scholarly journals Association between Dietary Diversity Score and Nutrient Adequacy in Patients with Calcium Oxalate Kidney Stone

Author(s):  
Tahereh Azimi ◽  
Shahryar Eghtesadi ◽  
Behnood Abbasi

Background: Nephrolithiasis is a global health problem that is growing exponentially in the developed and developing countries. This study aimed to determine the dietary diversity score (DDS) and its association with nutrient adequacy in patients with calcium oxalate kidney stone. Methods: The present cross-sectional study was conducted on 276 male patients with calcium oxalate kidney stone. The validity and reliability of dietary intake was assessed by the 147-item food frequency questionnaire. Based on the USDA Food Guide Pyramid, the five food groups (grains, vegetables, fruits, meats, and dairy products) were used to determine the DDS. The nutrient adequacy ratio and the mean adequacy ratio were calculated using the Recommended International Standards. Results: The mean of the body mass index of the participants was 27.49 ± 4.01 kg/m2. Mean of the total DDS was also 5.62 ± 1.29. Participants in the highest DDS tertile had higher energy and fat intake than those in the lowest tertile (P-trend < 0.05). The highest and lowest DDS were observed in the fruit and vegetable groups: 1.58 ± 0.53 and 0.91 ± 0.29, respectively. The total DDS had a positive correlation with the adequacy of energy intake and macronutrients including protein and fats (P < 0.05). Furthermore, a significant positive correlation was found between the total DDS and the mean adequacy ratio (P < 0.01, r = 0.2). Conclusion: The findings showed that patients with calcium oxalate kidney stone did not have an appropriate level of total DDS (DDS < 6), indicating that they did not receive diverse nutrients.

Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 1994
Author(s):  
Georgina Gómez ◽  
Ágatha Nogueira Previdelli ◽  
Regina Mara Fisberg ◽  
Irina Kovalskys ◽  
Mauro Fisberg ◽  
...  

Dietary diversity, an important component of diet quality, is associated with an increased probability of adequate micronutrient intake. Women of childbearing age (WCA) are particularly vulnerable to micronutrient inadequacy. The Minimum Dietary Diversity for Women (MDD-W) has been used widely as a proxy measurement of micronutrient adequacy. This study aimed to assess the association between MDD-W and nutrients adequacy among WCA of eight Latin American countries. Nutrient intakes from 3704 WCA were analyzed with two 24-hour dietary recalls. Dietary diversity was calculated based on ten food groups with a cut-off point of intake ≥5 groups. The mean dietary diversity score was 4.72 points, and 57.7% of WCA achieved MDD-W. Vitamin D and E showed a mean Nutrient Adequacy Ratio (NAR) of 0.03 and 0.38, respectively. WCA with a diverse diet (MDD-W > 5) reported a significantly higher intake of most micronutrients and healthy food groups with less consumption of red and processed meats and sugar-sweetened beverages. MDD-W was significantly associated with the mean adequacy ratio (MAR) of 18 micronutrients evaluated. Nevertheless, even those women with a diverse diet fell short of meeting the Estimated Average Requirements (EAR) for vitamins D and E. MDD-W is an appropriate tool to evaluate micronutrients adequacy in WCA from Latin America, showing that women who achieved the MDD-W reported higher adequacy ratios for most micronutrients and an overall healthier diet.


2020 ◽  
Author(s):  
Tsegahun Worku Brhanie ◽  
Walelgn Tefera ◽  
Mamo Dereje

Abstract Background: Adequate and healthy diet during pregnancy is essential for the health of both mother and newborn. Dietary diversity is a proxy indicator of maternal nutrient adequacy. However, little is documented on the prevalence of dietary diversity among pregnant women. This study was aimed to assess the dietary diversity practice and associated factors among pregnant women attending antenatal care in health centers of the coffee keranyo sub city, Addis Ababa, Ethiopia. Methods: Institution based cross-sectional study was conducted on 406 randomly selected pregnant women attending ANC in health centers of the coffee keranyo sub city, Addis Ababa from March 2-April 2/ 2018. Data were collected by using interviewer and 24 H dietary recall method. Data had entered and analyzed using SPSS version 21. Multiple logistic regression was run to assess factors associated with the dependent variable at P<0.05. Results: The mean Dietary Diversity Score of pregnant women was 5. 45+-1. 83. About 60.9% of pregnant women had good dietary diversity practice. Pregnant women who learned collage and above had more dietary diversity practice than the illiterate one [AOR=2.26, 95% CI: (1.066, 4.808)]. Pregnant women with monthly income more than 5,000 ETB had more dietary diversity than income less than 2,000 ETB [AOR=2.33, 95% CI: (1.234, 4.416)]. Pregnant women at second antenatal care visit had more dietary diversity than at the first visit [AOR=2.42, 95% CI: (1.183, 4.952)]. Having nutrition information during pregnancy increases 2 times better dietary diversity practice than none informed ones [AOR=2.10, 95% CI: (1.294, 3.422)].Conclusions: The mean Dietary Diversity Score of pregnant mothers was 5.45. And 60.9% of pregnant women had a good dietary diversity score, whereas 39.1 % of them had a poor diet diversity score. Mothers’ education, monthly income, second and third antenatal care visit and nutrition information had a significantly associated with pregnant mothers’ dietary diversity.


2006 ◽  
Vol 9 (5) ◽  
pp. 644-650 ◽  
Author(s):  
NP Steyn ◽  
JH Nel ◽  
G Nantel ◽  
G Kennedy ◽  
D Labadarios

AbstractObjectiveTo assess whether a food variety score (FVS) and/or a dietary diversity score (DDS) are good indicators of nutrient adequacy of the diet of South African children.MethodsSecondary data analyses were undertaken with nationally representative data of 1–8-year-old children (n = 2200) studied in the National Food Consumption Study in 1999. An average FVS (mean number of different food items consumed from all possible items eaten) and DDS (mean number of food groups out of nine possible groups) were calculated. A nutrient adequacy ratio (NAR) is the ratio of a subject's nutrient intake to the estimated average requirement calculated using the Food and Agriculture Organization/World Health Organization (2002) recommended nutrient intakes for children. The mean adequacy ratio (MAR) was calculated as the sum of NARs for all evaluated nutrients divided by the number of nutrients evaluated, expressed as a percentage. MAR was used as a composite indicator for micronutrient adequacy. Pearson correlation coefficients between FVS, DDS and MAR were calculated and also evaluated for sensitivity and specificity, with MAR taken as the ideal standard of adequate intake. The relationships between MAR and DDS and between anthropometric Z-scores and DDS were also evaluated.ResultsThe children had a mean FVS of 5.5 (standard deviation (SD) 2.5) and a mean DDS of 3.6 (SD 1.4). The mean MAR (ideal = 100%) was 50%, and was lowest (45%) in the 7–8-year-old group. The items with the highest frequency of consumption were from the cereal, roots and tuber group (99.6%), followed by the ‘other group’ (87.6%) comprising items such as tea, sugar, jam and sweets. The dairy group was consumed by 55.8%, meat group by 54.1%, fats by 38.9%, other vegetables by 30.8%, vitamin-A-rich by 23.8%, other fruit by 22%, legumes and nuts by 19.7% and eggs by 13.3%. There was a high correlation between MAR and both FVS (r = 0.726; P < 0.0001) and DDS (r = 0.657; P < 0.0001), indicating that either FVS or DDS can be used as an indicator of the micronutrient adequacy of the diet. Furthermore, MAR, DDS and FVS showed significant correlations with height-for-age and weight-for-age Z-scores, indicating a strong relationship between dietary diversity and indicators of child growth. A DDS of 4 and an FVS of 6 were shown to be the best indicators of MAR less than 50%, since they provided the best sensitivity and specificity.ConclusionEither FVS or DDS can be used as a simple and quick indicator of the micronutrient adequacy of the diet.


2016 ◽  
Vol 53 (4) ◽  
pp. 405 ◽  
Author(s):  
D. J. Nithya ◽  
R. V. Bhavani

Dietary Diversity, with foods from all food groups is necessary to meet the requirements for essential nutrients which lead to good health. This study examines whether different dietary diversity indices have relationship with the nutritional status of school children aged 6 to 12 years, in two different regions of India: Wardha district, Maharashtra and Koraput district, Odisha. Dietary diversity was calculated using three methods: Individual food scores calculated using 24 hour diet recall (FS<sub>24hr</sub>) data; household dietary diversity using Berry's index (DDI) and food scores calculated using food frequency data (FS<sub>FFQ</sub>). Anthropometric indices were used to assess the nutritional status of school aged children. The Nutrient Adequacy Ratio (NAR) and the Mean Adequacy Ratio (MAR) were calculated as indicators of nutrient adequacy. The relationship between NAR, MAR and three different diversity indices, dietary diversity and anthropometric indices were analyzed. Overall, 38% of 6 to 12 year school aged children were found to be undernourished. The NAR was &lt;70% for all nutrients except protein, energy, thiamine and niacin and MAR was found to be &lt;70% of requirement with mean of 60.5% in both locations. The dietary diversity was found to be relatively better in Wardha when compared with Koraput. The mean diversity indices in both the locations were FS<sub>24hr</sub> 7.56, DDI 89 and FS<sub>FFQ</sub> 62.9. Overall most of the nutrient adequacy and mean adequacy were correlated with all three dietary diversity indices when both locations were studied together. However all three dietary diversity indices failed to show any relationship with nutritional status of school children aged 6-12 years from both locations taken together.


2014 ◽  
Vol 18 (4) ◽  
pp. 615-621 ◽  
Author(s):  
Leila Azadbakht ◽  
Fahime Akbari ◽  
Ahmad Esmaillzadeh

AbstractObjectiveDiet in adolescence is important not only because of adolescents’ rapid growth but also due to its influence on future chronic diseases. On the other hand, dietary quality indices are noteworthy and useful approaches to evaluate dietary intakes. Thus the present study was conducted to assess dietary quality indices in adolescents.DesignCross-sectional.SettingsThe data were collected from schools in Isfahan, Iran.SubjectsFemale students (n 265) aged 11–13 years were enrolled using systematic cluster-random sampling in Isfahan (Iran). Dietary intakes were assessed by a validated FFQ. Diet quality indices including dietary diversity score (DDS), the Healthy Eating Index (HEI) and mean adequacy ratio (MAR) across ten nutrients were calculated.ResultsMean DDS, HEI score and MAR were 6·15 (sd 1·61) out of 10 points, 63·90 (sd 19·86) out of 100 points and 1·32 (sd 0·61), respectively. Mean nutrient adequacy ratio of all nutrients was above 1 except for vitamin D (0·53 (sd 0·51)). Those in the highest tertile of DDS had the most favourable anthropometric variables in comparison to the lowest tertile. There were no significant associations between HEI score and BMI, central or abdominal obesity and blood pressure. Those in the highest tertile of MAR had higher BMI, waist circumference and hip circumference.ConclusionsDiet quality of Isfahani adolescents needs improvement. It may imply the necessity of implementing nutritional instructive policies in this age group and their parents.


2018 ◽  
Vol 5 (3) ◽  
pp. 1053 ◽  
Author(s):  
Divya N. ◽  
Rajanish K. V. ◽  
Malavika J. ◽  
Aarti Sharma

Background: Dietary diversity is a qualitative measure of food consumption that reflects household access to a variety of foods and is also a proxy for nutrient adequacy of diet of individual. Breast-feeding and complementary feeding practices are fundamental to children’s survival and development. Feeding practices have an impact on physical growth, which is one of the best indicators of children’s well-being. However, the relation between the quality of feeding practices during early age and nutritional status are difficult to establish, and, depending on the context and overall living conditions, the influence of feeding factors on children’s nutritional status can vary considerably. This study helps us to assess the dietary diversity score by simple food count method which is a good indicator of adequate micronutrient intake.Methods: The study was a retrospective study conducted on babies between 6 months to 23 months of age presenting in Paediatric outpatient Department. Data was collected by 24-hour recall method for 3 days and an average.Results: 30% of subjects had weight for age below 2 SD and 8% had length for age below 2 SD. Dietary diversity Score of 1and 6 in 8%, 2 in 48%, 3 and 5 in 6%, 4 in 24% was noted. The average scoring was low among 6-9 and10-12 months and it increased between 13-23 months. With increase in age there was increase in dietary diversity score and vice versa.Conclusions: Limited diversity in complementary foods is a strong predictor of the nutritional status of children. Inclusion of a variety of food groups may be more essential to improve child’s nutritional status.


2021 ◽  
Vol 1 (4) ◽  
pp. 258-263
Author(s):  
Indresh Kumar ◽  
Madhulika Gautam

Dietary diversity indicators can serve as a proxy for diet quality and have shown an association with Dietary diversity indicators can serve as a proxy for diet quality and have shown an association with nutrient adequacy at the individual level; it is positively correlated with indicators of micronutrients adequacy in several types of study. The main objective of this study is to examine the nutrient adequacy ratio and its relationship with the individual dietary diversity score in the rural community. The relationship between individual dietary diversity score and nutrients adequacy was assessed with and without the minimum quantity food groups intake restriction. Data was collected through the 24 hours dietary recall schedule and dietary diversity questionnaire by applying 24 hours recall method in randomly selected 491 individuals from the rural areas of Uttar Pradesh state of India. Individual dietary diversity score was measured using the nine food groups system, suggested by Food and agriculture organization, US. An analysis of the relationship with sixteen nutrients was assessed through the Microsoft excel data analysis functions. It was found that iron and niacin intake had moderate-positive co-relation with individual dietary diversity scores, and a weak positive correlation with calcium, thiamine, riboflavin, vitamin-A, potassium, zinc, protein, vitamin-C, folates were found with no minimum quantity intake of the food groups. A negative correlation between sodium, phosphorus, and magnesium intake was noted; and there was no correlation noted with fat and energy. After fixing the minimum intake quantity of the food groups, the relationship between the dietary diversity score and the nutritional accuracy was strengthened. The association of micronutrients with the Individual Dietary Diversity Score was shown to be strong after applying minimum 15 grams intake quantity restriction of the food groups.


2011 ◽  
Vol 51 (1) ◽  
pp. 47
Author(s):  
Sarah M. Warouw ◽  
Suryani As'ad ◽  
Satriono Satriono

Background Obesity is a low level and chronic inflammatory condition predominantly affecting white adipose tissue, where macrophage infiltration is found. Leptin is one of many molecules relating obesity to cardiovascular disease. Leptin can increase cytokine production in macrophages and monocytes, and increase oxidative stress on endothelial cells. Pro-inflammatory cytokines, in turn, may trigger the release of C-reactive protein.Objective To examine the correlation between leptin and hsCRP in obese children aged 9-15 years.Methods This cross-sectional study was done in Manado from May to December 2009, on elementary and junior high school children. Subjects were obese children aged 9-15 years, with nutritional status detennined by Body Mass Index and converted into z-score. Physical examination, blood pressure, and blood examinations for  fasting blood sugar (FBS), lipid profile, leptin, and hsCRP were perfonned. Data were analyzed with appropriate statistical methods.Results The mean leptin level in obese children was 34,009.2 pgiL (SD 18,224.79), higher than that of the control, 7,760.9 pgiL (SD 8,859.55) (P<0.0001). The mean hsCRP level in obese children was 3.6 mgiL (SD 3.60), higher than that of the control, 0.7 mgiL (SD 1.32) (<0.0001). There was a significant positive correlation between leptin and hsCRP levels in obese children (r 􀀁 0.355; P<0.0001).Conclusions There is significant positive correlation between leptin and hsCRP levels in obese children aged 9-15 years. Increased leptin and hsCRP levels indicate a low degree of chronic inflammation. Thus, intervention is needed to decrease the body weight of obese children.


2019 ◽  
Vol 4 (2) ◽  
pp. 707-711
Author(s):  
Umesh Kumar Mehta ◽  
Arun Dhakal ◽  
Surya B. Parajuli ◽  
Sanjib Kumar Shah

Introduction: Stature is one of the most important anatomical parameters for personal identification. Estimation of stature by measuring different parts of the body is valuable in medico legal investigations as well as in anthropology. Objectives: The objective of this study was to find correlation between stature and foot length and developing a regression equation for stature estimation from foot length among medical students of Birat Medical College & Teaching Hospital, Morang, Nepal. Methodology: This is cross sectional study conducted at Department of Anatomy of Birat Medical College & Teaching Hospital, Morang, Nepal from 15 March 2019 to 15 June 2019. Two hundred (100 male and 100 female) medical students were enrolled in the study. Stature and foot length were measured using standard instruments. The collected data was entered into Microsoft excel and analyzed by using SPSS. Results: The mean stature in male was 165.4 cm with SD of 8.46 cm, in female the mean stature was 156.5 cm and with SD 6.56 cm. The mean foot length in male was 25.84 cm with SD of 1.73 cm, in female mean foot length was 23.35 cm with SD 1.30 cm. This gender wise difference in mean stature and foot length between males and females was statistically significant (p<0.001). There was significant positive correlation between stature and foot length (r = 0.534, P < 0.001) for male and (r=0.675, P < 0.001) for female. Regression equations were derived for estimation of stature from measurement of foot length in both sexes. Conclusion: This research found significant positive correlation between stature and foot length in both sexes. Regression equation was also derived which help to predict the stature by knowing the foot length in medico legal cases.


Author(s):  
C. Cheng

1. The number of species found in this investigation is six, of which four are marine and two brackish water.2. The mean value of the body weight and the fecundity varies with the species. The size of a species bears no relation whatever to the reproductive capacity.3. The fecundity is subject to seasonal variation, being generally higher in the spring than in the winter months.4. In general, a positive correlation exists between body weight and fecundity of the individuals of each species. This rule does not, however, apply to Gammarus duebeni, in which the fecundity appears to fall after reaching its maximum at the 19 mg. body-weight class.


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