Longitudinal analysis of lifestyle risk factors, nutrition status, and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia and Almaty, Kazakhstan: A formative study
Issued Date
2024-01-01
Resource Type
ISSN
13689800
eISSN
14752727
Scopus ID
2-s2.0-85211583048
Journal Title
Public Health Nutrition
Rights Holder(s)
SCOPUS
Bibliographic Citation
Public Health Nutrition (2024)
Suggested Citation
Bromage S., Tazhibayev S., Zhou X., Liu C., Tserenkhuu E., Dolmatova O., Khishignemekh M., Musurepova L., Wusigale, Tsolmon S., Tsendjav E., Enkhmaa D., Rai R.K., Enkhbat B., Menghe B., Ganmaa D. Longitudinal analysis of lifestyle risk factors, nutrition status, and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia and Almaty, Kazakhstan: A formative study. Public Health Nutrition (2024). doi:10.1017/S136898002400243X Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/102430
Title
Longitudinal analysis of lifestyle risk factors, nutrition status, and drivers of food choice among urban migrants in Ulaanbaatar, Mongolia and Almaty, Kazakhstan: A formative study
Author's Affiliation
Mongolian University of Science and Technology
Mongolian National University of Medical Sciences
Harvard T.H. Chan School of Public Health
Neimenggu Agricultural University
Mahidol University
Channing Division of Network Medicine
Yale University
Kazakh Academy of Nutrition
Mongolian Health Initiative
National Center for Maternal and Child Health
Mongolian National University of Medical Sciences
Harvard T.H. Chan School of Public Health
Neimenggu Agricultural University
Mahidol University
Channing Division of Network Medicine
Yale University
Kazakh Academy of Nutrition
Mongolian Health Initiative
National Center for Maternal and Child Health
Corresponding Author(s)
Other Contributor(s)
Abstract
Objective: To quantify and compare concurrent within-person trends in lifestyle risks, nutrition status, and drivers of food choice among urban migrants in Central Asia. Design: We collected panel data on household structure, drivers of food choice, nutrition knowledge, and diverse measures of nutrition status and lifestyle risk from urban migrants at 0, 3, 6, and 9 months using harmonized methodology in two cities. Trends were analyzed using mixed-effects models and qualitatively compared within and between cities. Setting: Ulaanbaatar, Mongolia and Almaty, Kazakhstan. Participants: 200 adults (22-55 years) who migrated to these cities within the past 2 years. Results: Adjusting for age and sex, each month since migration was positively associated with fasting triglycerides in Almaty (0.55 mg/dL; 95%CI: 0.13-0.94) and BMI (0.04 kg/m2; 95%CI: 0.01-0.07), body-fat (0.14%; 95%CI: 0.01-0.26), and fasting glucose (0.04 mmol/L; 95%CI: 0.02-0.05) and lipids in Ulaanbaatar (p<0.05). In Almaty, nutrition knowledge (measured using an objective 20-point scale) declined despite improvements in diet quality (measured by Prime Diet Quality Score). Influence of food availability, price, and taste on food choice increased in Almaty (p<0.05). Upon multivariable-adjustment, nutrition knowledge was positively associated with diet quality in Almaty and adherence to "Acculturated"diet patterns in both cities (p<0.05). Different trends in smoking, sleep quality, and generalized anxiety were observed between cities. Conclusions: Findings indicate heterogenous shifts in nutrition, lifestyles, and drivers of food choice among urban migrants in Central Asia and provide an evidence base for focused research and advocacy to promote healthy diets and enable nutrition-sensitive food environments.