Determinants of Rural Women’s Nutrition Security Status in Northwest Ethiopia

Background: Nutrition security of women is one of the most vital foundations for overall development and wellbeing of society. Since understanding the factors that influence the nutrition security of women is very important for implementing appropriate interventions, this study was conducted to determine the determinants of the nutrition security status of rural women in Northwest Ethiopia. Methods: Survey data were collected from 197 rural women randomly selected using a two-stage sampling method (Cluster sampling in the first stage and Stratified random sampling in the second stage). Data in the two outcomes (nutritionally secured whose BMI ≥ 18.5, and nutritionally insecure whose BMI < 18.5 kg/m2) were analyzed using Binary Logit regression model to determine the significance of the determinants on women’s nutrition security status. Results: The study showed that 72.6% of the women in the study area were nutritionally insecure. Results of the statistical analysis revealed that family size (negative effect), and women’s daily feed frequency, the consumption of milk, fruits and vegetables, and animal products, and women empowerment (all positive effect) were the significant determinants of the nutrition security status of rural women. The weight, the height, and the BMI of nutritionally insecure women (44 kg, 1.45 m, and 15.8 kg/m2, respectively) were significantly lower than those of nutritionally secured women (50.8 kg, 1.55 m, and 21.1 kg/m2, respectively). Conclusions: This is the first study on the determinants of rural women’s nutrition security status using social and demographic data collected at the grass root level and analyzed using an advanced econometric model. The findings of the study show the need for government and other stakeholders’ interventions to increase access to nutritious food products and to provide trainings on feeding culture and dietary diversity to women. The findings of this study can help the Government of Ethiopia to achieve its National Development Priorities in line with the Sustainable Development Goals (SDGs) of UN, particularly Goals 2, 3 and 5.

Future scenarios of fish supply and demand for food and nutrition security in Bangladesh: An analysis with the AsiaFish model

Bangladesh has made significant progress in social and economic development in recent years, but micronutrient deficiencies and poor dietary diversity remain a significant challenge. This paper developed eight scenarios to explore fish supply-demand futures in Bangladesh using the AsiaFish model, with special emphasis on the role of fish in micronutrient supply to address the nation’s malnutrition and nutrition security challenges. A business-as-usual (BAU) scenario followed historical trends for exogenous variables used in the model. The seven alternative scenarios explored were: the implications of increase productivity of farmed tilapia, pangasius and rohu carp (AS1); productivity changes in hilsa production (AS2); improvements in the quality of feeds (AS3); reduction in the price of plant-based feeds (AS4); disease outbreak in farmed shrimps and prawns (AS5); and climate change impact (AS6) and stagnant capture fisheries (AS7). The BAU scenario indicates that aquaculture growth will be a prominent contribution to increasing total fish supply and demand and fish exports to 2040. Apart from the scenarios that are favourable to aquaculture sector development, other alternative scenarios highlighted the lower growth rate of capture fisheries and aquaculture compared to BAU, resulting in declining in per capita fish consumption, fish exports and nutrient supply from fish as a consequence. Increased availability of aquaculture fish can slightly compensate for the lower growth of capture fisheries in term of their nutrition quality and dietary diversity, particularly for poor consumers. Policies towards sustaining fisheries and a nutrition-sensitive approach to aquaculture is recommended as both capture fisheries and aquaculture are essential for sustaining healthy and nutritious diets in Bangladesh.

Association of maternal dietary patterns with child birth weight and size in India: Evidence from National Family Health Survey, 2005 to 2016

Background: Maternal dietary diversity during pregnancy is a major determinant of birth weight and birth size of infant. During pregnancy, mother diet is highly dependent on their topographical, cultural, and sociodemographic circumstances. Objective: The objective of the study was to assess the association between the maternal dietary intake with child birth weight and birth size along with the sociodemographic factors in India. Materials and Methods: The data for this study were drawn from the National Family Health Survey (NFHS), 2005 to 2006 and 2015 to 2016 held in India. Inferential statistical analysis Chi-square was built to test was used to examine the association between maternal dietary patterns, and logistic regression model was used to analyze the effect of mother’s dietary patterns on child birth weight and size by controlling the sociodemographic factors. Results: Mother’s daily intake of fish, meat, green leafy vegetables, and fruits was associated with higher birth weight or size and lower risk of intrauterine growth retardation. Women with ?2 dietary diversity categories had significantly higher proportion of low birth weight (LBW) and size of babies comparatively to those in the ?2 dietary diversity categories, there were lesser chance of LBW and small size of babies with women’s dietary diversity 3 (odds ranges from 1.09 to 1.44) or ?4 (odds ranges from 1.15 to 1.59). Furthermore, low birth order, mother’s underweight status, low maternal education, and wealth status significantly have positive association with the poor birth outcomes. Conclusion: The birth weight and size of newborns were found positively associated with the mother’s dietary intake. To meet the aim of maternal dietary diversity and to achieve the double bonus, the government should focus more on supplementation and food security programs during pregnancy that also include nutritional education as well as behavioral and social change interventions strategies.

Dietary Quality of Women of Reproductive Age in Low-Income Settings: A Cross-Sectional Study in Kyrgyzstan

Dietary diversity and adequate nutrient intake are essential for conducting a healthy life. However, women in low-income settings often face difficulties in ensuring dietary quality. This research assessed relationships between the dietary diversity, nutrient adequacy, and socio-economic factors among women of reproductive age (WRA) in Kyrgyzstan. A cross-sectional study was undertaken in four locations, including two rural and two urban areas in the north and south of Kyrgyzstan. A survey with pre-coded and open-ended questions was employed during the interviews of 423 WRAs aged 18–49. Data collection was conducted in March–May 2021. The average value body mass index (BMI) of WRA was 24.2 ± 4.6 kg/m2. The dietary diversity score (DDS) was higher among rural women (common language effect size) cles = 0.67, adjusted p < 0.001) in the northern region (cles = 0.61, p < 0.05) who have cropland (cles = 0.60, p < 0.001) and a farm animal (cles = 0.60, p < 0.05). Mean nutrient adequacy ratio (NAR) was below 1 in most micronutrients, whereas thiamine, riboflavin, vitamins B6 and C, folic acid, calcium, and magnesium were even lower than 0.5. Women with a kitchen garden or a cropland had better NAR energy (cles = 0.57), NAR carbohydrate (cles = 0.60), NAR fiber (cles = 0.60), NAR vitamin B1 (cles = 0.53), and NAR folic acid (cles = 0.54). Respondents who receive remittances and a farm animal have better NARs for energy, carbohydrates, fiber, vitamin B1, folic acid, iron, zinc, and mean adequacy ratio for 16 nutrients (MAR 16) than those who do not. Education and income have a negative correlation with dietary quality. This study contributes to the limited literature on the quality of diets in Kyrgyzstan. Hidden hunger and undernutrition are a severe problem among WRA in low-income settings. Recommendations are including study programs in nutrition, teaching households farming practices, and raising awareness on adequate nutrition.

Association between Milk Intake and All-Cause Mortality among Chinese Adults: A Prospective Study

Background: Little is known about the effect of milk intake on all-cause mortality among Chinese adults. The present study aimed to explore the association between milk intake and all-cause mortality in the Chinese population. Methods: Data from 1997 to 2015 of the China Health and Nutrition Survey (CHNS) were used. A total of 14,738 participants enrolled in the study. Dietary data were obtained by three day 24-h dietary recall. All-cause mortality was assessed according to information reported. The association between milk intake and all-cause mortality were explored using Cox regression and further stratified with different levels of dietary diversity score (DDS) and energy intake. Results: 11,975 (81.25%) did not consume milk, 1341 (9.10%) and 1422 (9.65%) consumed 0.1–2 portions/week and >2 portions/week, respectively. Milk consumption of 0.1–2 portions/week was related to the decreased all-cause mortality (HR: 0.59, 95% CI: 0.41–0.85). In stratified analysis, consuming 0.1–2 portions/week was associated with decreased all-cause mortality among people with high DDS and energy intake. Conclusions: Milk intake is low among Chinese adults. Consuming 0.1–2 portions of milk/week might be associated with the reduced risk of death among Chinese adults by advocating health education. Further research is required to investigate the relationships between specific dairy products and cause-specific mortality.

Prevalence and determinants of dietary practices among pregnant women in eastern Ethiopia

Introduction Appropriate dietary practices in pregnancy are critical to meet the increased metabolic and physiological demands; however, information about dietary practices among pregnant women, particularly rural residents, is limited. The study aimed to assess the level of appropriate dietary practices and associated determinants among pregnant women in Haramaya District, eastern Ethiopia, 2021. Methods A community-based cross-sectional study was conducted among 448 pregnant women in Haramaya District, Eastern Ethiopia. Data was collected through face-to-face interviews by trained research assistants, using a validated frequency questionnaire. The pregnant women were labeled as “appropriate dietary practice” when they consumed at least four meals daily, had a good food variety score, high dietary diversity score, and high consumption of animal source foods during the reference period. Otherwise, they were defined as “inappropriate.” A Poisson regression model with robust variance estimation was used to investigate the association of the independent variables with the dietary practice. An adjusted prevalence ratio with a 95% confidence interval was reported to show an association using a p-value < 0.05. Results The appropriate dietary practice among the study participants was 15.2% (95% CI = 12–18%). Of the respondents, 29.46, 37.5, and 24.7% had a high dietary diversity, high food variety score, and high consumption of animal source foods. The appropriate dietary practice was more prevalent among merchant women (APR = 2.07; 95% CI 1.07–4.02) and those whose husbands have at least a high school educational level (APR = 1.96; 95% CI 1.06–3.46). However, the prevalence of appropriate dietary practice was significantly lower among those who chewed khat (APR = 0.58; 95% CI 0.37–0.90) and among respondents who reported restriction of the intake of some foods (APR = 0.36; 95% CI 0.20–0.65). Conclusion We found sup-optimal appropriate dietary practice among pregnant women in this predominantly rural setting. Additionally, the lower appropriate dietary practice was observed among women who reported chewing khat and experienced restriction of dietary consumption during pregnancy. Therefore, nutrition policy programs and interventions aimed at encouraging maternal nutritional guidance and counseling are recommended.

Household food insecurity is associated with child’s dietary diversity score among primary school children in two districts in Ghana

Background: Dietary diversity is generally considered as a good indicator of nutrient adequacy and is influenced by various factors at the national, household, and individual levels. Objective: The present study sought to determine the relationships between household food insecurity, primary caregivers’ nutrition knowledge, and dietary diversity of school-aged children in Ghana. Methods: This forms part of a longitudinal study conducted in the Ayawaso West Municipal district in Accra (urban setting) and the Upper Manya Krobo district (rural setting) in Ghana. Data were collected from a total of 116 caregiver-child dyads using 24-h dietary recall and a short version of the US 12-month Household Food Security Survey Module. Nutrition knowledge and sociodemographic data were obtained using a structured questionnaire. Multivariable logistic regression was used to check for factors associated with children’s dietary diversity. Results: Majority of households reported food insecurity, with a higher percentage of insecure households located in the rural area (88.9% vs. 46.5%, P ≤ 0.0001), compared to the urban setting. Diet diversity among the study children was low, with a mean (standard deviation [SD]) of 5.8 (2.1) out of 14 food groups. Children living in food insecure households were three times more likely to have received low diverse diet compared to those from food secure households (adjusted odds ratio [OR] =3.3, 95% confidence interval [CI]: 1.4–8.0). Caregivers’ nutrition knowledge was, however, not related to children’s dietary diversity. Discussion and conclusion: Household food insecurity was a main predictor of dietary diversity among school-age children in this study. Thus, caregiver knowledge in nutrition may not be enough, particularly in the presence of food insecurity to guarantee adequate nutrition for school-aged children.

Determine Dietary Diversity and Its Relationship with Nutritional Status of Adolescents Studying in High Schools of Bagalkot

Introduction: Dietary diversity is defined as the number of food groups or items consumed over a reference period. A good diverse diet is necessary to furnish the daily nutritional requirements of body. Inadequate dietary diversity is one of major public health problem and can result in unhealthy physical, emotional and psychological changes among adolescents. Objective of the study was to determine dietary diversity and its relationship with nutritional status of adolescents studying in high school. Methods: A school-based cross-sectional study was conducted from March 12 to April 03, 2021, among a total of 120 adolescents, selected using the stratified random sampling technique. The study was conducted in Kalidas high school, Bagalkot. A structured and prepared questionnaire was used to collect baseline data. Dietary diversity was measured by Food and Nutrition Technical Assistance (FANTA) 2020 using the food items method. A multivariable binary logistic regression model was employed to identify the association of nutritional status and dietary diversity among adolescents. Result: Mean age of sample was 15.14 ± 0.81 years. The mean height for age was 1.63 S.D± .880 S.D. The mean BMI for age Z score was 1.73 SD ± .579 SD. The mean BMI for thinness Z score was 2.35 SD ± 1.301SD.Logistic regression analysis revealed that there was no significant association (P< 0.202) found between dietary diversity and nutritional status of adolescents. Conclusion: The findings of this study showed that only one-third of both (boys and girls) have adequate dietary diversity. Low level of dietary diversification suggested points to the need for strengthening efforts targeting to improve the healthy dietary practice of adolescents by giving due attention to poor households and undernourished adolescents. Keywords: dietary diversity, nutritional status, adolescents, High school, unhealthy dietary pattern.

Trends in Complementary Feeding Indicators and Intake from Specific Food Groups among Children Aged 6–23 Months in Bangladesh

The present study aims to comprehensively analyse trends in complementary feeding indicators (Introduction of solid, semi-solid, and soft foods at 6–8 months (INTRO), Minimum Dietary Diversity (MDD), Minimum Meal Frequency (MMF) and Minimum Acceptable Diet (MAD)) among children aged 6–23 months in Bangladesh. The study used data from four rounds (2007, 2011, 2014, and 2017–2018) of nationally representative Bangladesh Demographic and Health Surveys (BDHSs). The Cochran–Armitage test was performed to capture the trends in complementary feeding practices and intake from specific food groups. BDHSs are periodically conducted cross-sectional surveys in all seven administrative divisions of Bangladesh. The present analysis was performed among 8116 children (1563 in 2007, 2137 in 2011, 2249 in 2014, and 2167 in 2017–2018) aged 6–23 months. Overall, a decreasing trend was observed in all the complementary feeding indicators except INTRO from 2007 to 2014, but a substantial increase in MDD, MMF and MAD was noted in 2017–2018. A statistically significant reduction in consumption from different food groups such as legumes and nuts (p < 0.001), dairy products (p = 0.001), vitamin-A-rich fruits or vegetables (p < 0.001), and other fruits and vegetables (p < 0.001) was also observed. However, a positive trend was noted in the consumption of grains/roots/tubers (p = 0.027), and meat/fish/egg (p < 0.001). After experiencing a significant decreasing trend during 2007–2014, the recent BDHS indicates improvements in all complementary feeding indicators among young children in Bangladesh, which calls for integrated, multisectoral, and multicomponent interventions to sustain this progress.