scholarly journals Factors associated with dietary diversity among adolescents in Woldia, Northeast Ethiopia

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Melese Linger Endalifer ◽  
Gashaw Andargie ◽  
Bekri Mohammed ◽  
Bedilu Linger Endalifer
Keyword(s):  
Nutrition Education ◽  
Family Size ◽  
Intervention Program ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Scale Up ◽  
Education Level ◽  
Food Prices ◽  
Outcome Variable ◽  
Local Market

Abstract Background Consuming diversified food during the adolescent period is essential to build a healthy and active mind for their later life. Food prices increased in the local market due to fewer production of crops. Thus, exploring the dietary diversity of adolescents in this area is crucial to estimate diet quality. So the aim of the study was to identify determinant factors of dietary diversity. Methods An institution-based cross-sectional study was conducted among adolescent students in Woldia town. A total of four hundred eleven students were included in the study. A simple random sampling technique was used to select the participants. The outcome variable was dietary diversity; it was calculated by summing of the number of food group consumed by individuals in the given reference period. Bivariable and multivariable logistic analysis was done. The odds ratio with a 95% confidence interval was computed to measure an association. A variable with a P-value less than 0.05 is considered a significant factor. Results The proportion of inadequate dietary diversity was 49.1% (95% CI 44.5–53.8). Being female (AOR =5.53, 95% CI 3.447–8.859), secondary and above mothers’ education level (AOR=0. 27, 95%CI 0.153–0.477), living in a family size five and above (AOR= 2.09, 95CI% 1.31–3.34), and poor knowledge about nutrition (AOR=4.56, 95% CI 2.727–7.639) were significantly associated with inadequate dietary diversity. Conclusions and recommendations Inadequate dietary diversity was associated with sex, knowledge of nutrition, maternal education level, and family size. It is better to design a nutrition intervention program that focus on nutrition education to scale up diversified food consumption among adolescents.

scholarly journals Stunting and Associated Factors Among Children Aged 6-59 Months From Households in Productive Safety Net Program and Non-productive Safety Net Program in Meta District, East Hararghe Zone, Eastern Ethiopia: a Comparative Cross – Sectional Study.

2021 ◽  
Author(s):  
Aklilu Tesfaye ◽  
Gudina Egata
Keyword(s):  
Maternal Education ◽  
Dietary Diversity ◽  
Statistical Significance ◽  
Safety Net ◽  
Cross Sectional Study ◽  
World Health ◽  
Outcome Variable ◽  
Sectional Study ◽  
Cross Sectional ◽  
Eastern Ethiopia

Abstract Background: Undernutrition is one of the major public health problems affecting children in developing settings. Despite impressive interventions such as productive safety net program (PSNP) in Ethiopia, there is paucity of information on the prevalence of stunting and its predictors among children aged 6-59 months born to beneficiaries and non-beneficiaries of the program in Ethiopia. Methods: Community based comparative cross sectional study design was used among randomly selected 1555 children aged 6 to 59 months from households using and not using PSNP respectively in Meta distinct from 5th-20th of March, 2017. Data were collected using pre-tested structured questionnaire. Measuring board was used to measure the length/height of the children. Length/height for age z-score was generated using world Health Organization (WHO) Anthros version 3.2.2. Descriptive statistics was used to describe all relevant data. Bivariable and Multivariable logistic regression analyses were used to predictors of the outcome variable. Odds ratio along with 95% confidence interval were estimated to measure the strength of the association. Level of statistical significance was declared at p-value less than 0.05. Result: The prevalence of stunting was 47.7%, 95% CI: (44.1%, 51.5%) among children from PSNP beneficiary households and 33.5%, 95% CI: (29.9%, 36.9%) from non-PSNP households respectively. Lack of maternal education [AOR = 3.39; 95% CI: (1.12, 5.11)], lack of women’s empowerment [AOR= 3.48; 95% CI: (2.36, 5.12)], non-attendance of antenatal care fourth visit [AOR= 4.2, 95% CI (2.5, 6.8)], practicing hand washing [AOR= 0.46; 95% CI: (0.28, 0.76)], childhood illness [AOR= 8.41; 95%CI: (4.58, 12.76)], non-exclusive breastfeeding [AOR= 3.6; 95% CI: (2.30, 4.80)], low dietary diversity score [AOR= 4.7; 95% CI (3.0, 7.40)] , and child ‘s age between 24 to 59 months [AOR = 3.2; 95% CI (1.6, 6.3)] were predictors of stunting. Conclusions: The prevalence of stunting was high among children from PSNP households in the study area. Stunting was significantly associated with maternal socio-demographic and obstetric and child related factors. Therefore, empowering women on household’s issues and improving infant and young child feeding practices could reduce the magnitude of stunting and its impacts on child health.

scholarly journals Higher agrobiodiversity is associated with improved dietary diversity, but not child anthropometric status, of Mayan Achí people of Guatemala

2018 ◽  
Vol 21 (11) ◽  
pp. 2128-2141 ◽  
Author(s):  
Diana V Luna-González ◽  
Marten Sørensen
Keyword(s):  
Species Richness ◽  
Functional Diversity ◽  
Rural Areas ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Local Market ◽  
Crop Species ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Anthropometric Status

AbstractObjectiveChild undernutrition remains one of the greatest challenges for public health nutrition in rural areas in developing countries. Interventions aiming to increase and conserve agrobiodiversity seem to be promising alternatives to improve child nutrition. However, the existing literature on these interventions is not conclusive about their effectiveness in combating child undernutrition. We tested the hypothesis that ‘higher agrobiodiversity is associated with greater dietary diversity and better anthropometric status’ in rural Guatemala.Design/Setting/SubjectsIn the summer of 2016, we conducted a cross-sectional study with a sample of 154 children (6–60 months). We conducted dietary recalls and structured interviews, measured children’s weight and height, and visited food production systems (Milpas, home gardens, coffee plantations). Crop species richness, nutritional functional diversity, dietary diversity scores and anthropometric status were calculated.ResultsHigher food self-sufficiency, nutritional functional diversity and dietary diversity scores were positively correlated with higher crop and animal species richness. Contrarily, remoteness to the local market was negatively correlated with dietary diversity scores. However, higher dietary diversity scores were not correlated with better child anthropometric status. Better child anthropometric status was positively correlated with improved sanitary conditions and maternal education; and negatively correlated with large household size and frequent child morbidity.ConclusionsAgricultural diversification could diversify diets, increase nutrient availability and improve child anthropometry. However, these interventions need to be accompanied by sanitation improvements, family planning, nutritional education and women’s empowerment to strengthen their positive effect on diet and nutrition.

scholarly journals Trends and determinants of minimum dietary diversity among children aged 6-23 months: a pooled analysis of Indonesia Demographic and Health Surveys from 2007 to 2017

2021 ◽  
pp. 1-28
Author(s):  
Bunga A Paramashanti ◽  
Tanvir M Huda ◽  
Ashraful Alam ◽  
Michael J Dibley
Keyword(s):  
Nutrition Education ◽  
Rural Areas ◽  
Health Surveys ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Multiple Logistic Regression Analysis ◽  
Demographic And Health Surveys ◽  
Food Groups ◽  
Community Factors ◽  
Minimum Dietary Diversity

Abstract Objective: To examine minimum dietary diversity trends and determinants among children aged 6-23 months. Design: Secondary analysis of the Indonesia Demographic and Health Surveys (IDHS) between 2007 and 2017. The primary outcome was minimum dietary diversity, the consumption of at least five out of eight food groups (MDD-8). We included a total of 5015 (IDHS 2007), 5050 (IDHS 2007), and 4925 (IDHS 2017) children aged 6 to 23 months to estimate trends of MDD-8 and to identify factors associated with MDD-8. We used multiple logistic regression analysis adjusted for the complex sampling design to investigate the association between the study factors and MDD-8. Setting: Indonesia. Participant: A total of 14990 children aged 6-23 months. Results: Over the ten years, the percentage of children who consumed a diversified diet was 53.1% in 2007, 51.7% in 2012, and 53.7% in 2017. Multivariate analyses showed that older age children, higher maternal education, maternal weekly access to media, paternal non-agricultural occupation, history of at least four ANC visits, and wealthier households were associated with the increased odds of MDD-8. Children living in rural areas, Sulawesi and Eastern Indonesia, were less likely to eat a diversified diet. Conclusions: The proportion of children meeting MDD-8 has stagnated in the last decade. Child, parental, health care, household, and community factors are associated with MDD-8. Therefore, nutrition-education programmes and behaviour change communication activities should target mothers and families from socio-economically and geographically disadvantaged populations.

scholarly journals Nutrition Education of Mothers and Zinc Supplementation among Children in the Rural Community, Cameroon

2021 ◽  
pp. 59-69
Author(s):  
Nicolas Policarpe Nolla ◽  
Marie Modestine Kana Sop ◽  
Marlyne Joséphine Mananga ◽  
Inocent Gouado
Keyword(s):  
Nutritional Status ◽  
Nutrition Education ◽  
Rural Community ◽  
Maternal Education ◽  
Zinc Supplementation ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Baseline Survey ◽  
Control Group ◽  
The Impact

Aims: Malnutrition among children, especially stunting is a public health problem in Cameroon. This study assesses the impact of zinc supplementation of children and nutrition education of mothers on the nutritional status of the children in the Bangang rural community. Study Design: This was a descriptive and prospective study. Place and Duration of Study: The study took place in the Bangang community in the Region of West Cameroon, during the period from March to December 2015. Methodology: The children aged 6 to 48 months and mothers aged 20 to 34 years were selected after the baseline survey and enrolled. Dietary surveys were used to evaluate the frequency of foods consumed by 150 children. Zinc supplementation group of children (ZSG, n= 25) received 10 mg of zinc sulfate tablets per day for 14 days and control group (CG, n=25) was formed by children whose mothers received nutrition counseling. The nutrition education sessions organized into 4 modules were conducted quarterly for 9 months on a sample of 100 mothers. After interventions, impact of zinc supplementation and maternal education was assessed by determining height for age and weight for age indices, and biochemistry parameters. Results: The results showed that zincemia of ZSG varied significantly (P = .0001) and not significantly (P = .23) for CG. After nutrition education, dietary diversity was improved; reduction of chronic malnutrition (10.9%) and increasing number of children with good nutritional status (6.6%) were observed. Increased for phosphoremia (3.6 ± 2.4 to 5.7 ± 1.8 mg/dl; P = .001) and albuminemia (34.8 ± 15.5 to 46.9 ± 8.9 g/l; P = .002) were significant which was not the case of calcemia, zincemia, magnesemia and serum iron. Conclusion: This study showed positive impact of zinc supplementation and maternal education on the nutritional status of children.

scholarly journals Dietary Diversity and Its Association with Anemia among Pregnant Women Attending Public Health Facilities in South Ethiopia

1970 ◽  
Vol 28 (5) ◽  
Author(s):  
Romedan Delil ◽  
Dessalegn Tamiru ◽  
Beakal Zinab
Keyword(s):  
Public Health ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Health Problem ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Sampling Procedure ◽  
Major Public Health Problem ◽  
Cross Sectional

BACKGROUND: Anemia is a major public health problem among pregnant women in developing countries like Ethiopia. Nutritional deficiency related to anemia is an important contributor to maternal mortality and poor fetal outcomes.METHODS: Institution based cross-sectional study was conducted among pregnant women to assess the prevalence of anemia and its association with dietary diversity in Hossana Town from March 15 to April 30, 2017. Systematic random sampling procedure was employed to select 314 study subjects. Data were collected using an interviewer administered semi-structured questionnaire supplemented with laboratory tests. Multivariable logistic regression was used to determine the independent predictors of anemia.RESULTS: The prevalence of mild to moderate anemia among pregnant women was 56.6% and 40.8% respectively. The mean dietary diversity and food variety score of study participants were 7 and 22 respectively. Maternal education (AOR=10.5; 95% CI:2.2, 27), occupation of spouse (AOR=9.3; 95% CI:1.6, 53), nutrition education (AOR=2.5; 95% CI:1.5, 6.4) and dietary diversity (AOR=18.6; 95% CI: 4.4, 28) were significantly associated with anemia.CONCLUSION: Anemia was found to be a moderate public health problem in Hossana Town. Therefore, there is a need of nutrition education and promotion awareness on healthy diets to prevent anemia among pregnant women. 

Factors Influencing Dietary Diversity in Infants in India: Study Undertaken in Two Districts

2021 ◽  
pp. 21-28
Author(s):  
Prerna Makkar ◽  
◽  
Candice S. Vianna ◽  
Karishma Vats ◽  
Pankhuri Mishra ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Child Nutrition ◽  
Maternal Education ◽  
Dietary Diversity ◽  
Strong Association ◽  
Household Wealth ◽  
Survey Tool ◽  
Diet Intake ◽  
Linear Probability ◽  
Gender Of Child

Adequate feeding practices in early life have a lasting impact on child nutrition and development. This paper examines the dietary diversity and its associated factors among children aged 6-12 months, in the age that they transition from breastfeeding to complementary feeding, in two districts in India: Udupi (Karnataka) and Sambalpur (Odisha). In 2019, a citizen-led survey, that can be scaled up further very rapidly and cost-effectively, was conducted covering 976 mothers of children below 1 year of age by 90 trained local volunteers. The survey tool uses the Knowledge, Access and Practices Framework and was developed, tested and refined over 4 years through diverse pilots in various locations in India. In the sample, only 12% children aged 6-12 months met the WHO’s minimum dietary diversity requirement. A linear probability regression model was used to assess significant factors for an adequate diversified diet intake in infants. Maternal education, child’s age and meal frequency were found to be significantly associated with dietary diversity. Other factors such as household wealth, gender of child, birth order and homegrown gardens did not present a strong association. Integrated interventions targeted at mothers and children that include nutrition education components into mothers’ education are more likely to be effective in improving infant dietary diversity.

scholarly journals Modeling Dietary Diversity Practice and Related Factors of Women Reproductive Age at Asaita Woredas, Ethiopia: Community Based Cross-Sectional Study

2021 ◽  
Author(s):  
Alebachew Abebe ◽  
Alebachew Abebe
Keyword(s):  
Family Size ◽  
Cell Phone ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Education Level ◽  
Reproductive Age ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background Competent and health diet throughout women reproductive age is crucial for the health of both mother and new born. Dietary diversity is a procurator indicator of women reproductive age nutrient sufficiency. Objectives This study was planned to evaluate the dietary diversity exercise and associated factors among women reproductive age at Asaita districts, Afar region, Ethiopia. Methods Community based cross-sectional study was done on randomly chosen 422 women under reproductive age at Asaita woredas from February to March, 2020. Data was gathered by using interviewer and 24 hours dietary call up methods. Data entered and analyzed using SPSS version-25. Ordinary logistic regression model was employed to assess factors associated with dietary diversity and potential factors were screened at P-value less than 5%. Results The average dietary diversity score was 4.17±1.112SD. Approximately 13.0%, 78.5% and 8.5% of women reproductive age had low, medium and high dietary diversity practice respectively. Family size of male, family size of female, marital status, education level, house with window, having cell phone, bank, refrigerator, television and cart were significant factors associated with women dietary diversity practice at 5% level of significance. The odds of being “low dietary” instead of “high dietary” multiplies by OR=0.665 for each 1-unit increase in family size of female household. Odds of house with window is in low dietary rather than high dietary scores are OR=2.793 times estimated odds for house with no window’s. Conclusion Marital status, house with window, having cell phone, owner of bank account and refrigerator had a positive association with dietary diversity whereas family size, education level, having television and cart had a negative relation with women under reproductive age of dietary diversity.

scholarly journals A six-week healthy eating intervention with family engagement improves food knowledge and preferences but not dietary diversity among urban preschool children in Sri Lanka

2021 ◽  
pp. 1-22
Author(s):  
Fathima Sirasa ◽  
Lana Mitchell ◽  
Aslan Azhar ◽  
Anoma Chandrasekara ◽  
Neil Harris
Keyword(s):  
Sri Lanka ◽  
Nutrition Education ◽  
Healthy Eating ◽  
Child Nutrition ◽  
Dietary Diversity ◽  
Family Engagement ◽  
Food Preferences ◽  
Healthy Food ◽  
Food Knowledge ◽  
The Impact

Abstract Objective: To evaluate the effectiveness of a multicomponent intervention (MCI) on children’s dietary diversity and its impact pathway components of children’s food knowledge and healthy food preferences. Design: A six-week cluster randomised controlled trial with a MCI consisting of child nutrition education plus family engagement, through parental nutrition education, meal preparation and tasting was compared with two groups: single component intervention (SCI) of child nutrition education, and control, conducted during February to July 2018. Preschool centres were randomly assigned to one of the three arms. Children’s food knowledge, healthy food preferences and dietary diversity scores were collected. Intervention effects were analysed using a pre-post analysis and a difference-in-difference model. Setting: Fourteen preschool centres in an urban area of Kurunegala, Sri Lanka Participants: Child-parent dyads of children aged 4-6 years. Final analyses included 306 (for food knowledge and preferences) and 258 (for dietary diversity) dyads. Results: MCI significantly influenced the impact pathways to children’s dietary diversity by increasing children’s food knowledge and healthy food preferences scores by 3.76 and 2.79 (P<0.001) respectively, but not the dietary diversity score (P=0.603), compared to control arm. Relative to SCI, MCI significantly improved children’s food knowledge score by 1.10 (P<0.001), but no significant effects were noted for other outcome variables. Conclusion: Improved food knowledge and preferences require a positive food environment and time to develop into healthy eating behaviours. Research into dietary diversity should broaden to incorporate the contextual roles of the home and general food environments to more completely understand food choices of children.

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