What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal

Background Poor diets pose a threat to all forms of malnutrition and diet-related noncommunicable diseases (NCDs). Data on dietary patterns are scarce in South Asia. Objectives We sought to describe overall diet quality, intake of foods and food groups, and eating occasions among adults in rural So...

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Main Authors: Scott, Samuel P., Patwardhan, Sharvari, Ruel, Marie T., Chakrabarti, Suman, Neupane, Sumanta, Manohar, Swetha, Moursi, Mourad, Menon, Purnima
Format: Preprint
Language:Inglés
Published: 2025
Subjects:
Online Access:https://hdl.handle.net/10568/169267
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author Scott, Samuel P.
Patwardhan, Sharvari
Ruel, Marie T.
Chakrabarti, Suman
Neupane, Sumanta
Manohar, Swetha
Moursi, Mourad
Menon, Purnima
author_browse Chakrabarti, Suman
Manohar, Swetha
Menon, Purnima
Moursi, Mourad
Neupane, Sumanta
Patwardhan, Sharvari
Ruel, Marie T.
Scott, Samuel P.
author_facet Scott, Samuel P.
Patwardhan, Sharvari
Ruel, Marie T.
Chakrabarti, Suman
Neupane, Sumanta
Manohar, Swetha
Moursi, Mourad
Menon, Purnima
author_sort Scott, Samuel P.
collection Repository of Agricultural Research Outputs (CGSpace)
description Background Poor diets pose a threat to all forms of malnutrition and diet-related noncommunicable diseases (NCDs). Data on dietary patterns are scarce in South Asia. Objectives We sought to describe overall diet quality, intake of foods and food groups, and eating occasions among adults in rural South Asia. Methods Data were from five districts across Bangladesh (n=2,802 individuals), India (n=1,672), and Nepal (n=1,451). The Global Diet Quality Score (GDQS) application was used to measure intake of foods on the previous day, with each food tagged to an eating occasion. Diet quality and the risk of diet-related noncommunicable diseases (NCDs) were described using GDQS total (0–49), GDQS positive (0–32) and GDQS negative (0–17) metrics for overall, healthy, and unhealthy food intake respectively. Results Diet quality was low, with similar scores across countries for GDQS total (17-19 depending on country), GDQS positive (7–8) and GDQS negative (10–12), indicating low intake of healthy foods as the main contributor to poor diets. Over 90% of adults had levels of GQDS scores associated with moderate/high risk for diet-related NCDs, with the proportion at high risk in Bangladesh being 2-3x higher than other countries. Across sites, intake of refined grains (white rice), sweets (sugar, biscuits), and white tubers (potatoes) was common. One-third of adults did not eat breakfast in Nepal, and snacking was twice as common in males (63%) versus females (33%) in Bangladesh. Conclusions These findings highlight the need to improve diets in rural South Asia and may help inform interventions targeting food intake patterns.
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spelling CGSpace1692672025-07-16T20:58:22Z What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal Scott, Samuel P. Patwardhan, Sharvari Ruel, Marie T. Chakrabarti, Suman Neupane, Sumanta Manohar, Swetha Moursi, Mourad Menon, Purnima capacity building rural areas feeding habits diet health Background Poor diets pose a threat to all forms of malnutrition and diet-related noncommunicable diseases (NCDs). Data on dietary patterns are scarce in South Asia. Objectives We sought to describe overall diet quality, intake of foods and food groups, and eating occasions among adults in rural South Asia. Methods Data were from five districts across Bangladesh (n=2,802 individuals), India (n=1,672), and Nepal (n=1,451). The Global Diet Quality Score (GDQS) application was used to measure intake of foods on the previous day, with each food tagged to an eating occasion. Diet quality and the risk of diet-related noncommunicable diseases (NCDs) were described using GDQS total (0–49), GDQS positive (0–32) and GDQS negative (0–17) metrics for overall, healthy, and unhealthy food intake respectively. Results Diet quality was low, with similar scores across countries for GDQS total (17-19 depending on country), GDQS positive (7–8) and GDQS negative (10–12), indicating low intake of healthy foods as the main contributor to poor diets. Over 90% of adults had levels of GQDS scores associated with moderate/high risk for diet-related NCDs, with the proportion at high risk in Bangladesh being 2-3x higher than other countries. Across sites, intake of refined grains (white rice), sweets (sugar, biscuits), and white tubers (potatoes) was common. One-third of adults did not eat breakfast in Nepal, and snacking was twice as common in males (63%) versus females (33%) in Bangladesh. Conclusions These findings highlight the need to improve diets in rural South Asia and may help inform interventions targeting food intake patterns. 2025-01-06 2025-01-16T15:01:39Z 2025-01-16T15:01:39Z Preprint https://hdl.handle.net/10568/169267 en https://doi.org/10.1016/j.tjnut.2025.05.014 https://hdl.handle.net/10568/137349 https://hdl.handle.net/10568/145356 Open Access Scott, Samuel P.; Patwardhan, Sharvari; Ruel, Marie T.; Chakrabarti, Suman; Neupane, Sumanta; et al. 2025. What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal. MedRxiv available January 6, 2025. https://doi.org/10.1101/2025.01.06.25320064
spellingShingle capacity building
rural areas
feeding habits
diet
health
Scott, Samuel P.
Patwardhan, Sharvari
Ruel, Marie T.
Chakrabarti, Suman
Neupane, Sumanta
Manohar, Swetha
Moursi, Mourad
Menon, Purnima
What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal
title What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal
title_full What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal
title_fullStr What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal
title_full_unstemmed What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal
title_short What adults in rural South Asia eat and when they eat it: Evidence from Bangladesh, India, and Nepal
title_sort what adults in rural south asia eat and when they eat it evidence from bangladesh india and nepal
topic capacity building
rural areas
feeding habits
diet
health
url https://hdl.handle.net/10568/169267
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