PMID- 23193769
OWN - NLM
STAT- MEDLINE
DCOM- 20121220
LR  - 20170214
IS  - 0379-5721 (Print)
IS  - 0379-5721 (Linking)
VI  - 33
IP  - 3 Suppl
DP  - 2012 Sep
TI  - Methods of using household consumption and expenditures survey (HCES) data to 
      estimate the potential nutritional impact of fortified staple foods.
PG  - S185-9
AB  - BACKGROUND: Micronutrient malnutrition, caused largely by inadequate dietary 
      intake, is a global public health problem that adversely affects health, child 
      growth and development, work capacity, and quality of life. Mass fortification of 
      widely consumed edible products has the potential to increase micronutrient 
      intakes and thus alleviate some nutritional deficiencies. Although 
      individual-level data about food consumption patterns are ideal for informing the 
      design of food fortification programs, they are often unavailable. Household 
      Consumption and Expenditures Surveys (HCES) are nationally representative 
      cross-sectional surveys conducted over a 12-month period every 2 to 5 years, 
      primarily to characterize household expenditures. OBJECTIVE: We describe how 
      expenditure data from HCES can serve as a proxy for household food consumption 
      and thus aid in choosing which foods to fortify and in determining how much of a 
      micronutrient to add to that food. METHODS: We describe methods of using HCES 
      data to characterize apparent food consumption patterns among different strata 
      within a population. RESULTS: There are several limitations of using HCES data to 
      describe apparent food consumption. HCES do not directly capture information 
      about true food intake, but rather describe food expenditures. We assume that 
      purchased foods are not shared with guests, wasted, fed to animals, gifted, or 
      stockpiled for later use. We also assume that foods are allocated within each 
      household based on energy needs. CONCLUSIONS: Despite the limitations of using 
      HCES data to estimate apparent food consumption, the dearth of individual-level 
      data about food intake renders HCES data useful in designing food fortification 
      programs.
FAU - Imhoff-Kunsch, Beth
AU  - Imhoff-Kunsch B
AD  - Hubert Department of Global Health, Rollins School of Public Health, Emory 
      University, 1599 Clifton Road, N.E. - GHI Rm 6.431, Atlanta, GA 30322, USA. 
      beth.imhoffkunsch@gmail.com
FAU - Flores, Rafael
AU  - Flores R
FAU - Dary, Omar
AU  - Dary O
FAU - Martorell, Reynaldo
AU  - Martorell R
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Food Nutr Bull
JT  - Food and nutrition bulletin
JID - 7906418
RN  - 0 (Micronutrients)
SB  - IM
MH  - Adult
MH  - Cross-Sectional Studies
MH  - *Diet Surveys
MH  - *Energy Intake
MH  - *Energy Metabolism
MH  - *Family Characteristics
MH  - *Feeding Behavior
MH  - Female
MH  - Food Quality
MH  - Food Supply/standards
MH  - *Food, Fortified
MH  - Humans
MH  - Male
MH  - Malnutrition/physiopathology
MH  - Micronutrients/administration & dosage/deficiency
MH  - Nutritional Status
MH  - Young Adult
EDAT- 2012/12/01 06:00
MHDA- 2012/12/21 06:00
CRDT- 2012/12/01 06:00
PHST- 2012/12/01 06:00 [entrez]
PHST- 2012/12/01 06:00 [pubmed]
PHST- 2012/12/21 06:00 [medline]
AID - 10.1177/15648265120333S206 [doi]
PST - ppublish
SO  - Food Nutr Bull. 2012 Sep;33(3 Suppl):S185-9. doi: 10.1177/15648265120333S206.