Dietary diversity score is associated with cardiometabolic risk factors in patients with hypertension (Hoveyzeh Cohort Study)

BACKGROUND: Dietary diversity score (DDS) is recognized as an essential factor of a high-quality diet. OBJECTIVE: To evaluate the relationship between DDS and cardiometabolic risk factors in hypertensive patients. METHODS: In this cross-sectional study, 972 hypertensive patients (322 males and 650 females) aged 35–70y participated were recruited. Dietary intake was evaluated using a semi-quantitative food frequency questionnaire and DDS was calculated. Metabolic syndrome was defined according to the IDF/AHA criteria. The anthropometric parameters, fasting blood sugar, lipid profile, and liver enzymes were measured. RESULTS: Male subjects who assigned to the top DDS tertile had 51% lower risk of having low serum HDL-C (OR: 0.49; 95% CI: 0.24–0.96) in the crude model. A similar association was observed for men in the second tertile of DDS after adjusting for covariates (OR: 0.47; 95% CI: 0.23–0.97). A significant inverse association was found between vegetable diversity score and odds of hyperglycemia in the male group in the adjusted model (OR: 0.44; 95% CI: 0.22–0.91). The vegetable diversity score was inversely associated with 67% decreased metabolic syndrome risk in the adjusted model (OR: 0.33; 95% CI: 0.15–0.70). CONCLUSION: These findings clarify the possible preventive role of higher DDS against metabolic syndrome.

Impact of CSA Innovations on Household Food and Nutrition Security: Evidence From the Upper Blue Nile Highland of Ethiopia

Background: Food insecurity remains a major challenge to smallholder farmers in the face of changing climate in the Upper Blue Nile Highlands of Ethiopia. To improve food and nutrition security of climate change vulnerable smallholder farmers in eastern Ethiopia, several climate-smart agriculture (CSA) innovations have been adopted and scaled-up. However, the impact of these innovations on household food and nutritional security was not systematically studied. This study examined the impact of selected CSA technologies on household food and nutrition security. Cross-sectional data were generated from 424 randomly selected rural smallholder agriculture households in the five selected agroecosystems of the Upper Blue Nile Highlands of Ethiopia. The study employed propensity score matching and endogenous switching regression estimation models. Results: Households that practiced crop residue management had an 8.46 higher Food Consumption Score (FCS) and a 0.4 higher Household Dietary Diversity Score (HDDS) than non-adopters. Similarly, households who adopted compost and agroforestry had a 0.462 and 0.446 higher Household Dietary Diversity Score (HDDS) than non-adopters, respectively. The endogenous switching regression analysis result showed that households that practiced crop residue management had an 22.6 higher Food Consumption Score (FCS) and a 2.2 higher Household Dietary Diversity Score (HDDS) than non-adopters. Similarly, households who adopted physical SWC had a 2.3 higher Food Consumption Score (FCS) than non-adopters. Whereas, compost and agroforestry had a 0.28 and 2.12 higher Household Dietary Diversity Score (HDDS) than non-adopters, respectively. Conclusions: This shows that households adopting CSA innovations are more likely to have higher food security compared to non-adopters. This suggests that promotion and scale-up of CSA innovations in the study area can enhance household food and nutrition security.

Anthropometric failures and its associated factors among preschool-aged children in a rural community in southwest Ethiopia

Background In 2019, 144 million under-five-year-old children were stunted, and 47 million were wasted globally. In Ethiopia, approximately 350,000 children are estimated to die each year. Preschool aged children need focused attention because this age group not only has special needs, but also forms the platform for growth and development of all children. Under nutrition among preschool children is the result of a complex interplay of diverse elements, such as birth weight, household access to food, availability and use of drinking water. This study aimed at determining the anthropometric failures and associated factors using composite indictors. Methods A community-based cross-sectional study design was used among randomly selected 588 caregivers with pre-school aged children. Under-nutrition of pre-school aged children was computed by using the composite index of anthropometric failure. A multi-stage sampling technique followed by a systematic random sampling technique was used to select study participants. Structured questionnaires were used to collect data. WHO Anthro software was used to calculate height for age, weight for age and weight for height. The overall prevalence of anthropometric failure (CIAF). Both bivariable and multivariable binary logistic regressions were used to identify factors associated with under-nutrition. Results The overall prevalence of under-nutrition among pre-school children was 50.8%, which was significantly associated with being a female (AOR = 1.51, CI: 1.076, 2.12), being from a large family (AOR = 1.78, CI: 1.19, 2.663), having acute respiratory infection (AOR = 1.767, CI: 1.216, 2.566), lack of improved source of drinking water (AOR = 1.484 CI: 1.056, 2.085) and poor dietary diversity score (AOR = 1.5, CI: 1.066, 2.112). Conclusions The study area has a high prevalence of CIAF in pre-school aged children. The CIAF was found to be significantly associated with the sex of the child, family size, ARI within the last two weeks, and dietary diversity score. To promote the use of family planning and the prevention of infectious diseases, health education is required. The government should adapt CIAF as a metric for assessing children’s nutritional status.

Frekuensi Pemberian MP-ASI pada Baduta Stunting dan Non-Stunting Usia 6-24 Bulan di Wilayah Kerja Puskesmas Sidotopo Kota Surabaya

ABSTRAK Latar Belakang: Masalah gizi rentan terjadi pada anak berusia dibawah dua tahun (baduta) yang diantaranya adalah stunting. Stunting merupakan masalah gizi kronis yang disebabkan oleh proses akumulatif dari rendahnya asupan gizi dan penyakit infeksi. Penyebab lain adalah kondisi social ekonomi yang dapat mempengaruhi praktik pemberian MP-ASI. Kualitas gizi pada makanan dipengaruhi oleh keragaman pangan yang ditentukan oleh pendapatan keluarga, status pekerjaan, dan tingkat pendidikan.Tujuan: Menganalisis hubungan praktik pemberian makan pendamping ASI dengan kejadian stunting dan non-stunting pada baduta usia 6-24 bulan di Kelurahan Sidotopo, Kota SurabayaMetode: Jenis penelitian yaitu observasional analitik dengan menggunakan desain cross sectional. Sampel penelitian sebesar 54 baduta dipilih menggunakan metode simple random sampling. Kuesioner Dietary Diversity Score digunakan untuk menilai keragaman pangan baduta dan food recall 24-hours untuk mengetahui frekuensi pemberian makanan. Uji statistik menggunakan chi-square.Hasil: Hasil dari penelitian ini menunjukkan tidak adanya korelasi antara Karakteristik keluarga, baduta dan keberagaman pangan dengan kejadian stunting, akan tetapi ada korelasi antara pendapatan orang tua (p=0,006) dan frekuensi pemberian MP-ASI dengan kejadian stunting (p=0,028).Kesimpulan: Pendapatan orang tua dan frekuensi pemberian MP-ASI berhubungan dengan stunting, sedangkan karakteristik keluarga, baduta dan keragaman pangan tidak berhubungan dengan kejadian stuntingKata kunci: stunting, makanan pendamping, karakteristik keluarga, keragaman pangan

Correlation between Individual Dietary Diversity Score and Nutrients Adequacy Ratio in the Rural Community

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.

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

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.

Dietary diversity and nutritional status of 2 to 5 years old children in households with and without home gardens in selected districts in Siem Reap province, Cambodia

Introduction: There is a high prevalence of malnutrition in Cambodia during the past 10 years. One of the programmes implemented to secure household food security in order to alleviate malnutrition was home gardening. This study aimed to compare the nutritional status of 2 to 5 years old children in households with and without home gardens. Methods: Twenty-five households with home gardens and 60 households without home gardens were sampled. Results: The households sampled had a mixed type of home garden with three to five crop varieties occupying 20 to 200 square meters area. The purpose of the garden was to increase vegetable consumption and produce additional income. Results showed that 72% and 65% of the children resided in households with and without home gardens, respectively. Majority had medium dietary diversity score, i.e. consumed four to five different food groups per day. Except for stunting, higher prevalences of undernutrition (32%) and wasting (8%) were observed among children residing in households with home gardens compared to children in households without home gardens. Conclusion: There were no associations for dietary diversity score and nutritional status of children from households with and without home gardens. Among the sociodemographic and economic factors, age, sex, family size, and vegetable consumption were significantly associated with dietary diversity score and nutritional status of the children.

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

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.

Depression and association with diet diversity score among adolescent (14-19) students of Jimma town high school, Jimma, southwest Ethiopia

Purpose Dietary patterns are important for the physical and psychological development of adolescents. The purpose of this study is to determine magnitude and severity of depression and its relation with diet diversity score (DDS) among adolescent high school students. Design/methodology/approach A cross-sectional study was conducted among 546 adolescents selected from schools using multistage sampling technique. Dietary intakes were assessed using a 24-h dietary recall, and depression severity and prevalence were assessed by PHQ-9A. A structured questionnaire was used to collect data. Linear regression analysis was used, and unstandardized beta (ß) coefficients with 95% confidence intervals (CI) were computed to determine the association of depression and its severity with dietary diversity score. Findings In all, 546 questionnaires were filled completely and consistently making a response rate of 97.3%. The dietary diversity score in 97 (17.8%) of the adolescents were between 1 and 3 (low dietary diversity score) but 259 (47.4%) scored greater than 6 (high dietary diversity score). Chi-square test revealed that with a decrease in DDS from highest to lowest level, the percentage of moderate to severe and severe depression slightly increased (3.4%). In addition, the percentage of moderate to severe and severe depression who consumed meat, fish and milk and dairy products slightly increased (3% and 3.2%). Multivariate adjusted regression analysis demonstrated that dietary diversity score was found to be inversely associated with depression severity and prevalence. Originality/value It was found that linear association between diet diversity and depression severity, and prevalence after adjustment for relevant con-founders. The study provided epidemiological evidence of a robust association of dietary pattern with depression symptoms' severity and prevalence in adolescents.