A Systematic Review on Food Baskets Recommended in the Eastern Mediterranean Region
Abstract
:1. Introduction
2. Materials and Methods
2.1. Identification of Relevant Studies
2.2. Inclusion and Exclusion Criteria
2.3. Data Extraction, Synthesis, and Quality Assessment
3. Results
3.1. Study Selection Process
3.2. Study Characteristics
3.3. Historical Perspective and Constructing Methods
3.4. Data Synthesis
3.5. Quality of the Reviewed Studies
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
PubMed |
((healthy OR standard OR affordable OR minimized OR adequate OR “low cost” OR optimized OR sustainable OR optimum OR reference OR minimum OR survival OR nutritious OR thrifty OR basic OR balanced) AND (“Food Basket” [Title/Abstract] OR “food plan” [Title/Abstract] OR diet [Title/Abstract] OR “diet plan” [Title/Abstract] OR “dietary advice” [Title/Abstract] OR “food plan” [Title/Abstract] OR “food aid” [Title/Abstract])AND (“Afghanistan “ [Title/Abstract] OR “Bahrain” [Title/Abstract] OR “Djibouti“ [Title/Abstract] OR “Egypt“ [Title/Abstract] OR “Iran” [Title/Abstract] OR “Iraq” [Title/Abstract] OR “Jordan “ [Title/Abstract] OR “Kuwait“ [Title/Abstract] OR “Lebanon“ [Title/Abstract] OR “Libya“ [Title/Abstract] OR “Morocco“ [Title/Abstract] OR “Palestine“ [Title/Abstract] OR “Oman“ [Title/Abstract] OR “Pakistan “ [Title/Abstract] OR “Qatar” [Title/Abstract] OR “Saudi Arabia “ [Title/Abstract] OR “Somalia“ [Title/Abstract] OR “Sudan“ [Title/Abstract] OR “ Syria“ [Title/Abstract] OR “Tunisia“ [Title/Abstract] OR “United Arab Emirates“ [Title/Abstract] OR “Yemen “ [Title/Abstract] OR “Middle East “ [Title/Abstract])) |
Scopus |
TITLE-ABS-KEY ((healthy OR standard OR affordable OR minimized OR adequate OR “low cost” OR optimized OR sustainable OR optimum OR reference OR minimum OR survival OR nutritious OR thrifty OR basic OR balanced) AND (“food basket” OR diet OR “diet plan” OR“dietary pattern” OR“dietaryadvice”OR“food plan” OR “food aid”)AND(afghanistanORbahrain OR djiboutiORegyptORiranORiraqORjordanORkuwaitORlebanonORlibyaORmoroccoORpalestineORomanORpakistanORqatarORsaudiAND arabiaORsomaliaORsudanORsyriaORtunisiaOR“united arabemirates”ORyemen OR “Middle East”)) |
ISI/WOS |
((healthy OR standard OR affordable OR minimized OR adequate OR “low cost” OR optimized OR sustainable OR optimum OR reference OR minimum OR survival OR nutritious OR thrifty OR basic OR balanced) AND (“food basket” OR diet OR “diet plan” OR “dietary pattern” OR “dietary advice”OR“food plan” OR “food aid”) AND (afghanistanORbahrain OR djiboutiORegyptORiranORiraqORjordanORkuwaitORlebanonORlibyaORmoroccoORpalestineORomanORpakistanORqatarORsaudiAND arabiaORsomaliaORsudanORsyriaORtunisiaOR“unitedarabemirates”ORyemen OR “Middle East”))Timespan= All years. ANDIndexes: SCI-EXPANDED, SSCI, A&HCI, CPCI-S, CPCI-SSH, BKCI-S, BKCI-SSH, ESCI, CCR-EXPANDED, IC= All years. |
Appendix B
Section and Topic | Item # | Checklist Item | Location Where Item Is Reported |
---|---|---|---|
Title | 1 | Identify the report as a systematic review. | Title Page, lines 1–2 |
ABSTRACT | |||
Abstract | 2 | See the PRISMA 2020 for Abstracts checklist. | Page 1, lines1–23 |
INTRODUCTION | |||
Rationale | 3 | Describe the rationale for the review in the context of existing knowledge. | Page 2, lines 27–45 |
Objectives | 4 | Provide an explicit statement of the objective(s) or question(s) the review addresses. | Page 2, 3, lines 46–62 |
METHODS | |||
Eligibility criteria | 5 | Specify the inclusion and exclusion criteria for the review and how studies were grouped for the syntheses. | Pages 4, 5, lines 77–89, 99 |
Information sources | 6 | Specify all databases, registers, websites, organisations, reference lists and other sources searched or consulted to identify studies. Specify the date when each source was last searched or consulted. | Page 3, lines 64–69 |
Search strategy | 7 | Present the full search strategies for all databases, registers and websites, including any filters and limits used. | Appendix A, search strategies |
Selection process | 8 | Specify the methods used to decide whether a study met the inclusion criteria of the review, including how many reviewers screened each record and each report retrieved, whether they worked independently, and if applicable, details of automation tools used in the process. | Page 4, lines 77–89 |
Data collection process | 9 | Specify the methods used to collect data from reports, including how many reviewers collected data from each report, whether they worked independently, any processes for obtaining or confirming data from study investigators, and if applicable, details of automation tools used in the process. | Page 4, lines 77–91 |
Data items | 10a | List and define all outcomes for which data were sought. Specify whether all results that were compatible with each outcome domain in each study were sought (e.g., for all measures, time points, analyses), and if not, the methods used to decide which results to collect. | Page 5, lines 99–103 |
10b | List and define all other variables for which data were sought (e.g., participant and intervention characteristics, funding sources). Describe any assumptions made about any missing or unclear information. | - | |
Study risk of bias assessment | 11 | Specify the methods used to assess risk of bias in the included studies, including details of the tool(s) used, how many reviewers assessed each study and whether they worked independently, and if applicable, details of automation tools used in the process. | Pages 4, 5, lines 82–83; 90–98 |
Effect measures | 12 | Specify for each outcome the effect measure(s) (e.g., risk ratio, mean difference) used in the synthesis or presentation of results. | |
Synthesis methods | 13a | Describe the processes used to decide which studies were eligible for each synthesis (e.g., tabulating the study intervention characteristics and comparing against the planned groups for each synthesis (item #5)). | Pages 4, 5, lines 77–89, 99 |
13b | Describe any methods required to prepare the data for presentation or synthesis, such as handling of missing summary statistics, or data conversions. | - | |
13c | Describe any methods used to tabulate or visually display results of individual studies and syntheses. | - | |
13d | Describe any methods used to synthesize results and provide a rationale for the choice(s). If meta-analysis was performed, describe the model(s), method(s) to identify the presence and extent of statistical heterogeneity, and software package(s) used. | - | |
13e | Describe any methods used to explore possible causes of heterogeneity among study results (e.g., subgroup analysis, meta-regression). | - | |
13f | Describe any sensitivity analyses conducted to assess robustness of the synthesized results. | - | |
Reporting bias assessment | 14 | Describe any methods used to assess risk of bias due to missing results in a synthesis (arising from reporting biases). | - |
Certainty assessment | 15 | Describe any methods used to assess certainty (or confidence) in the body of evidence for an outcome. | - |
RESULTS | |||
Study selection | 16a | Describe the results of the search and selection process, from the number of records identified in the search to the number of studies included in the review, ideally using a flow diagram. | Pages 5, lines 105–116 |
16b | Cite studies that might appear to meet the inclusion criteria, but which were excluded, and explain why they were excluded. | Pages 5, 6, lines 117–125 | |
Study characteristics | 17 | Cite each included study and present its characteristics. | Table 1 and Table 2 |
Risk of bias in studies | 18 | Present assessments of risk of bias for each included study. | The last column of Table 1 and Table 2 |
Results of individual studies | 19 | For all outcomes, present, for each study: (a) summary statistics for each group (where appropriate) and (b) an effect estimate and its precision (e.g., confidence/credible interval), ideally using structured tables or plots. | Table 1; Pages 6,7, lines 126–176 |
Results of syntheses | 20a | For each synthesis, briefly summarise the characteristics and risk of bias among contributing studies. | Page 10, lines 177–181 |
20b | Present results of all statistical syntheses conducted. If meta-analysis was done, present for each the summary estimate and its precision (e.g., confidence/credible interval) and measures of statistical heterogeneity. If comparing groups, describe the direction of the effect. | - | |
20c | Present results of all investigations of possible causes of heterogeneity among study results. | - | |
20d | Present results of all sensitivity analyses conducted to assess the robustness of the synthesized results. | - | |
Reporting biases | 21 | Present assessments of risk of bias due to missing results (arising from reporting biases) for each synthesis assessed. | - |
Certainty of evidence | 22 | Present assessments of certainty (or confidence) in the body of evidence for each outcome assessed. | - |
DISCUSSION | |||
Discussion | 23a | Provide a general interpretation of the results in the context of other evidence. | Pages 9, lines 193–229 |
23b | Discuss any limitations of the evidence included in the review. | Page 10, lines 230–231 | |
23c | Discuss any limitations of the review processes used. | Page 10, lines 231–234 | |
23d | Discuss implications of the results for practice, policy, and future research. | Page 10, lines 234–239 | |
OTHER INFORMATION | |||
Registration and protocol | 24a | Provide registration information for the review, including register name and registration number, or state that the review was not registered. | The review was not registered |
24b | Indicate where the review protocol can be accessed, or state that a protocol was not prepared. | Page 11, lines 256–259 | |
24c | Describe and explain any amendments to information provided at registration or in the protocol. | - | |
Support | 25 | Describe sources of financial or non-financial support for the review, and the role of the funders or sponsors in the review. | Page 12, lines 263–265 |
Competing interests | 26 | Declare any competing interests of review authors. | Page 11, line 262 |
Availability of data, code and other materials | 27 | Report which of the following are publicly available and where they can be found: template data collection forms; data extracted from included studies; data used for all analyses; analytic code; any other materials used in the review. | Page 11, lines 260–261 |
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No. | Author, Date | Constructing Method | Source of Data/Population | Results Based on Energy Provided | Components of Food Basket (Food Groups in g) | Quality of the Study | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Bread | Macaroni/Pasta | Rice | Potato (Starchy Veg) | Vegetable | Fruit | Milk &Dairy Products | Red Meat | Poultry | Fish | Egg | Legume (Pulse) | Nut | Fat & Oil | Sugar &Sweet | |||||||
Iran | |||||||||||||||||||||
1 | Ghasemi et al., 1996 | Min basket providing energy, Max basket providing all nutrients | Food consumption survey, 1991–5 & Income and Expenditure Survey data from SCI a 1995 | Per capita daily g in households | Min 2465 Kcal | 350 | 10 | 107 | - | 266 | 169 | 145 | 81 | 20 | 18 | - | 34 | 50 | High | ||
Max 2548 Kcal | 275 | 30 | 120 | - | 350 | 250 | 240 | 110 | 15 | 30 | - | 30 | 50 | ||||||||
2 | Kiani K, et al., 2004 | Linear programming | Food consumption survey, 2001 (Iranian households | Province/2728 Kcal | 320 | 20 | 100 | 70 | 280 | 260 | 225–240 | 48 | 50 | 24 | 26 | - | 35–40 | 45–55 | High | ||
3 | Pourkazemi M & Souzandeh M, 2009 | Goal programming | Income and Expenditure Survey data from SCI a 2011, Iranians households | 1–3 years 4–6 years 7–9 years 10–14 years 15–18 years 19–50 years >51 years/Sex | Rural: 8399 Kcal, | 196.1 | 87.6 | 91 | 36.6 | 142 | 441.3 | 537 | 10 | 32 | 62.1 | 10.7 | 31.3 | 20 | 38.7 | 11.1 | Medium |
Urban: 9686 Kcal | 148.9 | 146 | 69.3 | 85.5 | 99.3 | 478.7 | 554.6 | 11.6 | 24.6 | 41.5 | 12.9 | 56.9 | 20 | 31.8 | 30.1 | ||||||
4 | Salehi F, et al., 2013 | Mean requirement of energy, protein, and key nutrients (Iron, Vitamin A, Riboflavin & Calcium) | Food balance sheet adapted by food consumption coefficients 2011 (7158 Iranian households) | Sex 2–3 years 4–5 years 6–11 years 12–17 years 18–29 years 30–60 years >60 years/ 2573 Kcal | 310 | 20 | 95 | 70 | 300 | 280 | 250 | 38 | 64 | 35 | 26 | - | 35 | 40 | High | ||
5 | Nasari A, et al., 2017 | Weighted goal programming | Income and Expenditure Survey data from SCI/Rural Iranians households | Income deciles/2500 Kcal | 454.1 | 149 | 87.5 | 288.5 | 143.9 | 29.4 | 124.8 | - | 75.6 | 87.9 | Medium | ||||||
6 | Eini-Zinab H, 2021 | Water & carbon food print; linear & goal programming | Income and Expenditure Survey data 1991–2011 from SCI, Iranians households | Adult male/2800 Kcal | 267.0 | 153.3 | 77.1 | 207.7 | 256.6 | 231.6 | 7.8 | 81.2 | 4.1 | 10.4 | 34.0 | 5.3 | 44.5 | 72.2 | Medium | ||
7 | Soltani A, et al., 2020 | SSM-iCrop2 model Plant production with the Water and Production modules | Demand for products to feed the Country as a function of population, diet, food loss and waste | Population diet/2573 Kcal | 364 | 63 | 109 | 228 | 212 | 190 | 19.1 | 49 | 18 | 25 | 30 | - | 46 | 66 | High | ||
Lebanon | |||||||||||||||||||||
8 | WFP & UNHCR & UNICEF, 2014 | Cash Working Group discussed and endorsed MEB f after consolidation and analyzing | Secondary data on expenditures collected by 17 agencies | WFP ration to meet nutrient needs + 2100 Kcal/month | 70 (+130 Bulgur Wheat) | 50 | 100 | - | 95 | - | 20 | 38 | 20 | 60 | - | 33 | 50 | Medium | |||
9 | WFP & UNHCR & UNICEF, 2014 | Cash Working Group discussed and endorsed SMEB g after consolidation and analyzing | Secondary data on expenditures collected by 17 agencies | WFP vouchers. Quantities to cover 2100 Kcal/day | 130 (Bulgur Wheat) | 50 | 200 | - | - | - | - | 38 | - | 50 | - | 33 | 50 | Medium | |||
10 | El Koury and Hajal. 2016 | FGDs b with the refugees who are classified as vulnerable for the quantitative section, item ratings, and item removal | WFP ration to meet nutrient needs | Minimum Food Expenditure Basket per HH c 2100 Kcal/month (MEB d) | 200 | 50 | 100 | - | 95 | - | 20 | 38 | 30 | 60 | - | 33 | 50 | Medium | |||
11 | El Koury and Hajal. 2016 | FGDs with the refugees who are classified as vulnerable for the quantitative section, item ratings, and item removal, | Based on WFP vouchers | The Survival Minimum Expenditure Basket to cover 2100 Kcal/day (SMEB e) | 130 | 50 | 200 | - | - | - | - | 38 | - | 50 | - | 33 | 50 | Medium | |||
12 | UNHCR, WFP, Save The Children, Relief International, UNICEF, and LOUISE, 2020 | Based on the Survival and Minimum Food Expenditure Basket defined by WFP to meet the minimum nutritional and caloric requirements | Refugee populations in Lebanon | Required NFIs per households of five persons to cover 2100 Kcal/day | 220 +60 (Brown Bulgur) | 65 | 90 | 60 | 20 (Tomato paste) + 10 (Canned Green Pea) + 100 (Cabbage) + 20 (Carrot) | 60 | 10 (Powder Milk) + 10 (Canned Cheese) | 10 | 10 | 10 | 10 | 30 (Lentie) + 10 (White Bean) + 20 (Chickpea) | - | 17 | 20 | High | |
Pakistan/Afghanistan | |||||||||||||||||||||
13 | Rubin V, 2011 | Focus group discussion was done to identify ‘normal consumption patterns and identify key dietary boundaries (LOCAN Diet) g, Pakistan | Market surveys to identify the lowest cost diet that meets the needs for energy and micronutrients CMWG h by | Family includes 2 adults (1 man and 1 woman), and 5 children (Daily Quantity (g)) | 47.3 | - | 184.8 | - | 302.7 | - | 269 | - | 15.7 | - | - | 21.1 | - | 36.6 | 18 | Medium | |
14 | Ministry of Planning, Development and Reform Planning Commission, 2016 | Estimating the cost of the nutritious diet (CoD) and a staple adjusted nutritious diet by the COD software, Pakistan | The Household Integrated Economic Survey HIES) 2013–2014 | The edible weight and cost of the selected food for family of 6 (the whole year)/average energy need of 2350 Kcal | 359.8 | - | - | - | 301.2 | 6.2 | 297.4 | - | 35.3 | 137.6 | - | 2.3 | 5.9 | Medium | |||
15 | Dizon et al., 2019 | CoRD i of achieving the recommended diet based on FBDGs in Afghanistan and Pakistan | The price of each food item and information on FBDGs j | An average adult man/99% 2725 Kcal | Min | 280 | 300 | 107 | 200 | 50–90 | 70 | - | 30 | - | High | ||||||
Max | 533 | 433 | 213 | 300 | 120–200 | 107 | 60 | ||||||||||||||
Yemen | |||||||||||||||||||||
16 | CMWG h, 2017 | Multi-sectoral market assessment, which covered 97 districts in 12 Governorates | What an average family of seven in Yemen would need, as a minimum, to survive for one month | SMEB (grams/per person/per day) for 1663 Kcal energy need (80% of the monthly household food needs) | 357 | - | - | - | - | - | - | - | - | - | - | 48 | - | 38 | 12 | Medium | |
17 | Food Security and Agriculture Cluster (FSAC), 2019 | A series of technical working group meetings | The food commodities market price data | SMEB) for 1676 Kcal energy need (80% of the monthly household food needs) | 312 | - | - | - | - | - | - | - | - | - | - | 45 | - | 38 | 14 | Medium | |
Syria | |||||||||||||||||||||
18 | Cash Based Responses Technical Working Group Syria, 2014 | Basic survival commodities as a criterion & standardized process for determining the value of the SMEB | Food commodities in northern Syria | Recommended daily energy requirements of 2100 Kcals per person per day | 200 | 80 | 100 | - | 30 | - | - | 30 | 30 | 100 | - | 40 | 25 | Medium | |||
Iraq | |||||||||||||||||||||
19 | Cash Working Group, 2018 | The analysis on the single items, the review of available data and the Joint Price Monitoring data | Using vulnerability assessment data on the monthly expenditures of an average household of 6 individuals | The Survival Minimum Expenditure Basket (SMEB) for covering 2100 Kcal | 227.7 | - | 227.7 | - | - | - | - | - | - | 61 | - | 33.3 | 33.3 | Medium | |||
Jordan | |||||||||||||||||||||
20 | UNHCR f, 2019 | Based on the nutritional value that key commodities provide | Data from the parents of children attending formal schools, extreme/overrated values | SMEB for a daily diet of 2100 Kcal (11.6 g of protein and 19.2 g of fat per person/per day | 200 | 50 | 150 | - | 20 | - | 8 | - | 30 | - | 19 | 40 | - | 33 | 33 | Medium |
No. | Author, Date | Designing Method | Source of Data/Population | Results Based on/Energy Provided | Components of Food Basket (Food Groups in g) | Quality of the Study | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Bread | Macaroni/Pasta | Rice | Potato (Starchy Veg) | Vegetable | Fruit | Milk &Dairy Products | Red Meat | Poultry | Fish | Egg | Legume (Pulse) | Nut | Fat&Oil | Sugar &Sweet | ||||||
Nutrition Guidelines | ||||||||||||||||||||
1 | UN Refugee Agency (UNHCR), 1995 | Recommended ration for the classic full food basket | Refugees or displaced people | The Survival Minimum Expenditure Basket to cover 2261 Kcal/day | 400 (Cereal: maize) + 100 (Fortified Cereal Blend: corn soya blend) | - | - | - | - | - | - | - | - | 60 | - | 25 | 15 | Medium | ||
Minimum expenditure basket | ||||||||||||||||||||
2 | World Food Program (WFP), 2020 | Hybrid approach (mix of an expenditure-based and a rights-based approach) | Crisis-affected populations | Scaling to 2100 kcal per person per day, with 10–12 percent of daily energy intake from protein and 17 percent from fats | 424 | - | 182 | 6 | 1 | 81 | - | 24 | - | 33 | 6 | High | ||||
Global Healthy Reference Diet | ||||||||||||||||||||
3 | Willet et al., 2019 | Meeting all requirements of 20 essential nutrients | Generally healthy individuals aged 2 years and older | A healthy 60 kg woman at 30 years old, in energy balance at 2503 kcal per day | 232 | 50 (0–100) | 300 (200–600) | 200 (100–300) | 250 (0–500) | 14 (0–28) | 29 (0–58) | 28 (0–100) | 13 (0–25) | 75 (0–100) | 50 (0–75) | 51.8 (20–91.8) | 31 (0–31) | High |
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Pourghaderi, M.; Houshiarrad, A.; Abdollahi, M.; Al-Jawaldeh, A.; Esfarjani, F.; Khoshfetrat, M.-R.; Fadavi, G.; Mohammadi-Nasrabadi, F. A Systematic Review on Food Baskets Recommended in the Eastern Mediterranean Region. Sustainability 2023, 15, 14781. https://doi.org/10.3390/su152014781
Pourghaderi M, Houshiarrad A, Abdollahi M, Al-Jawaldeh A, Esfarjani F, Khoshfetrat M-R, Fadavi G, Mohammadi-Nasrabadi F. A Systematic Review on Food Baskets Recommended in the Eastern Mediterranean Region. Sustainability. 2023; 15(20):14781. https://doi.org/10.3390/su152014781
Chicago/Turabian StylePourghaderi, Mona, Anahita Houshiarrad, Morteza Abdollahi, Ayoub Al-Jawaldeh, Fatemeh Esfarjani, Mohammad-Reza Khoshfetrat, Ghasem Fadavi, and Fatemeh Mohammadi-Nasrabadi. 2023. "A Systematic Review on Food Baskets Recommended in the Eastern Mediterranean Region" Sustainability 15, no. 20: 14781. https://doi.org/10.3390/su152014781