title: Cultural factors, caloric intake and micronutrient sufficiency in rural Nepali households.
abstract: This study examined the allocation of food within 105 Nepali households using a combination of recall and observation methods. While a relationship exists between caloric intake and sufficiency of intake of several key micronutrients (i.e., beta carotene, vitamin C and iron) for the study population as a whole this relationship is weaker for certain subgroups. In particular, micronutrient intakes of adolescent girls and adult women are much less likely to be tried to total caloric consumption when compared with the intakes of other household members. This gender differential appears linked in part to specific food beliefs and practices that tend to reduce women's consumption of micronutrient-rich foods, such as dietary restrictions during menstruation, pregnancy and lactation. Overlapping with these beliefs and practices, an overall pattern of disfavoritism of females in the intrahousehold allocation of food is evident in the study communities. While staple food items (i.e. rice, lentil soup, bread, etc.) are distributed fairly equally, side dishes usually containing a higher proportion of micronutrients (i.e. vegetables, meat, yogurt, ghee, etc.) are often preferentially allocated to valued household members, including adult males and small children (of both sexes).
authors.affiliation: Department of International Health, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
authors.forename: J
authors.initials: J
authors.lastname: Gittelsohn
authors.forename: M
authors.initials: M
authors.lastname: Thapa
authors.forename: L T
authors.initials: LT
authors.lastname: Landman
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D002149:Energy Intake; D005247:Feeding Behavior / Q000208:ethnology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009390:Nepal; D009749:Nutrition Surveys; D011247:Pregnancy; D011287:Prejudice; D012098:Reproduction; D012423:Rural Health; D012723:Sex; D012945:Social Values; D014131:Trace Elements / Q000172:deficiency
chemical_list: D014131:Trace Elements