scholarly journals Difference in the association of food security and dietary diversity with and without imposed ten grams minimum consumption

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Trias Mahmudiono ◽  
Dwi Putri Pangesti Suro Andadari ◽  
Calista Segalita
Keyword(s):  
Dietary Diversity ◽  
Population Level ◽  
P Value ◽  
Food Groups ◽  
Cross Sectional ◽  
Minimum Requirement ◽  
Dietary Diversity Score ◽  
The Difference ◽  
Diversity Measurement ◽  
Food Consumed

Background: Dietary diversity measurement is one of the simple tools to assess the quality of food consumed in population-level and endorse by many international agencies. However, there is a growing concern that the current dietary diversity measures were lacking in the sensitivity due to the omission of minimum food consumed to be considered as consuming certain food groups in the calculation of dietary diversity score. The purpose of this study is to find the difference in DDS measurement between two methods by applying a 10-grams minimum intake for all food groups and the other one, without. Design: A cross-sectional studies involving 55 samples from two villages with different geographical characteristics. Methods: One village represents the agricultural area; other was fishpond/coastal area. Dietary diversity was analyzed using Individual Dietary Diversity Score (IDDS) with 9 food categorizations. Dietary diversity measurement calculated based on the food recall with consideration of 10 grams minimum of food weight consumption. Mann Whitney Test used to analyze the difference between calculation of dietary diversity score with and without minimum 10-grams. Results: There is no difference of children’s dietary diversity between agriculture and fishpond family group when the dietary diversity was omitting 10 grams minimum intake (p-value=0.184), while, using 10 grams minimums intake (p=0.024), there is a difference. Conclusions: Using 10 grams minimum had shown to strengthened the relationship between dietary diversity and adequacy. Further research is needed to find other minimum requirement in different kind of population to find differences among them.

scholarly journals Dietary diversity score and socio-economic factors of stunting among pre-school children in Rajshahi city, Bangladesh

2019 ◽  
Vol 26 ◽  
pp. 31-40
Author(s):  
K Yeasmin ◽  
L Bari ◽  
KMS Islam ◽  
T Yeasmin
Keyword(s):  
Developing Countries ◽  
School Children ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Population Data ◽  
Cross Sectional Study ◽  
P Value ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Rajshahi City

In the developing countries, stunting has been the most tenacious public health problem and is the major cause of child mortality and global disease burden, where 80% of this burden is found in developing countries and would result in 22% loss of adult income. The aim of this study was to investigate prevalence and determinant factors associated with stunting among pre-school children in Rajshahi City, Bangladesh. A multi-stage cross sectional study was performed during the period March 2017 to September 2017. One thousand and nine (1009) pre-school children (36≤ Age ≤71 months) were considered as our study population. Data were collected by using a pretested and semi-structured questionnaire, which consisted of socio-economic characteristics, dietary and feeding pattern related information. Stunting of a child was determined using the WHO Multicenter Growth Reference Standard. Chi-square test and multiple logistic regressions were carried out to identify determinants of stunting. The odds ratio (OR) with a 95% confidence interval was calculated to assess the strength of the association, and p-value of <0.05 were considered as statistically significant. Boys (52%) with mean age 53.56 ± 10.405 months and girls (48%) with mean age 51.67 ± 10.934 months were participated. The prevalence of stunting among the preschool children in Rajshahi City was 39.7% (5.4% severe, 24.9% moderate and 9.4% mild stunted). The odds of being stunted were illiterate mother, lower food purchasing capabilities, poor dietary diversity score (95% CI: 1.640-3.052; p<0.001), experiencing pre-lacteal (95% CI: 1.616-2.789; p <0.001), prevalence of disease frequency (95% CI: 1.62-3.56; p<0.01), poor socio-economic class (95% CI: 2.83- 9.51; p<0.01). J. bio-sci. 26: 31-40, 2018

Obstetrical care is associated with child’s dietary diversity in Indonesia: analysis from Demographic and Health Survey 2017

2020 ◽  
pp. 1-10
Author(s):  
Anna Marie Pacheco Young ◽  
Yunhee Kang
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Fruits And Vegetables ◽  
Dietary Diversity ◽  
Demographic And Health Survey ◽  
Food Groups ◽  
Cross Sectional ◽  
Obstetrical Care ◽  
Dietary Diversity Score ◽  
Antenatal Visits

Abstract Objective: To explore the influence of obstetrical care factors on dietary diversity and individual food group consumption in Indonesia. Design: Cross-sectional study to assess the association between pregnancy care factors and dietary diversity score, minimum dietary diversity (MDD) and consumption of seven food groups. Setting: Data from the Indonesia Demographic and Health Survey 2017. Participants: A total of 5113 children aged 6–23 months. Results: Dietary diversity score was significantly higher for children whose mothers received four or more prenatal care visits, were delivered at a health facility, had a professionally trained delivery assistant and were delivered by C-section. Children born at a health facility and delivered by a health professional had higher odds of meeting MDD (adjusted OR (AOR) 1·45, 95 % CI 1·18, 1·79 and OR 2·10, 95 % CI 1·54, 2·87, respectively). Four or more antenatal visits, delivering at a health facility and having a professional delivery attendant were associated with higher odds of consumption of lentils (AOR 1·66, 95 % CI 1·23, 2·25, AOR 1·30, 95 % CI 1·02, 1·65 and AOR 1·79, 95 % CI 1·19, 2·69). Four or more antenatal visits, delivering at a health facility and having a professional delivery attendant had higher odds of consumption of other fruits and vegetables (AOR 1·70, 95 % CI 1·23, 2·35, OR 1·23, 95 % CI 1·03, 1·61 and OR 1·90, 95 % CI 1·29, 2·79). Conclusions: Efforts focusing on providing nutritional education during antenatal care and delivery should be encouraged, especially for mothers seeking care outside of a health facility.

scholarly journals Implications of Updating the Minimum Dietary Diversity for Children Indicator for Tracking Progress in the Eastern and Southern Africa Region

2020 ◽  
Vol 4 (9) ◽  
Author(s):  
Rebecca A Heidkamp ◽  
Yunhee Kang ◽  
Kudakwashe Chimanya ◽  
Aashima Garg ◽  
Joan Matji ◽  
...  
Keyword(s):  
Southern Africa ◽  
Dietary Diversity ◽  
Population Level ◽  
Dietary Quality ◽  
Food Groups ◽  
Middle Income ◽  
Country Level ◽  
The Difference ◽  
Eastern And Southern Africa ◽  
Minimum Dietary Diversity

ABSTRACT Minimum dietary diversity (MDD), a population-level dietary quality indicator, is commonly used across low- and middle-income countries to characterize diets of children aged 6–23 mo. The WHO and UNICEF recently updated the MDD definition from consumption of ≥4 of 7 food groups in the previous 24 h (MDD-7) to ≥5 of 8 food groups (MDD-8), adding a breastmilk group. The implications of this definition change were examined across 14 countries in Eastern and Southern Africa where improving complementary feeding is a policy priority. A lower MDD-8 score was found compared with MDD-7 across all countries; in 3 countries the difference between indicators was &gt;5 percentage points. Country-level variability is driven by differences in breastfeeding rates and dietary diversity score. As countries transition to the new indicator it is important to actively publicize changes and to promote valid interpretation of MDD trends.

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 Are Women in Rural India Really Consuming a Less Diverse Diet?

2020 ◽  
Vol 41 (3) ◽  
pp. 318-331
Author(s):  
Soumya Gupta ◽  
Naveen Sunder ◽  
Prabhu L. Pingali
Keyword(s):  
Vitamin A ◽  
Fruits And Vegetables ◽  
Dietary Diversity ◽  
Primary Data ◽  
Rural India ◽  
Food Groups ◽  
Diet Diversity ◽  
Household Members ◽  
The Difference ◽  
Food Consumed

Background: It is widely considered that women have less diverse diets than other household members. However, it has been challenging to establish this empirically since women’s diet diversity is measured differently from that of other household members. Objective: In this article, we compare women’s dietary diversity with that of their respective households and thereby generate a measure of “dietary gap.” Methods: We measure women’s “dietary gap” by using the difference of homogenized household and woman dietary scores (using the same scales). This is done using primary data on 3600 households from 4 districts in India. Additionally, we show the robustness of our results to variations in scale and recall periods used to construct the diet diversity scores. Results: Mean difference tests indicate that women consistently consume 0.1 to 0.5 fewer food groups relative to other household members, with the results being statistically significant at the 1% level. The food groups driving this dietary gap are nonstaples like Vitamin A-rich fruits and vegetables, meat/fish/poultry, and dairy. Conclusions: Results point toward the discrimination faced by women in the variety of the food consumed, the importance of considering comparability in creating indices of diet diversity, and the need to collect more detailed information on diets. To our knowledge, this is one of the first studies to examine dietary discrimination faced by women using common scales.

scholarly journals Keragaman Pangan dan Status Gizi Pada Anak Balita di Kelurahan Pasirkaliki Kota Cimahi

2020 ◽  
Vol 6 (2) ◽  
pp. 40-46
Author(s):  
Witri Priawantiputri ◽  
Mimin Aminah
Keyword(s):  
Nutritional Status ◽  
Dietary Diversity ◽  
Anthropometric Measurement ◽  
Food Groups ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Dietary Diversity Score ◽  
Food Diversity ◽  
Nutritional Status Of Children

Dietary diversity refers to an increase in the variety of foods across and within food groups capable of ensuring adequate intake to promote a good nutritional status. The purpose of this study was to determine the relationship of food diversity with the nutritional status of children under five in Kelurahan Pasirkaliki Kota Cimahi. A cross-sectional study with a simple random sampling method was conducted among 79 households having under five age children. Individual food diversity was measured using a dietary diversity score through questionnaire from FANTA Dietary Diversity Score Indicator Guide. Nutritional status of children under five measured by anthropometric measurement with indicator z-score of WHZ, WAZ, and HAZ. The analysis was carried out by Chi square test and fisher's exact. The average age of children under five is 31 months consisting of 43 boys (54.4%) and 36 (45.6%) girls. The prevalence of wasting children was 3.8%, stunting 21.5%, and underweight 10.1%. As many as 56 (70.9%) children consume diverse foods. There is no relationship between food diversity with nutritional status (p>0.05). Consumption of diverse food with appropriate amount of food portions are recommended for children under five years to get optimal nutritional status.

scholarly journals Dietary Diversity Score: Implications for Obesity Prevention and Nutrient Adequacy in Renal Transplant Recipients

2020 ◽  
Vol 17 (14) ◽  
pp. 5083
Author(s):  
I-Hsin Lin ◽  
Tuyen Van Duong ◽  
Shih-Wei Nien ◽  
I-Hsin Tseng ◽  
Hsu-Han Wang ◽  
...  
Keyword(s):  
Renal Transplant ◽  
Dietary Diversity ◽  
Demographic Data ◽  
Laboratory Data ◽  
Cross Sectional Study ◽  
Renal Transplant Recipients ◽  
Food Groups ◽  
Transplant Recipients ◽  
Cross Sectional ◽  
Dietary Diversity Score

Obesity affects both medical and surgical outcomes in renal transplant recipients (RTRs). Dietary diversity, an important component of a healthy diet, might be a useful nutritional strategy for monitoring patients with obesity. In this cross-sectional study, the data of 85 eligible RTRs were analyzed. Demographic data, routine laboratory data, and 3-day dietary data were collected. Participants were grouped into nonobesity and obesity groups based on body mass index (BMI) (for Asian adults, the cutoff point is 27 kg/m2). Dietary diversity score (DDS) was computed by estimating scores for the six food groups emphasized in the Food Guide. The mean age and BMI of participants were 49.7 ± 12.6 years and 24.0 ± 3.8 kg/m2, respectively. In the study population, 20.0% (n = 17) were obese. DDS was significantly lower in obese participants than in those who were not obese (1.53 ± 0.87 vs. 2.13 ± 0.98; p = 0.029). In addition, DDS was correlated with nutrition adequacy of the diet. Multivariate analysis showed that the odds of obesity decreased with each unit increase in DDS (odds ratio, 0.278; 95% confidence interval, 0.101–0.766; p = 0.013). We conclude that patients with higher dietary diversity have a lower prevalence of obesity.

scholarly journals Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth

2010 ◽  
Vol 14 (1) ◽  
pp. 62-69 ◽  
Author(s):  
Leila Azadbakht ◽  
Ahmad Esmaillzadeh
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Female Students ◽  
Abdominal Adiposity ◽  
Food Groups ◽  
Department Of Agriculture ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Diet Variety ◽  
The Relationship

AbstractObjectiveTo assess the relationship between diet and disease, consideration of whole-diet indices may be more informative than single-nutrient intake. The present study was conducted to report the relationship among dietary diversity score (DDS), obesity and abdominal adiposity among female university students.DesignCross-sectional study.SettingIsfahan, Iran.SubjectsA representative sample of 289 healthy female students aged 18–28 years was selected randomly from Isfahan University of Medical Sciences, Iran. Usual dietary intake was assessed using a validated semi-quantitative FFQ. DDS was calculated according to the scoring of the five food groups based on the US Department of Agriculture Food Guide Pyramid. This is a score of diet variety, and shows the diversity of the consumed diet. Participants were categorised on the basis of quartile cut-off points of DDS. Potential confounders such as age, total energy intake and physical activity were considered in all the analyses.ResultsThe means (sd) of BMI and waist circumference were 25·9 (sd 5·1) kg/m2 and 85·5 (sd 14) cm, respectively. The probability of obesity decreased with quartiles of DDS (OR among quartiles: 1·00, 0·41, 0·31 and 0·21, P = 0·03; this was the same for abdominal adiposity: 1·00, 0·55, 0·36 and 0·21, P = 0·02). Those in the lowest quartile of the DDS had the highest risk for being overweight.ConclusionsThere were inverse associations among DDS, obesity and abdominal adiposity among the female students of Isfahan University. Further prospective investigations are needed to confirm this finding.

scholarly journals Nearly one-third of lactating mothers are suffering from undernutrition in pastoral community, Afar region, Ethiopia: Community-based cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254075
Author(s):  
Getahun Fentaw Mulaw ◽  
Kusse Urmale Mare ◽  
Etsay Woldu Anbesu
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
P Value ◽  
Community Based ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Lactating Mothers ◽  
Afar Region ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Background Undernutrition is responsible for a significant proportion of maternal and child morbidity and mortality. Lactating women are nutritionally vulnerable groups because this period places a high nutritional demand on the mother and leads to nutritional stress. Poor nutrition during lactation has a significant negative consequence to mothers and children’s survival, growth, and development. Therefore this study aimed to assess the nutritional status of lactating mothers and associated factors in pastoral community, Afar region, Ethiopia. Methods A community-based cross-sectional study was conducted from January 5/2020 to February 10/2020, in the Abala district. The data were collected from a sample of 366 lactating mothers whose children aged less than 24 months. Data was collected through face-to-face interviews and anthropometric measurements. Study participants were recruited using a systematic sampling technique. Anthropometric measurements (both body mass index and mid-upper arm circumference) were taken from each mother using calibrated equipment and standardized techniques. Data were entered into Epi-data version 4.2 and exported to SPSS version 22 for analysis. Predictor variables with a P-value < 0.25 at bivariable analysis were candidates for the final model. Statistical significance was declared at P-value of < 0.05 in the multivariable logistic regression. Result This study showed that 120(32.8%) and 122(33.3%) surveyed mothers were undernourished using a cut-off body mass index <18.5 kg/m2 and mid-upper arm circumference <23 Centimeter, respectively. Lactating mothers who didn’t meet the minimum dietary diversity score were more than five (Adjusted odds ratio (AOR) = 5.103; 95% confidence interval (CI): 2.128, 12.238) times more likely to be undernourished than those who met the minimum dietary diversity score. Mothers with short birth intervals were also more than four (AOR = 4.800; 95% CI: 2.408, 9.567) time more likely to be undernourished. Conclusion Nearly one-third of lactating mothers were undernourished. Undernutrition among lactating mothers was significantly associated with maternal dietary diversity score and birth interval. Health education on proper and adequate maternal dietary feeding practices, and proper family planning utilization during lactation should be emphasized.

Perbedaan Penggunaan Antikoagulan K2EDTA DAN K3EDTA Terhadap Hasil Pemeriksaan Indeks Eritrosit

2018 ◽  
Vol 1 (2) ◽  
pp. 114
Author(s):  
Wahdaniah Wahdaniah ◽  
Sri Tumpuk
Keyword(s):  
Screening Test ◽  
Venous Blood ◽  
The Body ◽  
Ethylene Diamine ◽  
P Value ◽  
Cross Sectional ◽  
Significant Difference ◽  
Ethylene Diamine Tetra Acetate ◽  
The Difference ◽  
Index Value

Abstract: Routine blood examination is the earliest blood test or screening test to determine the diagnosis of an abnormality. Blood easily froze if it is outside the body and can be prevented by the addition of anticoagulants, one of which Ethylene Diamine Tetra Acetate (EDTA). Currently available vacuum tubes containing EDTA anticoagulants in the form of K2EDTA and K3EDTA. K3EDTA is usually a salt that has better stability than other EDTA salts because it shows a pH approaching a blood pH of about 6.4. The purpose of this research is to know the difference of erythrocyte index results include MCH, MCV and MCHC using K3EDTA anticoagulant with K2EDTA. This research is a cross sectional design. This study used venous blood samples mixed with K2EDTA anticoagulant and venous blood mixed with K3EDTA anticoagulants, each of 30 samples. Data were collected and analyzed using paired different test. Based on data analysis that has been done on MCH examination, p value <0,05 then there is a significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value. Then on the examination of MCV and MCHC obtained p value <0.05 then there is no significant difference between samples with K3EDTA anticoagulant with K2EDTA to erythrocyte index value.Abstrak: Pemeriksaan darah rutin merupakan pemeriksaan darah yang paling awal atau screening test untuk mengetahui diagnosis suatu kelainan. Darah mudah membeku jika berada diluar tubuh dan bisa dicegah dengan penambahan antikoagulan, salah satunya Ethylene Diamine Tetra Acetate (EDTA). Dewasa ini telah tersedia tabung vakum yang sudah berisi antikoagulan EDTA dalam bentuk  K2EDTA dan  K3EDTA. K3EDTA  biasanya berupa garam yang mempunyai stabilitas yang lebih baik dari garam EDTA yang lain karena menunjukkan pH yang mendekati pH darah yaitu sekitar 6,4. Tujuan dari penelitian ini adalah untuk mengetahui perbedaan hasil indeks eritrosit meliputi MCH, MCV dan MCHC menggunakan antikoagulan K3EDTA dengan K2EDTA. Penelitian ini merupakan penelitian dengan desain cross sectional. Penelitian ini menggunakan sampel darah vena yang dicampur dengan antikoagulan K2EDTA dan darah vena yang dicampur dengan antikoagulan K3EDTA, masing-masing sebanyak 30 sampel. Data dikumpulkan dan dianalisis menggunakan uji beda berpasangan. Berdasarkan analisis data yang telah dilakukan pada pemeriksaan MCH didapatkan nilai p < 0,05 maka ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit. Kemudian pada pemeriksaan MCV dan MCHC didapatkan nilai p < 0,05 maka tidak ada perbedaan yang signifikan antara sampel dengan antikoagulan K3EDTA dengan K2EDTA terhadap nilai indeks eritrosit.

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