationAcculturationFood environmentDrivers of food choiceNutrition transitionNutritional epidemiologyCentral Asia |
| spellingShingle | Sabri Bromage Shamil Tazhibayev Xin Zhou Chang Liu Enkhtsetseg Tserenkhuu Oksana Dolmatova Munkhbat Khishignemekh Leyla Musurepova Wusigale Soninkhishig Tsolmon Enkhjargal Tsendjav Davaasambuu Enkhmaa Rajesh Kumar Rai Bayarmaa Enkhbat Bilige Menghe Davaasambuu Ganmaa Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study Public Health Nutrition Urban migration Acculturation Food environment Drivers of food choice Nutrition transition Nutritional epidemiology Central Asia |
| title | Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study |
| title_full | Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study |
| title_fullStr | Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study |
| title_full_unstemmed | Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study |
| title_short | Longitudinal analysis of lifestyle risk factors, nutrition status and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia, and Almaty, Kazakhstan: a formative study |
| title_sort | longitudinal analysis of lifestyle risk factors nutrition status and drivers of food choice among urban migrants in ulaanbaatar mongolia and almaty kazakhstan a formative study |
| topic | Urban migration Acculturation Food environment Drivers of food choice Nutrition transition Nutritional epidemiology Central Asia |
| url | https://www.cambridge.org/core/product/identifier/S136898002400243X/type/journal_article |
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