Gender differences in "luxury food intake" owing to temporal distribution of eating occasions among adults of Hindu communities in lowland Nepal.

Our previous studies in developing countries have indicated that gender differences in intake of luxury foods incur risk of micronutrient deficiencies among women. As the next step, we examined the causes of gender differences in food intake by comparing eating patterns, including meal frequency (skipping) and temporal distribution of food consumption throughout the day among adults of Hindu communities in lowland Nepal. A total of 321 adults (126 men and 195 women) aged 20 years and above were randomly selected from 94 households in three rural communities. A face-to-face questionnaire-based 24-hour dietary recall interview was conducted whereby foods eaten throughout the six eating occasions (morning snack, breakfast, lunch, daytime snack, dinner, and evening snack) were recorded and analyzed. Results shows that men frequently skipped lunch (p <0.001), they also frequently consume daytime snack (p <0.001), and consumed purchased luxury foods such as tea with sugar and milk (p = 0.008) and samosa (p = 0.049) as daytime snack. The six-eating occasion analysis revealed that gender differences in food intake of rural Nepalese adults occurred during lunch and daytime snack, attributing to gender differences in daily activity patterns.