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      Animal and Plant Protein Food Sources in Indonesia Differ Across Socio-Demographic Groups: Socio-Cultural Research in Protein Transition in Indonesia and Malaysia

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          Abstract

          Background

          Plant-based diets in lower-income countries are often associated with inadequate protein nutrition and adverse health outcomes.

          Objective

          To examine the diversity of protein food sources, in both animal and plant, across diverse socio-demographic groups in Indonesia as compared to Malaysia.

          Design

          The SCRiPT (Socio Cultural Research in Protein Transition) study was based on population-based samples recruited in Indonesia ( N = 1665) and in Malaysia ( N = 1604). Data from 24-h in-person dietary recalls in each country were used to construct the frequency counts of protein sources by food group. Protein sources were defined as fish, poultry, red meat (beef, pork, and mutton), eggs, dairy, and plants (cereals, pulses, and tubers). The percent reported frequencies for animal and plant proteins were compared across socio-demographic strata and by country. Analyses were based on one-way Anovas and general linear model regressions adjusting for covariates.

          Results

          Animal protein frequency counts were 34% of total in Indonesia, but 50% in Malaysia's. Higher reported consumption frequencies for poultry and red meat in both countries were associated with urban living, greater modernization, and higher socioeconomic status, with stronger social gradients observed in Indonesia. Reported fish consumption was higher in Indonesia than in Malaysia. Fish was more likely to be listed by rural island populations in Indonesia and was associated with lower education and incomes. Consumption frequencies for plant-based proteins were associated with lower socio-economic status in Indonesia and in Malaysia.

          Conclusions

          More affluent groups in both countries reported higher frequencies for meat, eggs, and dairy as opposed to fish. Greater economic development in Southeast (SE) Asia is associated with more animal protein, particularly from poultry, which may displace fish, the traditional source of high quality protein for the region.

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          Most cited references21

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          The Nutrition Transition: New Trends in the Global Diet

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            Socioeconomic determinants of dietary patterns in low- and middle-income countries: a systematic review.

            In high-income countries, high socioeconomic status (SES) is generally associated with a healthier diet, but whether social differences in dietary intake are also present in low- and middle-income countries (LMICs) remains to be established.
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              Processed foods and the nutrition transition: evidence from Asia.

              This paper elucidates the role of processed foods and beverages in the 'nutrition transition' underway in Asia. Processed foods tend to be high in nutrients associated with obesity and diet-related non-communicable diseases: refined sugar, salt, saturated and trans-fats. This paper identifies the most significant 'product vectors' for these nutrients and describes changes in their consumption in a selection of Asian countries. Sugar, salt and fat consumption from processed foods has plateaued in high-income countries, but has rapidly increased in the lower-middle and upper-middle-income countries. Relative to sugar and salt, fat consumption in the upper-middle- and lower-middle-income countries is converging most rapidly with that of high-income countries. Carbonated soft drinks, baked goods, and oils and fats are the most significant vectors for sugar, salt and fat respectively. At the regional level there appears to be convergence in consumption patterns of processed foods, but country-level divergences including high levels of consumption of oils and fats in Malaysia, and soft drinks in the Philippines and Thailand. This analysis suggests that more action is needed by policy-makers to prevent or mitigate processed food consumption. Comprehensive policy and regulatory approaches are most likely to be effective in achieving these goals. © 2014 The Authors. obesity reviews © 2014 World Obesity.
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                Author and article information

                Contributors
                Journal
                Front Nutr
                Front Nutr
                Front. Nutr.
                Frontiers in Nutrition
                Frontiers Media S.A.
                2296-861X
                11 February 2022
                2022
                : 9
                : 762459
                Affiliations
                [1] 1SEAMEO Regional Center for Food and Nutrition (RECFON)—Pusat Kajian Gizi Regional Universitas Indonesia , Jakarta, Indonesia
                [2] 2Taylor's Toulouse University Center , Subang Jaya, Malaysia
                [3] 3Faculty of Social Sciences and Leisure Management, Taylor's University , Subang Jaya, Malaysia
                [4] 4CERTOP UMR-CNRS 5044, University of Toulouse Jean Jaurès , Toulouse, France
                [5] 5Faculty of Health Sciences, Community Health Centre, Universiti Kebangsaan Malaysia , Kuala Lumpur, Malaysia
                [6] 6Department of Nutrition and Exercise Physiology, Elson S. Floyd College of Medicine, Washington State University , Spokane, WA, United States
                [7] 7Department of Epidemiology, Center for Public Health Nutrition, University of Washington , Seattle, WA, United States
                Author notes

                Edited by: Ines Swoboda, University of Applied Sciences Wien, Austria

                Reviewed by: Robyn Gwen Alders, Chatham House, United Kingdom; Dengbao Yang, University of Texas Southwestern Medical Center, United States; René Renato Balandrán-Quintana, Centro de Investigación en Alimentación y Desarrollo, Consejo Nacional de Ciencia y Tecnología (CONACYT), Mexico; Gabriela Ramos Clamont Montfort, Centro de Investigación en Alimentación y Desarrollo, Consejo Nacional de Ciencia y Tecnología (CONACYT), Mexico

                *Correspondence: Adam Drewnowski adamdrew@ 123456uw.edu

                This article was submitted to Nutrition and Sustainable Diets, a section of the journal Frontiers in Nutrition

                Article
                10.3389/fnut.2022.762459
                8886573
                35242792
                6bacfb9a-6265-4f73-8034-8f7b06c7e1da
                Copyright © 2022 Khusun, Februhartanty, Anggraini, Mognard, Alem, Noor, Karim, Laporte, Poulain, Monsivais and Drewnowski.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 21 August 2021
                : 10 January 2022
                Page count
                Figures: 2, Tables: 1, Equations: 0, References: 33, Pages: 8, Words: 5563
                Categories
                Nutrition
                Original Research

                protein transition,animal protein,plant protein,socio-demographics,fish,malaysia,indonesia

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