Association of Maternal Dietary Diversity and Nutritional Status with Child’s Dietary Diversity and Nutritional Status (2-5 years) in India

Dietary diversity is a measure of the number of individual foods or food groups consumed in a given period of time. Consumption of more diverse diets is one of the many approaches to improve the nutrition situation. Malnutrition is linked with quality and quantity of dietary intake. A higher dietary diversity has been associated with better nutritional status in an individual. The present study was designed to assess the dietary diversity of the mother and her child, their nutritional status, and any association between these. The sample comprised of mothers (n=100) and their children aged, 2-5 years (n=100), residing in Shakurpur, an urban slum of Delhi, India. Data on background information, obstetric history, household characteristics, and hygienic practices followed by the mother for herself and for her child, morbidity profile of mother and child, immunization, child feeding practices and birth information, were collected. Anthropometric measurements were taken for both mother and child and were analysed using Anthro plus software MDD-W (2016). Moderate wasting, underweight, and stunting were observed in 5%, 18%, and 20% of children respectively, as compared to severe wasting (4%), severe underweight (4%), and severe stunting (10%). No significant difference was observed in the height and weight of boys and girls. A greater proportion of mothers of pre-schoolers were either pre-obese (20%) or obese (9%) than underweight (3%) as per WHO classification, while a little over half (68%) the mothers were of normal weight. The mother’s nutritional status was significantly associated with all the indicators of her child’s nutritional status (p=0.00). More than 50% of the study population (both mothers and children) were consuming ≥5 food groups. Inadequacy in dietary diversity was more in mothers (49%) than children (42%). An association between maternal dietary diversity and child dietary diversity (χ2= 14.577, p=0.000) was observed. However, no association was found between dietary diversity of either the child or the mother and the nutritional status of the children (p>0.05). Thus, the present study showed that the diet of the mother and her child as well as the nutritional status of a mother and her child are associated. This re- emphasizes the fact that a mother and child are very closely related.

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Nutritional status of Moroccan pregnant women and the birth weight of their newborn: a case-control study in the province of El Jadida

AIMS Medical Science ◽

10.3934/medsci.2021020 ◽

2021 ◽

Vol 8 (3) ◽

pp. 237-251

Author(s):

Houda Elfane ◽

◽

Sanaa El-Jamal ◽

Mohamed Mziwira ◽

Imane Barakat ◽

...

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Nutritional Status ◽

Pregnant Women ◽

Dietary Habits ◽

Dietary Diversity ◽

Normal Weight ◽

Food Groups ◽

Anthropometric Parameters ◽

Low Birth Weight Infants

<abstract><sec> <title>Background</title> Maternal malnutrition is a global concern whose consequences for newborns are intrauterine growth retardation, fetal hypotrophy and exposure to risks of pathologies in adulthood. </sec><sec> <title>Objective</title> The aim of this study was to assess and compare the diet quality and nutritional status of pregnant women at the time of childbirth while assessing their newborn's weight at birth. </sec><sec> <title>Materials and methods</title> The study involved 400 parturient, divided into two groups of 200 each, the controls who have just given birth to newborns of normal weight and the cases who have just given birth to babies of low birth weight (LBW). Information on food intakes and dietary habits were collected using questionnaires and anthropometric parameters were measured. </sec><sec> <title>Results</title> The mean body mass index (BMI) of the cases was 25.93 ± 2.64 kg/m2 vs. 28.25 ± 2.75 kg/m2 in the controls. The dietary diversity and variety scores were higher in the controls than in the cases. Indeed means were 6.87 ± 1.30 vs. 8.88 ± 1.35 food groups for the diversity scores and 11.77 ± 1.57 vs. 15.90 ± 2.09 food items for the variety scores in the cases and the controls respectively. The average daily intakes of folates, calcium, iron and zinc were lower than the Recommended Daily Allowances (RDA) for both groups. The daily calcium intake represents only 1/5th of the RDI for the cases and 1/3 for the controls. Average dietary iron intake was insufficient at only 49% of the daily requirement for cases vs. 66.88% for controls while folates accounts for 64.33% of the RDA for the cases. </sec><sec> <title>Conclusion</title> Data from this study shows that the diets of women who have given birth to low birth weight infants are poorly diversified, poorly varied, and poor in certain nutrients essential for a successful pregnancy and childbirth. </sec></abstract>

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Nutrition Intervention Using Behavioral Change Communication without Additional Material Inputs Increased Expenditures on Key Food Groups in Bangladesh

Journal of Nutrition ◽

10.1093/jn/nxz339 ◽

2020 ◽

Vol 150 (5) ◽

pp. 1284-1290

Author(s):

Andrea M Warren ◽

Edward A Frongillo ◽

Phuong H Nguyen ◽

Purnima Menon

Keyword(s):

Behavioral Change ◽

Dietary Diversity ◽

Nutrition Intervention ◽

Food Groups ◽

Child Feeding ◽

Additional Material ◽

Change Communication ◽

Intensive Intervention ◽

Percentage Points ◽

Food Expenditures

ABSTRACT Background Behavioral change communication (BCC) promotes skills and knowledge to improve infant and young child feeding, but without additional material inputs, recipients must develop strategies to translate knowledge into action. Using data from the Alive & Thrive initiative in Bangladesh (2010–2014), we aimed to test whether households receiving the intensive intervention (opposed to the nonintensive intervention) increased expenditures on key foods for mothers and children (e.g., foods that were promoted by the intervention and also changed in maternal and child diets). Methods The intensive intervention provided interpersonal counseling, community mobilization, and mass media campaigns to promote breastfeeding and complementary feeding. A cluster-randomized design compared 20 subdistricts randomly assigned to the intensive (4281 households) or nonintensive (4284 households) intervention. Measures included food and nonfood expenditures, dietary diversity, and women's economic resources. Linear and logistic regression tested difference-in-differences (DD) in expenditures and dietary diversity, accounting for subdistricts as clusters, and the association between maternal and child consumption of specific food groups and corresponding food expenditures. Results Expenditures on eggs and flesh foods increased more in intensive areas than in nonintensive areas by 53 (P < 0.01) and 471 (P < 0.01) taka/mo, respectively. Household food expenditures increased more in intensive areas by 832 taka (P = 0.02), whereas changes in nonfood expenditures did not differ. Women's employment and control of income increased more in intensive areas by 12 (P = 0.03) and 13 (P < 0.01) percentage points, respectively, while jewelry ownership decreased more by 23 percentage points (P < 0.01). Higher expenditures on food groups were reflected in higher consumption by women and children. Conclusions Recipients in the intensive intervention mobilized additional resources to improve diets, reflected in increased expenditures and consumption of promoted foods. BCC interventions should document how recipients produce desired results without additional material inputs, particularly for behaviors that likely require additional resources. This trial was registered at clinicaltrials.gov as NCT01678716.

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Maternal mental health and child nutritional status in an urban slum community in Bangladesh

10.21203/rs.3.rs-65789/v2 ◽

2021 ◽

Author(s):

Ahad Mahmud Khan

Keyword(s):

Mental Health ◽

Multivariate Analysis ◽

Nutritional Status ◽

Diarrheal Disease ◽

Maternal Mental Health ◽

Urban Slum ◽

Feeding Practice ◽

Hygiene Practice ◽

Child Feeding ◽

Child Nutritional Status

Abstract Objective: Poor mental health may diminish a mother's capacity to adequately care for her child, resulting in a negative impact on the child’s nutrition. This study aims to determine the association between maternal mental health and child nutritional status in a poor urban population in Bangladesh.Methods: We carried out a cross-sectional study among 264 mother-child pairs in an urban slum area of Bangladesh. The Self-Reporting Questionnaire-20 (SRQ-20) was used to assess maternal mental health. An SRQ-20 score ≥7 was considered a common mental disorder (CMD). Anthropometric measurements were performed to assess child nutritional status.Results: The prevalence of maternal CMD was 46.2%. Maternal CMD was associated with poorer child feeding practice (p<0.001), poorer hygiene practice (p<0.001), poorer preventive care service use (p=0.016) and suffering from diarrheal disease (p=0.049). The prevalence of stunting, wasting and underweight was 44.3%, 18.2% and 33.7%, respectively. Poorer child feeding practice was associated with wasting (p=0.004) and underweight (p<0.001) but not with stunting. Poorer hygiene practice and suffering from diarrheal disease were associated with stunting and underweight but not with wasting. In multivariate analysis, maternal CMD was associated with child wasting (AOR=2.25, 95% CI=1.15-4.43). Association between maternal CMD and child underweight found in bivariate analysis was attenuated and no longer statistically significant after multivariate analysis (AOR=1.77, 95% CI=0.94-3.33). No statistically significant association was observed between maternal CMD and stunting in this study (AOR=1.46, 95% CI=0.84-2.54).Conclusions: Maternal mental health affects child nutritional status through child feeding practice, hygiene practice and preventive care use. Interventions to address the mental health of mothers in child nutrition programs might contribute to improving child nutritional status.

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Do Dietary Diversity Indices Reflect the Nutritional Status of School Aged Children?

The Indian Journal of Nutrition and Dietetics ◽

10.21048/ijnd.2016.53.4.8399 ◽

2016 ◽

Vol 53 (4) ◽

pp. 405 ◽

Cited By ~ 1

Author(s):

D. J. Nithya ◽

R. V. Bhavani

Keyword(s):

Nutritional Status ◽

School Children ◽

Dietary Diversity ◽

Good Health ◽

Diversity Indices ◽

Food Groups ◽

Anthropometric Indices ◽

Nutrient Adequacy ◽

School Aged Children ◽

The Mean

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 (FS24hr) data; household dietary diversity using Berry's index (DDI) and food scores calculated using food frequency data (FSFFQ). 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 <70% for all nutrients except protein, energy, thiamine and niacin and MAR was found to be <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 FS24hr 7.56, DDI 89 and FSFFQ 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.

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The interactive association of dietary diversity scores and breast-feeding status with weight and length in Filipino infants aged 6–24 months

Public Health Nutrition ◽

10.1017/s1368980015000427 ◽

2015 ◽

Vol 18 (10) ◽

pp. 1762-1773 ◽

Cited By ~ 11

Author(s):

Melecia J Wright ◽

Margaret E Bentley ◽

Michelle A Mendez ◽

Linda S Adair

Keyword(s):

Energy Intake ◽

Breast Feeding ◽

Fixed Effects ◽

Complementary Feeding ◽

Dietary Diversity ◽

Food Groups ◽

Nutrition Survey ◽

Feeding Patterns ◽

Significant Difference ◽

Breast Fed

AbstractObjectiveTo assess how breast-feeding and dietary diversity relate to infant length-for-age Z-score (LAZ) and weight-for-age Z-score (WAZ).DesignBreast-feeding, dietary and anthropometric data from the Cebu Longitudinal Health and Nutrition Survey were analysed using sex-stratified fixed-effects longitudinal regression models. A dietary diversity score (DDS) based on seven food groups was classified as low (<4) or high (≥4). The complementary feeding patterns were: (i) non-breast-fed with low DDS (referent); (ii) breast-fed with low DDS; (iii) non-breast-fed with high DDS; and (iv) breast-fed with high DDS (optimal). Interactions between age, energy intake and complementary feeding patterns were included.SettingPhilippines.SubjectsInfants (n 2822) measured bimonthly from 6 to 24 months.ResultsBreast-feeding (regardless of DDS) was significantly associated with higher LAZ (until 24 months) and WAZ (until 20 months). For example, at 6 months, breast-fed boys with low DDS were 0·246 (95 % CI 0·191, 0·302) sd longer and 0·523 (95 % CI 0·451, 0·594) sd heavier than the referent group. There was no significant difference in size between breast-fed infants with high v. low DDS. Similarly, high DDS conferred no advantage in LAZ or WAZ among non-breast-fed infants. There were modest correlations between the 7-point DDS and nutrient intakes but these correlations were substantially attenuated after energy adjustment. We elucidated several interactions between sex, age, energy intake and complementary feeding patterns.ConclusionsThese results demonstrate the importance of prolonged breast-feeding up to 24 months. The DDS provided qualitative information on infant diets but did not confer a significant advantage in LAZ or WAZ.

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The Influence of dietary diversity on the nutritional status of children between 6 and 23 months of age in Tanzania

10.21203/rs.2.16657/v1 ◽

2019 ◽

Author(s):

Ahmed Gharib Khamis ◽

Akwilina Wendelin Mwanri ◽

Julius Edward Ntwenya ◽

Katharina Kreppel

Keyword(s):

Fruits And Vegetables ◽

Dietary Diversity ◽

Secondary Data ◽

Food Group ◽

Limited Information ◽

Food Groups ◽

Child Feeding ◽

Young Child Feeding ◽

Nutritional Status Of Children ◽

Minimum Dietary Diversity

Abstract Background Undernutrition poses a serious health challenge in developing countries. Tanzania has the highest undernutrition burdens in East and Southern Africa. Poor infant and young child feeding practices including consumption of undiversified diet are the main cause for undernutrition. There is limited information regarding the association between dietary diversity and undernutrition in Tanzania. The objective of this paper was to examine to what extent the dietary diversity is associated with undernutrition of children of 6 to 23 months in Tanzania.Methods This is a secondary data analysis from data collected by the Tanzania Demographic and Health Survey of 2015-2016. Stunting, wasting and underweight were calculated from Z-scores based on 2006 WHO standards. A dietary diversity score was created by summing the number of food groups reported for each child by the mother ranging from 0 to 7. Then, a Minimum Dietary Diversity (MDD) indicator was used to assess the diversity of the diet given to children. Bivariate and multivariate logistic regression techniques were used to assess the odds ratios of becoming undernourished.Results A total of 2,960 children were enrolled in this study. The majority (73.9%) of children did not reach the recommended Minimum Dietary Diversity (MDD). The most commonly consumed types of foods were grains, roots and tubers (91%), and Vitamin A containing fruits and vegetables (65%). Consumption of a diverse diet was significantly associated with a reduction of stunting, wasting and being underweight in children. The likelihood of being stunted, wasted and underweight was found to decrease as the number of food group consumed increased. Children who did not received an MDD diet had a significantly higher likelihood of being stunted (AOR=1.37, 95% CI; 1.13-1.65) and underweight (AOR=1.49, 95% CI; 1.15-1.92), but this was not the case for wasting. Consumption of animal source foods has been found to be associated with reduced stunting among children.Conclusion Consumption of a diverse diet was associated with a reduction in undernutrition among children of 6 to 23 months in Tanzania. Measures to improve the type of complementary foods in order to meet the energy and nutritional demands of children should be considered in Tanzania.

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NUTRITIONAL STATUS OF ACUTE RESPIRATORY INFECTION CHILDREN 6-23 MONTHS AND SOME CHILD FEEDING PRACTICES OF MOTHERS AT THE MATERNITY AND CHILDREN'S HOSPITAL OF HA NAM PROVINE IN 2016-2018

Tạp chí Y học Cộng đồng ◽

10.52163/jcm.v62i4.128 ◽

2021 ◽

Vol 62 (4) ◽

Author(s):

Nguyen Van Dung ◽

Nguyen Thi Thinh ◽

Pham Van Phu

Keyword(s):

Nutritional Status ◽

Respiratory Infections ◽

Feeding Practices ◽

Cross Sectional Survey ◽

Child Feeding ◽

Cross Sectional ◽

Children's Hospital ◽

Child Feeding Practices ◽

Significant Difference ◽

Children’S Hospital

A cross-sectional survey on 523 pairs of mother and suffered from acute respiratory infections child6-23 months old treated at the Maternity and Children’s Hospital of Ha Nam provine in 2016-2018to assess the nutritional status of children and describe some mother’s child-feeding practices. Theresults showed that: The rates of stunting and wasting of children were high: 21.2% and 11.1%(respectively); the rate of underweight was 14.0%. The rates of mothers who breastfeed their babieslate after the first hour after birth and of mothers who give complementary foods too early or too late(before 6 months or after 8 months of age) were quite high: 62.5% and 53.0% (respectively); the rateof mothers squeezed colostrum before first breastfeeding was 24.3%. Children who were started oncomplementary feeding at the wrong time compared with those who were fed at the right time hadhigher rates of stunting: 24.2% and 18.8% (respectively) (OR=1, 4; 95%CI 0.9-2.3) but no statisticallysignificant difference (p=0.1075); the rate of underweight malnutrition was also higher: 19.5% and7.8% (respectively) statistically significant difference (OR=2.9; 95%CI 1.6-5.3; p=0.0001).

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Influence of agriculture on child nutrition through child feeding practices in India: A district-level analysis

PLoS ONE ◽

10.1371/journal.pone.0261237 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0261237

Author(s):

Deepshikha Dey ◽

Arup Jana ◽

Manas Ranjan Pradhan

Keyword(s):

Nutritional Status ◽

Agricultural Production ◽

Child Nutrition ◽

Dietary Diversity ◽

Feeding Practices ◽

District Level ◽

Primary Concern ◽

Indian Children ◽

Child Feeding ◽

Child Feeding Practices

Malnutrition continues to be a primary concern for researchers and policymakers in India. There is limited scientific research on the effect of agriculture on child nutrition in the country using a large representative sample. To the best of our knowledge, no study has examined the spatial clustering of child malnutrition and its linkage with agricultural production at the district-level in the country. The present study aims to examine agricultural production’s role in improving the nutritional status of Indian children through child feeding practices. The nutritional indicators of children from the National Family Health Survey-4 (2015–16) and the agricultural production data for all the 640 districts of India obtained from the District-Wise Crop Production Statistics (2015–16), published by the Ministry of Agriculture, Government of India were used for the analysis. The statistical analysis was undertaken in STATA (version 14.1). ArcMap (version 10.3), and GeoDa (version 1.8) were used for the spatial analysis. The study found a higher prevalence of malnutrition among children who had not received Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD), and Minimum Acceptable Diet (MAD). Further, child feeding practices- MMF, MDD, and MAD- were positively associated with high yield rates of spices and cereals. The yield rate of cash crops, on the contrary, harmed child feeding practices. Production of pulses had a significant positive effect on MDD and MAD. Districts with high cereal yield rates ensured that children receive MMF and MAD. There is a significant spatial association between child feeding practices and malnutrition across Indian districts. The study suggests that adopting nutrient-sensitive agriculture may be the best approach to improving children’s nutritional status.

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FAKTOR-FAKTOR YANG MEMPENGARUHI STATUS GIZI ANAK BALITA DI KABUPATEN TIMOR TENGAH UTARA, PROVINSI NUSA TENGGARA TIMUR

Jurnal Gizi dan Pangan ◽

10.25182/jgp.2011.6.1.66-73 ◽

2011 ◽

Vol 6 (1) ◽

pp. 66

Author(s):

Hadi Riyadi ◽

Drajat Martianto ◽

Dwi Hastuti ◽

Evy Damayanthi ◽

Kukuh Murtilaksono

Keyword(s):

Nutritional Status ◽

Family Income ◽

Group Discussion ◽

Cross Sectional Study ◽

Child Malnutrition ◽

Anthropometric Measurement ◽

Font Size ◽

Cross Sectional ◽

Severe Stunting ◽

Significant Difference

This research aims to analyze underlying factors affecting child malnutrition at Timor Tengah Utara district, NTT. The design was a cross-sectional study. Sample of this study was household that have underfive years old children residing in the areas of Plan International. Data was collected by using structured questionnaire, focus group discussion and in-depth interview. Nutritional status was measured using anthropometric measurement with weight and height indicators and child consumption was recorded using 24 hours food’s recall. Result showed that in three villages prevalence of malnourished children was high, which were 6.0% classified as severe underweight, 15.3% severe stunting and 0.7% severe wasting. There was no significant difference in term of nutritional status. Child malnutrition was influenced by low access to nutrition and health information, low nutrition knowledge and practices, and low family income.

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Feeding Practices of Children Aged 0-59 Months Accompanying Incarcerated Mothers in Selected Women’s Prisons in Kenya

The Open Nutrition Journal ◽

10.2174/1874288201711010001 ◽

2017 ◽

Vol 11 (1) ◽

pp. 1-10 ◽

Cited By ~ 1

Author(s):

Mary N. Makau ◽

Sophie Ochola ◽

Dorcus Mbithe

Keyword(s):

Nutritional Status ◽

Dietary Diversity ◽

Feeding Practices ◽

Incarcerated Mothers ◽

Dietary Practices ◽

Child Feeding ◽

Cross Sectional ◽

Young Child Feeding ◽

Women's Prisons ◽

Breastfeeding Rate

Infant and young child feeding practices have substantial consequences for the growth, development, and survival of children. Children should be exclusively breastfed for the first 6 months of life and thereafter continue to breastfeed for 2 years or longer. Children are vulnerable to malnutrition thus nutrition and health status of the confined children is of interest. The purpose of this study was to establish feeding practices of children 0-59 months incarcerated with their mothers in selected women’s prisons in Kenya. A cross-sectional analytical study was conducted on an exhaustive sample of 202 children and 193 mothers, drawn from a sample of eight out of the 35 women prisons in Kenya. Data collection tools included: a structured researcher-administered questionnaire for mothers and children. Exclusive breastfeeding rate was 69.4%; continued breastfeeding at 1 and 2 years year (88.5%; 52.2%). The mean Dietary Diversity Score (DDS) was 3.52 ± 1.04 foods groups out of 7 groups with 53.3% having attained the minimum DDS and 86.5% of breastfed children having attained the minimum frequency meal consumption. About half of the children (48.6%) attained the minimum acceptable diet. In terms of nutritional status, 21.4% of the children were stunted, 3.8% wasted and 7.5% were underweight. Dietary practices were associated with underweight; not attaining the minimum dietary diversity and minimum acceptable diet was associated with underweight (p = 0.012; p = 0.014); Illness 2 weeks prior to the study was correlated with underweight (p=0.012). Feeding practices significantly influenced nutritional status among children accompanying incarcerated mothers in prisons in Kenya.

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