Individual Dietary Diversity Research Articles

Descriptive and Correlative Analysis of Anthropometric, Physiological and Nutritional Characteristics in University Students from Morelia, Mexico

Introduction: Non-communicable diseases (NCD) are the leading cause of mortality in the world. Among NCD varieties, obesity is a public health problem around the world, but it is especially important in poor or developing countries. The aim of this study is to explore the body composition, physical activity and food diversity in university students from Morelia, Mexico. Method: A cross sectional study was conducted with 422 students of university level. We used bioimpedance and anthropometry to determine the body composition of the students. The physical activity was analyzed by the International Physical Activity Questionnaire (IPAQ), while the food diversity was assessed by the guidelines for measuring household and individual dietary diversity of the Food and Agriculture Organization. Results: A matrix of 16 anthropometric variables was reduced to three principal components with a variance accumulate of 88.04% to women and 78.9% to men. We were able to separate groups of women based on anthropometric variables. In men, the percentage of muscle is the variable that most influences the separation of groups. The physical activity ranges from moderate to high; on average it was 5028.4 and 4449.4 MET-minutes/week for men and women respectively. A high food diversity and equitability of consumption was found, the socioeconomic level of the students does not allow inferring food insecurity. In men we found more associated variables than in women and we found no relationship with dietary diversity. We found statistically significant relationships between chronological age and metabolic age in both sexes, but we did not find a relationship between actual weight and ideal weight. Conclusion: In conclusion, we describe the body composition, anthropometry, physical activity and food diversity of university students.

Consumption Pattern Score in Cancer Survivor with Chemotherapy Induced Nausea and Vomiting and Non-Cancer at Shelter Houses

Background: One of the most common effects of chemotherapy in cancer survivors is nausea and vomiting. This can affect the diversity of food consumed. Family support and assistance need to be done to increase food intake with one food provision.Objectives: This study aimed to find out the difference in the consumption pattern score among cancer survivors and non-cancers in shelter houses.Materials and Methods: This study was a cross-sectional study with a retrospective approach. The criteria of the case subject were undergoing chemotherapy, while the control subject criteria were included in one food supply. The total subject was 66 cancer survivors, with 33 subjects each. This research was conducted from August 2021 until October 2021 at Shelter Houses. The data included the subjects characteristic data, vomit nausea degree data using the Rhodes Index nausea vomiting and retching (RINVR), family support data, food intake data using the food frequency questionnaire (FFQ), and individual dietary diversity score (IDDS) questionnaires. Data collection is done by interviews in person and online. The data collected was analyzed using Chi-Square and bivariate test using Mann Whitney test.Results: The majority of cancer subjects were aged 40-59 years whereas non-cancer subjects were 20-39 years old. The subjects have special characteristics which are in low financial ability. Consumption of starchy foods (p<0.001) and green vegetables (p<0.006) in these two group subjects had significant differences. In addition, the consumption pattern score between cancer and non-cancer subjects made significant differences (p<0.001).Conclusion: Average consumption pattern scores showed cancer subjects were lower compared to non-cancer subjects. Thus, consumption patterns in cancer subjects did not variaty compared to non-cancer subjects. It is necessary to conduct further research by analyzing the diversity of food of each subject using a 1x24 hour for 3 days, food access questionnaire and food security.

Dietary diversity and its relationship with nutritional adequacy in 24 to 59 months old children in Iran: study protocol

BackgroundNutritional inadequacy, especially micronutrients, is still a serious concern among children in developing countries. Dietary diversity score (DDS) has been recommended as a proxy for nutritional adequacy. The present study aims to develop a questionnaire to assess the dietary diversity among 24–59 months children in Iran; also, the validity of the dietary diversity score as an indicator of nutritional status among the children will be assessed.MethodsIn order to design the questionnaire, the Food and Agriculture Organization Guideline for measuring individual dietary diversity will be applied. According to the guideline, foods are categorized into nine groups, then dietary diversity score will be calculated by summing the number of food groups. In order to evaluate the efficacy of this questionnaire in predicting the nutritional status of the children, the relationship between dietary diversity score calculated by the questionnaire with nutritional adequacy, serum retinol and anthropometric indicators will be compared.DiscussionDDS can be a valuable indicator for predicting the adequacy of macronutrients and micronutrients specially in children. It is also significantly related to the mean probability of adequacy (MPA).

Does Crop Diversity Influence Household Food Security and Women's Individual Dietary Diversity? A Cross-Sectional Study of Malawian Farmers in a Participatory Agroecology and Nutrition Project.

Agroecological methods have the potential to impact nutrition and food security, however, to date there is limited research evaluating this approach. A 5-year participatory research project with farming households in north and central Malawi was designed to train farmers on agroecological practices, alongside raising awareness on nutrition and gender equity. This cross-sectional study aimed to explore the relationships between crop diversity, food security at the household level, and individual diversity for women, within the context of an agroecology, nutrition education, and farmer mentoring program. Participating farmers were trained in and experimented with different farming methods. These farmers subsequently trained other farmers on these short-term agroecological practices and provided mentorship using community-based educational methods designed to address both household food security and nutrition. In year 4 of the intervention, a cross-sectional survey assessed farm practices, food security, and individual dietary diversity of 851 participating households. Households with lower crop diversity were significantly less likely to be food secure (odds ratios [OR] = 0.829, P < .001). Women in households with higher crop diversity were more likely to have higher individual dietary diversity (OR = 1.120, P < .01), eat vitamin A rich foods (OR = 1.176, P < .01), and legumes, nuts, and seeds (OR = 1.141, P < .01). These findings suggest that within a participatory agroecological training combined with community-based nutrition education with a focus on social equity, crop diversity is associated with less household food insecurity and poorer diet quality for rural farming households. Crop diversity may improve dietary diversity by making nutritious foods more available.

Exploring the Factors Associated with Dietary Diversity of Children Aged 6–59 Months in Some Rural and Slum Areas of Bangladesh amid the COVID-19 Pandemic: A Mixed-Effect Regression Analysis

ABSTRACTBackgroundDietary diversity (DD) is a key component of diet quality, and malnutrition due to poor diet quality leads to child morbidity and mortality. However, in Bangladesh, there is a lack of information on childhood DD (for children aged 6–59 mo) amid the coronavirus disease 2019 (COVID-19) pandemic.ObjectivesThe purpose of this study was to assess the minimum DD and its associated factors among children aged 6–59 mo during the COVID-19 pandemic in Bangladesh.MethodsA cross-sectional study was carried out in 6 districts of Bangladesh. A total of 1190 respondents were included using cluster random sampling. The Individual Dietary Diversity Score (IDDS) for children was used to assess the children's DD. Factors associated with DD of children were identified using a multilevel binary logistics regression model.ResultsAbout 70% of the children aged 6–59 mo had minimum DD during the COVID-19 pandemic in Bangladesh. Children who belonged to slum areas [adjusted odds ratio (AOR): 0.45; 95% CI: 0.24, 0.83], family income 12,000–15,000 Bangladeshi taka (BDT) (AOR: 1.79; 95% CI: 1.06, 3.05) and >15,000 BDT (AOR: 2.59; 95% CI: 1.47, 4.57), mothers aged 26–30 y (AOR: 0.35; 95% CI: 0.20, 0.62) and >30 y (AOR: 0.43; 95% CI: 0.22, 0.85), respondents who had 2 children <5 y old (AOR: 0.43; 95% CI: 0.28, 0.66), and children aged 12–23 mo (AOR: 1.89; 95% CI: 1.14, 3.20) were significantly associated with DD among children aged 6–59 mo.ConclusionsThe findings of this study highlight the need for food and nutrition-related intervention, particularly targeting mothers of younger age and with >2 children <5 y old, mothers from slum regions, and fathers who were unemployed, to improve children's DD practices.

Nutritional Status and Individual Dietary Diversity Among Peoples Living With HIV

Background: The human immunodeficiency virus (HIV) progression is correlated with nutritional status and dietary diversity. At all phases of HIV, nutrition is a significant factor. The goal of this study was to assess the nutritional status and individual dietary diversity among people living with HIV in Dhaka, Bangladesh. Methods: A cross-sectional study was performed between July 2020 and December 2020 included 338 HIV positive patients. All of the drop-in centers of CARE Bangladesh were chosen on purpose for this study. A semi-structured questionnaire was used to get the information. Descriptive statistics were used to introduce the background variables by frequency and percentage. The Chi-square test and bivariate logistic regression were used to measure the association. Results: According to the findings, only 3% of the 338 HIV patients in this study had low individual dietary diversity (IDS), while 82% had high IDDS and 16% had medium. All of the people we surveyed ate cereals and starchy roots, while the least consumed food was consumed organ meat (38.5%). According to the data, 22.5% of people were underweight, 6.5% were overweight, and 71% were in the normal range of weights. Nutritional nourishment were found to be statistically significant at age (p=0.011), education (p &lt;0.001), Sex (p = 0.008), monthly income (p &lt; 0.00), marital status (p &lt;0.001), and family type (P =0.014). The probability of malnutrition was 1.32 times higher in the 31–40 age group than in the 18–30 age group. Conclusion: People living with HIV consume a wide variety of foods. The majority of the people who took part in the survey were of average weight and had a healthy nutritional status index. Even though non-governmental organizations (NGOs) and government partnerships made things more accessible than before, some respondents were still underweight and malnourished.

Predictors of Vitamin A-rich Food Consumption Among Women From Selected Regions in Uganda

ObjectivesVitamin A deficiency has serious public health consequences for populations in low and middle-income countries, especially for children under five years and pregnant women. The objective of this paper was to characterize vitamin A-rich foods consumption and its predictors among women from selected regions in Uganda. MethodsA baseline cross-sectional survey was conducted by the International Potato Centre among 617 sweet potato growing households, focusing on women in the reproductive age group from the northern and eastern regions of Uganda. Data included vitamin A-rich food consumption, dietary intake using a food frequency questionnaire, and a 24-hour recall. Vitamin A consumption was computed using the Hellen Keller International guide. ResultsThe majority of women in this study were either lactating (79.6%) and/or pregnant (16.8%). More than 70% of the study population had a weighted vitamin A-rich food consumption mean score of < 6 days per week, indicating a high risk of vitamin A deficiency of the population. Knowledge about vitamin A (b(SE) = –0.18 (0.50), p < 0.001) inversely predicted vitamin A-rich food consumption. Variables including individual dietary diversity, household size, educational attainment and age were not associated with vitamin A rich food consumption. ConclusionsThe study provides evidence on the association between nutrition knowledge and consumption of Vitamin A-rich foods, suggesting that development and delivery of biofortified foods such as orange-fleshed sweet potatoes (an initiative of the International Potato Center), can further improve vitamin A status when combined with nutrition education. Funding SourcesInternational Potato Center/Uganda and the University of Massachusetts Amherst.

A Poultry Value Chain Intervention Promoting Diversified Diets Has Limited Impact on Maternal and Child Diet Adequacy during the Lean Season in a Cluster Randomized Controlled Trial

BackgroundSoutenir l'Exploitation Familiale pour Lancer l’Élevage des Volailles et Valoriser l’Économie Rurale (SELEVER) is a nutrition- and gender-sensitive poultry value chain project designed and implemented by international nongovernmental organization Tanager, which consists of poultry market facilitation and behavior change activities aiming at increasing poultry production and improving diets without free inputs transfer. ObjectivesThe study aimed at assessing the impact of SELEVER on diets of women and children during the lean season. MethodsWithin a cluster randomized controlled trial, 45 communes were assigned to 1 of 3 arms, including 1) SELEVER interventions, 2) SELEVER with an intensive hygiene and sanitation component (SELEVER + WASH), and 3) a control group without intervention. Two rounds of survey were conducted 2 y apart during the lean season. Primary dietary outcomes were the probability of adequacy (PA) of iron, zinc, and vitamin A intakes; mean PA of 11 micronutrients and individual dietary diversity score collected through quantitative 24-h recall in longitudinal samples of women and index children (2–4 y old) in 1054 households; and minimum acceptable diet in the repeated cross-sectional sample of their younger sibling aged 6–23 mo. Impacts were assessed by intention-to-treat ANCOVA. ResultsRelative to control, SELEVER interventions (groups 1 + 2) increased the PA of iron intakes in women by 1.8 percentage points (pp) (P = 0.030). We found no further impact on primary outcomes, although egg consumption increased in index children (+0.73 pp, P = 0.010; +0.69 kcal/d, P = 0.036). Across the 3 groups, we observed negative effects of SELEVER on the PA of zinc intakes in women relative to SELEVER + WASH (–4.1 pp, P = 0.038) and on a variety of secondary dietary outcomes relative to both other groups. The study was registered on the ISCRCTN registry (ISRCTN16686478). ConclusionsInformation-only-based value chain interventions may not have meaningful positive effects on diets of women and children in the lean season in settings with largely inadequate diets. We found suggestive evidence that synergies between intervention components may have introduced heterogeneity in effects on diet.

Dietary diversity and impact of Moringa oleifera Lam. leaves supplemented – Diet on the nutritional status and CD4 cell counts of patients receiving antiretroviral therapy in Nigeria: A double - Blind randomized trial

BackgroundTo maintain an optimal nutritional status and immunological function in PLHIV, a diet with adequate nutrients is of utmost importance. This is a major challenge among poor populations in developing worlds like Nigeria, where malnutrition and food insecurity are endemic. This study aimed to assess the type of regular diet consumed and assess the impact of supplementation of the diet with Moringa oleifera Lam. leaves on the nutritional status and CD4 cell counts of PLHIV that are on ART in Nigeria. MethodA double-blind, randomized trial was conducted. Two hundred consented patients were randomly allocated to either the Moringa oleifera Lam. group (MOG) or the control group (COG). The FAO individual dietary diversity questionnaire was used. The regular diets of participants at baseline and six months were monitored. The measurements of weight, BMI, MUAC, and CD4 cell counts were obtained from baseline to six months of Moringa oleifera Lam. leaves supplementation. ResultsOne hundred and seventy-seven patients completed the six-month follow-up (89 MOG versus 88 COG). At both baseline and sixth month, the foods most commonly consumed by the participants in both MOG and COG were cereals, spices and condiments, oils, fats and palm oil, and dark green vegetables. At baseline, significantly higher consumption of legumes, nuts & seeds (p = 0.001) was observed in the MOG and higher consumption of other vegetables (p = 0.024) in COG. Consumption of cereals, roots, and tubers was significantly higher (p = 0.024; 0.045) in the COG in the sixth month. In both groups, participants were in the medium or low dietary diversity tercile. Throughout the study period, all the nutritional status variables observed were not significantly different between the two study groups [(p > 0.0001); weight; p = 0.5556; BMI; p = 0.5145; MUAC; p = 0.6456]. Over the study period, the treatment by time interaction shows a significant difference in CD4 counts by treatment group (p < 0.0001) and an estimate of fixed effects 10.33 folds greater in the MOG than COG. All tests were conducted at 95CI. ConclusionThis study revealed a poor dietary diversity amongst PLHIV. Supplementation of regular diet with Moringa oleifera Lam. leaves did not affect the nutritional status but could improve the immune response of HIV-positive adults attending the antiretroviral treatment centre in the present study area.

Enhance Nutritive Value through Dietary Diversity in the Rural Area of Uttar Pradesh

Malnutrition, including undernutrition, micronutrient defi ciency, and overnutrition, remains one of the biggest challenges to global development. Many types of approaches were suggested to achieve a balanced diet; like food fortifi cation, biofortifi cation, and dietary diversifi cation. Dietary diversifi cation is a more practical approach to full fi ll the daily needs of nutrients at the community level. The main objective of the study was to encourage diversifi cation in the diet through Local nutritional solutions to improve the nutritive value of the diet. The 491 individuals were included in the study from 128 randomly selected rural HHs from Kannauj and Banda district of Uttar Pradesh state. A total number of sixteen nutrients were evaluated as dependent variables and one independent (Individual Dietary Diversity Score) variable. To improvement in the dietary diversity score, an intervention schedule was prepared with the help of booklets, posters, videos, charts, and personal counseling. A signifi cant diff erence between controlled and intervention groups was found for 11 nutrients out of 16 nutrients. All 11 signifi cantly improved nutrients belonged to the micronutrients category. The Individual Dietary Diversity Score of controlled groups was 4.31 and the same score of the intervention group was 5.28, with a signifi cant diff erence (p-values &lt;0.001). The intake of phosphorus, magnesium, and sodium exceeded the Recommended Dietary Allowances, with NAR 1.82, 2.14, and 2.42, respectively. Five nutrients (calcium, vitamin-A, potassium, ribofl avin, vitamin-C) consumed less than 75 per cent of the prescribed amount in the control group, and the same in the intervention group was three (calcium, vitamin-A, potassium).

Association of Dietary Diversity with Growth and Development of Children in Multi-ethnic Rural Areas of Sichuan Province

Objective To understand the growth and dietary diversity status of children in multi-ethnic areas of Sichuan province,and to explore the associations of dietary diversity with growth and development indicators. Methods Children of 18-36 months old and their primary caregivers were selected with multi-stage cluster random sampling method from rural areas of Han,Tibetan,and Yi ethnic groups in Sichuan province. The sociodemographic information of children and their caregivers was collected using self-designed questionnaire.The dietary diversity score(DDS)was calculated according to the criteria in the Guidelines for Measuring Household and Individual Dietary Diversity released by the Food and Agriculture Organization of the United Nations.The body height(length)and body weight of each child were measured by standard equipment for anthropological measurement,and the height for age Z score(HAZ),weight for age Z score(WAZ),and weight for height Z score(WHZ) were calculated.Multivariate linear regression was performed to analyze the relationship between dietary diversity and growth indicators of children. Results A total of 1092 children were enrolled in this study,and the prevalence of stunting(HAZ<-2),underweight(WAZ<-2),and wasting(WHZ<-2)was 21.1%,4.9%,and 2.5%,respectively.The children had the mean DDS of 4.8±1.7,and 45.3% of children had poor dietary diversity(DDS≤4).The children of Han ethnic group(5.8±1.4)had higher DDS than those of Tibetan ethnic group(4.9±1.6)and Yi ethnic group(3.9±1.6)(P<0.001).The results of multivariate linear regression indicated that DDS was positively correlated with HAZ(β=0.206,95%CI=0.158-0.254,P<0.001)after adjustment of sex,age,birth weight,preterm birth,and parental body height.After further adjustment of family fixed assets,ethnic group,caregiver's type,and caregiver's education background,the correlation between DDS and HAZ remained significant(β=0.077,95%CI=0.026-0.128, P=0.003). Conclusions The children in the multi-ethnic rural areas of Sichuan province showed troublesome growth and development status and low dietary diversity,which were conspicuously different between ethnic groups,especially in the rural areas of Yi ethnic group.The dietary diversity was positively associated with HAZ.It is recommended to carry out nutrition and health education according to the local dietary characteristics and thus improve the growth and development of children in multi-ethnic rural areas in Sichuan.

Nutritional Status, Dietary Intake and Dietary Diversity of Landfill Waste Pickers.

The purpose of this study was to investigate and describe the nutritional status, dietary intake and dietary diversity of waste pickers in South Africa, a socioeconomically vulnerable group who makes a significant contribution to planetary health through salvaging recyclable material from dumpsites. Participants were weighed and measured to calculate body mass index (BMI). Dietary intake was recorded using a standardised multipass 24 h recall. Individual dietary diversity scores were derived from the dietary recall data. Data were collected from nine purposefully selected landfill sites located in six rural towns and three cities in four of the nine provinces in South Africa, providing nutritional status information on 386 participants and dietary intake on 358 participants after data cleaning and coding. The mean BMI of the study sample was 23.22 kg/m2. Underweight was more prevalent among males (22.52%) whilst 56.1% of the females were overweight or obese. The average individual dietary diversity score was 2.46, with 50% scoring 2 or less. Dietary intake patterns were characterised as monotonous, starch-based and lacking vegetables and fruits. The nutritional status, dietary intake and dietary diversity of waste pickers reflect their precarious economic status, highlighting the need for health, social and economic policies to improve access and affordability of nutritious food.

Correlation between Individual Dietary Diversity Score and Nutrients Adequacy Ratio in the Rural Community

Dietary diversity indicators can serve as a proxy for diet quality and some have shown an association with nutrient adequacy at the individual level; it is positively correlated with indicators of micronutrients adequacy in several types of study. The main objective of the study is to examine the nutrient adequacy ratio and its relationship with the individual dietary diversity score in the rural area of Uttar Pradesh, India. The relationship between individual dietary diversity score and nutrient adequacy was assessed with and without the minimum quantity food groups intake restriction. Data was collected through the 24 hours dietary recall schedule and dietary diversity questionnaire by applying of 24 hours recall method in the randomly selected 491 individuals. Individual dietary diversity score measured by the nine food groups system, suggested by Food and Agriculture Organization, US. An analysis of the relationship with sixteen nutrients was assessed through the MS excel data analysis functions. Iron and niacin intake had a positive and moderate correlation with individual dietary diversity scores and a weak positive correlation with calcium, thiamine, riboflavin, vitamin-A, potassium, zinc, protein, vitamin-C, folates were found with no minimum quantity intake of the food groups. A negative correlation between sodium, phosphorus, and magnesium intake; there was no correlation noted with fat and energy. After fixing the minimum intake quantity of the food groups, the relationship between the dietary diversity score and the nutritional accuracy was strengthened; the association of iron and niacin with IDDS (Individual Dietary Diversity Score) was shown to be strong after applying minimum 15 grams intake quantity of the food groups.

Cross-Sectional Association of Food Source with Food Insecurity, Dietary Diversity and Body Mass Index in Western Kenya.

The triple burden of malnutrition in many low- and middle-income countries (LMICs) is partly a result of changing food environments and a shift from traditional diets to high-calorie Western-style diets. Exploring the relationship between food sources and food- and nutrition-related outcomes is important to understanding how changes in food environments may affect nutrition in LMICs. This study examined associations of household food source with household food insecurity, individual dietary diversity and individual body mass index in Western Kenya. Interview-administered questionnaire and anthropometric data from 493 adults living in 376 randomly-selected households were collected in 2019. Adjusted regression analyses were used to assess the association of food source with measures of food insecurity, dietary diversity and body mass index. Notably, participants that reported rearing domesticated animals for consumption (‘own livestock’) had lower odds of moderate or severe household food insecurity (odds ratio (OR) = 0.29 (95% CI: 0.09, 0.96)) and those that reported buying food from supermarkets had lower odds of moderate or severe household food insecurity (borderline significant, OR = 0.37 (95% CI: 0.14, 1.00)), increased dietary diversity scores (Poisson coefficient = 0.17 (95% CI: 0.10, 0.24)) and higher odds of achieving minimum dietary diversity (OR = 2.84 (95% CI: 1.79, 4.49)). Our findings provide insight into the relationship between food environments, dietary patterns and nutrition in Kenya, and suggest that interventions that influence household food source may impact the malnutrition burden in this context.

Physical Activity, Food Consumption, and Breakfast among Normal and Overweight Elementary School Children in Bogor during Covid-19 Pandemic

The objective of this study was to analyze differences in physical activity, quality of food consumption and breakfast between elementary school children with normal and overweight nutritional status in Bogor City of Indonesia during the Covid-19 pandemic. This was a cross sectional study carried out from September 2020 to January 2021 in nine elementary schools in Bogor City. This research was conducted when school from home had been running for about six months. Survey was conducted using a structured questionnaire filled by the subject's parents via google form and Microsoft word and then interviewing via whatsapp. Physical activity measured using the Physical Activity Level (PAL) method and food consumption quality using the Individual Dietary Diversity Score (IDDS). Breakfast quality based on the intake and contribution of energy and protein at breakfast. Result showed that 70% of male and 30% of female subjects were classified as overweight. There was a significant difference in the PAL value between subjects with normal weight and overweight (2.02 vs 1.63, p 0.05). However, IDDS scores of students with normal nutritional status was higher (7.08 and 8.60) compared to (6.80 and 6.78) in overweight students during the weekday and weekend respectively. In contrast, the energy and protein intake consumed during breakfast for overweight students was higher (617 kcal/day and 21 g/day) than students with normal nutritional status (477 kcal/day and 18.2 g/day) (p<0.05). This study has shown the importance to educate parents of overweight subjects to increase their children's physical activity as the students with normal nutrition status do as well as to provide breakfast with a more diverse menu

Prevalence of Anemia and Associated Risk Factors among Pregnant Women, What is the Role of Antenatal Care in Prevention? A Cross-sectional Study.

To determine the prevalence of anemia with the associated factors in pregnant women and the effect of family medicine practice and antenatal care services provided by family physicians on the prevention of anemia during pregnancy. Community-based cross-sectional study. Family Health Centres in the Elazig region, Turkey from January to June 2019. A total of 495 pregnant women, attending the family health centres, were included. Women were administered a questionnaire related with the anemia and related factors; and hemoglobin values were drawn. Hemoglobin concentration <11 g/dl was classified as anaemic. Sociodemographic, individual dietary diversity and obstetric characteristics of the participants were obtained from structured questionnaire form. Binary logistic regression model was employed to determine the effect of explanatory variables on dependent variable anemia. Results: The prevalence of anemia during pregnancy was 27.9% (Hb<11.0 gr/dl). Prevalence of anemia was found lower in participants with higher education levels (p=0.005) and having nutrition education (p=0.004). Income status (OR=0.017 [95%Cl:0.002-0.15, p<0.001]), dark tea preference (OR=87.127 [95%Cl:17.68-429.36, p<0.001]), and iron supplementation time (OR=0.945 [95%Cl: 0.91-0.98, p=0.002]) were determined as the independent predictors of anemia in pregnancy. Low income, insufficient iron supplementation treatment and dark tea preference were the main predictors of anemia. Most of the factors that cause anemia during pregnancy can be prevented with patient education and supportive treatments. Therefore, the authors recommend applying effective and quality prenatal care and patient education programs to reduce anemia during pregnancy. Key Words: Pregnant women, Anemia, Prenatal care, Family practice, Turkey.

Correlation between individual dietary diversity score and nutrients adequacy ratio in the rural community

Dietary diversity indicators can serve as a proxy for diet quality. The main objective of this study is to examine the nutrient adequacy ratio and its relationship with the individual dietary diversity score in the rural community. The relationship between individual dietary diversity score and nutrients adequacy was assessed with and without the minimum quantity food groups intake restriction. Data was collected through the 24 hours dietary recall schedule and dietary diversity questionnaire by applying 24 hours recall method in randomly selected 491 individuals from the rural areas of Uttar Pradesh state of India. Individual dietary diversity score was measured using the nine food groups system, suggested by Food and agriculture organization, US. An analysis of the relationship with sixteen nutrients was assessed through the Microsoft excel data analysis functions. It was found that iron and niacin intake had moderate-positive co-relation with individual dietary diversity scores, and a weak positive correlation with calcium, thiamine, riboflavin, vitamin-A, potassium, zinc, protein, vitamin-C, folates were found with no minimum quantity intake of the food groups. A negative correlation between sodium, phosphorus, and magnesium intake was noted; and there was no correlation noted with fat and energy

Seasonal variability in food and nutrition security among children 0-3 years in Karamoja sub-region of Uganda

Optimal nutrition and good feeding of infants and young children are among the most important determinants of their health, growth and development. Due to unimodal climate in Karamoja sub-region, north eastern Uganda, achieving food security remains a development challenge in the area impacting negatively on the nutrition and health status of infants and young children. The current study, therefore, is important in providing the basis for season-based interventions to improve food and nutrition security in Karamoja sub-region. A longitudinal study involving 267 lactating mothers during harvesting season and 380 during planting season was conducted. Data were collected using Individual level Dietary Diversity questionnaire, 24-Hour Dietary Recall, and Anthropometry and were analyzed statistically. The findings indicated that except Abim district, 77.8-97.8%of the lactating mothers never attended school; 75-100% depend on subsistence farming. Lactating mothers (29.9-41.9%) introduced complementary foods to their infants at 6 months, while the age at first introduction of any food to the infant was mostly between 4-6 months. Dietary quality of complementary foods was low across all the districts; 6.7-38.9% of the children ate foods from four or more of the seven food groups in the previous day (Minimum Dietary Diversity) in both seasons. Complementary foods were characterized by plant food sources. With exception of milk and milk products, proportion of children who consumed animal-sourced foods was low, ranging from 0% in meats to 8.9% in fish and sea foods. Energy and nutrient intakes varied according to age groups of the children across districts and season. The proportion of children below -2 Z-score also varied according to districts and it is generally higher during the planting season than the harvesting season. The median of the z-scores for height-for age and Mid Upper Arm Circumference for age ranged from -1 to -2.5. In conclusion, there were variations and disparities in dietary diversity, energy and nutrient intake as well as nutrition status of infants and young children across season and districts in Karamoja sub-region of Uganda. Therefore, interventions to combat malnutrition among children 0-3 years need to take into account seasonal variations for each of the geographical locations in Karamoja sub-region.

Performance of individual dietary diversity score to identify malnutrition among patients living with HIV in Ethiopia

There is a lack of uniformity in developing and validating indicators of nutritional status among People Living with Human Immunodeficiency Virus (PLHIV). Experiences from low and middle-income countries are scant, and differences in methodological and analytical approaches affect the comparability and generalizability of findings. Therefore, this study investigated the performance of individual diversity score (IDDS) as a proxy indicator of nutritional status among PLHIV. We conducted a facility-based cross-sectional study among 423 PLHIV who were under Antiretroviral Treatment (ART) at clinics in Bahir-Dar, Ethiopia. We collected data on sociodemographic, dietary, clinical, and anthropometric measures. Dietary intake was assessed using 24-Hour dietary recall. Body Mass Index (BMI) was calculated to assess the nutritional status of study subjects. The receiver operating characteristic (ROC) curve analysis was used to assess the ability of the IDDS and Minimum Dietary Diversity for Women (MDD-W) to detect poor nutritional status. Furthermore, sensitivity, specificity, Predictive Values (PPs), and Likelihood Ratios (LRs) were calculated at different cut-off points. IDDS showed good reliability with Cronbach’s Alpha of 0.76. The Area Under the Curve (AUC) of IDDS was 78.5 (95%CI 73.9–83.4). At the IDDS cut-off of 4, the sensitivity and specificity of IDDS to indicate nutritional status were 88.0% (95%CI 81.0–93.0) and 71.0% (95%CI 66.0–76.0), respectively. The AUC of MDD-W was 74.1%, and at the cut-off of 4 the sensitivity and specificity of MDD-W to indicate undernutrition were 73.0% and 72.0%, respectively. Both IDDS and MDD-W have good accuracy as a proxy indicator for measuring the nutritional status of PLHIV. In the prevention of undernutrition among PLHIV especially in a resource-limited setting, IDDS and MDD-W can be used to assess nutritional status.

Psycho-Social Stimulation and Food Diversity of Children Detected Stunting

Background: Stunting is a growth failure in children under five due to chronic malnutrition so that children are too short for their age. According to WHO, stunting becomes a public health problem if the prevalence is 20% or more. The prevalence of stunting under five in Indonesia in 2018 was more than 20% so that it became a public health problem and needed to be addressed immediately. Food diversity describes the quality of food for toddlers. Providing a variety of foods will increase the risk of malnutrition, stunting, and disease disorders. Stunting not only has an impact on physical growth but also psychosocial development. This study aimed to analyze whether psychosocial stimulation and food diversity were associated with stunting. Subjects and Method: This research is an observational analytic with a case control approach. The study population was all toddlers aged 24-59 months in Bangkok Village, Gurah, Kediri, East Java, Indonesia, in August 2020. Using the fixed disease sampling technique, a sample of 25 stunting toddlers aged 24-59 months as the case group and 25 non-stunted toddlers as the control group. The dependent variable is the incidence of stunting, while the independent variables are psychosocial stimulation and food diversity. The stunting measurement was carried out based on the TB/U measurement. Measurement of psychosocial stimulation using the HOME (The Home Observation for Measurement of the Environment Revisited) questionnaire and diversity using the IDDS (Individual Dietary Diversity Score) questionnaire. The data collected were analyzed by Chi Square and Fisher's Exact Test. Results: The incidence of stunting was associated with psychosocial (p= o.o31) and food diversity (OR= 12.67; CI 95%= 3.31 to 48.50; p &lt; 0.001). Conclusion: Psychosocial stimulation and food diversity are associated with stunting. Not consuming a variety of foods increases the incidence of stunting 12 times.