
Dietary Adequacy among Pregnant Women in Southern Ethiopia. A weighted Food Record Study: A weighted food record Study
A weighted food record Study
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- Articles
- Submited: March 13, 2024
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Published: April 1, 2024
Abstract
Background: Nutrient deficiencies are a public health concern among pregnant women in developing countries,
including Ethiopia. This study aimed to assess the adequacy of nutrients among pregnant women in Dilla, Southern Ethiopia.
Methods: A community-based cross-sectional study design was conducted in Dilla Town, Southern, Ethiopia. Data
on socio-demographic and obstetric characteristics were collected using a standardized questionnaire. We employed a day-weighted food record method among 71 pregnant mothers. All the foods consumed by pregnant women were weighed using digital weight scales. Data collectors and supervisors were trained in data collection techniques and procedures. Calibration of equipment and standardized techniques were used to minimize random anthropometric measurement errors. Data entry was done using SPSS version 25 and NutriSurvey2007 and exported
to Intake, Monitoring Assessment and Planning Program (IMAPP) software to estimate the usual nutrient intake
and prevalence of nutrient inadequacy.
Results: The current study indicated that energy, protein, and micronutrient intakes (iron, folic acid, and calcium)
among pregnant women in the study area were low as compared to the World Health Organization (WHO)/Food
and Agricultural Organization (FAO) reference nutrient intake. The inadequacy of selected micronutrient intakes
such as vitamin-A, vitamin-C, iron, calcium, and zinc for pregnant women by comparing usual nutrient intake with
the estimated average requirement (EAR) cutoff point. Calcium, vitamin-C, and vitamin-A deficiency were prevalent in 98.47, 95.52, and 72.28 percent of the population, respectively.
Conclusions: The prevalence of risk of nutrient inadequacy (calcium, vitamin-A, and vitamin-C) among pregnant
mothers was high. Therefore, multiple micronutrient supplementation and provision of nutrient-dense food-based
interventions need to be considered. Furthermore, multisectoral collaboration on the nutrition-sensitive and specificity intervention is also needed
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References
- Bhatia P, Chhabra S. Physiological and anatomical changes of pregnancy: Implications for anaesthesia. Indian J Anaesth. 2018;62(9):651-7.
- EPHI. Ethiopian Public Health Institute, Ethiopian National Micronutrient Survey Report. 2016.
- Darnton-Hill I, Mkparu UC. Micronutrients in pregnancy in low- and middle-income countries. Nutrients. 2015;7(3):1744-68.
- Jouanne M, Oddoux S, Antoine Noël, Voisin-Chiret. AS. Nutrient Requirements during Pregnancy and Lactation. Nutrients. DOI: 10.3390/nu13020692. 2021.
- G Daba, F Beyene, W Garoma, Fekadu H. Assessment of Nutritional Practices of Pregnant Mothers on Maternal Nutrition and Associated Factors in Guto Gida Woreda, East Wollega Zone, Ethiopia. STAR Journal. 2013.
- Woldeamanuel GG, Geta TG, Mohammed TP, Shuba MB, Bafa TA. Effect of nutritional status of pregnant women on birth weight of newborns at Butajira Referral Hospital, Butajira, Ethiopia. 2019;7:2050312119827096.
- Neal S, Mahendra S, Bose K, Camacho AV, Mathai M, Nove A, et al. The causes of maternal mortality in adolescents in low and middle income countries: a systematic review of the literature. BMC Pregnancy and Childbirth. 2016;16(1):352.
- Berti C, Biesalski HK, Gärtner R, Lapillonne A, Pietrzik K, Poston L, et al. Micronutrients in pregnancy: current knowledge and unresolved questions. Clinical nutrition (Edinburgh, Scotland). 2011;30(6):689-701.
- Yong HY, Mohd Shariff Z, Mohd Yusof BN, Rejali Z, Tee YYS, Bindels J, et al. Pre-Pregnancy BMI Influences the Association of Dietary Quality and Gestational Weight Gain: The SECOST Study. Int J Environ Res Public Health. 2019;16(19):3735.
- Black R, Bhutta Z, Bryce J, Morris S VC. Maternal And Child Undernutrition. Lancet’s Ser. 2013;382:452–77. 2013.
- Muthayya S, Rah JH, Sugimoto JD, Roos FF, BR. KK. The global hidden hunger indices and maps: An advocacy tool for action. PLoS One. 2013;8.
- Harika R, Faber M, Samuel F, Kimiywe J, Mulugeta A, Eilander A. Micronutrient Status and Dietary Intake of Iron, Vitamin A, Iodine, Folate and Zinc in Women of Reproductive Age and Pregnant Women in Ethiopia, Kenya, Nigeria and South Africa: A Systematic Review of Data from 2005 to 2015. Nutrients. 2017;9(10).
- FMOH. Government of Ethiopia National Nutrition Program, 2016-2020. . 2016.
- DHO. Dilla Health Office. Dilla town 2020 health office report. 2020.
- Mebrate A, Zeray N, Kippie T, Haile G. Determinants of soil fertility management practices in Gedeo Zone, Southern Ethiopia: logistic regression approach. Heliyon. 2022;8(1):e08820.
- Saaka M. Adequacy of nutrient intakes among pregnant women in northern Ghana. World Nutrition. 2020 Mar 24;11(1):145-64.
- K. Ryan Wessells, Rebecca R. Young, Elaine L. Ferguson, Césaire T. Ouédraogo, M. Thierno Faye, Hess SY. Assessment of Dietary Intake and Nutrient Gaps, and Development of Food-Based Recommendations, among Pregnant and Lactating Women in Zinder, Niger: An Optifood Linear Programming Analysis. Nutrients. 2019.
- Lee SE, Talegawkar SA, Merialdi M, Caulfield LE. Dietary intakes of women during pregnancy in low- and middle-income countries. Public Health Nutr. 2013 Aug;16(8):1340-53. doi: 10.1017/S1368980012004417. Epub 2012 Oct 9. PMID: 23046556.
- Ekesa B, Blomme G, Garming H. Dietary diversity and nutritional status of pre-school children from Musa -dependent households in Gitega (Burundi) And Butembo (Democratic Republic Of Congo). African Journal of Food, Agriculture, Nutrition and Development. 2011;11.
- Lander RL, Hambidge KM, Westcott JE, Tejeda G, Diba TS, Mastiholi SC, et al. Pregnant Women in Four Low-Middle Income Countries Have a High Prevalence of Inadequate Dietary Intakes That Are Improved by Dietary Diversity. Nutrients. 2019;11(7).
- Lebrun A, Plante A-S, Savard C, Dugas C, Fontaine-Bisson B, Lemieux S, et al. Tracking of Dietary Intake and Diet Quality from Late Pregnancy to the Postpartum Period. Nutrients. 2019;11(9):2080.