Dietary diversity, nutritional status and associated factors among lactating mothers visiting government health facilities at Dessie town, Amhara region, Ethiopia.
Adolescent
Adult
Cross-Sectional Studies
Diet
Ethiopia
/ epidemiology
Feeding Behavior
Female
Government Programs
/ statistics & numerical data
Health Facilities
/ statistics & numerical data
Humans
Infant, Newborn
Lactation
Male
Malnutrition
/ epidemiology
Middle Aged
Mothers
/ statistics & numerical data
Nutritional Status
Prevalence
Rural Population
Socioeconomic Factors
Young Adult
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2022
2022
Historique:
received:
07
10
2020
accepted:
01
02
2022
entrez:
17
2
2022
pubmed:
18
2
2022
medline:
1
3
2022
Statut:
epublish
Résumé
Maternal undernutrition is one of the most common causes of maternal morbidity and mortality in developing countries. Severe undernutrition among mothers leads to reduced lactation performance which further contributes to an increased risk of infant mortality. However, data regarding nutritional status of lactating mothers at Dessie town and its surrounding areas is lacking. This study assessed dietary diversity, nutritional status and associated factors of lactating mothers visiting health facilities at Dessie town, Amhara region, Ethiopia. Institutional based cross-sectional study was conducted from March to April, 2017 among 408 lactating mothers. Systematic random sampling technique was employed to select the study participants. Data on socio-demographic and economic characteristics, health related characteristics, dietary diversity and food security status of participants were collected using interviewer administered questionnaire. Data were entered into EPI-INFO and analyzed using SPSS Version 22. Bivariate and multivariate analyses were performed to identify factors associated with dietary diversity and nutritional status of lactating mothers. More than half (55.6%) of lactating mothers had inadequate dietary diversity (DDS<5.3) and about 21% were undernourished (BMI<18.5 kg/m2). Household monthly income [AOR = 2.0, 95% CI (1.15, 3.65)], type of house [AOR = 1.8, 95% CI (1.15, 2.94)], nutrition information [AOR = 1.6, 95% CI (1.05, 2.61)] and household food insecurity [AOR = 1.8, 95% CI (1.05, 3.06)] were factors associated with dietary diversity of lactating mothers. Being young in age 15-19 years [AOR = 10.3, 95% CI (2.89, 36.39)] & 20-29 years [AOR = 3.4, 95% CI (1.57, 7.36)], being divorced/separated [AOR = 10.1, 95% CI (1.42, 72.06)], inadequate dietary diversity [AOR = 3.8, 95% CI (2.08, 7.03)] and household food insecurity [AOR = 3.1, 95% CI (1.81, 5.32)] were factors associated with maternal undernutrition. The dietary diversity of lactating mothers in the study area was sub optimal and the prevalence of undernutrition was relatively high. Public health nutrition interventions such as improving accessibility of affordable and diversified nutrient rich foods are important to improve the nutritional status of mothers and their children in the study area.
Sections du résumé
BACKGROUND
Maternal undernutrition is one of the most common causes of maternal morbidity and mortality in developing countries. Severe undernutrition among mothers leads to reduced lactation performance which further contributes to an increased risk of infant mortality. However, data regarding nutritional status of lactating mothers at Dessie town and its surrounding areas is lacking. This study assessed dietary diversity, nutritional status and associated factors of lactating mothers visiting health facilities at Dessie town, Amhara region, Ethiopia.
METHODS
Institutional based cross-sectional study was conducted from March to April, 2017 among 408 lactating mothers. Systematic random sampling technique was employed to select the study participants. Data on socio-demographic and economic characteristics, health related characteristics, dietary diversity and food security status of participants were collected using interviewer administered questionnaire. Data were entered into EPI-INFO and analyzed using SPSS Version 22. Bivariate and multivariate analyses were performed to identify factors associated with dietary diversity and nutritional status of lactating mothers.
RESULTS
More than half (55.6%) of lactating mothers had inadequate dietary diversity (DDS<5.3) and about 21% were undernourished (BMI<18.5 kg/m2). Household monthly income [AOR = 2.0, 95% CI (1.15, 3.65)], type of house [AOR = 1.8, 95% CI (1.15, 2.94)], nutrition information [AOR = 1.6, 95% CI (1.05, 2.61)] and household food insecurity [AOR = 1.8, 95% CI (1.05, 3.06)] were factors associated with dietary diversity of lactating mothers. Being young in age 15-19 years [AOR = 10.3, 95% CI (2.89, 36.39)] & 20-29 years [AOR = 3.4, 95% CI (1.57, 7.36)], being divorced/separated [AOR = 10.1, 95% CI (1.42, 72.06)], inadequate dietary diversity [AOR = 3.8, 95% CI (2.08, 7.03)] and household food insecurity [AOR = 3.1, 95% CI (1.81, 5.32)] were factors associated with maternal undernutrition.
CONCLUSION
The dietary diversity of lactating mothers in the study area was sub optimal and the prevalence of undernutrition was relatively high. Public health nutrition interventions such as improving accessibility of affordable and diversified nutrient rich foods are important to improve the nutritional status of mothers and their children in the study area.
Identifiants
pubmed: 35176095
doi: 10.1371/journal.pone.0263957
pii: PONE-D-20-31562
pmc: PMC8853554
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0263957Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Nutr. 2006 Oct;136(10):2625-32
pubmed: 16988137
PLoS One. 2020 Jan 14;15(1):e0227873
pubmed: 31935272
BMC Res Notes. 2018 Dec 14;11(1):892
pubmed: 30547839
Public Health Nutr. 2010 Mar;13(3):360-7
pubmed: 19706211
J Nutr. 2010 Dec;140(12):2233-40
pubmed: 20962154
J Am Diet Assoc. 1997 Nov;97(11):1283-7
pubmed: 9410922
Pan Afr Med J. 2013 Aug 06;15:120
pubmed: 24255726
Nutr J. 2013 Mar 01;12:28
pubmed: 23452646
J Nutr. 2013 Jul;143(7):1176-83
pubmed: 23658424
Public Health Nutr. 2012 Jan;15(1):149-57
pubmed: 21806860
BMC Nutr. 2017 May 26;3:46
pubmed: 32153826
BMC Nutr. 2017 Jul 17;3:61
pubmed: 32153841
Med Clin North Am. 2016 Nov;100(6):1199-1215
pubmed: 27745590
Public Health. 2006 Sep;120(9):795-804
pubmed: 16824562
Matern Child Nutr. 2012 Jul;8(3):275-86
pubmed: 21624050
J Nutr. 2010 Jan;140(1):182S-8S
pubmed: 19923385