Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016
Abstract Background Monotonous and less diversified diets are associated with micronutrient deficiency. Evidence on maternal dietary intakes during pregnancy is essential to achieve the 2025 global nutrition target and reduce maternal and child mortalities. This study assessed pregnant women’s dieta...
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| Format: | Article |
| Language: | English |
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BMC
2019-05-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12884-019-2299-2 |
| _version_ | 1811210425895747584 |
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| author | Tebikew Yeneabat Haweni Adugna Tarekegn Asmamaw Muluken Wubetu Melaku Admas Getachew Hailu Asres Bedaso Tadele Amare |
| author_facet | Tebikew Yeneabat Haweni Adugna Tarekegn Asmamaw Muluken Wubetu Melaku Admas Getachew Hailu Asres Bedaso Tadele Amare |
| author_sort | Tebikew Yeneabat |
| collection | DOAJ |
| description | Abstract Background Monotonous and less diversified diets are associated with micronutrient deficiency. Evidence on maternal dietary intakes during pregnancy is essential to achieve the 2025 global nutrition target and reduce maternal and child mortalities. This study assessed pregnant women’s dietary diversity and identified factors associated with inadequate dietary diversity in East Gojjam Zone. Methods We conducted a community-based cross-sectional study between April and June 2016. Eight hundred thirty-four pregnant women were randomly sampled. The Women Dietary Diversity Score tool developed by the Food and Agricultural Organization (FAO) and Food and Nutrition Technical Assistance (FANTA) was used. Data were entered into EpiData with double entry verification, and analysis was done using IBM SPSS version 20. Level of significance was set to P < 0.05 with 95% confidence interval (CI) to identify the independent factors associated with inadequate dietary diversity. Results The mean (±SD) dietary diversity score was 3.68 (±2.10). Inadequate dietary diversity was prevalent in 55% [95% CI (52.3–59.3%)] of pregnant women, or indirectly micronutrient was inadequate in more than half of the pregnant women. Commonly consumed dietary groups were legumes, nuts, and seeds (85.5%) followed by starchy staples (64.7%). Inadequate dietary diversity was higher among non-educated [Adjusted Odds Ratio (AOR) = 7.30, 95% CI (2.35–22.68)] compared to college and above completed women. Wealth index had significant association with dietary diversity, in which women in the poorest [AOR = 8.83, 95% CI, (1.60–48.61)], poorer [AOR = 6.34, 95% CI (1.16–34.65)], poor [AOR = 8.46, 95% CI (1.56–45.70)], and richer [AOR = 6.57, 95% CI (2.16–20.01)] had higher odds of inadequate dietary diversity. Those who had not received dietary counseling had three folds [AOR = 3.31, 95% CI (1.49–7.35)] of inadequate dietary diversity compared to their counterparts. Less likelihood of inadequate dietary diversity was among women with an increased meal frequency [AOR = 0.53, 95% CI (0.38–0.74)]. Conclusion Consumption of less diversified food during pregnancy is common in the study area. Adequacy of micronutrients is insufficient for more than half of the studied pregnant women. We conclude that being non-educated affects pregnant women to depend on less diversified diet. Providing dietary counseling during pregnancy can improve nutritional practice for pregnant women. |
| first_indexed | 2024-04-12T04:54:17Z |
| format | Article |
| id | doaj.art-131bb9cbdb014db9a1e470e139c0a719 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-12T04:54:17Z |
| publishDate | 2019-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-131bb9cbdb014db9a1e470e139c0a7192022-12-22T03:47:10ZengBMCBMC Pregnancy and Childbirth1471-23932019-05-011911910.1186/s12884-019-2299-2Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016Tebikew Yeneabat0Haweni Adugna1Tarekegn Asmamaw2Muluken Wubetu3Melaku Admas4Getachew Hailu5Asres Bedaso6Tadele Amare7Department of Midwifery, Health Science College, Debre Markos UniversityDepartment of Nursing and Midwifery, School of Allied Health Sciences, Addis Ababa UniversityMariestpes International Ethiopia, Regional AdvisorDepartment of Pharmacy, College of Health Sciences, Debre Markos UniversityDepartment of Midwifery, Health Science College, Debre Markos UniversitySchool of Public Health, College of Medicine and Health Sciences, Bahir Dar UniversitySchool of Nursing and Midwifery, College of Medicine and Health Sciences, Hawassa UniversityDepartment of Psychiatry, College of Medicine and Health Sciences, University of GondarAbstract Background Monotonous and less diversified diets are associated with micronutrient deficiency. Evidence on maternal dietary intakes during pregnancy is essential to achieve the 2025 global nutrition target and reduce maternal and child mortalities. This study assessed pregnant women’s dietary diversity and identified factors associated with inadequate dietary diversity in East Gojjam Zone. Methods We conducted a community-based cross-sectional study between April and June 2016. Eight hundred thirty-four pregnant women were randomly sampled. The Women Dietary Diversity Score tool developed by the Food and Agricultural Organization (FAO) and Food and Nutrition Technical Assistance (FANTA) was used. Data were entered into EpiData with double entry verification, and analysis was done using IBM SPSS version 20. Level of significance was set to P < 0.05 with 95% confidence interval (CI) to identify the independent factors associated with inadequate dietary diversity. Results The mean (±SD) dietary diversity score was 3.68 (±2.10). Inadequate dietary diversity was prevalent in 55% [95% CI (52.3–59.3%)] of pregnant women, or indirectly micronutrient was inadequate in more than half of the pregnant women. Commonly consumed dietary groups were legumes, nuts, and seeds (85.5%) followed by starchy staples (64.7%). Inadequate dietary diversity was higher among non-educated [Adjusted Odds Ratio (AOR) = 7.30, 95% CI (2.35–22.68)] compared to college and above completed women. Wealth index had significant association with dietary diversity, in which women in the poorest [AOR = 8.83, 95% CI, (1.60–48.61)], poorer [AOR = 6.34, 95% CI (1.16–34.65)], poor [AOR = 8.46, 95% CI (1.56–45.70)], and richer [AOR = 6.57, 95% CI (2.16–20.01)] had higher odds of inadequate dietary diversity. Those who had not received dietary counseling had three folds [AOR = 3.31, 95% CI (1.49–7.35)] of inadequate dietary diversity compared to their counterparts. Less likelihood of inadequate dietary diversity was among women with an increased meal frequency [AOR = 0.53, 95% CI (0.38–0.74)]. Conclusion Consumption of less diversified food during pregnancy is common in the study area. Adequacy of micronutrients is insufficient for more than half of the studied pregnant women. We conclude that being non-educated affects pregnant women to depend on less diversified diet. Providing dietary counseling during pregnancy can improve nutritional practice for pregnant women.http://link.springer.com/article/10.1186/s12884-019-2299-2Community basedDietary diversityPregnant womenMicronutrient adequacy |
| spellingShingle | Tebikew Yeneabat Haweni Adugna Tarekegn Asmamaw Muluken Wubetu Melaku Admas Getachew Hailu Asres Bedaso Tadele Amare Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016 BMC Pregnancy and Childbirth Community based Dietary diversity Pregnant women Micronutrient adequacy |
| title | Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016 |
| title_full | Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016 |
| title_fullStr | Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016 |
| title_full_unstemmed | Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016 |
| title_short | Maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in East Gojjam Zone, Northwest Ethiopia, 2016 |
| title_sort | maternal dietary diversity and micronutrient adequacy during pregnancy and related factors in east gojjam zone northwest ethiopia 2016 |
| topic | Community based Dietary diversity Pregnant women Micronutrient adequacy |
| url | http://link.springer.com/article/10.1186/s12884-019-2299-2 |
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