Seasonal Fluctuations in MDD-W and Nutrient Dense Food Group Intakes of Women's Diets in Rural Zambia and Malawi (P10-137-19)

Abstract Objectives To study seasonal variation in minimum dietary diversity of women (MDD-W) and food group intake for women of reproductive age (WRA) living in rural Zambia and Malawi where the effect of seasonal agricultural production and seasonal food availability on dietary diversity is likely to be high. Methods 200 WRA living in Chitipa District, Malawi (n = 100) and Luwingu District, Zambia (n = 100) provided informed consent and were enrolled in a panel study. Households with at least one woman between age 15–49 were randomly selected. A dietary diversity questionnaire was administered every-other month for six rounds, from September 2017 to July 2018. MDD-W was calculated as the proportion of women consuming five or more out of ten food groups. Percent of women consuming each food group by round was also calculated. Chi square was used to test the difference in MDD-W across rounds. Results There was significant seasonal difference in the percentage of women achieving MDD-W. Lowest and highest proportion of WRA meeting MDD-W was 18% and 79% in Malawi (P < 0.05) and 28% and 70% in Zambia (P < 0.05). MDD-W followed expected variation, peaking in the season of greatest food abundance and lowering during the “lean” season. The food groups grains and tubers, dark green leafy vegetables and other vegetables dominate women's diets. Small fish species are the most commonly consumed flesh food, although availability and consumption decrease seasonally due to cold weather and annual fish bans. Vitamin-A rich fruits and vegetables, other fruit, and nuts and seeds are highly seasonal. Dairy and eggs are rarely consumed. Conclusions Significant seasonal fluctuations in the proportion of WRA achieving MDD-W exist. This has implications for project monitoring and evaluation. Periods of abundance and scarcity for nutritionally important food groups were demonstrated. Attention should be given to improved nutrition-sensitive processing, storage and access to nutrient dense food groups affected by seasonal fluctuations. Funding Sources Research was funded by the International Fund for Agricultural Development (IFAD) with project partners McGill University, WorldFish, Bioversity International, Self Help Africa, University of Zambia, SPRODETA and the LUANAR and by the CGIAR research program on Agriculture for Nutrition and Health.

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Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) Data Collection: Validity of the List-Based and Open Recall Methods as Compared to Weighed Food Record

Nutrients ◽

10.3390/nu12072039 ◽

2020 ◽

Vol 12 (7) ◽

pp. 2039 ◽

Cited By ~ 2

Author(s):

Giles T. Hanley-Cook ◽

Ji Yen A. Tung ◽

Isabela F. Sattamini ◽

Pamela A. Marinda ◽

Kong Thong ◽

...

Keyword(s):

Data Collection ◽

Dietary Diversity ◽

Weighted Kappa ◽

Food Group ◽

Reproductive Age ◽

Food Groups ◽

Women Of Reproductive Age ◽

Group Diversity ◽

Minimum Dietary Diversity ◽

Recall Methods

Minimum dietary diversity for women of reproductive age (MDD-W) was validated as a population-level proxy of micronutrient adequacy, with indicator data collection proposed as either list-based or open recall. No study has assessed the validity of these two non-quantitative proxy methods against weighed food records (WFR). We assessed the measurement agreement of list-based and open recall methods as compared to WFR (i.e., reference method of individual quantitative dietary assessment) for achieving MDD-W and an ordinal food group diversity score. Applying a non-inferiority design, data were collected from non-pregnant women of reproductive age in Cambodia (n = 430), Ethiopia (n = 431), and Zambia (n = 476). For the pooled sample (n = 1337), proportions achieving MDD-W from both proxy methods were compared to WFR proportion by McNemar’s chi-square tests, Cohen’s kappa, and receiver operating characteristic (ROC) analysis. Ordinal food group diversity (0–10) was compared by Wilcoxon matched-pairs signed-rank tests, intraclass correlation coefficients (ICC), and weighted kappa. MDD-W food groups that were most frequently misreported (i.e., type I and II errors) by the proxy methods were determined. Our findings indicate statistically significant differences in proportions achieving MDD-W, ordinal food group diversity scores, and ROC curves between both proxy methods and WFR (p < 0.001). List-based and open recall methods overreported women achieving MDD-W by 16 and 10 percentage points, respectively, as compared to WFR (proportion achieving MDD-W: 30%). ICC values between list-based or open recall and WFR were 0.50 and 0.55, respectively. Simple and weighted kappa values both indicated moderate agreement between list-based or open recall against WFR. Food groups most likely to be misreported using proxy methods were beans and peas, dark green leafy vegetables, vitamin A-rich fruit and vegetables, and other fruits. Our study provides statistical evidence for overreporting of both list-based and open recall methods for assessing prevalence of MDD-W or ordinal food group diversity score in women of reproductive age in low- and middle-income countries. Operationalizing MDD-W through qualitative recall methods should consider potential trade-offs between accuracy and simplicity.

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Dietary diversity and its determinants among Khasi and Garo indigenous women (15 to 49 years) in Meghalaya, northeast India

Nutrition and Health ◽

10.1177/02601060211016629 ◽

2021 ◽

pp. 026010602110166

Author(s):

Melari Shisha Nongrum ◽

Lukas Pawera ◽

Bhogtoram Mawroh

Keyword(s):

Local Food ◽

Dietary Diversity ◽

Indigenous Women ◽

Reproductive Age ◽

Leafy Vegetables ◽

Food Plants ◽

Inverse Association ◽

Food Groups ◽

The Mean ◽

Minimum Dietary Diversity

Background: Despite generally high agrobiodiversity, the Khasi and Garo indigenous people in Meghalaya have poor nutritional status among children and women. Aim: To assess the dietary diversity of the Khasi and Garo indigenous women of reproductive age in Meghalaya, while examining the associated factors that affect it and to map the diversity of local food plants. Methods: A dietary survey was conducted through 24-hour recall with 276 women from 28 villages of Meghalaya. The mapping of local food plants was conducted through key informant interviews and focus group discussions in the same villages. Results: The mean minimum dietary diversity for women is 4.22 (SD ±1.26); with one-third (37%) of the women attaining a minimum dietary diversity of five or more food groups in a day. There were significant differences in the dietary diversity among the indigenous groups, the Garo community attaining higher minimum dietary diversity for women. There was also an inverse association between the number of land uses and dietary diversity. The mean number of food plants (including crop varieties) found in each village is 203 (SD±45.7). Conclusions: There is potential to enhance dietary diversity through diversifying lesser consumed crops such as vitamin A-rich vegetables and fruits, nuts, seeds and green leafy vegetables in existing land holdings. Also, proper management and access to the commons will provide a sustainable resource base for diet and food security, enhance dietary diversity and bridge the hidden hunger among children and women.

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Diet Diversity to Assess Diet Quality of Pre-Conception Women in Bekasi, West Java

Journal of Global Nutrition ◽

10.53823/jgn.v1i1.16 ◽

2021 ◽

Vol 1 (1) ◽

pp. 46-55

Author(s):

Arindah Nur Sartika ◽

Tri Marta Fadhilah

Keyword(s):

Nutritional Status ◽

Diet Quality ◽

Dietary Diversity ◽

Food Group ◽

Reproductive Age ◽

Food Groups ◽

West Java ◽

Diet Diversity ◽

Total Food

Pre-conception women have important role to determine children nutritional status. Children with good nutritional status are born from mothers who have good diet. Diversified diet also can prevent woman to suffer from chronic energy malnutrition and anemia during pregnancy. This study aims to assess diet quality of pre-conception women in Kota Bekasi, West Java. The study conducted as observational study design, specifically using cross sectional approach. About 105 “bride to be” from 8 Religious Affairs Office in Kota Bekasi, West Java, Indonesia was joined the study. Respondents were interviewed with structured questionnaire consist of social economic characteristics and dietary intake. Dietary assessment was done using 24-h food recall to fill Minimum Dietary Diversity for Women of reproductive Age (MDD-W) questionnaire. The result showed out of 10 food groups, median consumption of food groups consumed by respondents was 4 food groups, also as the highest proportion of total food group (36.19%), followed by 5 food groups (25.71%), and 3 food groups (21.90%). Maximum score of dietary diversity is 8 (0.95%), and minimun score is 2 (3.81%). Meanwhile, most consumed food group was staple foods (99.05%). Nuts and seeds were the least proportion of food group (3.81%) consumed by respondents. There was around one-third (38.10%) of the respondents consumed total food group below recommended score (<5). Diet diversity of pre-conception women should be improved. To prevent from malnutrition, pre-conception women are suggested to vary their diet. Nutrition education during premarital class/ consultation is recommended.

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Inadequate Dietary Intakes: Among Pregnant Women

Canadian Journal of Dietetic Practice and Research ◽

10.3148/73.2.2012.72 ◽

2012 ◽

Vol 73 (2) ◽

pp. 72-77 ◽

Cited By ~ 17

Author(s):

Jennifer K. Fowler ◽

Susan E. Evers ◽

M. Karen Campbell

Keyword(s):

Pregnant Women ◽

Food Group ◽

Reproductive Age ◽

Dietary Intakes ◽

Food Groups ◽

Eating Behaviours ◽

Prenatal Health ◽

Canadian City ◽

Minimum Number ◽

Health Project

Purpose: Eating behaviours were assessed among pregnant women in a mid-sized Canadian city. Methods: As part of the Prenatal Health Project, we interviewed 2313 pregnant women in London, Ontario. Subjects also completed a food frequency questionnaire. Recruitment took place in ultrasound clinics at 10 to 22 weeks of gestation. The main outcome measures were number of daily servings for each food group, measured against the minimum number recommended by the 2007 Eating Well with Canada’s Food Guide (CFG), the proportion of women consuming the recommended number of servings for each and all of the four food groups, and factors associated with adequate consumption. We also determined the number of servings of “other foods.” Analysis included descriptive statistics and logistic regression, all at p<0.05. Results: A total of 3.5% of women consumed the recommended number of servings for all four food groups; 15.3% did not consume the minimum number of servings of foods for any of the four food groups. Women for whom this was their first pregnancy were less likely to consume the recommended number of servings from all four food groups (odds ratio=0.41; confidence interval=0.23, 0.74). Conclusions: Very few pregnant women consumed food group servings consistent with the 2007 recommendations. Strategies to improve dietary behaviours must focus on the establishment of healthy eating behaviours among women of reproductive age.

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Impact of Adopting Improved Seeds on Access to Broader Food Groups Among Small-Scale Sorghum Producers in Tanzania

SAGE Open ◽

10.1177/2158244020979992 ◽

2021 ◽

Vol 11 (1) ◽

pp. 215824402097999

Author(s):

Aloyce R. Kaliba ◽

Anne G. Gongwe ◽

Kizito Mazvimavi ◽

Ashagre Yigletu

Keyword(s):

Food Security ◽

Dietary Diversity ◽

Sampling Technique ◽

Inverse Probability Weighting ◽

Reproductive Age ◽

Small Scale ◽

Probability Weighting ◽

Food Groups ◽

Inverse Probability ◽

Double Robust

In this study, we use double-robust estimators (i.e., inverse probability weighting and inverse probability weighting with regression adjustment) to quantify the effect of adopting climate-adaptive improved sorghum varieties on household and women dietary diversity scores in Tanzania. The two indicators, respectively, measure access to broader food groups and micronutrient and macronutrient availability among children and women of reproductive age. The selection of sample households was through a multistage sampling technique, and the population was all households in the sorghum-producing regions of Central, Northern, and Northwestern Tanzania. Before data collection, enumerators took part in a 1-week training workshop and later collected data from 822 respondents using a structured questionnaire. The main results from the study show that the adoption of improved sorghum seeds has a positive effect on both household and women dietary diversity scores. Access to quality food groups improves nutritional status, food security adequacy, and general welfare of small-scale farmers in developing countries. Agricultural projects that enhance access to improved seeds are, therefore, likely to generate a positive and sustainable effect on food security and poverty alleviation in sorghum-producing regions of Tanzania.

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Dietary Diversity in Cambodian Garment Workers: The Role of Free Lunch Provision

Nutrients ◽

10.3390/nu10081010 ◽

2018 ◽

Vol 10 (8) ◽

pp. 1010 ◽

Cited By ~ 2

Author(s):

Jan Makurat ◽

Eleonore Kretz ◽

Frank Wieringa ◽

Chhoun Chamnan ◽

Michael Krawinkel

Keyword(s):

Vitamin A ◽

Dietary Intake ◽

Dietary Diversity ◽

Controlled Trial ◽

Leafy Vegetables ◽

Food Groups ◽

Green Leafy Vegetables ◽

Garment Workers ◽

Dark Green ◽

Randomised Controlled

The objective of this paper is to compare food consumption by Cambodian garment workers with and without access to a free model lunch provision through a factory-based canteen. Data from an exploratory randomised controlled trial were analysed. In total, 223 female Cambodian garment workers were allocated to an intervention arm (six-month lunch provision) or a control arm. Dietary intake on workdays was assessed by qualitative 24-h recalls at baseline and twice at follow-ups during the period of lunch provision using the Food and Agricultural Organization (FAO) guideline on assessing women’s dietary diversity. In total, 158 participants provided complete data on the dietary intake over workdays at all interviews. Lunch provision resulted in a more frequent consumption of dark green leafy vegetables (DGLV), vitamin A-rich fruits, other fruits, and oils and fats during lunch breaks. In contrast, flesh meats, legumes, nuts and seeds, as well as sweets, were eaten at a lower frequency. Except for a higher consumption rate of vitamin A-rich fruits and a lower intake frequency of sweets, lunch provision had a less clear impact on total 24-h intake from different food groups and was not associated with a higher women’s dietary diversity score (WDDS). A more gap-oriented design of the lunch sets taking into account underutilised foods and the nutritional status of the workers is recommended.

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Income Level but Not Nutrition Knowledge Is Associated with Dietary Diversity of Rural Pregnant Women from Northern Ghana

Journal of Nutrition and Metabolism ◽

10.1155/2021/5581445 ◽

2021 ◽

Vol 2021 ◽

pp. 1-7

Author(s):

Emmanuel Amoako Agyei ◽

Stephen Kofi Afrifa ◽

Adam Munkaila ◽

Patience Kanyiri Gaa ◽

Eugene Dogkotenge Kuugbee ◽

...

Keyword(s):

Vitamin A ◽

Pregnant Women ◽

Low Birthweight ◽

Dietary Diversity ◽

Nutrition Knowledge ◽

Rural District ◽

Leafy Vegetables ◽

Northern Ghana ◽

Food Groups ◽

Essential Nutrients

Essential nutrients are necessary for reducing the risk of maternal mortality, prenatal mortality, and low-birthweight infants. Dietary diversity can play an important role in supplying essential nutrients to both the mother and the foetus. We evaluated nutrition knowledge, attitudes, and dietary diversity of pregnant women. In addition, we investigated the sociodemographic determinants of dietary diversity among pregnant women from a rural district in Ghana. Participants were pregnant women receiving antenatal care from a rural district hospital in Ghana. Dietary diversity was measured using a 24-hour dietary recall questionnaire. Multiple linear regression was used to determine the sociodemographic characteristics of dietary diversity. About 85% of the pregnant women knew that they should eat more in comparison to nonpregnant women, and only 16.9% knew the importance of folic acid supplementation during pregnancy. Mean (SD) dietary diversity score of the participants was 5.27 (1.35), 85.4% did not consume any fruits, and 82.3% did not take milk and milk products. Almost all participants took at least one food item in the starchy staples and green leafy vegetables food groups. Moreover, 53% consumed vitamin A-rich fruits, vegetables, and tubers; 7.7% organ meats; and 30.8% eggs. Those who earned a monthly income of ≥GHC 500 or US$ 87 (B = 1.82; 0.90–2.73; p < 0.001 ) significantly had higher dietary diversity scores compared to those who earned less. Dietary diversity of the pregnant women was suboptimal. The consumption of vitamin A- and iron-rich foods was inadequate. Income was an important determinant of the dietary diversity of pregnant women from Northern rural Ghana.

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Dietary Practices of Men in Bangladesh: Evidence from the National Nutrition Surveillance

Current Developments in Nutrition ◽

10.1093/cdn/nzaa046_049 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 549-549

Author(s):

Malay Mridha ◽

Abu Ahmed Shamim ◽

Md Mokbul Hossain ◽

Mehedi Hasan ◽

Abu Abdullah Mohammad Hanif ◽

...

Keyword(s):

Fruits And Vegetables ◽

Dietary Diversity ◽

Leafy Vegetables ◽

Food Groups ◽

Dietary Practices ◽

Factors Associated ◽

Adult Men ◽

The Past ◽

Fruits And Vegetables Intake ◽

Slum Areas

Abstract Objectives Bangladesh has a paucity of information about the dietary practices of adult men. In the recently completed round of the national nutrition surveillance (NNS 2018–2019), we explored the dietary practices of adult men and factors associated with insufficient dietary diversity (IDD) and insufficient intake of fruits and vegetables. Methods In the NNS, between October 2018 and 2019, we collected data from from 82 clusters (57 rural, 15 non-slum urban, and 10 slums) selected using multistage cluster sampling. In these clusters we interviewed and took physical measurements of 4904 20–59 years old men (3471 in rural, 832 in urban, and 601 in slum). We used minimum dietary diversity for women (MDD-W) questionnaire to collect dietary data. IDD was defined as consumption of < 5 food groups out of 10 food groups, and insufficient fruits and vegetables intake was defined as consumption of < 5 servings of fruits and vegetables in the past 24 hours. Results The prevalence of IDD was 53% (54% in rural, 42% in non-slum urban, and 56% in slum areas) among the adult men. In the past 24 hours, 73% consumed meat/fish/poultry, 28% consumed eggs, and 22% consumed dairy products. The consumption of dark green leafy vegetables, vitamin A rich fuits and vegetables, other vegetables, other fruits was 34%, 22%, 73%, and 37%, respectively. Among the respondents, 27% had savory snacks, 52% had sweets, and 75% had sugary drinks. The prevalence of insufficient fruits and vegetables intake was 86% (83% in rural, 92% in non-slum urban and 93% in slum areas). IDD was associated with education (partial secondary education: Adjusted odds ratio (AOR) 0.67, P < 0.001; ≥10 years of schooling: AOR 0.48, P < 0.001), and sufficient intake of fruits and vegetables (AOR 0.82, P = 0.022). On the other hand, insufficient fruits and vegetables intake was associated with IDD (AOR 1.23, P = 0.014), hypertension (AOR 0.77, P = 0.020) and adequate physical activity (AOR 0.46, P < 0.001). Conclusions More than half of the men aged 20–59 years consume an inadequately diversified diet in Bangladesh and 86% had insufficient intake of fruits and vegetables. This study identified a number of factors associated with IDD, and insufficient intake of fruits and vegetables. The government of Bangladesh should address them while developing interventions to improve nutrition. Funding Sources Ministry of Health and Family Welfare, Bangladesh.

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Pattern and Extent of Street Food Consumption in Hohoe, Volta Region, Ghana: A Community-Based Cross-Sectional Survey

Journal of Food Quality ◽

10.1155/2020/7131847 ◽

2020 ◽

Vol 2020 ◽

pp. 1-7

Author(s):

Winnifred Ekua Baidoe ◽

Mark Kwame Ananga ◽

Elorm Kwame Nyinaku

Keyword(s):

Food Consumption ◽

Dietary Diversity ◽

Sampling Technique ◽

Food Group ◽

Daily Basis ◽

Food Groups ◽

Cross Sectional Survey ◽

Chi Square ◽

Cross Sectional ◽

Street Food

Background. For most people in developing countries, street food is a major source of sustenance, and Ghana is no exception. Street food vending has seen tremendous growth in Ghana as a result of the insurgence of urbanisation. Despite being one of the largest sectors of national economy in terms of employment and sales of food, very little is known about street food consumption patterns in Ghana. The current study explored the patterns and extent of street food consumption in the Hohoe township. Methods. A cross-sectional design which recruited 403 subjects through a multistage sampling technique. A semistructured questionnaire was used to gather information on demographics, types of street foods, extent of street food consumption, safety concerns, and diversity of street foods patronised. Means, standard deviations, and Chi-square tests were used to determine the association between selected variables at <0.05 level of significance. Results. The top 5 foods mostly patronised by respondents are porridge foods-Koko (17.9%), rice and stew (17.4%), banku (12.6%), waakye (11.5%), and kenkey (8.7%) with porridge foods consumed almost on a daily basis. Convenience (37.2%) and affordability (17.1%) greatly influenced the choice of street foods among consumers. Occupation and the level of education are strongly correlated with the concern for safety of street foods {(X2 = 17.3094, P<0.008); (X2 = 17.1731, P<0.002)}. The dietary diversity score of most respondents was in the high tercile (77.7%) (≥6 food groups), whilst the cereals dominate the food group mostly consumed by respondents. Conclusion. The study suggests that patronising street food is very high in Hohoe municipality, irrespective of the gender, occupation, or educational level. As an “informal” sector of food business, street foods often escape formal inspection and control. They can, therefore, both be the source of food safety problems and contribute to the deterioration of environmental hygiene. This is a call on policy makers and regulators to take a critical look at the sector.

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

Public Health Nutrition ◽

10.1017/s1368980019003495 ◽

2020 ◽

Vol 23 (4) ◽

pp. 660-673 ◽

Cited By ~ 1

Author(s):

Thalia M Sparling ◽

Jillian L Waid ◽

Amanda S Wendt ◽

Sabine Gabrysch

Keyword(s):

Dietary Diversity ◽

Reproductive Age ◽

Food Groups ◽

Women Of Reproductive Age ◽

Cross Sectional ◽

Middle Income ◽

Dominance Analysis ◽

Food And Nutrition Security ◽

Nutrition Security ◽

Food And Nutrition

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.

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