The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh
Background: The food environment is a driver of the double burden of malnutrition, influencing dietary intake by increasing or restricting access to foods. Objectives: The objective of this study was to assess the association between geospatial food environment indicators and the diet quality among...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-05-01
|
| Series: | Current Developments in Nutrition |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2475299125014714 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850128330707173376 |
|---|---|
| author | Alexandra L Bellows Andrew Thorne-Lyman Saijuddin Shaikh Md Tanvir Islam Shahnaj Parvin Rezwanul Haque Monica M Pasqualino Frank Curriero Hasmot Ali Alain B Labrique Md Iqbal Hossain Amanda C Palmer |
| author_facet | Alexandra L Bellows Andrew Thorne-Lyman Saijuddin Shaikh Md Tanvir Islam Shahnaj Parvin Rezwanul Haque Monica M Pasqualino Frank Curriero Hasmot Ali Alain B Labrique Md Iqbal Hossain Amanda C Palmer |
| author_sort | Alexandra L Bellows |
| collection | DOAJ |
| description | Background: The food environment is a driver of the double burden of malnutrition, influencing dietary intake by increasing or restricting access to foods. Objectives: The objective of this study was to assess the association between geospatial food environment indicators and the diet quality among postpartum women in rural Bangladesh. Methods: Participants were women of infants enrolled in a cluster-randomized controlled trial from 2018 to 2020. Food vendor availability was defined as the number of food vendors within a specific household radius, and proximity was defined as the distance to the nearest vendor. Dietary intake was measured using a 7-d food frequency questionnaire collected at 3 mo, 6 mo, and 12 mo postpartum. Our primary outcome was nonstarchy staple food variety scores (FVS). Secondary outcomes included dietary diversity scores and individual food group consumption. To assess the association between food environment indicators and diet quality indicators, we fit linear regression models for the FVS outcome, Poisson regression models for the dietary diversity outcome, and logistic regression models for individual food group outcomes. Results: A total of 5064 women were included in this analysis. Women reported consuming an average of 9.7 (standard deviation: 3.7) nonstarchy staple foods in the previous week. Women who lived in households with the highest market availability (≥7 markets within 1600 m) had an average of 0.84-unit (95% confidence interval: 0.53, 1.16) higher FVS compared with those in households with the lowest market availability (≤ 2 markets) (P < 0.001). Geospatial food environment indicators were not significantly associated with the odds of consuming less healthy food options. Conclusions: We found a positive relationship between market availability and diet quality for postpartum women in rural Bangladesh. However, more research is needed to understand which components of the food environment are associated with increased consumption of less healthy foods. |
| format | Article |
| id | doaj-art-639e510a586c4e8b978fd567772910d2 |
| institution | OA Journals |
| issn | 2475-2991 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Current Developments in Nutrition |
| spelling | doaj-art-639e510a586c4e8b978fd567772910d22025-08-20T02:33:20ZengElsevierCurrent Developments in Nutrition2475-29912025-05-019510601110.1016/j.cdnut.2025.106011The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural BangladeshAlexandra L Bellows0Andrew Thorne-Lyman1Saijuddin Shaikh2Md Tanvir Islam3Shahnaj Parvin4Rezwanul Haque5Monica M Pasqualino6Frank Curriero7Hasmot Ali8Alain B Labrique9Md Iqbal Hossain10Amanda C Palmer11Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesJiVitA Maternal and Child Health and Nutrition Research Project, Gaibandha, BangladeshJiVitA Maternal and Child Health and Nutrition Research Project, Gaibandha, BangladeshJiVitA Maternal and Child Health and Nutrition Research Project, Gaibandha, BangladeshJiVitA Maternal and Child Health and Nutrition Research Project, Gaibandha, BangladeshDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesJiVitA Maternal and Child Health and Nutrition Research Project, Gaibandha, BangladeshDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United Statesicddr,b, Dhaka, BangladeshDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States; Corresponding author.Background: The food environment is a driver of the double burden of malnutrition, influencing dietary intake by increasing or restricting access to foods. Objectives: The objective of this study was to assess the association between geospatial food environment indicators and the diet quality among postpartum women in rural Bangladesh. Methods: Participants were women of infants enrolled in a cluster-randomized controlled trial from 2018 to 2020. Food vendor availability was defined as the number of food vendors within a specific household radius, and proximity was defined as the distance to the nearest vendor. Dietary intake was measured using a 7-d food frequency questionnaire collected at 3 mo, 6 mo, and 12 mo postpartum. Our primary outcome was nonstarchy staple food variety scores (FVS). Secondary outcomes included dietary diversity scores and individual food group consumption. To assess the association between food environment indicators and diet quality indicators, we fit linear regression models for the FVS outcome, Poisson regression models for the dietary diversity outcome, and logistic regression models for individual food group outcomes. Results: A total of 5064 women were included in this analysis. Women reported consuming an average of 9.7 (standard deviation: 3.7) nonstarchy staple foods in the previous week. Women who lived in households with the highest market availability (≥7 markets within 1600 m) had an average of 0.84-unit (95% confidence interval: 0.53, 1.16) higher FVS compared with those in households with the lowest market availability (≤ 2 markets) (P < 0.001). Geospatial food environment indicators were not significantly associated with the odds of consuming less healthy food options. Conclusions: We found a positive relationship between market availability and diet quality for postpartum women in rural Bangladesh. However, more research is needed to understand which components of the food environment are associated with increased consumption of less healthy foods.http://www.sciencedirect.com/science/article/pii/S2475299125014714food environmentdietary diversitydiet qualityBangladeshmarkets |
| spellingShingle | Alexandra L Bellows Andrew Thorne-Lyman Saijuddin Shaikh Md Tanvir Islam Shahnaj Parvin Rezwanul Haque Monica M Pasqualino Frank Curriero Hasmot Ali Alain B Labrique Md Iqbal Hossain Amanda C Palmer The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh Current Developments in Nutrition food environment dietary diversity diet quality Bangladesh markets |
| title | The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh |
| title_full | The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh |
| title_fullStr | The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh |
| title_full_unstemmed | The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh |
| title_short | The Association Between an Individual’s Local Food Environment and Diet Quality among Postpartum Women Living in Rural Bangladesh |
| title_sort | association between an individual s local food environment and diet quality among postpartum women living in rural bangladesh |
| topic | food environment dietary diversity diet quality Bangladesh markets |
| url | http://www.sciencedirect.com/science/article/pii/S2475299125014714 |
| work_keys_str_mv | AT alexandralbellows theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT andrewthornelyman theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT saijuddinshaikh theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT mdtanvirislam theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT shahnajparvin theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT rezwanulhaque theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT monicampasqualino theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT frankcurriero theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT hasmotali theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT alainblabrique theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT mdiqbalhossain theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT amandacpalmer theassociationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT alexandralbellows associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT andrewthornelyman associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT saijuddinshaikh associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT mdtanvirislam associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT shahnajparvin associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT rezwanulhaque associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT monicampasqualino associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT frankcurriero associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT hasmotali associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT alainblabrique associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT mdiqbalhossain associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh AT amandacpalmer associationbetweenanindividualslocalfoodenvironmentanddietqualityamongpostpartumwomenlivinginruralbangladesh |