scholarly journals Factors associated with dietary diversity among pregnant women in the western hill region of Nepal: A community based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0247085
Author(s):  
Vintuna Shrestha ◽  
Rajan Paudel ◽  
Dev Ram Sunuwar ◽  
Andrew L. Thorne Lyman ◽  
Swetha Manohar ◽  
...  

Background Dietary diversity can play an important role in providing essential nutrients for both mother and fetus during pregnancy. This study aimed to assess the factors associated with dietary diversity during pregnancy in the western hill region of Nepal. Methods A cross-sectional study of 327 pregnant women was conducted in an urban municipality of Baglung district in the western hill region of Nepal. A semi-structured questionnaire was used to collect information on household demographic and socioeconomic status, food taboos, household food security status, nutrition-related knowledge in pregnancy, and women’s empowerment. Women consuming ≥5 of 10 food groups in the past 24 hours were defined as consuming a diverse diet using the Minimum Dietary Diversity Score for Women (MDD-W) tool. Bivariate and multivariate logistic regression was used to estimate crude odds ratio (cOR) and adjusted odds ratios (aOR) and 95% confidence intervals (CIs) to understand factors associated with dietary diversity. Results Almost 45% (95% CI: 39.6–50.4) of the participants did not consume a diverse diet and the mean dietary diversity score was 4.76 ± 1.23. Multivariable analysis revealed that women with greater empowerment (aOR = 4.3, 95% CI: 1.9–9.9), from wealthier households (aOR = 5.1, 95% CI: 2.7–9.3), joint families (aOR = 2.7, 95% CI: 1.4–5.1), employment (aOR = 2.2, 95% CI: 1.2–4.1), and had adequate nutrition knowledge (aOR: 1.9, 95% CI 1.1–3.4) had higher odds of dietary diversity. Conclusion Along with socioeconomic status, women’s empowerment and nutrition knowledge were modifiable risk factors that should be considered as targets for programs to improve women’s health during pregnancy.

2020 ◽  
Vol 11 (07) ◽  
pp. 912-925
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Bwembya Phoebe ◽  
Ellen Chirwa ◽  
...  

2020 ◽  
Vol 13 ◽  
pp. 117863882095313
Author(s):  
Sagni Girma Fage ◽  
Gudina Egata ◽  
Yadeta Dessie ◽  
Fekede Asefa Kumsa ◽  
Biru Abdissa Mizana

Background: Anemia is a condition characterized by reduction in the number of red blood cells and/or hemoglobin concentration. It affects 24.8% of the world population. There is little evidence on burden of anemia among adolescents in low income countries like Ethiopia. Thus, this study aimed to assess the magnitude of anemia and factors associated with anemia among school adolescents in eastern Ethiopia. Methods: School based cross-sectional study was conducted among 493 school adolescents in Haramaya town during February 1 to 28, 2017. Multi stage cluster sampling technique was used. We collected anthropometric data (weight and height) and hemoglobin level of all study participants. The hemoglobin level was adjusted for altitude. Data were entered into EpiData and exported to SPSS version 20 for analysis. Logistic regression model was fitted to identify factors associated with anemia. Level of statistical significance was declared at P < .05. Results: In this study, the prevalence of anemia was 29.4% [95% CI: (25.6, 33.5)]. Being female adolescent (AOR = 2.31, 95 % CI: [1.51, 3.54]), adolescents attending grades 9th to 10th (AOR = 1.66, 95% CI: [1.004, 2.77]), adolescents born to illiterate mothers [AOR = 2.23, 95% CI: (1.02, 4.89)], and low dietary diversity score (AOR = 2.33, 95% CI: [1.12, 4.86]) were factors that increased the likelihood of getting anemia. Conclusion: Anemia among school adolescents was a moderate public health problem in the study area. Being female, lower grade levels (9th to 10th), low dietary diversity score and illiterate maternal educational status increased the likelihood of getting anemia. School based Iron/Folic acid supplementation, nutrition education and promotion of diversified foods consumption should be given attention with particular focus on female adolescents.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ishara P. Premathilake ◽  
Praveena Aluthbaduge ◽  
Channa P. Senanayake ◽  
Renuka Jayalatharachchi ◽  
Sirithilak Gamage ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Getahun Fentaw Mulaw ◽  
Fentaw Wassie Feleke ◽  
Seteamlak Adane Masresha

Background. Dietary diversity is part of the set of indicators developed to assess infant and young child feeding practices. In developing countries, only a quarter of children met the required minimum dietary diversity. In Ethiopia, only 14% of children aged 6–23 months met the minimum dietary diversity score, with regional variation. Therefore, this study aimed to assess dietary diversity score and associated factors among children aged 6–23 months in Golina district, Afar region, Ethiopia. Method. A community-based cross-sectional study was conducted among 345 study participants from February 15 to March 30, 2017, in Golina district, Afar, Northeast Ethiopia. The study kebeles were selected randomly and the study subjects were selected using a cluster sampling technique. The child dietary diversity score was determined by the WHO child dietary diversity score scale, using a 24-hour dietary recall method, and data were collected using an interviewer-administered questionnaire. Multivariable logistic regression was used to identify predictor variables, and the level of significance was determined at P value <0.05. Result. This study revealed that children who met the required minimum dietary diversity score were 35.1% (95% CI, (30%–40%)). Children whose mothers have not attended formal education were 3.042 times (AOR = 3.042 95% CI: (1.312–7.052)) less likely to meet the minimum dietary diversity score than children whose mothers have attended secondary and above. Children whose mothers had normal BMI were 51.2% (AOR = 0.488, 95% CI: (0.259–918)) and 68.1% (AOR = 0.319, 95% CI: (0.119–0.855)) more likely to meet the minimum dietary diversity score than children whose mothers’ BMI was underweight and overweight, respectively. Conclusion. Maternal characteristics (educational status and nutrition status) were found to be associated with their child's dietary diversity score. This study also revealed that children who met the minimum dietary diversity score were few. Therefore, the increased emphasis on the importance of the education of girls (future mothers) and nutrition counseling for girls/women who currently have received little education on ways to improve the family and child dietary feeding practice is needed.


2017 ◽  
Vol 1 (3) ◽  
pp. 172
Author(s):  
Dwi Putri Pangesti Suryo Andadari ◽  
Trias Mahmudiono

Background: Childrens needs adequacy nutrients to support the growth process. Nutritional needs in children period can be fullfiled by consuming a variety of foods. Agricultural and pond dominated area can to provide adequate food availability. Objectives: The purpose of this study is to analyze the differences of dietary diversity and the level of energy and protein adequacy in children in agricultural and pond dominated areas. Method: This cross sectional study design and samples are 55 children under five years with the mothers/babysitters as respondents. Samples are taken using proportional random sampling. Dietary diversity are assessed using Individual Dietary Diversity Score (IDDS) with the criteria considered to consume if the amount minimum 10 grams. Adequacy energy and protein is assessed using food recall 2×24 hours and continued by compared with AKG. The differences of dietary diversity, energy ad protein adequacy rates are analyzed using Mann Whitney Test. Results: The results shows that  children in agricultural area classified low dietary diversity and middle dietary diversity in children pond dominated area (p=0.024). Children in agricultural and pond dominated areo classified less energy adequate (0.588) and more protein adequacy (0.459). Conclusion: There is difference of dietary diversity at children in agricultural and pond dominated area and ther is no difference of energy and protein adequacy in children in agricultural and pond dominated area.ABSTRAK Latar Belakang: Pada masa balita membutuhkan asupan gizi yang mencukupi untuk menunjang proses tumbuh kembang tersebut. Kebutuhan gizi pada balita dapat dipenuhi dengan mengonsumsi makanan yang beragam. Pemenuhan pangan yang cukup tercermin dari ketersediaan pangan yang cukup. Sumber daya pertanian dan perikanan seperti tambak memiliki potensi untuk menyediakan sumber pangan.Tujuan: Tujuan penelitian ini untuk menganalisis perbedaan keragaman pangan dan tingkat kecukupan energi dan protein pada balita di wilayah pertanian dan tambak.Metode: Penelitian cross sectional ini menggunakan sampel sebanyak 55 balita dengan ibu/pengasuh sebagai responden. Sampel diambil menggunakan proportional random sampling. Keragaman pangan dinilai menggunakan Individual Dietary Diversity Score (IDDS) dan dinilai dengan kriteria minimum konsumsi 10 gram. Data konsumsi pangan dikumpulkan menggunakan food recall 2×24 jam kemudian dikonversi dibandingan dengan Angka Kecukupan Gizi (AKG) untuk mendapatkan Tingkat Kecukupan Energi dan Tingkat Kecukupan Protein. Data dianalisis menggunakan Mann Whitney Test.Hasil: Hasil penelitian menunjukkan bahwa balita di wilayah pertanian tergolong keragaman pangan rendah dan balita di wilayah tambak tergolong keragaman pangan sedang (p=0,024). Balita di wilayah pertanian maupun tambak tergolong tingkat kecukupan energi kurang (p=0,588) dan tingkat kecukupan protein (p=0,459).Kesimpulan: Terdapat perbedaan keragaman pangan minimum konsumsi 10 gram diterapkan pada balita di wilayah pertanian dan tambak dan tidak terdapat perbedaan kecukupan energi serta protein pada balita di wilayah pertanian dan tambak. 


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