scholarly journals Optimal Household Water Access Fosters the Attainment of Minimum Dietary Diversity among Children Aged 6–23 Months in Malawi

Nutrients ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 178
Author(s):  
Zizwani Brian Chilinda ◽  
Mark L. Wahlqvist ◽  
Meei-Shyuan Lee ◽  
Yi-Chen Huang
Keyword(s):  
Young Children ◽  
Dietary Diversity ◽  
World Health ◽  
Food Groups ◽  
Water Access ◽  
Direct Role ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Health Organization ◽  
Minimum Dietary Diversity

Along with sanitation and hygiene, water is a well-known driver of child undernutrition. However, a more direct role of household (HH) water access in shaping dietary diversity remains unexplored. We assessed the association between HH water access and achievement of minimum dietary diversity (MDD) among young children. We utilized nationally-representative cross-sectional data from the 2015/16 Malawi Demographic and Health Survey, which included 4727 mother–child dyads, respectively, (26.8 ± 6.8 years, range 15–49 years) and (13.9 ± 4.9 months, range 6–23 months). HH water access was categorized as (1) basic or no access, (2) intermediate, or (3) optimal. MDD was defined as feeding a child, during the previous day, at least four of the food groups defined by the World Health Organization. Only 27.7% of the children achieved MDD standards; most of the children who achieved MDD were from HHs with optimal water access (58.4%, p < 0.001). However, only 5.9% of the mother–child dyads were from HHs with optimal water access. After adjusting for covariates, children from HHs with optimal water access had higher odds of achieving MDD than those from HHs with basic or no water access (aOR = 1.74, CI = 1.24–2.46). Our results highlight the need to incorporate water-based strategies into national nutritional policies to increase dietary diversity among Malawian infants and young children.

scholarly journals COMPLEMENTARY FEEDING INDICATORS FOR CHILDREN AGED 6 TO 23 MONTHS ACCORDING TO BREASTFEEDING STATUS

2021 ◽  
Vol 39 ◽  
Author(s):  
Daniella Garcia Vidal Rodrigues Leonez ◽  
Angélica Rocha de Freitas Melhem ◽  
Daniele Gonçalves Vieira ◽  
Débora Falleiros de Mello ◽  
Paula Chuproski Saldan
Keyword(s):  
Complementary Feeding ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
World Health ◽  
Meal Frequency ◽  
Sectional Study ◽  
Cross Sectional ◽  
Semi Solid ◽  
Health Organization ◽  
Minimum Dietary Diversity

ABSTRACT Objective: To verify if there are differences among the complementary feeding indicators of children aged 6-23 months according to the breastfeeding status. Methods: A cross-sectional study was carried out with 1,355 children aged 6-23 months in 2012 to evaluate five indicators proposed by the World Health Organization (WHO) and modified in accordance with Brazilian’s recommendations “Ten steps to a healthy feeding: a feeding guide for children under two years old”. The indicators used were: I. Introduction of solid, semi-solid or soft foods; II. Minimum dietary diversity; III. Minimum meal frequency; IV. Minimum acceptable diet, and V. Consumption of iron-rich foods. To verify differences between the complementary feeding indicators according to breastfeeding status, the F-statistic was used, with p≤0.05 meaning significant. Results: Indicators I, II, and V were similar among breastfed and non-breastfed children; however, indicators III and IV presented a higher proportion of adequacy for non-breastfed children, with 94.9% (CI95% 93.2-96.2) versus 40.3% (CI95% 33.2-47.9) for indicator III, and 57.3% (CI95% 53.2-61.2) versus 23.1% (CI95% 17.4-30.1) for indicator IV. Conclusions: Non-breastfed children have better complementary feeding status, but the indicator III takes into account non-breast milk as a meal for non-breastfed children, which increased the number of dairy meals and influenced indicator IV (calculated from indicators II and III).

scholarly journals Concordance of Mother-Child (6–23 Months) Dietary Diversity and Its Associated Factors in Kucha District, Gamo Zone, Southern Ethiopia: A Community-Based Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Tesfaye Guja ◽  
Yabsira Melaku ◽  
Eshetu Andarge
Keyword(s):  
Associated Factors ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
World Health ◽  
Southern Ethiopia ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Mothers And Children

Meeting minimum standards of dietary quality in mothers and children is a challenge in many developing countries including Ethiopia. Emerging evidence suggests that maternal and child dietary diversity is associated, but little is known about the associated factors of concordance of mother-child dietary diversity in Ethiopia and none is documented in the study area. This study examines the concordance between mother-child (6–23 months) dyads dietary diversity and the associated factors in Kucha District, Gamo Zone, Southern Ethiopia. A community-based cross-sectional study was conducted among 791 mother-child (6–23 months) pairs from 11 selected kebeles on March 6 to April 13, 2017. Multistage cluster sampling technique was used to select the study subjects. The sampling frame was obtained from the family folder of health posts in each kebele. The mother-child pairs were selected by the simple random sampling method. The 7 food groups of the World Health Organization (WHO) for children and the 10 food groups of FANTA/FAO 2016 for mothers were used to analyze the dietary diversity. Cohen’s kappa statistics was calculated to see the strength of concordance. The multivariable logistic regression model was fitted to determine factors affecting mother-child dietary diversity concordance. A good concordance was noted between mother-child dietary diversity scores (Kappa = 0.43). Only 56 (7.1%) mothers were negative deviants, and 133 (16.8%) mothers were positive deviants in dietary diversity consumption. Rural residence (AOR = 3.49; 95% CI: 1.90–6.41), having no formal education (AOR = 1.8; 95% CI: 1.08–3.05), not owning milking cow (AOR = 1.7; 95% CI: 1.10–2.56), children with low dietary diversity (AOR = 8.23; 95% CI: 5.17–13.08), and mothers with low dietary diversity (AOR = 0.46; 95% CI: 0.29–0.74) were found to be factors associated with mother-child dietary diversity concordance. An increase in the percentage of children reaching the minimum dietary diversity was greater with a successive increase in maternal dietary diversity. Despite interesting similarities between mothers and children dietary consumption, more than three-quarters of concordants did not achieve the recommended dietary diversity score (were low concordants). Interventions targeting on rural women’s access to high school education, home-based milking cow rearing, and promoting nutrition-sensitive agriculture to meet the dietary requirements of mothers and children in a sustainable manner and public health efforts to improve child nutrition may be strengthened by promoting maternal dietary diversity due to its potential effect on the entire family.

scholarly journals Individual dietary diversity is strongly associated with stunting in infants and young children

2017 ◽  
Vol 14 (1) ◽  
pp. 19 ◽  
Author(s):  
Bunga Astria Paramashanti ◽  
Yhona Paratmanitya ◽  
Marsiswati Marsiswati
Keyword(s):  
Young Children ◽  
Protective Factor ◽  
Dietary Diversity ◽  
Economic Status ◽  
Sampling Technique ◽  
Optimal Growth ◽  
Feeding Practice ◽  
Food Groups ◽  
Cross Sectional ◽  
Infants And Young Children

Background: The increased nutrient fulfillment is required for optimal growth and development during the first two years of life. Based on WHO, dietary diversity is one of core indicators for assessing diet quality and adequacy.Objective: This study aimed to understand the association between individual dietary diversity and stunting in infants and young children in Sedayu Subdistrict, Bantul District, Yogyakarta, Indonesia.Method: This study used cross-sectional design. It was conducted from February to March 2016 in Sedayu Subdistrict. Subjects were 189 infants and young children aged 6-23 months selected by probability proportional to size sampling technique. Individual dietary diversity was assessed by minimum dietary diversity with the consumption of 4 or more food groups of the total 7 food goups. Data were analyzed by using statistics descriptive, Chi-Square test, and multiple logistic regression.Results: Poor dietary diversity (OR=16,76; 95%CI: 6,77-41,51) was significantly related with stunting. Other factor associated with stunting was low birth weight (OR=5,12; 95%CI: 2,11-12,43). In addition, appropiate time of introducing complementary food (OR=0,32; 95%CI: 0,13-0,75) was a protective factor against stunting. Household economic status acted as an effect modifier and confounding factor between dietary diversity and stunting.Conclusion: Consumption of diverse diet at least 4 food groups reduced the risk of stunting in infants and young children. Efforts should be made to improve dietary diversity in complementary feeding practice.

scholarly journals A Cross Sectional Analysis Of Dietary Practices And Nutrition Status Of Female Undergraduate Students At Kenyatta University, Kenya

2019 ◽  
Author(s):  
Grace Waweru ◽  
Peter Chege ◽  
Eunice Njogu
Keyword(s):  
Undergraduate Students ◽  
Dietary Diversity ◽  
Eating Habits ◽  
Female Students ◽  
Nutrition Status ◽  
Food Groups ◽  
Female Undergraduate ◽  
Dietary Practices ◽  
Cross Sectional ◽  
Minimum Dietary Diversity

Abstract Background The rapid changes in eating habits and lifestyles in Kenya have resulted to the overweight/obesity transition. Students are likely to make poor food choices which may affect their nutrition status during the beginning of college and this may continue throughout their life. This study aimed to establish the dietary practices, assess nutrition status based on body mass index and the relationship between dietary diversity and nutrition status of female undergraduate students at Kenyatta University, Kenya.Method s: The study adopted a cross-sectional analytical design involving sample of 422 female undergraduate students randomly selected from Kenyatta University. Minimum Dietary Diversity – Women and Food Frequency Questionnaire were used to assess the dietary practices of the female students. Weight and height were measured to assess the nutrition status of the female students.Results The results showed that 64.0% of the participants had consumed ≥ 5 food groups while 36% had consumed <5 food groups over a period of 24 hours. In terms of nutrition status, 68.4% of the participants had normal Body Mass Index while 23.9% were overweight, 5.55% were underweight and 2.3% were obese. Minimum Dietary Diversity – Women was significantly associated with nutrition status (p=0.044).Conclusion The results illustrated unhealthy eating habits and sub-optimal nutrition status among a significant number of the female students. Policy makers should scale up interventions that would help improve dietary practices of women of reproductive age particularly university students.

scholarly journals Breastfeeding and the Risk of Illness among Young Children in Rural China

2019 ◽  
Vol 16 (1) ◽  
pp. 136 ◽  
Author(s):  
Shanshan Li ◽  
Ai Yue ◽  
Cody Abbey ◽  
Alexis Medina ◽  
Yaojiang Shi
Keyword(s):  
Rural Areas ◽  
Dietary Diversity ◽  
Rural China ◽  
Shaanxi Province ◽  
World Health ◽  
Asia Pacific ◽  
Food Groups ◽  
Health Organization ◽  
The Relationship ◽  
Specific Food

Poor rural areas in China exhibit the country’s highest rates of child mortality, often stemming from preventable health conditions such as diarrhea and respiratory infection. In this study, we investigate the association between breastfeeding and disease among children aged 6–24 months in poor rural counties in China. To do this, we conducted a longitudinal, quantitative analysis of socioeconomic demographics, health outcomes, and breastfeeding practices for 1802 child–caregiver dyads across 11 nationally designated poverty counties in southern Shaanxi Province in 2013–2014. We found low rates of continued breastfeeding that decreased as children developed: from 58.2% at 6–12 months, to 21.6% at 12–18 months, and finally to 5.2% at 18–24 months. These suboptimal rates are lower than all but one other country in the Asia-Pacific region. We further found that only 18.3% of children 6–12 months old met the World Health Organization (WHO)-recommended threshold for minimum dietary diversity, defined as consuming four or more of seven specific food groups. Breastfeeding was strongly associated with lower rates of both diarrhea and cough in bivariate and multivariate analyses. As the first analysis to use longitudinal data to examine the relationship between continued breastfeeding and child illness in China, our study confirms the need for programmatic interventions that promote continued breastfeeding in order to improve toddler health in the region.

scholarly journals Nutritional Trends and Practices Among 6-23 Months Old Children: A Hospital-Based Cross-Sectional Study From Bhaktapur, Nepal

2020 ◽  
Author(s):  
Sophiya Uprety ◽  
Anjita Khadka ◽  
Alina Paudyal ◽  
Dhruba Shrestha
Keyword(s):  
Young Children ◽  
Urban Areas ◽  
Dietary Diversity ◽  
Population Data ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Child Undernutrition ◽  
Nutrition Policies ◽  
Immunization Services ◽  
Study Population

Abstract Background: Child undernutrition has been a prevailing issue in country like Nepal. Though there has been progress over the decades, the burden of child undernutrition still remains unacceptably high. It is important to look at how infants and young children’s feeding practices and nutritional status are affected by nutrition transitioning in rapidly urbanizing Nepal Methods: This is a cross-sectional research design Children aged 6-23 months and their mothers visiting the hospital for regular immunization services constituted the study population. Data was collected from 305 children over four months from September 2019 to January 2020. Anthropometric measurements (weight and length) were collected of all children and their mothers/caretakers were interviewed on the IYCF practices via a semi-structured questionnaire Data was analyzed using WHO Anthro Survey Analyzer, Microsoft Excel and STATA 15.Results: Early initiation of breastfeeding was 47.9% and use of bottle was 48.5%. Minimum dietary diversity, minimum meal frequency and minimum acceptable diet were 66.2%, 79.1% and 54.4% respectively. Consumption of nutrient-poor packaged foods was 63.0% with biscuits being the most common type (52.1%) and 32.8% of the children were found to be drinking tea. Overall, 13.8% of the children were stunted, 3.9% were underweight and 1.7% were wasted while 2.3% were overweight.Conclusion: The practices related to breastfeeding and diets of young children in urban areas of Nepal are not optimal with only around half meeting the minimum standards recommended by the WHO. Therefore, there is a pressing need to wake up to the rapidly changing dietary patterns among young children through necessary urban nutrition policies and programmatic interventions, the rising adverse nutrition issues can be nipped in the bud before they get too pervasive.

scholarly journals Dietary diversity and associated factors among children aged 6 to 23 months in Chelia District, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Shambel Keno ◽  
Haile Bikila ◽  
Tesfaye Shibiru ◽  
Werku Etafa
Keyword(s):  
Young Children ◽  
Associated Factors ◽  
Family Income ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Dominant Group ◽  
Cross Sectional ◽  
Household Heads ◽  
Minimum Dietary Diversity ◽  
Infants And Young Children

Abstract Background Although minimum dietary diversity (MDD) is one of the core indicators of a high-quality diet for infants and young children, meeting this dietary diversity standard remains a challenge in Ethiopia. Therefore, adequate information on the status and factors affecting minimum dietary diversity is essential to identify potential strategic interventions. This study to study is to assess DD and associated factors among children aged 6 to 23 months in Chelia District, Ethiopia. Methods A community-based cross-sectional study was conducted in the seven kebeles of Chelia District from 12th April to April 30th, 2020. Kebele is the smallest administrative unit in Ethiopia. Multistage sampling was used to select 631 participants who had a child aged 6 to 23 months. Data was entered into the Epi data version 3.1 and analyzed using Statistical Package for Social Science (SPSS) version 24. A binary logistic regression was fitted to identify significant factors associated with met MDD at 95% CI and a p-value < 0.05. Results Less than one-quarter (17.32%) of infants and young children aged 6 to 23 months had met MDD. The dominant group of foods consumed was composed of grains, roots, and tubers. Children aged18-23 months (AOR = 3.26, 1.36-7.79), mothers aged 35-44 years (AOR = 3.25, 1.38-7.45), housewives as household heads (AOR = 3.41, 1.56-2.37), children of smaller family size (AOR = 3.89, 1.18-12.78), and caregivers who studied grade 9-12 (AOR = 9.98, 5.66-17.10), who received information about food diversity during ANC (AOR = 1.48, 2.21-11.23) and PNC (AOR = 3.94, 2.04-7.63) visit, who travels less than one hour to reach the market (AOR = 2.94, 1.24-6.91) and who had high family income (AOR = 4.12, 1.90-8.19) were significantly associated with meeting MDD. Conclusion Dietary diversity among children aged 6 to 23 months in Chelia District is low. It is proposed that caregivers on MDD be educated/trained and encouraged to share information during health service in order to increase the diverse diet and achieve a better dietary diversity score for infants and younger children.

scholarly journals Factors Associated With Minimum Dietary Diversity Among Children Aged 6 to 23 Months in Debre Berhan Town, Central Ethiopia: Community-based Cross-sectional Study

2021 ◽  
Author(s):  
Takele Gezahegn Demie ◽  
Getachew Tilahun Gesese ◽  
Behailu Tariku Derseh ◽  
Kalayu Birhane Mruts ◽  
Tesfaye Birhane Gebremariam
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Food Groups ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Central Ethiopia ◽  
Factors Associated ◽  
Debre Berhan ◽  
Minimum Dietary Diversity

Abstract Background: Minimum dietary diversity (MDD) is the consumption of four or more food groups from the seven food groups. Poor infant and young child feeding (IYCF) practices in the first 2 years of age are among major causes of childhood undernutrition, illness, and mortality. Therefore, this study aimed at investigating MDD and its associated factors among IYC aged 6–23 months in Debre Berhan town, central Ethiopia.Methods: A community-based cross-sectional study was undertaken from January 1 to 30, 2017. A simple random sampling technique was used to sample 377 IYC aged 6-23 months with mothers/caregivers. An interviewer-administered structured and pretested questionnaire was used to collect data through a face-to-face interview. Data were cleaned and entered into Epidata 3.1, exported to SPSS software version 20. Logistic regression was fitted and an odds ratio with a 95% confidence interval (CI) and p-value less than 0.05 was used to identify factors associated with MDD. Results: A total of 377 IYC aged 6-23 months with mothers/caregivers were participated in the study. The proportion of children who met the MDD practice was 58.4%. Mother’s education [(AOR = 0.15; 95% CI = 0.02-0.88), (AOR = 0.21; 95% CI = 0.05-0.97)], mother’s occupation (AOR = 0.28; 95% CI = 0.15-0.54), father’s occupation (AOR = 3.45; 95% CI = 1.40-8.54), and number of antenatal care visit by mothers (AOR = 0.54; 95% CI = 0.30-0.97) were factors associated with MDD among IYC.Conclusion: Even though the study showed better progress as compared to the national prevalence of the consumption of MDD, it is substandard in the study area. Thus, more efforts need to be done to achieve the recommended MDD intake for all children aged between 6 and 23 months. Increasing mothers’ level of education, creating employment opportunities for both mothers and fathers’, and increasing the frequency of ANC service use are vital interventions to improve IYCF practices in Debre Berhan town.

scholarly journals Only one in four lactating mothers met the minimum dietary diversity score in the pastoral community, Afar region, Ethiopia: a community-based cross-sectional study

2021 ◽  
Vol 10 ◽  
Author(s):  
Getahun Fentaw Mulaw ◽  
Fentaw Wassie Feleke ◽  
Kusse Urmale Mare
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Meal Frequency ◽  
Food Groups ◽  
Community Based ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Lactating Mothers ◽  
Minimum Dietary Diversity

Abstract Maternal dietary feeding practice is one of the proxy indicators of maternal nutrient adequacy and it improves outcomes for both mothers and their offspring. The minimum maternal dietary diversity score of lactating women is defined as when the mother ate at least four and above food groups from the nine food groups 24 h preceding the survey regardless of the portion size. Therefore, the present study aimed to determine the minimum dietary diversity score (MDDS) and its predictors among lactating mothers in the Pastoralist community, Ethiopia. A community-based cross-sectional study design was employed on 360 lactating mothers using a multi-stage sampling technique from 5 January 2020 to 10 February 2020. Data were collected using questionnaires and anthropometry measurements. Data were entered using EPI-data 4.6.02 and exported into SPSS version 25. Statistical significance was declared at P-value <0⋅05 at multivariable logistic regression. Only one in four lactating mothers met the MDDS. The majority of them consumed cereals in the preceding 24 h of data collection. The most important predictors were maternal meal frequency (adjusted odds ratio (AOR) 6⋅26; 95 % confidence interval (CI) (3⋅51, 11⋅15)), antenatal care (ANC) follow-up one to three times and four and above times (AOR: 2⋅58; 95 % CI (1⋅24, 5⋅36), 4⋅77 (1⋅90, 11⋅95), respectively) and secondary paternal education (AOR 2⋅97; 95 % CI (1⋅44, 6⋅11)). The MDDS among lactating mothers was low. Paternal education, maternal meal frequency and ANC follow-up were the significant predictors. Therefore, to improve maternal dietary diversity score emphasis should be given to those predictors.

scholarly journals Association between Overweight and Diet Diversity Score: A Cross-Sectional Study Conducted among Tunisian Children

Children ◽  
2021 ◽  
Vol 8 (7) ◽  
pp. 536
Author(s):  
Darine Dogui ◽  
Radhouene Doggui ◽  
Jalila El Ati ◽  
Myriam El Ati-Hellal
Keyword(s):  
Dietary Assessment ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
World Health ◽  
Food Groups ◽  
Overweight Children ◽  
Cross Sectional ◽  
Diet Diversity ◽  
Dietary Recall ◽  
Health Organization

Aim: This study explored the association between the diet diversity score (DDS) and overweight among Tunisian children. Methods: A representative sample of children living in Greater Tunis was selected based on a two-stage clustered sampling design. A total of 1200 children (3–9 years) were recruited. Dietary assessment was realized using a 24 h dietary recall. Anthropometric measurements were realized, and overweight was defined according to the World Health Organization standards. Logistic regression was used for the association between DDS with overweight. Results: A quarter of children were found to be overweight. Overweight prevalence was found to decrease with the increase of mother education level (p = 0.010) among children <6 years. Crude DDS score was higher among non-overweight children irrespective of the age class (p = 0.002). Tunisian children appeared to consume much more than six food groups, corresponding to a more than recommended intake of most nutrients. Intriguingly, DDS was positively associated with the occurrence of overweight children <6 years, adjusted odd ratio = 1.37, 95% CI (1.03–1.82). Conclusion: Overweight is a public health problem among Tunisian children. A high DDS signifies adequate nutrient intake. An increase of DDS was found to be a positive predictor of overweight only in pre-school children.

Sign in / Sign up

Export Citation Format

Share Document