Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern Tanzania

Background: Adequate nutrition is essential for good health and active life. However, diets in most low and middle-income households lack diversity, especially in settings where people eat predominantly starchy foods. In this study, we assessed the associations between socio-economic status and hous...

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Main Authors: Elihaika G. Minja, Johnson K. Swai, Winifrida Mponzi, Halfan Ngowo, Fredros Okumu, Markus Gerber, Uwe Pühse, Kurt Z. Long, Jürg Utzinger, Christin Lang, Johanna Beckmann, Marceline Finda
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Journal of Agriculture and Food Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666154321000739
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author Elihaika G. Minja
Johnson K. Swai
Winifrida Mponzi
Halfan Ngowo
Fredros Okumu
Markus Gerber
Uwe Pühse
Kurt Z. Long
Jürg Utzinger
Christin Lang
Johanna Beckmann
Marceline Finda
author_facet Elihaika G. Minja
Johnson K. Swai
Winifrida Mponzi
Halfan Ngowo
Fredros Okumu
Markus Gerber
Uwe Pühse
Kurt Z. Long
Jürg Utzinger
Christin Lang
Johanna Beckmann
Marceline Finda
author_sort Elihaika G. Minja
collection DOAJ
description Background: Adequate nutrition is essential for good health and active life. However, diets in most low and middle-income households lack diversity, especially in settings where people eat predominantly starchy foods. In this study, we assessed the associations between socio-economic status and household dietary diversity in families living in South-eastern Tanzania. Method: A cross-sectional questionnaire was administered to 925 parents of school children in four wards in South-eastern Tanzania, as part of a trial; assessing the effects of physical activity and micronutrient supplementation on overall growth, health and well-being of school children. The dietary intake was assessed by 24-h dietary recall and dietary diversity score (DDS) was calculated. Socio-economic status was derived from a weighted score using principal component analysis (PCA). Multinomial logistic regression was used to investigate the association between dietary diversity and socio-economic status. This baseline data assessment was completed in July and August 2019. Results: Cereals, oils and fats were the most consumed food groups, legumes were the most common source of protein and fish was the most common animal protein. More than three quarters of the households had medium dietary diversity (MDD). Higher household education and large farm size were the only factors significantly associated with having high dietary diversity. Conclusion: A majority of the households in South-eastern Tanzania have medium dietary diversity, comprised of cereal, fats and oils and proteins. Having high dietary diversity was associated with higher education and large farm sizes. Improving community members’ knowledge and awareness of nutritional benefits could improve the dietary diversity at household level.
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spelling doaj.art-1728de3cc37a4b399c1a064b866694392022-12-21T18:29:38ZengElsevierJournal of Agriculture and Food Research2666-15432021-09-015100171Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern TanzaniaElihaika G. Minja0Johnson K. Swai1Winifrida Mponzi2Halfan Ngowo3Fredros Okumu4Markus Gerber5Uwe Pühse6Kurt Z. Long7Jürg Utzinger8Christin Lang9Johanna Beckmann10Marceline Finda11Environmental Health and Ecological Sciences, Ifakara Health Institute, Ifakara, Tanzania; Corresponding author.Environmental Health and Ecological Sciences, Ifakara Health Institute, Ifakara, TanzaniaEnvironmental Health and Ecological Sciences, Ifakara Health Institute, Ifakara, TanzaniaEnvironmental Health and Ecological Sciences, Ifakara Health Institute, Ifakara, Tanzania; Institute of Bio-diversity, Animal Health & Comparative Medicine, University of Glasgow, Glasgow, G12 8QQ, UKEnvironmental Health and Ecological Sciences, Ifakara Health Institute, Ifakara, Tanzania; Institute of Bio-diversity, Animal Health & Comparative Medicine, University of Glasgow, Glasgow, G12 8QQ, UK; School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 1 Smuts Avenue, Braamofontein, 2000, South Africa; School of Life Science and Bioengineering, Nelson Mandela African Institution of Science & Technology, Arusha, TanzaniaDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandDepartment of Sport, Exercise and Health, University of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Basel, Switzerland; University of Basel, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Basel, SwitzerlandSwiss Tropical and Public Health Institute, Basel, SwitzerlandEnvironmental Health and Ecological Sciences, Ifakara Health Institute, Ifakara, Tanzania; School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 1 Smuts Avenue, Braamofontein, 2000, South AfricaBackground: Adequate nutrition is essential for good health and active life. However, diets in most low and middle-income households lack diversity, especially in settings where people eat predominantly starchy foods. In this study, we assessed the associations between socio-economic status and household dietary diversity in families living in South-eastern Tanzania. Method: A cross-sectional questionnaire was administered to 925 parents of school children in four wards in South-eastern Tanzania, as part of a trial; assessing the effects of physical activity and micronutrient supplementation on overall growth, health and well-being of school children. The dietary intake was assessed by 24-h dietary recall and dietary diversity score (DDS) was calculated. Socio-economic status was derived from a weighted score using principal component analysis (PCA). Multinomial logistic regression was used to investigate the association between dietary diversity and socio-economic status. This baseline data assessment was completed in July and August 2019. Results: Cereals, oils and fats were the most consumed food groups, legumes were the most common source of protein and fish was the most common animal protein. More than three quarters of the households had medium dietary diversity (MDD). Higher household education and large farm size were the only factors significantly associated with having high dietary diversity. Conclusion: A majority of the households in South-eastern Tanzania have medium dietary diversity, comprised of cereal, fats and oils and proteins. Having high dietary diversity was associated with higher education and large farm sizes. Improving community members’ knowledge and awareness of nutritional benefits could improve the dietary diversity at household level.http://www.sciencedirect.com/science/article/pii/S2666154321000739Dietary diversityHouseholdsPrincipal component analysisSocial economic statusUndernutrition
spellingShingle Elihaika G. Minja
Johnson K. Swai
Winifrida Mponzi
Halfan Ngowo
Fredros Okumu
Markus Gerber
Uwe Pühse
Kurt Z. Long
Jürg Utzinger
Christin Lang
Johanna Beckmann
Marceline Finda
Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern Tanzania
Journal of Agriculture and Food Research
Dietary diversity
Households
Principal component analysis
Social economic status
Undernutrition
title Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern Tanzania
title_full Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern Tanzania
title_fullStr Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern Tanzania
title_full_unstemmed Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern Tanzania
title_short Dietary diversity among households living in Kilombero district, in Morogoro region, South-Eastern Tanzania
title_sort dietary diversity among households living in kilombero district in morogoro region south eastern tanzania
topic Dietary diversity
Households
Principal component analysis
Social economic status
Undernutrition
url http://www.sciencedirect.com/science/article/pii/S2666154321000739
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