Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program

Observed-Weighed Food Record Surveys (OWFR) are regarded as the most precise dietary assessment methodology, despite their recognized shortcomings, which include limited availability, high cost, small samples with uncertain external validity that rarely include all household members, Hawthorne effec...

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Main Authors: Lividini, Keith, Fiedler, John L., Bermudez, Odilia I.
Format: Journal Article
Language:Inglés
Published: SAGE Publications 2013
Subjects:
Online Access:https://hdl.handle.net/10568/152953
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author Lividini, Keith
Fiedler, John L.
Bermudez, Odilia I.
author_browse Bermudez, Odilia I.
Fiedler, John L.
Lividini, Keith
author_facet Lividini, Keith
Fiedler, John L.
Bermudez, Odilia I.
author_sort Lividini, Keith
collection Repository of Agricultural Research Outputs (CGSpace)
description Observed-Weighed Food Record Surveys (OWFR) are regarded as the most precise dietary assessment methodology, despite their recognized shortcomings, which include limited availability, high cost, small samples with uncertain external validity that rarely include all household members, Hawthorne effects, and using only 1 or 2 days to identify “usual intake.” Although Household Consumption and Expenditures Surveys (HCES) also have significant limitations, they are increasingly being used to inform nutrition policy.To investigate differences in fortification simulations based on OWFR and HCES from Bangladesh.The pre- and postfortification nutrient intake levels from the two surveys were compared.The total population-based rank orderings of oil, wheat flour, and sugar coverage were identical for the two surveys. OWFR found differences in women's and children's coverage rates and average quantities consumed for all three foods that were not detected by HCES. Guided by the Food Fortification Formulator, we found that these differences did not result in differences in recommended fortification levels. Differences were found, however, in estimated impacts: although both surveys found that oil would be effective in reducing the prevalence of inadequate vitamin A intake among both subpopulations, only OWFR also found that sugar and wheat flour fortification would significantly reduce inadequate vitamin A intake among children.Despite the less precise measure of food consumption from HCES, the two surveys provide similar guidance for designing a fortification program. The external validity of these findings is limited. With relatively minor modifications, the precision of HCES in dietary assessment and the use of HCES in fortification programming could be strengthened.
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spelling CGSpace1529532024-11-15T08:52:20Z Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program Lividini, Keith Fiedler, John L. Bermudez, Odilia I. food policies biofortification nutrition household consumption nutrition surveys Observed-Weighed Food Record Surveys (OWFR) are regarded as the most precise dietary assessment methodology, despite their recognized shortcomings, which include limited availability, high cost, small samples with uncertain external validity that rarely include all household members, Hawthorne effects, and using only 1 or 2 days to identify “usual intake.” Although Household Consumption and Expenditures Surveys (HCES) also have significant limitations, they are increasingly being used to inform nutrition policy.To investigate differences in fortification simulations based on OWFR and HCES from Bangladesh.The pre- and postfortification nutrient intake levels from the two surveys were compared.The total population-based rank orderings of oil, wheat flour, and sugar coverage were identical for the two surveys. OWFR found differences in women's and children's coverage rates and average quantities consumed for all three foods that were not detected by HCES. Guided by the Food Fortification Formulator, we found that these differences did not result in differences in recommended fortification levels. Differences were found, however, in estimated impacts: although both surveys found that oil would be effective in reducing the prevalence of inadequate vitamin A intake among both subpopulations, only OWFR also found that sugar and wheat flour fortification would significantly reduce inadequate vitamin A intake among children.Despite the less precise measure of food consumption from HCES, the two surveys provide similar guidance for designing a fortification program. The external validity of these findings is limited. With relatively minor modifications, the precision of HCES in dietary assessment and the use of HCES in fortification programming could be strengthened. 2013-12 2024-10-01T13:55:23Z 2024-10-01T13:55:23Z Journal Article https://hdl.handle.net/10568/152953 en Limited Access SAGE Publications Lividini, Keith; Fiedler, John L.; and Bermudez, Odilia I. 2013. Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program. Food and Nutrition Bulletin 34(4): 520-532. https://doi.org/10.1177/156482651303400414
spellingShingle food policies
biofortification
nutrition
household consumption
nutrition surveys
Lividini, Keith
Fiedler, John L.
Bermudez, Odilia I.
Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program
title Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program
title_full Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program
title_fullStr Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program
title_full_unstemmed Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program
title_short Policy implications of using a Household Consumption and Expenditures Survey versus an Observed-Weighed Food Record Survey to design a food fortification program
title_sort policy implications of using a household consumption and expenditures survey versus an observed weighed food record survey to design a food fortification program
topic food policies
biofortification
nutrition
household consumption
nutrition surveys
url https://hdl.handle.net/10568/152953
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