scholarly journals Depression among women of reproductive age in rural Bangladesh is linked to food security, diets and nutrition

2020 ◽  
Vol 23 (4) ◽  
pp. 660-673 ◽  
Author(s):  
Thalia M Sparling ◽  
Jillian L Waid ◽  
Amanda S Wendt ◽  
Sabine Gabrysch

AbstractObjective:To quantify the relationship between screening positive for depression and several indicators of the food and nutrition environment in Bangladesh.Design:We used cross-sectional data from the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) trial in Bangladesh to examine the association of depression in non-peripartum (NPW) and peripartum women (PW) with food and nutrition security using multivariable logistic regression and dominance analysis.Setting:Rural north-eastern Bangladesh.Participants:Women of reproductive age.Results:Of 2599 women, 40 % were pregnant or up to 1 year postpartum, while 60 % were not peripartum. Overall, 20 % of women screened positive for major depression. In the dominance analysis, indicators of food and nutrition security were among the strongest explanatory factors of depression. Food insecurity (HFIAS) and poor household food consumption (FCS) were associated with more than double the odds of depression (HFIAS: NPW OR = 2·74 and PW OR = 3·22; FCS: NPW OR = 2·38 and PW OR = 2·44). Low dietary diversity (<5 food groups) was associated with approximately double the odds of depression in NPW (OR = 1·80) and PW (OR = 1·99). Consumption of dairy, eggs, fish, vitamin A-rich and vitamin C-rich foods was associated with reduced odds of depression. Anaemia was not associated with depression. Low BMI (<18·5 kg/m2) was also associated with depression (NPW: OR = 1·40).Conclusions:Depression among women in Bangladesh was associated with many aspects of food and nutrition security, also after controlling for socio-economic factors. Further investigation into the direction of causality and interventions to improve diets and reduce depression among women in low- and middle-income countries are urgently needed.

Social Change ◽  
2021 ◽  
Vol 51 (3) ◽  
pp. 396-419
Author(s):  
Swati Dutta ◽  
Sunil Kumar Mishra

The level of food diversity in any household is an indicator of its healthy dietary habits. It depends on demographic and socio-economic conditions, geographic location, consumption habits and expenditure, cultural practices, income, food prices and the availability, access and utilisation of food. Against this backdrop, our study analyses the pattern of food consumption, dietary diversity, food frequency and the Recommended Dietary Allowance in 12 villages located in 6 districts of Bihar to understand the socio-economic determinants of a household’s food security. The results show that the diversity of food consumption is mainly dependent on the consumption of cereals across various socio-economic classes. Our analysis also emphasises the importance of schemes like the Public Distribution System which has a positive influence on food security outcomes of a household. The logistic regression results show that if the household belongs to the richest consumption class, with better education levels and more salaried members, then the probability of better food and nutrition security is high. In contrast, the low social status of a household, especially those from a Scheduled Caste background, will reveal reduced household food security.


2016 ◽  
Vol 10 (3) ◽  
pp. 397-413 ◽  
Author(s):  
Anjani Kumar ◽  
Praduman Kumar ◽  
P. K. Joshi

This article examines the status, progress and challenges of managing food and nutrition security in Nepal, one of the least developed countries, by using data from the national living standards surveys conducted jointly by Government of Nepal and World Bank. Nepal, like many other developing countries, is struggling to ensure food and nutrition security. This study analyses the dimensions of food security in terms of availability, access and utilization (nutritional outcome). The analysis shows that the trends in food consumption pattern and nutritional intake have changed significantly overtime. The diversity in dietary pattern has become more apparent over time and the dietary diversity depicts a positive impact on nutritional outcome.


2020 ◽  
Vol 12 (2) ◽  
pp. 522 ◽  
Author(s):  
Gershom Endelani Mwalupaso ◽  
Shangao Wang ◽  
Aseres Mamo Eshetie ◽  
Xu Tian

Improving food and nutrition security in Sub-Saharan Africa’s farm households has become a prominent priority subject for researchers and policymakers alike. Interestingly, it is realized through enhancement in dietary diversity and quality. To this end, better access to food and information is considered a prerequisite. Given that mobile phone coverage offers new prospects for increasing rural households’ access to information, can informatization (mobile phone used as a concrete example) possibly influence dietary diversity and quality? Cross-sectional data collected from farm households in Zambia is used to address this topic by applying the ordinary least square and endogenous switching regression (ESR). Household dietary diversity score was constructed based on a 7-days recall approach to measure consumption patterns. Our robust regression result indicates that mobile phone use positively and significantly influences dietary diversity and quality. Particularly, gender-disaggregated regression reveals that male-headed households have stronger positive associations than their counterparts. We also find that in comparison to non-adopters, adopters consume three more foods weekly. This is attributable to the income gains and increased frequency in information access on account of mobile phone adoption. Conversely, average consumption would increase by two more foods weekly if mobile phones were adopted in non-adopting households. Therefore, our study puts forwards substantial empirical evidence to warrant policy formulation directed at promoting informatization among farm households. Eventually, this could possibly recuperate dynamism in agricultural food production as food and nutrition security in farm households ameliorates.


2019 ◽  
Author(s):  
Grace Waweru ◽  
Peter Chege ◽  
Eunice Njogu

Abstract Background The rapid changes in eating habits and lifestyles in Kenya have resulted to the overweight/obesity transition. Students are likely to make poor food choices which may affect their nutrition status during the beginning of college and this may continue throughout their life. This study aimed to establish the dietary practices, assess nutrition status based on body mass index and the relationship between selected dietary practices and nutrition status of female undergraduate students at Kenyatta University, Kenya. Methods The study adopted a cross-sectional analytical design involving sample of 422 female undergraduate students randomly selected from Kenyatta University. Food Frequency Questionnaire and the Minimum Dietary Diversity – Women were used to assess dietary practices. Weight and height were measured to assess the nutrition status of the female students. Results The results showed that 64.0% of the participants had consumed ≥ 5 food groups while 36% had consumed <5 food groups over a period of 24 hours. In terms of nutrition status, 68.4% of the participants had normal BMI while 23.9% were overweight, 5.55% were underweight and 2.3% were obese. MDDS-W was significantly associated with nutrition status (p=0.044). Conclusion The results illustrated unhealthy eating habits and sub-optimal nutrition status among a significant number of the female students. Policy makers should scale up interventions that would help improve dietary practices of women of reproductive age particularly university students.


2018 ◽  
Vol 27 (1) ◽  
pp. 36-40
Author(s):  
Razia Sultana ◽  
Syeda Rumana Hoque ◽  
Umme Jamila Akter Manni ◽  
Md Motlabur Rahman ◽  
Pankaj Kanti Datta ◽  
...  

Background/context: Dietary diversity (DD) is universally recognized as a key component of healthy diets. Healthy diet is one of the most important determinants that can influence nutritional status of women of reproductive age. Materials and Methods: This cross sectional study was conducted in Shitpara village of Sreepur Upazila under Gazipur district during February to June 2013 to assess the dietary diversity and nutritional status of women of reproductive age. Convenient sampling technique was adopted to select 181 women. Interview schedule & checklist used as research instrument. Results: The mean(+/-s.d.)age of the respondents was 27.45+/-9.38 years, 133(80%) of them were married and 176(97.2%) are literate. Mean family size was 5.34+/- 2.386 persons and mean family income was 9611.05 Taka per month. Among 133 married women, 68(51%) have 2 or less than two children. Their mean(+/-s.d.) dietary diversity score was 5.13+/- 1.19 and majority 149(82%) of them having medium dietary diversity tercile (4-6). All of them ate carbohydrate types of food, 174(96.1%) protein rich foods & 83(45.9%) vit.A rich vegetables & fruits. Their mean BMI was 22.35 +/- 3.71 kg/ m2. Majority 118 (65%) of them having normal BMI and 22(12%) are under weight. Only 6(3%) of them are obese. Thoughdietary diversity was medium (4-6); relationship between dietary diversity and nutritional status could not be established. Conclusion:The qualitative measurement of dietary diversity is not sufficient enough to identify women at risk of under- or over nutrition. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 36-40


Author(s):  
Denison Tamale ◽  
Grace Kagoro-Rugunda

Background: Understanding dietary diversity of women of reproductive age (WRA) is vital for better nutritional interventions of their health and that of unborn. Most diets consumed are macronutrient dense which leads to micronutrient deficiencies like neural tube defects (NTDs).Thirty three babies were born with NTDs at Mbarara Regional Referral Hospital during 2016 and 2017 for reasons among which is folate deficiency. Folate can be derived cheaply from green vegetable consumption before antenatal visits. The study’s objective was to assess dietary diversity of WRA (15-49 years) living within Mbarara district.Methods: A cross sectional study was conducted for three months using a translated dietary diversity questionnaire from Food and Agricultural Organisation. Applying a 24 h recall method at various intervals of feeding, 402 WRA living within three constituencies of Mbarara district were randomly selected to participate.Results: 70.1% of WRA attained high Individual dietary diversity score (IDDS) of (≥6). 45.1% consumed folate rich plant and animal sources. 4.8%, 8.4%, and 17.6% consumed dark green leafy vegetables, vitamin rich fruits and animal sources respectively. Education, constituency of residence and occupation had a significant association with IDDS of P≤0.05 (0.000, 0.004, 0.030) respectively. WRA who scored IDDS≥6, 58.2% attained at least secondary education, 51.1% lived in urban constituency and 47.5% were working. 30% consumed starchy staple groups, though at 15.8% legumes, nuts and seeds group was most consumed.Conclusions: Low intake of folate rich sources was noted, though many WRA consumed diverse diets therefore, education and employment are suitable interventions.


BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nega Assefa ◽  
Yasir Y. Abdullahi ◽  
Aklilu Abraham ◽  
Elena C. Hemler ◽  
Isabel Madzorera ◽  
...  

Abstract Background Dietary folate inadequacy is one the most common micronutrient deficiencies that cause neural tube defect (NTD) among infants in Sub-Saharan African countries. This study aims to determine the dietary intake of folate among women of reproductive age (WRA) of Kersa, Eastern Ethiopia. Methods A cross-sectional study took place among voluntary women that were selected from 1140 random households. Using a validated Food Frequency Questionnaire, participant’s weekly dietary intake history of Ethiopian foods and dietary folate intake was worked out. Statistical analysis was done at a 95% confidence interval. Modified Poisson regression was used to identify factors associated with dietary folate consumption. Result The estimated median usual intake of folate was 170 μg/d (IQR: 118.3; 252.2) and about 33% of WRA had low folate intake and 73.9% were at risk for folate inadequacy. From the reported food groups, Beans and Peas, Starchy staples, and Vitamin-A rich dark-green leafy vegetables were the top three ranked foods that contributed much of the dietary folate. The following conditions were statistically related to dietary folate inadequacy; women’s age, being in poor wealth index, low dietary diversity, having seasonal employment, and reliance on market food sources. Conclusions We found that women’s dietary intake of folate in Kersa is very low and cannot protect their offspring from the risk of having NTD. They could also potentially be predisposed to poor health outcomes. Diversifying and fortification of Ethiopian wheats and salts could decrease the burden of folate deficiency in the country.


2021 ◽  
Vol 21 (103) ◽  
pp. 18474-18500
Author(s):  
Christopher Muggaga ◽  
◽  
D Ongeng ◽  
B Mugonola ◽  
I Okello-Uma ◽  
...  

Optimal nutrition and good feeding of infants and young children are among the most important determinants of their health, growth and development. Due to unimodal climate in Karamoja sub-region, north eastern Uganda, achieving food security remains a development challenge in the area impacting negatively on the nutrition and health status of infants and young children. The current study, therefore, is important in providing the basis for season-based interventions to improve food and nutrition security in Karamoja sub-region. A longitudinal study involving 267 lactating mothers during harvesting season and 380 during planting season was conducted. Data were collected using Individual level Dietary Diversity questionnaire, 24-Hour Dietary Recall, and Anthropometry and were analyzed statistically. The findings indicated that except Abim district, 77.8-97.8%of the lactating mothers never attended school; 75-100% depend on subsistence farming. Lactating mothers (29.9-41.9%) introduced complementary foods to their infants at 6 months, while the age at first introduction of any food to the infant was mostly between 4-6 months. Dietary quality of complementary foods was low across all the districts; 6.7-38.9% of the children ate foods from four or more of the seven food groups in the previous day (Minimum Dietary Diversity) in both seasons. Complementary foods were characterized by plant food sources. With exception of milk and milk products, proportion of children who consumed animal-sourced foods was low, ranging from 0% in meats to 8.9% in fish and sea foods. Energy and nutrient intakes varied according to age groups of the children across districts and season. The proportion of children below -2 Z-score also varied according to districts and it is generally higher during the planting season than the harvesting season. The median of the z-scores for height-for age and Mid Upper Arm Circumference for age ranged from -1 to -2.5. In conclusion, there were variations and disparities in dietary diversity, energy and nutrient intake as well as nutrition status of infants and young children across season and districts in Karamoja sub-region of Uganda. Therefore, interventions to combat malnutrition among children 0-3 years need to take into account seasonal variations for each of the geographical locations in Karamoja sub-region.


2019 ◽  
Vol 17 (4) ◽  
pp. 574-582
Author(s):  
Sunjina Noor Ria ◽  
Khandaker Md. Mostafizur Rahman ◽  
Mohammad Mujaffar Hossain ◽  
Md Shihab Rana

This study aims at assessing and analyzing the core food security indicators to enhance food and nutrition security of enclave people. A survey was conducted using structured questionnaire covering 120 households. Primary data were collected during July to December 2018. Middle aged persons are found to be the heads of households, average age is 48.87 years, family size is 4.38 persons, average education of household’s head is 3.55 years of schooling and dependency ratio is 0.67. The total value of family assets before enclave exchange was BDT 124752 and after enclave exchange it becomes BDT 178177. Their total land area before and after enclave exchange are respectively 75.85 and 77.60 decimal. Average annual family income is BDT 114799. Total income increases significantly with the increase in income from agriculture and labor selling activities. The yearly family expenditure increases significantly with the increase in food expenditure and total land size. The annual family expenditure is BDT 134363. Average daily per capita consumptions of rice, potato, vegetables and all food items are respectively 417.59, 75.35, 114.06 and 792.06g. Daily per capita calorie and protein intakes are respectively 1788 kcal and 55 g which are relatively lower compared to the national level. People consume almost all 12 categories of food items and average household dietary diversity score is 11.50. Food security decreases with the increase in family size and increases with the increase in food cost. Absolute poverty is 89% and hard-core poverty is 55% on the basis of direct calorie intake method. Absolute and hard-core poverty are 68% and 52% respectively on the basis of cost of basic needs method. As a policy option, the government should support and take the development initiatives of people, enhance food security status and upscale the nutrition condition of people living in the enclave. J Bangladesh Agril Univ 17(4): 574–582, 2019


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