scholarly journals Nearly One in Three Lactating Mothers Is Suffering from Inadequate Dietary Diversity in Amhara Region, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Netsanet Fentahun ◽  
Elisabeth Alemu

Background. In developing countries, dietary diversity is a challenge for rural communities especially pregnancy and lactation. Malnourished mothers are unable to combat disease and feed adequate nutrients to their children, and this will in turn affect the socioeconomic development of the country. To date, there is paucity of evidence regarding predictors of dietary diversity among lactating mothers in developing countries. The main objective of this study was to determine the extent and predictors of dietary diversity among lactating mothers in Lay Gayint District, Amhara Region, Ethiopia. Methods. A community-based cross-sectional study design was employed on 416 systematically selected lactating mothers from March 1–30, 2018. The data were collected using pretested interviews. Data were entered and analyzed using SPSS version 21 software. Bivariable and multivariable logistic regression models were used to determine the predictors of dietary diversity. Odds ratio with 95% confidence interval and p ≤ 0.05 were used to test the association. Result. A total of 268 (65.7%) lactating mothers had inadequate dietary diversity. Adequate dietary diversity was significantly associated with mobile phone usage (OR: 2.3; 95% CI: 1.15–4.55); practice of home gardening (OR: 4.1; 95% CI: 1.71–9.87); pulses production (OR: 4.8; 95% CI: 2.50–9.32); delivery in health center (OR: 4.7; 95% CI: 1.80–12.25); food secured household (OR: 2.4; 95% CI: 1.25–4.62); three meals per day within the previous seven days (OR: 11.12; 95% CI: 2.74–45.24); and practice of income generating activity (OR: 4.00; 95% CI: 2–8.33). Conclusion. Meal frequency, home gardening practices, pulses production, delivery at health center, practice of income generating activity, food insecurity, and mobile phone usage had significant association with dietary diversity. Therefore, concerned bodies should design multidimensional livelihood and health service programs to alleviate inadequate dietary diversity.

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Hunegnaw Almaw Derseh ◽  
Liknaw Bewket Zeleke ◽  
Melese Linger Endalifer ◽  
Esmael Ali Muhammad ◽  
Terefe Derso

Introduction. Nutritional status of lactating women is highly linked with the overall nutritional status of population. Undernutrition during lactation results in increased morbidity and mortality to the mother and her child. The literature is dearth regarding to nutrition status of lactating mothers in developing countries such as Ethiopia. Objective. The aim of this study was to assess undernutrition and associated factors among lactating mothers having child 6–23 months in Dega Damot Woreda, Northwest Ethiopia. Methods. A community-based cross-sectional study was conducted from March 21 to April 19, 2018. Simple random sampling technique was employed to recruit a total of 733 participants. Data were collected by using an interview-administered questionnaire and entered into EpiData version 4.2 and transferred to SPSS version 20 for further analysis. Factors associated with undernutrition were identified using multivariable logistic regression at a p value of less than 0.05 at 95% confidence interval. The direction and strength of association was interpreted using adjusted odds ratio. Results. In this study, the magnitude of undernutrition among lactating women was 21.8%. Being unmarried (AOR: 2.65, 95% CI: 1.54, 4.53), their first pregnancy <18 years (AOR: 2.34, 95% CI: 1.42, 3.87), having more than 5 number of pregnancies (AOR: 2.79, 95% CI: 1.55, 5.03), inadequate dietary diversity score (AOR: 2.1, 95% CI: 1.16, 3.83), and household food insecurity (AOR: 3.68, 95% CI: 2.35, 5.77) were significantly associated factors with undernutrition. Conclusions. The prevalence of undernutrition among lactating women was found to be high. Programs should do better in enhancing activities of agricultural production to reduce household food insecure and to increase accessibility of diversified diet. Other researchers better to do other studies to identify main factors of undernutrition using a qualitative study.


BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040627
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Yared Asmare Aynalem ◽  
Abebaw Molla ◽  
Adane Tesfaye ◽  
...  

ObjectiveTo assess the prevalence of food insecurity (FI) and its predictors among lactating mothers in Ataye District, North Shoa Zone, Central Ethiopia.DesignA community-based cross-sectional study design was used.SettingTwo urban and four rural randomly selected kebeles of the Ataye District in Ethiopia.ParticipantsOut of 635 participants, 612 lactating mothers aged 15–49 years participated from February to April 2018. Mothers who lived for at least 6 months and above in the district were included, and mothers who were not able to respond to an interview were excluded. A single lactating mother per household was included. Lactating mothers in the households were selected using a cluster sampling technique. The number of lactating mothers found in each kebele was taken from family folder documentation.Primary outcomeThe prevalence and predictors of food insecurity.ResultsThe prevalence of FI among lactating mothers was 36.8%. No formal education (adjusted OR (AOR) =1.82, 95% CI 1.13 to 2.92), no income-generating activities (AOR=3.39, 95% CI 2.05 to 5.64), no home gardening practice (AOR=5.65, 95% CI 3.51 to 9.08), alcohol use by husbands (AOR=2.02, 95% CI 1.25 to 3.24), low minimum dietary diversity score (AOR=2.94, 95% CI 1.88 to 4.57), less than three frequencies of meals (AOR=3.97, 95% CI 1.65 to 9.54) and three meals only per day (AOR=1.86, 95% CI 1.08 to 3.17) were significant predictors of FI of mothers.ConclusionThe prevalence of FI was high in the study area. No formal education, no income-generating activities, no home gardening practice, alcohol use by husbands, low minimum dietary diversity score, fewer than three frequencies of meals and three meals only per day were independent predictors of FI. Therefore, increasing home gardening, decreasing alcohol intake, increasing dietary diversity and performing income-generating activities are highly recommended to reduce FI.


2020 ◽  
Author(s):  
Yao Jie Xie ◽  
Daphne SK Cheung ◽  
Alice Y Loke ◽  
Bernice L Nogueira ◽  
Karry M Liu ◽  
...  

BACKGROUND No study has comprehensively investigated the association between the usage of typical screen-based electronic media devices and sleep quality in a Chinese population with individuals in a wide range of ages. OBJECTIVE This study aimed to understand the characteristics of television (TV) viewing, computer usage, and mobile phone usage in a representative Chinese population in Macau and to examine their roles in predicting the variations in sleep quality. METHODS This cross-sectional study was an analysis of 1500 Macau residents aged 15 to 90 years based on a community-based health needs assessment study entitled, “Healthy Living, Longer Lives.” Data collection was conducted in 7 districts of Macau from 2017 to 2018 through face-to-face interviews. The durations of daily TV viewing, computer usage, and mobile phone usage were recorded in a self-administered questionnaire. The Chinese version of the Pittsburgh Sleep Quality Index (PSQI) was used to assess the sleep quality. RESULTS The prevalence of TV, computer, and mobile phone usage was 78.4% (1176/1500), 51.6% (769/1490), and 85.5% (1276/1492), respectively. The average daily hours of usage were 1.75 (1.62), 1.53 (2.26), and 2.85 (2.47) hours, respectively. Females spent more time watching TV (<i>P</i>=.03) and using mobile phones (<i>P</i>=.02) and less time on the computer (<i>P</i>=.04) as compared to males. Older adults were more likely to watch TV while young people spent more time using the computer and mobile phones (<i>P</i> for all trends&lt;.001). The mean PSQI global score was 4.79 (2.80) among the participants. Females exhibited significantly higher PSQI scores than males (5.04 vs 4.49, respectively; <i>P</i>&lt;.001). No linear association was observed between the PSQI score and the amount of time spent on the 3 electronic devices (<i>P</i>=.58 for PSQI-TV, <i>P</i>=.05 for PSQI-computer, and <i>P</i>=.52 for PSQI-mobile phone). Curve estimation showed significant quadratic curvilinear associations in PSQI-TV (<i>P</i>=.003) and PSQI-computer (<i>P</i>&lt;.001) among all the participants and in PSQI-mobile phone among youths (age, 15-24 years; <i>P</i>=.04). After adjustment of the gender, age, body mass index, demographics, and lifestyle factors, more than 3 hours of TV viewing and 4 hours of computer usage or mobile phone usage was associated with 85% (95% CI 1.04-1.87; <i>P</i>=.008), 72% (95% CI 1.01-2.92; <i>P</i>=.045), and 53% (95% CI 1.06-2.22; <i>P</i>=.03) greater odds of having poor sleep quality (PSQI score&gt;5), respectively. CONCLUSIONS The mobile phone was the most popular screen-based electronic device used in the Macau population, especially among young people. “J” shape associations were observed between sleep quality and the duration of TV viewing, computer usage, and mobile phone usage, indicating that the extreme use of screen-based electronic devices predicted poorer sleep status, whereas moderate use would be acceptable.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Lemma Getacher ◽  
Gudina Egata ◽  
Tadesse Alemayehu ◽  
Agegnehu Bante ◽  
Abebaw Molla

Background. Low dietary diversity superimposed with poor-quality monotonous diets is a major problem that often results in undernutrition, mainly micronutrient deficiencies. However, there is limited evidence on minimum dietary diversity and associated factors among lactating mothers in resource-poor settings, including the study area. Therefore, the objective of the study is to assess the prevalence of minimum dietary diversity and associated factors among lactating mothers in Ataye District, Ethiopia. Methods. A community-based cross-sectional study design was used among 652 lactating mothers aged 15–49 years from January 25 to April 30, 2018. Dietary diversity was measured by the minimum dietary diversity indicator for women (MDD-W) using the 24-hour dietary recall method. Data were entered into EpiData version 4.2.0.0 and exported to the statistical package for social science (SPSS) version 24 for analysis using the logistic regression model. Results. The prevalence of minimum dietary diversity among lactating mothers was 48.8% (95% CI: (44.7%, 52.9%). Having formal education ((AOR = 2.16, 95% CL: (1.14, 4.09)), a final say on household purchases ((AOR = 5.39, 95% CI: (2.34, 12.42)), home gardening practices ((AOR = 2.67, 95% CI: (1.49, 4.81)), a history of illness ((AOR = 0.47, 95% CI: (0.26, 0.85)), good knowledge of nutrition ((AOR = 5.11, 95% CI: (2.68, 9.78)), being from food-secure households ((AOR = 2.96, 95% CI: (1.45, 6.07)), and medium ((AOR = 5.94, 95% CI: (2.82, 12.87)) and rich wealth indices ((AOR = 3.55, 95% CI: (1.76, 7.13)) were significantly associated with minimum dietary diversity. Conclusion. The prevalence of minimum dietary diversity among lactating mothers was low in the study area. It was significantly associated with mothers having a formal education, final say on the household purchase, home garden, good knowledge of nutrition, history of illness, food-secure households, and belonging to medium and rich household wealth indices. Therefore, efforts should be made to improve the mother’s decision-making autonomy, nutrition knowledge, household food security, and wealth status.


Author(s):  
Lubna Farooq ◽  
Akhtar Ali ◽  
Sehrish Mahmood ◽  
Mahnoor Farzand ◽  
Hina Masood ◽  
...  

Introduction:In the era of modern technology mobile phones have becoming popular, especially in teenagers. Besides of its uses there are various undesirable psychological and physical impact on heath. Aims and objectives: The purpose of this study was to access the link among Excessive Use of Smart Phone and there sleep pattern among Pakistani Adolescents. Materials and Methods: A detailed cross sectional study was performed on a total of 500 medical graduates range between 18 and 24 years who were using mobile phone atleast a year. Self-designed Questionnaire is given to them having details of their frequency and pattern of using smart phone. Sleep quality was analyzed by using Pittsburg Sleep Quality index .Chi square test was also perform to check the link between frequency of mobile phone and quality of sleep.P value < 0.005 were considered as significant. Result: Out of 500 participants, the frequency of mobile phone usage was more in males 70% as compare to females30%. Their age varied from 21to 24 with mean age of 20 ± 1.9 years.  Most of students use mobile phone in night 188 (38%)and 202 (40%) participants using mobile phone unlimited. 366 (73%) students mentioned that they start using mobile phone at intermediate level and claimed that no surveillance of the mobile phone being done by the parents . Students who were using unlimited mobile phone reported that they take more than 1 hour to sleep that showed a significant (p-value <0.001) correlation between more mobile phone use and time taken to sleep. Conclusion: The results of our study conclude that excessive mobile phone usage leads to sleep disturbances and poor quality of sleep. That may implement negative effects on student’s mental and physical health along with this it can also affect the students’ educational performance and daily life activities.


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