Nutrition Assessment and Correlation with Daily Nutrients Intake among Adults: A Case Study of Bann Tam Health Promoting Hospital Area
Main Article Content
Abstract
BACKGROUND: Nutritional status reflects the utilization of nutrients in the body. Good nutritional status and adequate daily nutrients intake can prevent and reduce the incidence of non-communicable diseases.
OBJECTIVES: To evaluate nutritional status and its correlation with daily nutrients intake among adults living in Bann Tam Health Promotion Hospital area.
METHODS: This study was a cross-sectional study conducted between October 2017 and February 2018 among 120 adults, aged 30 - 60 years, at Bann Tam Health Promotion Hospital, Dok Khamtai District, Phayao Province. The research data was collected through nutrition assessment by using bioelectrical impedance analysis (BIA) and the nutrition values of 2 days - 24 hours dietary recall were analyzed by INMUCAL Program, version 3.0.
RESULTS: The negative correlation coefficient between body fat and muscle mass (r = -0.92) was statistically significant (p < 0.05), while visceral fat levels were extremely positive (r = 0.90) with the body mass index (BMI) (p < 0.05). More than 80% of participants received less than the daily recommendation of dietary fiber, calcium, and iron, while dietary protein content was positively correlated with vitamin B1 (r = 0.98), vitamin B2 (r = 0.89), iron (r = 0.98) and sodium (r = 0.95) (p < 0.05).
CONCLUSIONS: Participants suffering from obesity were found to have lower than recommended muscle mass, vitamins and minerals including fiber, calcium, and iron. However, a highly positive correlation was found between sodium and protein, which reveals a high consumption of meats containing sodium. Long-term consumption in these dietary patterns may increase the risk of developing non-communicable diseases (NCDs) in the future. However, observation and promotion of dietary mineral and vitamin sources should be monitored to adhere to daily recommendations in order to prevent resultant health problems.
Article Details
References
Branca F, Lartey A, Oenema S, Aguayo V, Stordalen GA, Richardson R, et al. Transforming the food system to fight non-communicable diseases.BMJ [Internet].2019 [cited 2020 Oct 1];364:I296. Available form: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6349221/
Romieu I, Dossus L, Barquera S, Blottière HM, Franks PW, Gunter M, et al. Energy balance and obesity: what are the main drivers?. Cancer Causes Control 2017;28:247-58.
Institute for Population and Social Research, Mahidol University. Thai Health 2014: Self-management communities: foundation of national reform [internet]. Bangkok: Amarin Printing and Publishing;2014 [cited 2020 Oct 1]. Available from: https://www.hiso.or.th/hiso/picture/reportHealth/report/ThaiHealth2014Eng.pdf
Thomas-Valdés S, Tostes MDGV, Anunciação PC, da Silva BP, Sant'Ana HMP. Association between vitamin deficiency and metabolic disorders related to obesity. Crit Rev Food Sci Nutr 2017;57 (15):3332-43.
Phayao Provincial Offices. Summary report of Phayao province of annual budget 2016 [internet]. 2016 [cited 2020 Oct 1]. Available from http://www.phayao.go.th/pyoinfo7.pdf
Department of Health, Ministry of Public Health. Dietary reference intake for Thais [internet]. 2020 [cited 2020 Oct 7]. Available from http://nutrition.anamai.moph.go.th/images/dri2563.pdf
Ou YC, Chuang HH, Li WC, Tzeng IS, Chen JY. Gender difference in theassociation between lower muscle mass and metabolic syndrome independent ofinsulin resistance in a middle-aged and elderly Taiwanese population. Arch GerontolGeriatr 2017;72:12-8.
Thai National Health Examination Survey office. 4th Survey on food consumption of Thai, 2008-2009 [internet]. 2011 [cited 2020 Oct 10]. Available from: https://www.hiso.or.th/hiso/picture/reportHealth/report/report7.pdf
Ngeanpat N, Singhan C, Phanthurat N, Chanwigrai Y, Thassanasuwan N, Jaikhor P. Promoting utilization of herbs and indigenous vegetables to prevent chronic diseases in community of Ban Tam, Dokkhamtai district, Phayao province [dissertation]. Phayao: University of Phayao; 2017.
Ministry of Public Health. Thai health master plan 2018-2020. Nonthaburi : Thai Health Promotion Foundation; 2017.
Vasuthada C., Jaikla N., Prakongsri C., Theamngoen S. The development of a self-managementsupport model for non-communicable disease prevention among people at risk of chronic illness: Bangkaja, Muang District, Chanthaburi Province. J PrapokklaoHosp Clin Med Educat Center 2019; 36:142-53.
Rongmuang D. Applying Health Promotion Theories for behavioral modification to prevent and control obesity. J PrapokklaoHosp Clin Med Educat Center 2018;35:77-91.
Maleevong K., Saiwongse N., Sinawat S., Teamcharoen P. Survey of sodium chloride (Nacl) consumption among Thai population. Thailand Journal of Health Promotion and Environment Health2013; 36(4):118-28.
McKay J, Ho S, Jane M, Pal S. Overweight & obese Australian adultsandmicronutrient deficiency. BMC Nutr[Internet].2020 [cited 2020 Oct 1];1;6:12.Available form: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7193396/pdf/40795_2020_Article_336.pdf
Poli VFS, Sanches RB, Moraes ADS, Fidalgo JPN, Nascimento MA, Bresciani P, et al. The excessive caloricintake and micronutrient deficiencies related to obesity after a long-term interdisciplinary therapy. Nutrition 2017;38:113-9.