Iron intake among Lebanese women: sociodemographic factors, iron-rich dietary patterns, and preparation of hummus, a Mediterranean dish.

Mediterranean and middle eastern countries iron bioavailability micronutrient intake deficiency nonheme iron plant-based food

Journal

Food & nutrition research
ISSN: 1654-661X
Titre abrégé: Food Nutr Res
Pays: Sweden
ID NLM: 101488795

Informations de publication

Date de publication:
2021
Historique:
received: 10 09 2020
revised: 06 10 2020
accepted: 06 10 2020
entrez: 22 2 2021
pubmed: 23 2 2021
medline: 23 2 2021
Statut: epublish

Résumé

Plant-based foods such as hummus are alternative to animal protein, and when properly prepared, they help to alleviate nutritional iron deficiency that leads to anemia, a global health problem. The objective was to assess iron intake among Lebanese women and related participant's characteristics, discern iron-rich dietary patterns, evaluate their association with nutrients intake and participant's sociodemographic characteristics, and identify the women preparing hummus traditionally and properly for an enhanced iron bioavailability. A cross-sectional study of 400 Lebanese women (18-74 years old) was conducted in Lebanon. Data from a questionnaire, including sociodemographic and health characteristics, dietary intake, and hummus preparation and consumption, were collected. Dietary data were obtained by a food frequency questionnaire and a 24-h recall. Dietary patterns were identified by principal component analysis. Linear regression and binomial logistic regression models were used to explore the association between the intake of dietary iron, its patterns, and the participants' characteristics. About 60% of the women had iron intake deficiency, especially with lower income (odds ratio [OR] = 1.88, 95% confidence interval [CI]: 1.107, 3.194). Four iron-rich dietary patterns were identified: legumes; organ/lunch meat and chicken; canned fish; and beef and hummus. The factor scores of the latter were positively correlated with protein, vitamin C, iron, folate, vitamin B12, and vitamin A with The majority of the Lebanese women still have iron intake deficiency and the minority reported proper preparation of hummus. Intervention programs spreading awareness among Lebanese women are needed for encouraging adequate iron intake and considering proper steps to improve iron bioavailability from plant-based food.

Sections du résumé

BACKGROUND BACKGROUND
Plant-based foods such as hummus are alternative to animal protein, and when properly prepared, they help to alleviate nutritional iron deficiency that leads to anemia, a global health problem.
OBJECTIVE OBJECTIVE
The objective was to assess iron intake among Lebanese women and related participant's characteristics, discern iron-rich dietary patterns, evaluate their association with nutrients intake and participant's sociodemographic characteristics, and identify the women preparing hummus traditionally and properly for an enhanced iron bioavailability.
DESIGN METHODS
A cross-sectional study of 400 Lebanese women (18-74 years old) was conducted in Lebanon. Data from a questionnaire, including sociodemographic and health characteristics, dietary intake, and hummus preparation and consumption, were collected. Dietary data were obtained by a food frequency questionnaire and a 24-h recall. Dietary patterns were identified by principal component analysis. Linear regression and binomial logistic regression models were used to explore the association between the intake of dietary iron, its patterns, and the participants' characteristics.
RESULTS RESULTS
About 60% of the women had iron intake deficiency, especially with lower income (odds ratio [OR] = 1.88, 95% confidence interval [CI]: 1.107, 3.194). Four iron-rich dietary patterns were identified: legumes; organ/lunch meat and chicken; canned fish; and beef and hummus. The factor scores of the latter were positively correlated with protein, vitamin C, iron, folate, vitamin B12, and vitamin A with
DISCUSSION & CONCLUSION CONCLUSIONS
The majority of the Lebanese women still have iron intake deficiency and the minority reported proper preparation of hummus. Intervention programs spreading awareness among Lebanese women are needed for encouraging adequate iron intake and considering proper steps to improve iron bioavailability from plant-based food.

Identifiants

pubmed: 33613152
doi: 10.29219/fnr.v65.5556
pii: 5556
pmc: PMC7869437
doi:

Types de publication

Journal Article

Langues

eng

Informations de copyright

© 2021 Nour Doumani et al.

Déclaration de conflit d'intérêts

The authors declare no potential conflicts of interest.

Références

Am J Clin Nutr. 2003 Sep;78(3 Suppl):633S-639S
pubmed: 12936958
Crit Rev Food Sci Nutr. 2017 Nov 2;57(16):3543-3564
pubmed: 27229126
Int J Adolesc Med Health. 2015 Aug;27(3):299-305
pubmed: 25415630
Int J Food Sci Nutr. 2007 Aug;58(5):398-410
pubmed: 17558731
BMC Public Health. 2016 Mar 01;16:203
pubmed: 26932495
Public Health Nutr. 2007 Nov;10(11A):1354-67
pubmed: 17988407
Appetite. 2014 Oct;81:225-31
pubmed: 24972132
J Acad Nutr Diet. 2014 Jul;114(7):1046-1052
pubmed: 24231366
BMC Public Health. 2017 Jun 12;17(1):567
pubmed: 28606120
Nutr Res Rev. 2005 Dec;18(2):241-8
pubmed: 19079908
Am J Clin Nutr. 2008 May;87(5):1107-17
pubmed: 18469226
Public Health Nutr. 2009 Apr;12(4):444-54
pubmed: 18498676
Maturitas. 2018 Apr;110:79-85
pubmed: 29563039
Nutrients. 2016 Nov 29;8(12):
pubmed: 27916819
Nutrients. 2016 Nov 02;8(11):
pubmed: 27827838
Public Health Nutr. 2006 Oct;9(7):921-7
pubmed: 17010258
Public Health Nutr. 2006 Apr;9(2):194-203
pubmed: 16571173
Meat Sci. 2010 Feb;84(2):244-7
pubmed: 20374782
Trends Cardiovasc Med. 2018 Oct;28(7):437-441
pubmed: 29496410
Perm J. 2013 Spring;17(2):61-6
pubmed: 23704846
J Intern Med. 2017 Feb;281(2):106-122
pubmed: 27597529
J Food Sci Technol. 2012 Feb;49(1):89-95
pubmed: 23572830
Food Nutr Res. 2012;56:
pubmed: 22389643
Am J Clin Nutr. 2016 May;103(5):1213-23
pubmed: 27030531
J Agric Food Chem. 2014 Oct 22;62(42):10320-5
pubmed: 25275535
Nutrients. 2015 Nov 18;7(11):9558-72
pubmed: 26593944
Food Nutr Res. 2017 Jul 30;61(1):1358035
pubmed: 28814951
BMC Public Health. 2019 Feb 26;19(1):231
pubmed: 30808311
Int J Nurs Stud. 2016 Aug;60:69-78
pubmed: 27297369
Food Nutr Res. 2012;56:
pubmed: 22489220
Nutrients. 2019 May 10;11(5):
pubmed: 31083370
Plant Foods Hum Nutr. 2002 Winter;57(1):83-97
pubmed: 11855623
Foods. 2020 Apr 10;9(4):
pubmed: 32290180
Public Health Nutr. 2011 Sep;14(9):1570-8
pubmed: 21557871
Am J Clin Nutr. 1997 Apr;65(4 Suppl):1220S-1228S; discussion 1229S-1231S
pubmed: 9094926
Rev Lat Am Enfermagem. 2010 Mar-Apr;18(2):247-54
pubmed: 20549125
Pediatr Rev. 2002 May;23(5):171-8
pubmed: 11986493
Food Nutr Res. 2016 Mar 03;60:29082
pubmed: 26945231
J Nutr Sci Vitaminol (Tokyo). 1998 Jun;44(3):361-70
pubmed: 9742457
Food Nutr Res. 2015 Jun 09;59:27606
pubmed: 26065493
Nutrients. 2019 Jun 13;11(6):
pubmed: 31200446

Auteurs

Nour Doumani (N)

Department of Biology, Nutrition & Dietetics, Faculty of Sciences II, Lebanese University, Fanar, Lebanon.
Department of Chemistry & Biochemistry, Faculty of Sciences II, Lebanese University, Fanar, Lebanon.
UMR PAM Food and Microbiological Processes, University of Burgundy Franche Comté/AgroSup Dijon, Dijon, France.

Jacqueline Maalouly (J)

Department of Chemistry & Biochemistry, Faculty of Sciences II, Lebanese University, Fanar, Lebanon.

Elias Bou-Maroun (E)

UMR PAM Food and Microbiological Processes, University of Burgundy Franche Comté/AgroSup Dijon, Dijon, France.

Nicolas Sok (N)

UMR PAM Food and Microbiological Processes, University of Burgundy Franche Comté/AgroSup Dijon, Dijon, France.

Philippe Cayot (P)

UMR PAM Food and Microbiological Processes, University of Burgundy Franche Comté/AgroSup Dijon, Dijon, France.

Maya Tueni (M)

Department of Biology, Nutrition & Dietetics, Faculty of Sciences II, Lebanese University, Fanar, Lebanon.

Classifications MeSH