Urban-rural difference in the determinants of dietary and energy intake patterns: A case study in West Java, Indonesia

作者：Kosaka Satoko^*; Suda Kazuhiro; Gunawan Budhi; Raksanagara Ardini; Watanabe Chiho; Umezaki Masahiro

来源：PLos One, 2018, 13(5): e0197626.

DOI：10.1371/journal.pone.0197626

Background
Few studies have explored differences in the determinants of individual dietary/energy intake patterns between urban and rural areas.
Objective
To examine whether the associations between individual characteristics and dietary/energy intake patterns differ between urban and rural areas in West Java, Indonesia.
Methods
A 3-day weighed food record, interviews, and anthropometric measurements were conducted in Bandung (urban area; n = 85) and Sumedang (rural area; n = 201). Total energy intake and intake from protein, fat, and carbohydrates were calculated. Food items were grouped into dietary categories based on the main ingredients to calculate their share of total energy intake. The associations between individual characteristics and dietary/energy intake were examined by fitting regression models. Models that also included education and body mass index (BMI) were fitted to adult samples only.
Results
In Sumedang, the total energy intake and energy intake from carbohydrates, fat, and grain/tubers were significantly associated with age and occupation. In Bandung, energy intake from grain/tubers and vegetables/legumes was related to sex and occupation, while other indicators showed no associations. Among adults, BMI was associated with the total energy intake and educational level was associated with energy intake from vegetables/legumes (both only in Sumedang).
Conclusions
The relationship between demographic and socioeconomic factors and dietary/energy intake patterns differs in rural versus urban areas in West Java. These results suggest that different strategies are needed in rural and urban areas to identify and aid populations at risk of diet-related diseases.

• 出版日期2018-5-16