scholarly journals Dietary Intake across Reproductive Life Stages of Women in India: A Cross-Sectional Survey from 4 Districts of India

2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Shantanu Sharma ◽  
Faiyaz Akhtar ◽  
Rajesh Kumar Singh ◽  
Sunil Mehra
Keyword(s):  
Waist Circumference ◽  
Pregnant Women ◽  
Adolescent Girls ◽  
Married Women ◽  
Anthropometric Measurements ◽  
Nutrient Intakes ◽  
Cross Sectional ◽  
Lactating Women ◽  
Lactating Mothers ◽  
Newly Married

Nutritional deficiencies among women of reproductive age, especially from socially backward classes, are widely prevalent in India. The present study aimed to assess the nutrient intakes and analyse their associations with sociodemographic attributes among socially backward adolescent girls, newly married women, pregnant women, and lactating mothers from four districts of India. Further, the study looked at the associations between nutrient intakes and anthropometric measurements (body mass index, BMI; waist circumference; and waist-hip ratio, WHR) among adolescents and newly married women. This community-based cross-sectional study used the 24-hour recall method of the dietary survey to assess the food intake of women and girls. Nonparametric tests of associations between sociodemographic characteristics and the median nutrient intakes were conducted. Expected and observed increments in energy and nutrient intakes of pregnant and lactating women from the base (requirement of an adult woman) were calculated. A total of 477 pregnant women, 455 lactating mothers, 532 newly married women, and 223 adolescent girls were interviewed. According to the 24-h dietary recall, only 35% of adolescent girls, 57% newly married women, 40% pregnant women, and 34% lactating mothers were able to meet 70% of the recommended energy requirements. A large percentage of pregnant women had less than 50% of the recommended intakes of iron, calcium, and folic acid. Women living in nuclear families, urban slums, and those from backward classes had lower intakes of almost all the nutrients compared to their counterparts (p<0.001). There were no significant differences in the nutrient intakes of adolescents, newly married, pregnant, and lactating women, and all had poor dietary intakes. We found positive relationships of all three anthropometric measurements (BMI, waist circumference, and WHR) with fats and inverse associations with carbohydrates. Public health interventions should work towards improving the nutrition of these vulnerable populations.

scholarly journals Prevalence of anaemia in pregnant and lactating women in rural Vijayapur

2019 ◽  
Vol 7 (1) ◽  
pp. 224
Author(s):  
Santosh D. Patil ◽  
Ravindranath A. Bhovi
Keyword(s):  
Pregnant Women ◽  
Economic Status ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Age Group ◽  
Cross Sectional ◽  
Lactating Women ◽  
Medical College ◽  
Lactating Mothers ◽  
Haemoglobin Content

Background: Nutritional anaemia is defined as a condition in which the haemoglobin content of the blood is lower than normal as a result of deficiency of one or more essential nutrients. Anaemia is the late manifestation of deficiency of nutrient(s) needed for haemoglobin synthesis. The prevalence of anaemia in developing countries is estimated to be 43% and that of developed countries is 9%. Anaemia is estimated to contribute to more than 115000 maternal deaths and 591000 prenatal deaths globally per year. The objectives of the present study were to determine the prevalence of anaemia among the pregnant women and lactating mothers and to explore the associated factors with anaemia.Methods: A cross sectional study was conducted among pregnant and lactating women in Ukkali a rural field practice area Shri B. M. Patil Medical College, Vijayapur. Criteria for inclusion were pregnant women- current pregnancy of more than 6 months and lactating mother with child aged up to 6 months of age. Estimation of haemoglobin was carried by standard Sahlis pipette method. Anaemia was classified according to WHO grading criteria.Results: The maximum number of pregnant women (85.71%) in the age group of 35-49 years was anaemic followed by those who were in the age group of 20-34 years (61.54%). Prevalence of anaemia was 72 % in women of less than 20 years, whereas it was as high as 80% among lactating women of 35-49 years age group.Conclusions: Anaemia continues to be a problem with the existing health care resources. Socio-economic status, literacy of women and awareness related to health concerns are the major determinants that contribute to the problem of anaemia.

scholarly journals A Cross-Sectional Study: Predicting Health Risks Among Female University Students

2020 ◽  
Vol 13 (1) ◽  
pp. 316-322
Author(s):  
Qassim I. Muaidi ◽  
Mohammad Ahsan
Keyword(s):  
Waist Circumference ◽  
Health Risks ◽  
Visceral Fat ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Anthropometric Measurements ◽  
Height Ratio ◽  
Visceral Fat Area ◽  
Cross Sectional ◽  
Waist Height Ratio

Background: Good health is very important in our lives and plays a significant role. Many health risks are associated with an unhealthy lifestyle. These risks are responsible for raising the risk of chronic heart diseases and other health complications. Females are not exempted from these issues. Objective: To identify the obesity-associated health risks of female students by using selected anthropometric measurements. Methods: A cross-sectional study was conducted including 300 females aged 20.82 ± 5.23 years from the college of applied medical sciences, Imam Abdulrahman bin Faisal University. The anthropometric measurements (body mass index, percentage of body fat, visceral fat area, waist circumference, waist-hip ratio,and waist-height ratio) were taken with the help of an auto-calibrated bioelectric impedance device. The waist-height ratio was determined by dividing waist circumference with height. Cross tabulation was done to scrutinize the participant’s levels at risk and high risk. Linear regression analysis was done to see the relationship and prediction between selected anthropometric measurements. Results: The finding showed that BMI level was high in 55% of participants, Waist-height ratio over the average level was 46.67% and 21% of participants had a visceral fat area on risk. Linear regression analysis showed a strong association among body mass index, percentage of body fat, visceral fat area, waist circumference, waist-hip ratio,and waist-height ratio and statistically significant to each other at the 0.01 level. Conclusion: The selected anthropometric measurements can be used to identify health-related risks. Though, when any anthropometric measurement dichotomized as standard or high, BMI is the best measure to predict health risk.

scholarly journals High Deficit in Nutrient Intakes Was Associated with Poor Nutritional Status of Pregnant Women: A Study from Eastern Indonesia

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 199-199
Author(s):  
Hamam Hadi ◽  
Winda Irwanti
Keyword(s):  
Vitamin C ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Average Energy ◽  
Cross Sectional Study ◽  
Nutrient Intakes ◽  
Cross Sectional ◽  
Nutrient Requirement ◽  
Eastern Indonesia ◽  
Poor Nutritional Status

Abstract Objectives Nutrient intakes of pregnant women are essential for their health and the health of their fetus. This study aims to assess the nutrient intakes of pregnant women, residing in a rural eastern Indonesia. Methods This cross-sectional study was conducted in two sub districts of Timor Tengah Selatan (TTS) district, East Nusa Tenggara, Indonesia in 2012. A total of 155 pregnant women, at all age of pregnancy, residing at least one year prior to this study in 14 villages of two sub districts KIE and Amanuban Barat involved in this study. Anthropometric data including BMI and MUAC of pregnant women were collected by trained enumerators from the department of nutrition, Health Polytechnic of Kupang, East Nusa Tenggara. A validated Semi Quantitative-Food Frequency Questionnaire (SQFFQ) was used to collect the dietary intake of the last 3 months of pregnant women. Nutrisurvey was used to compute and analyze nutrient intakes of the study subjects. Statistical Analysis was performed using STATA version 15.1 MP. Results The average of energy and protein intakes in pregnant women were 1178.4 ± 449.6 kcal/day and 38.4 ± 18.7 gr/day respectively, representing to only 54.7% and 57.4% of the Indonesian nutrient requirement of energy and protein intakes for pregnant women. The average of vitamin C and iron intakes in pregnant women were 59.9 ± 40.1 mg/day and 7.7 ± 6.2 mg/day, representing to only 70.5% and 29.5% of the Indonesian nutrient requirement of vitamin C and iron intakes for pregnant women. The average energy and protein intakes among underweight pregnant women were 211.1 kcal/day (95% CI: 17.3 kcal/day - 404.9 kcal/day) lower and 8.2 gr/day (95% CI: 0.07 gr/day -16.3 gr/day) lower than among non underweight pregnant women adjusting for age of pregnant women, gestational age, and monthly household expenditure, education level, and race. Conclusions The present study suggests that pregnant women in rural Indonesian community experienced high deficit in energy, protein, vitamin C and iron intakes lead to poor nutritional status during pregnancy. Funding Sources The United Nation World Food Program and The University of Alma Ata.

scholarly journals Barriers to utilization of anganwadi services by pregnant women and lactating mothers: a hospital based cross sectional study in rural South Karnataka

2019 ◽  
Vol 6 (6) ◽  
pp. 2634 ◽  
Author(s):  
Maria Jessy Jose ◽  
Avita Rose Johnson ◽  
Anupa Thomas ◽  
Delfi Mendez ◽  
Cristeena Sebastian
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Rural Area ◽  
Cross Sectional Study ◽  
Child Health Services ◽  
Birth Preparedness ◽  
Sectional Study ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Supplementary Nutrition

Background: Antenatal care and supplementary nutrition are evidence-based strategies to improve neonatal outcomes and birth weight, and are currently provided free of cost by the government in every village through the ICDS. This study aims to assess the utilization of Anganwadi services by pregnant and lactating mothers in a rural area and the various barriers to utilization of Anganwadi services.Methods: A hospital-based, cross-sectional study was conducted among pregnant women (more than 28 weeks gestation) and lactating mothers (up to 6 months after delivery) availing maternal and child health services at a maternity hospital in a rural area of Ramnagara district in South Karnataka, using a pre-tested questionnaire.Results: Awareness regarding Anganwadi services available for pregnant and lactating mothers like IFA, calcium and deworming tablets, TT and health check-ups was found to be poor. While more than half of the women had received health education from Anganwadi teacher, important topics like dangers signs, birth preparedness and essential antenatal care were not discussed.Conclusions: Utilization of health care services at the Anganwadi was poor among the subjects. Supplementary nutrition was not utilized by 54% of pregnant women and 43% of lactating mothers. Those who had been visited by Anganwadi teacher at home and those who received nutrition education by the Anganwadi teacher had significantly higher consumption of supplementary nutrition. The common barriers to utilization were lack of awareness of services and perception of poor quality and hygiene of the supplementary nutrition.

scholarly journals Anthropometric validity of the lipid profile in patients at the heart clinic RSUD Budhi Asih East Jakarta

2020 ◽  
Vol 5 (1) ◽  
pp. 1-10
Author(s):  
Riva Octarina ◽  
Leni Sri Rahayu ◽  
Luthfiana Nurkusuma Ningtyas
Keyword(s):  
Waist Circumference ◽  
Lipid Profile ◽  
Total Cholesterol ◽  
Lipid Profiles ◽  
Anthropometric Measurements ◽  
Good Sensitivity ◽  
Cross Sectional ◽  
High Waist Circumference ◽  
Quota Sampling ◽  
Sensitivity Specificity

ABSTRACT                           Dyslipidemia is a major factor in cardiovascular disease which can cause atherosclerosis, ischemic stroke and peripheral arteries. Dyslipidemia can be predicted by anthropometric measurements. The purpose of this study was to determine the anthropometric measurements that have the highest validity in detecting lipid profiles compared to biochemical assessments in poly cardiac patients at Budhi Asih Regional Hospital, East Jakarta. Research conducted in cross sectional method with quota sampling. This study was conducted on 75 cardiac poly patients. Data was collected by anthropometric measurements of body weight, height, waist circumference and hip circumference. Data on lipid levels were obtained from hospital medical record data. The results showed the lipid profile of normal HDL patients (73.30%), Normal LDL (58.70%), Triglycerides normal (65.30%), Total cholesterol was not normal (52%). Anthropometric value of BMI Obesity (44%), high RLPP (85.3%) and high waist circumference (74.7%). The conclusion of the analysis showed that BMI had poor sensitivity and specificity values ​​for all lipid profiles (Se <60%). RLPP has a very good sensitivity value on all lipid profiles (se> 90%) but has an unfavorable specificity value (Sp <60%). Waist circumference has a relatively good sensitivity (Se> 70%) in LDL, Triglycerides and Total Cholesterol, whereas in HDL it is quite good (Se> 60%). But it has poor specificity (Sp <60%). The results of the three anthropometric measurements RLPP is the best measurement in detecting lipid profiles in cardiac poly patients compared with BMI and Waist Circumference. Keywords: Lipid Profile, BMI, RLPP, Waist Circumference, Sensitivity, Specificity  

scholarly journals BMI, waist to height ratio and waist circumference as a screening tool for hypertension in hospital out patients: a cross-sectional study

2020 ◽  
Author(s):  
Rajan Shrestha ◽  
Bijay Khatri ◽  
Madan P. Upadhyay ◽  
Janak R. Bhattarai ◽  
Manish Kayastha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Waist Circumference ◽  
Area Under The Curve ◽  
Overweight And Obesity ◽  
Anthropometric Measurements ◽  
Height Ratio ◽  
Cross Sectional ◽  
High Waist Circumference ◽  
Waist To Height Ratio

Abstract Background: Obesity has become a global epidemic with a rise in noncommunicable diseases. It is now becoming the problem of low- and middle-income countries such as Nepal. Conventional risk factors are present in a high proportion in the Nepalese population. As a routine surveillance or registry system is absent, the actual burden and trend of obesity and hypertension in Nepal are unknown. Hypertension and other cardiovascular diseases can be prevented by detecting risk factors such as obesity and high blood pressure. A simple anthropometric measurement could be used to determine the risk of hypertension. However, the best predictor of hypertension remains contentious and controversial. We aimed to determine the burden of obesity and hypertension and test the ability to determine hypertension through different anthropometric measurements in hospital outpatients in a low-income setting.Methods: This hospital-based cross-sectional descriptive study was conducted from June to December 2019 among 40-69 year outpatients in a tertiary eye and ENT hospital in a semi-urban area of Nepal among a randomly selected sample of 2,256 participants from 6,769 outpatients visited in Health Promotion and risked factor screening service. We performed a correlation analysis to determine the relationship between anthropometric measurements and blood pressure. The area under the receiver operating characteristic (ROC) curve of body mass index (BMI), waist to height ratio (WHtR) and waist circumference (WC) was calculated and compared.Results: The mean (SD) age of the participants was 51.75 (8.47) years. The overall prevalence of obesity and overweight by BMI was 16.09% and 42.20%, respectively. The overall prevalence of abdominal obesity by waist-to-height ratio was 32.76%, which is higher than obesity by BMI. High waist circumference was observed among 66.76% participants, whereas female participants had a very higher prevalence of high waist circumference (77.46%) and male participants (53.73%) (p<0.001). The prevalence of hypertension among the participants with BMI≥25 kg/m2, WHtR≥0.5 and WC≥ cutoff values was 45.97%, 42.52% and 45.28%, respectively. The overall prevalence of hypertension and prehypertension was 40.67% and 36.77%, respectively. Male participants had a slightly higher prevalence of hypertension (42.72%) than female participants (39.00%). The areas under the curve (AUCs) were significantly higher than 0.5 for BMI (0.570, 95% CI: 0.548-0.592), WC (0.585, 95% CI: 0.563-0.607) and WHtR (0.586, 95% CI: 0.564-0.608). In both genders, the area under the curve was significantly higher than 0.5 (P<0.01). In all age groups, the area under the curve was also significantly higher than 0.5.Conclusion: Waist circumference was both correlated as well as had higher predictive capacity amongst WHtR and BMI and may play a major role in the future diagnosis of HTN in Nepali adults. Regardless of the anthropometric metrics used to measure overweight and obesity, the hospital setting is an opportunity centre to screen for overweight, obesity and hypertension, which are major risk factors for NCDs.

scholarly journals Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

2020 ◽  
Author(s):  
Daniela Cortés Kretzer ◽  
Salete Matos ◽  
Lisia Von Diemen ◽  
José Antônio de Azevedo Magalhães ◽  
Alice Carvalhal Schöffel ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Pregnant Women ◽  
Anthropometric Measurements ◽  
Reliable Estimate ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Fat Deposits ◽  
Low And Middle Income

Abstract Background Determining anthropometric measures that indicate different fat deposits can be useful to predict metabolic risk and set specific treatment goals, reducing negative consequences for maternal and fetal health. In cases where pre-gestational weight measure and subsequent body mass index (BMI) values cannot be determined, other anthropometric measurements may be ideal for measuring the nutritional status of pregnant women, especially in low- and middle-income countries. This study aims to identify which anthropometric measurements correlate better with the maternal fat deposits measured by ultrasound. Methods A cross-sectional study was conducted with pregnant women from the city of Porto Alegre (city), capital of Rio Grande do Sul (state), southern Brazil, from October 2016 until January 2018. Anthropometrical variables (weight, height, mid-upper arm circumference [MUAC], circumferences of calf and neck and triceps skinfolds [TSF] and subscapular skinfolds [SBSF]), and ultrasound variables (visceral adipose tissue [VAT] and total adipose tissue [TAT]) were collected. To verify the correlation of anthropometric and ultrasound measurements, a non-adjusted and adjusted Spearman correlation was used. The study was approved by the ethics committees. Results The age median of the 149 pregnant women was 25 years [21 - 31], pre-pregnancy BMI was 26.22kg/m² [22.16 – 31.21] and gestational age was 16.2 weeks [13.05 – 18.10]. The best measurements correlated with VAT and TAT were MUAC and SBSF, both of which showed a higher correlation than pre-pregnancy BMI. Conclusion It is possible to provide a practical and reliable estimate of VAT and TAT from the anthropometric evaluation (MUAC or SBSF) that is low cost, efficient and replicable in an outpatient clinic environment, especially in low- and middle-income countries.

scholarly journals Household food insecurity is associated with low dietary diversity among pregnant and lactating women in rural Malawi

2018 ◽  
Vol 22 (4) ◽  
pp. 697-705 ◽  
Author(s):  
Yunhee Kang ◽  
Kristen M Hurley ◽  
Julie Ruel-Bergeron ◽  
Assumpta Bou Monclus ◽  
Rachel Oemcke ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Household Food Insecurity ◽  
Food Groups ◽  
Cross Sectional ◽  
Lactating Women ◽  
Rural Districts ◽  
Household Food

AbstractObjectiveTo examine the association between household food insecurity and dietary diversity in the past 24h (dietary diversity score (DDS, range: 0–9); minimum dietary diversity (MDD, consumption of three or more food groups); consumption of nine separate food groups) among pregnant and lactating women in rural Malawi.DesignCross-sectional study.SettingTwo rural districts in Central Malawi.SubjectsPregnant (n 589) and lactating (n 641) women.ResultsOf surveyed pregnant and lactating women, 66·7 and 68·6 %, respectively, experienced moderate or severe food insecurity and only 32·4 and 28·1 %, respectively, met MDD. Compared with food-secure pregnant women, those who reported severe food insecurity had a 0·36 lower DDS (P<0·05) and more than threefold higher risk (OR; 95 % CI) of not consuming meat/fish (3·19; CI 1·68, 6·03). The risk of not consuming eggs (3·77; 1·04, 13·7) was higher among moderately food-insecure pregnant women. Compared with food-secure lactating women, those who reported mild, moderate and severe food insecurity showed a 0·36, 0·44 and 0·62 lower DDS, respectively (all P<0·05). The risk of not achieving MDD was higher among moderately (1·95; 1·06, 3·59) and severely (2·82; 1·53, 5·22) food-insecure lactating women. The risk of not consuming meat/fish and eggs increased in a dose–response manner among lactating women experiencing mild (1·75; 1·01, 3·03 and 2·81; 1·09, 7·25), moderate (2·66; 1·47, 4·82 and 3·75; 1·40, 10·0) and severe (5·33; 2·63, 10·8 and 3·47; 1·19, 10·1) food insecurity.ConclusionsAddressing food insecurity during and after pregnancy needs to be considered when designing nutrition programmes aiming to increase dietary diversity in rural Malawi.

scholarly journals Anthropometrical measurements and maternal visceral fat during first half of pregnancy: a cross-sectional survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Daniela Cortés Kretzer ◽  
Salete Matos ◽  
Lisia Von Diemen ◽  
José Antônio de Azevedo Magalhães ◽  
Alice Carvalhal Schöffel ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Pregnant Women ◽  
Anthropometric Measurements ◽  
Reliable Estimate ◽  
Negative Consequences ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Fat Deposits ◽  
Low And Middle Income

Abstract Background Determining anthropometric measures that indicate different fat deposits can be useful to predict metabolic risk and set specific treatment goals, reducing negative consequences for maternal and fetal health. In cases where pre-gestational weight measure and subsequent body mass index (BMI) values cannot be determined, other anthropometric measurements may be ideal for measuring the nutritional status of pregnant women, especially in low- and middle-income countries. This study aims to identify which anthropometric measurements correlate better with the maternal fat deposits measured by ultrasound. Methods A cross-sectional study was conducted with pregnant women from the city of Porto Alegre (city), capital of Rio Grande do Sul (state), southern Brazil, from October 2016 until January 2018. Anthropometrical variables (weight, height, mid-upper arm circumference [MUAC], circumferences of calf and neck and triceps skinfolds [TSF] and subscapular skinfolds [SBSF]), and ultrasound variables (visceral adipose tissue [VAT] and total adipose tissue [TAT]) were collected. To verify the correlation of anthropometric and ultrasound measurements, a non-adjusted and adjusted Spearman correlation was used. The study was approved by the ethics committees. Results The age median of the 149 pregnant women was 25 years [21–31], pre-pregnancy BMI was 26.22 kg/m² [22.16–31.21] and gestational age was 16.2 weeks [13.05–18.10]. The best measurements correlated with VAT and TAT were MUAC and SBSF, both of which showed a higher correlation than pre-pregnancy BMI. Conclusions It is possible to provide a practical and reliable estimate of VAT and TAT from the anthropometric evaluation (MUAC or SBSF) that is low cost, efficient and replicable in an outpatient clinic environment, especially in low- and middle-income countries.

scholarly journals Nutritional status of lactating women in Bogor district, Indonesia: cross-sectional dietary intake in three economic quintiles and comparison with pre-pregnant women

2016 ◽  
Vol 116 (S1) ◽  
pp. S67-S74 ◽  
Author(s):  
Siti Madanijah ◽  
Rimbawan Rimbawan ◽  
Dodik Briawan ◽  
Zulaikhah Zulaikhah ◽  
Nuri Andarwulan ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Pregnant Women ◽  
Vegetable Intake ◽  
Lactation Period ◽  
Dietary Intakes ◽  
Lactation Performance ◽  
Cross Sectional ◽  
Lactating Women ◽  
Food Composition Tables ◽  
Vitamins A And C

AbstractThe way in which women accommodate for their increased nutritional needs during the lactation period is poorly investigated. In a cross-sectional study involving 220 lactating women (LW), equally distributed in economic quintiles (Q2, Q3, Q4), we investigated whether habitual dietary intake of LW differed from that of 200 pre-pregnant women (PPW) studied using the same methodology. Differences in dietary intake and nutrition sufficiency according to economic status were also investigated. Dietary intake data were collected using 2×24-h dietary recalls and FFQ. Energy, protein, Fe, Ca, Zn and vitamins A and C intakes were calculated utilising local food composition tables and were compared against Indonesian recommendations for adequacy. Energy and protein intakes <70 % of the recommendation and Fe, Ca, Zn and vitamins A and C intakes <77 % of the recommendation were considered insufficient. Except for Zn, dietary intakes of all studied nutrients were higher in LW compared with PPW. However, for all studied nutrients, dietary intake was insufficient in >25 % of LW. For Q2-LW, this proportion was >50 %, except for protein. LW across all studied economic quintiles approximately doubled their vegetable intake, and 71 % of LW indicated a belief that this enhances lactation performance. Biochemical status parameters were analysed in a subset of forty-five women. Anaemia as well as Fe, Zn and Se deficiencies were prevalent among LW, supporting the nutrient intake deficiency data. Despite increasing intakes in LW compared with PPW, habitual diets in the study area do not provide for daily nutrient requirements in substantial proportions for both LW and PPW across all investigated economic groups.

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