Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis
Abstract Inadequately diversified food consumption during pregnancy can lead to micronutrient deficiencies, which can affect maternal and newborn health outcomes. Previous studies on maternal dietary diversity have either been limited to a specific geographical region or consist entirely of systemat...
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| Format: | Article |
| Language: | English |
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Wiley
2023-07-01
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| Series: | Food Science & Nutrition |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/fsn3.3388 |
| _version_ | 1797780629649096704 |
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| author | Awole Seid Desta Dugassa Fufa Misrak Weldeyohannes Zuriyash Tadesse Selamawit Lake Fenta Zebenay Workneh Bitew Getenet Dessie |
| author_facet | Awole Seid Desta Dugassa Fufa Misrak Weldeyohannes Zuriyash Tadesse Selamawit Lake Fenta Zebenay Workneh Bitew Getenet Dessie |
| author_sort | Awole Seid |
| collection | DOAJ |
| description | Abstract Inadequately diversified food consumption during pregnancy can lead to micronutrient deficiencies, which can affect maternal and newborn health outcomes. Previous studies on maternal dietary diversity have either been limited to a specific geographical region or consist entirely of systematic reviews, without meta‐analyses. Thus, this study aimed to determine the pooled estimate of the association between inadequate dietary diversity during pregnancy, maternal anemia, and low birth weight in Africa. A systematic review of observational studies published between January 2000 and April 2022 was undertaken using the Google Scholar, PubMed, and CINAHL databases. The PRISMA checklist was followed to present the results. Microsoft Excel was used to abstract the data. STATA version 17 was used to analyze the data, and a random‐effects meta‐analysis model was applied to compute the pooled estimates. The study was registered in PROSPERO with protocol number CRD42022320873. A total of 22 publications with 9,696 participants were included in the final meta‐analysis. The pooled adjusted odds ratio (AOR) for inadequate dietary diversity and maternal anemia was 2.15 (95% CI, 1.66–2.65), while that for low birth weight was 2.04 (95% CI, 1.46–2.63). The highest pooled estimate of maternal anemia was reported in Cameroon (AOR = 9.8, 95% CI: 1.68–17.92), followed by Ethiopia (AOR = 2.6, 95% CI: 1.95–3.25). Similarly, the pooled estimates of low birth weight were highest in Cameroon (AOR = 3.04, 95% CI: 1.19–4.88) and Ethiopia (AOR = 1.8, 95% CI: 1.29–2.39). In Africa, pregnant mothers with inadequate dietary diversity are two times more likely to develop anemia and low birth weight. Social protection policies that prioritize pregnant women, maternal nutrition promotion in the community, and dietary counseling during antenatal care visits, using national food‐based dietary guidelines, should be strengthened. |
| first_indexed | 2024-03-12T23:46:47Z |
| format | Article |
| id | doaj.art-bbeb5a6be1da4f4a8e778a824e505227 |
| institution | Directory Open Access Journal |
| issn | 2048-7177 |
| language | English |
| last_indexed | 2024-03-12T23:46:47Z |
| publishDate | 2023-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Food Science & Nutrition |
| spelling | doaj.art-bbeb5a6be1da4f4a8e778a824e5052272023-07-14T06:57:56ZengWileyFood Science & Nutrition2048-71772023-07-011173706371710.1002/fsn3.3388Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysisAwole Seid0Desta Dugassa Fufa1Misrak Weldeyohannes2Zuriyash Tadesse3Selamawit Lake Fenta4Zebenay Workneh Bitew5Getenet Dessie6Department of Adult Health Nursing College of Medicine and Health Sciences, Bahir Dar University Bahir Dar EthiopiaCenter for Food Sciences and Nutrition Addis Ababa University Addis Ababa EthiopiaDepartment of Anesthesia Addis Ababa University Addis Ababa EthiopiaDepartment of Nutrition and Dietetics Mekelle University Mekelle EthiopiaDepartment of Midwifery College of Medicine and Health Sciences, Bahir Dar University Bahir Dar EthiopiaCenter for Food Sciences and Nutrition Addis Ababa University Addis Ababa EthiopiaDepartment of Adult Health Nursing College of Medicine and Health Sciences, Bahir Dar University Bahir Dar EthiopiaAbstract Inadequately diversified food consumption during pregnancy can lead to micronutrient deficiencies, which can affect maternal and newborn health outcomes. Previous studies on maternal dietary diversity have either been limited to a specific geographical region or consist entirely of systematic reviews, without meta‐analyses. Thus, this study aimed to determine the pooled estimate of the association between inadequate dietary diversity during pregnancy, maternal anemia, and low birth weight in Africa. A systematic review of observational studies published between January 2000 and April 2022 was undertaken using the Google Scholar, PubMed, and CINAHL databases. The PRISMA checklist was followed to present the results. Microsoft Excel was used to abstract the data. STATA version 17 was used to analyze the data, and a random‐effects meta‐analysis model was applied to compute the pooled estimates. The study was registered in PROSPERO with protocol number CRD42022320873. A total of 22 publications with 9,696 participants were included in the final meta‐analysis. The pooled adjusted odds ratio (AOR) for inadequate dietary diversity and maternal anemia was 2.15 (95% CI, 1.66–2.65), while that for low birth weight was 2.04 (95% CI, 1.46–2.63). The highest pooled estimate of maternal anemia was reported in Cameroon (AOR = 9.8, 95% CI: 1.68–17.92), followed by Ethiopia (AOR = 2.6, 95% CI: 1.95–3.25). Similarly, the pooled estimates of low birth weight were highest in Cameroon (AOR = 3.04, 95% CI: 1.19–4.88) and Ethiopia (AOR = 1.8, 95% CI: 1.29–2.39). In Africa, pregnant mothers with inadequate dietary diversity are two times more likely to develop anemia and low birth weight. Social protection policies that prioritize pregnant women, maternal nutrition promotion in the community, and dietary counseling during antenatal care visits, using national food‐based dietary guidelines, should be strengthened.https://doi.org/10.1002/fsn3.3388Africaanemiadietary diversitylow birth weightpregnancysystematic review |
| spellingShingle | Awole Seid Desta Dugassa Fufa Misrak Weldeyohannes Zuriyash Tadesse Selamawit Lake Fenta Zebenay Workneh Bitew Getenet Dessie Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis Food Science & Nutrition Africa anemia dietary diversity low birth weight pregnancy systematic review |
| title | Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis |
| title_full | Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis |
| title_fullStr | Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis |
| title_full_unstemmed | Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis |
| title_short | Inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in Africa: A systematic review and meta‐analysis |
| title_sort | inadequate dietary diversity during pregnancy increases the risk of maternal anemia and low birth weight in africa a systematic review and meta analysis |
| topic | Africa anemia dietary diversity low birth weight pregnancy systematic review |
| url | https://doi.org/10.1002/fsn3.3388 |
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