Scoping review of nutrition intervention and dietary assessment studies in Khmer populations living in Cambodia

J Hum Nutr Diet. 2021 Dec;34(6):953-968. doi: 10.1111/jhn.12932. Epub 2021 Aug 16.

Abstract

Background: This scoping review aims to describe the body of nutrition intervention and dietary assessment research undertaken with Khmer populations in Cambodia, as well as summarise the nutrition knowledge base and highlight priority areas for future research.

Methods: Five databases and the grey literature were searched, following PRISMA-ScR guidelines. Studies involving dietary assessment or nutrition interventions published after 1992 were identified using specific search terms and extracted to a customised data extraction table for categorisation and analysis. Study participants were Khmer people of any age and gender, living in rural or urban Cambodia.

Results: Of the 100 included studies, 58 were dietary assessment only studies, 24 were nutrition interventions only, and 18 studies involved both assessment of intake and an intervention. Sixty-eight percent of study populations were mothers and young children, of which 52 studies focused on children aged under 5 years. Nineteen interventions involved supplementation and six trialled fortification of rice or fish sauce. Anaemia was the most common nutrition condition studied (n = 17), followed by malnutrition (n = 15) and malnutrition risk factors (n = 11). General nutrition status was explored in 25 studies, and individual micronutrients that were studied included iron (n = 27), zinc (n = 6), vitamin A (n = 4) and thiamine (n = 3).

Conclusions: Diet-related research in Khmer populations in Cambodia has predominantly focused on dietary assessment or evaluation of interventions aimed at reducing malnutrition and resolving micronutrient deficiencies. Areas identified as emerging needs included non-communicable diseases, the ageing population and non-iron deficiency anaemia.

Keywords: Cambodia; Khmer; dietary assessment; nutrition intervention; nutrition status; review.

Publication types

  • Systematic Review

MeSH terms

  • Animals
  • Cambodia / epidemiology
  • Child
  • Child, Preschool
  • Female
  • Food, Fortified*
  • Humans
  • Micronutrients
  • Nutrition Assessment*
  • Vitamin A

Substances

  • Micronutrients
  • Vitamin A