scholarly journals Minimum dietary diversity among women of reproductive age in urban Burkina Faso

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Estefania Custodio ◽  
Francois Kayikatire ◽  
Sonia Fortin ◽  
Anne‐Claire Thomas ◽  
Yves Kameli ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Dietary Diversity ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Minimum Dietary Diversity

scholarly journals A Social Norms-Based Intervention Improves Dietary Diversity among Women in Rural India: The Reduction in Anemia through Normative Innovations (RANI) Project

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2822
Author(s):  
Sameera A. Talegawkar ◽  
Yichen Jin ◽  
Erica Sedlander ◽  
Rohini Ganjoo ◽  
Satyaranjan Behera ◽  
...  
Keyword(s):  
Social Norms ◽  
Dietary Diversity ◽  
Reproductive Age ◽  
Control Groups ◽  
Women Of Reproductive Age ◽  
Diet Diversity ◽  
Learning Modules ◽  
Food And Agriculture ◽  
And Control ◽  
Minimum Dietary Diversity

Diet diversity has an important role in the prevention and treatment of anemia. Based on formative research in the community and the theory of normative social behavior, we designed an intervention to improve diet diversity among women of reproductive age. Our study, the Reduction in Anemia through Normative Innovations (RANI) Project, investigated the effect of a social norms-based intervention on diet diversity among women of reproductive age. We randomized villages in Odisha, India, into treatment or control arms, with a minimum of one village buffer between them. We assessed exposure to the intervention by frequency of self-reported images seen from the participatory learning modules, videos watched, and number of hemoglobin tests administered. We assessed diet diversity with the Food and Agriculture Organization’s Minimum Dietary Diversity for Women (MDD-W) questionnaire. We used multiple logistic regression to examine the associations between intervention and diet diversity, adjusting for covariates. Compared with baseline, diet diversity score increased in both treatment and control groups. The odds of having a diverse diet was 47% higher in the treatment group. Higher level of exposure to the RANI intervention was associated with a better diet diversity score, indicating that the intervention was effective in improving diet quality.

scholarly journals Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) Data Collection: Validity of the List-Based and Open Recall Methods as Compared to Weighed Food Record

Nutrients ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2039 ◽  
Author(s):  
Giles T. Hanley-Cook ◽  
Ji Yen A. Tung ◽  
Isabela F. Sattamini ◽  
Pamela A. Marinda ◽  
Kong Thong ◽  
...  
Keyword(s):  
Data Collection ◽  
Dietary Diversity ◽  
Weighted Kappa ◽  
Food Group ◽  
Reproductive Age ◽  
Food Groups ◽  
Women Of Reproductive Age ◽  
Group Diversity ◽  
Minimum Dietary Diversity ◽  
Recall Methods

Minimum dietary diversity for women of reproductive age (MDD-W) was validated as a population-level proxy of micronutrient adequacy, with indicator data collection proposed as either list-based or open recall. No study has assessed the validity of these two non-quantitative proxy methods against weighed food records (WFR). We assessed the measurement agreement of list-based and open recall methods as compared to WFR (i.e., reference method of individual quantitative dietary assessment) for achieving MDD-W and an ordinal food group diversity score. Applying a non-inferiority design, data were collected from non-pregnant women of reproductive age in Cambodia (n = 430), Ethiopia (n = 431), and Zambia (n = 476). For the pooled sample (n = 1337), proportions achieving MDD-W from both proxy methods were compared to WFR proportion by McNemar’s chi-square tests, Cohen’s kappa, and receiver operating characteristic (ROC) analysis. Ordinal food group diversity (0–10) was compared by Wilcoxon matched-pairs signed-rank tests, intraclass correlation coefficients (ICC), and weighted kappa. MDD-W food groups that were most frequently misreported (i.e., type I and II errors) by the proxy methods were determined. Our findings indicate statistically significant differences in proportions achieving MDD-W, ordinal food group diversity scores, and ROC curves between both proxy methods and WFR (p < 0.001). List-based and open recall methods overreported women achieving MDD-W by 16 and 10 percentage points, respectively, as compared to WFR (proportion achieving MDD-W: 30%). ICC values between list-based or open recall and WFR were 0.50 and 0.55, respectively. Simple and weighted kappa values both indicated moderate agreement between list-based or open recall against WFR. Food groups most likely to be misreported using proxy methods were beans and peas, dark green leafy vegetables, vitamin A-rich fruit and vegetables, and other fruits. Our study provides statistical evidence for overreporting of both list-based and open recall methods for assessing prevalence of MDD-W or ordinal food group diversity score in women of reproductive age in low- and middle-income countries. Operationalizing MDD-W through qualitative recall methods should consider potential trade-offs between accuracy and simplicity.

scholarly journals Standard Minimum Dietary Diversity Indicators for Women or Infants and Young Children Are Good Predictors of Adequate Micronutrient Intakes in 24–59-Month-Old Children and Their Nonpregnant Nonbreastfeeding Mothers in Rural Burkina Faso

2020 ◽  
Author(s):  
Loty Diop ◽  
Elodie Becquey ◽  
Zuzanna Turowska ◽  
Lieven Huybregts ◽  
Marie T Ruel ◽  
...  
Keyword(s):  
Low Income ◽  
Dietary Diversity ◽  
Rank Correlation ◽  
Reproductive Age ◽  
Physiological Status ◽  
Spearman Rank Correlation ◽  
Women Of Reproductive Age ◽  
Spearman Rank ◽  
Proxy Indicators ◽  
Minimum Dietary Diversity

ABSTRACT Background Simple proxy indicators are needed to assess and monitor micronutrient intake adequacy of vulnerable populations. Standard dichotomous indicators exist for nonpregnant women of reproductive age and 6–23-mo-old children in low-income countries, but not for 24–59-mo-old children or pregnant or breastfeeding women. Objectives This study aimed to evaluate the performance of 2 standard food group scores (FGSs) and related dichotomous indicators to predict micronutrient adequacy of the diet of rural Burkinabe 24–59-mo-old children and women of reproductive age by physiological status. Methods A 24-h recall survey was conducted at dry season among 1066 pairs of children and caregivers. Micronutrient adequacy was evaluated by the mean probability of adequacy (MPA) of intake over 11 micronutrients. Proxy indicators were FGS-10 [10 food groups based on the FAO/FHI360 minimum dietary diversity for women (MDD-W) guidelines] and related MDD-W (FGS-10 ≥5); and FGS-7 [7 groups based on the WHO infant and young child (IYC) feeding MDD guidelines] and related MDD-IYC (FGS-7 ≥4). Results FGS-10 and FGS-7 were similar across children and women (∼3 groups). FGS-10 performed better than FGS-7 to predict MPA in children (Spearman rank correlation = 0.59 compared with 0.50) and women of all 3 physiological statuses (Spearman rank correlation = 0.53–0.55 compared with 0.42–0.52). MDD-W and MDD-IYC performed well in predicting MPA &gt;0.75 in children and MPA &gt;0.6 in nonpregnant nonbreastfeeding (NPNB) women, but a 4-group cutoff for FGS-10 allowed a better balance between sensitivity, specificity, and proportion of correct classification. MPA levels for pregnant and breastfeeding women were too low to assess best cutoff points. Conclusions MDD-IYC or an adapted MDD-W (FGS-10 ≥4 instead of FGS-10 ≥5) can be extended to 24–59-mo-old children and NPNB women in similar-diet settings. The inadequacy of micronutrient intakes in pregnant and breastfeeding women warrants urgent action. Micronutrient adequacy predictors should be validated in populations where a higher proportion of these women do meet dietary requirements.

scholarly journals DIETARY DIVERSITY AMONG WOMEN IN THE REPRODUCTIVE AGE GROUP IN URBAN FIELD PRACTICE AREA, VIMSAR, BURLA

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Dr. Smita Kumari Panda ◽  
Dr. Kulwant Lakra ◽  
Dr. Sadhu Charan Panda
Keyword(s):  
Dietary Diversity ◽  
Low Cost ◽  
Cost Effective ◽  
Study Data ◽  
Micronutrient Deficiency ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Field Practice ◽  
Minimum Dietary Diversity

One of the problems among Women of Reproductive Age (WRA) group has been lack of effective programs whose benefits are not reaching WRA group. Another problem is the prevalence of monotonous diet based on starchy staple food, which lacks essential micronutrients and contribute to the burden of malnutrition and micronutrient deficiency. The objectives of the study was to assess household dietary diversity and nutritional status of non-pregnant non-lactating women of reproductive age in urban field practice area in Burla as a way of comparing food security situation. It was a cross sectional study. Data were collected from urban field practice area in Burla and were analysed to assess the dietary diversity among “women of reproductive age (WRA)” group. One third (about 29%) of them was malnourished. On application of logistic regression, those aged ≥25years had better odds of having Minimum Dietary Diversity (MDD) score of 5 and above (OR=1.777). Subjects with BMI range ≥21.5 Kg/mt2 also had better odds of having MDD score of 5 and above (OR=3.371). Women of reproductive age are nutritionally more vulnerable because of pregnancy, lactation and menstruation requiring nutrient dense quality food. Monotonous diet based on starchy staple lacks essential micronutrients and contribute to the burden of malnutrition and micronutrient deficiency. Intake of diverse diet is a cost effective strategy to overcome this problem. From our survey we conclude that more than half of WRA failed to achieve MDD. Based on findings, Information Education and Communication (IEC) activities are recommended with an emphasis on locally available, low-cost nutrition diet. Keywords: Minimum Dietary Diversity, Women of Reproductive Age, Micronutrients

scholarly journals Validity of The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) in Rural Rwanda

2017 ◽  
Vol 83 (5) ◽  
pp. 150-162
Author(s):  
Mayuko KANO ◽  
Noriko SUDO ◽  
Ayumi YANAGISAWA ◽  
Yukiko AMITANI ◽  
Yuko CABALLERO ◽  
...  
Keyword(s):  
Dietary Diversity ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Minimum Dietary Diversity

scholarly journals Depression among women of reproductive age in rural Bangladesh is linked to food security, diets and nutrition

2020 ◽  
Vol 23 (4) ◽  
pp. 660-673 ◽  
Author(s):  
Thalia M Sparling ◽  
Jillian L Waid ◽  
Amanda S Wendt ◽  
Sabine Gabrysch
Keyword(s):  
Dietary Diversity ◽  
Reproductive Age ◽  
Food Groups ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Middle Income ◽  
Dominance Analysis ◽  
Food And Nutrition Security ◽  
Nutrition Security ◽  
Food And Nutrition

AbstractObjective:To quantify the relationship between screening positive for depression and several indicators of the food and nutrition environment in Bangladesh.Design:We used cross-sectional data from the Food and Agricultural Approaches to Reducing Malnutrition (FAARM) trial in Bangladesh to examine the association of depression in non-peripartum (NPW) and peripartum women (PW) with food and nutrition security using multivariable logistic regression and dominance analysis.Setting:Rural north-eastern Bangladesh.Participants:Women of reproductive age.Results:Of 2599 women, 40 % were pregnant or up to 1 year postpartum, while 60 % were not peripartum. Overall, 20 % of women screened positive for major depression. In the dominance analysis, indicators of food and nutrition security were among the strongest explanatory factors of depression. Food insecurity (HFIAS) and poor household food consumption (FCS) were associated with more than double the odds of depression (HFIAS: NPW OR = 2·74 and PW OR = 3·22; FCS: NPW OR = 2·38 and PW OR = 2·44). Low dietary diversity (<5 food groups) was associated with approximately double the odds of depression in NPW (OR = 1·80) and PW (OR = 1·99). Consumption of dairy, eggs, fish, vitamin A-rich and vitamin C-rich foods was associated with reduced odds of depression. Anaemia was not associated with depression. Low BMI (<18·5 kg/m2) was also associated with depression (NPW: OR = 1·40).Conclusions:Depression among women in Bangladesh was associated with many aspects of food and nutrition security, also after controlling for socio-economic factors. Further investigation into the direction of causality and interventions to improve diets and reduce depression among women in low- and middle-income countries are urgently needed.

scholarly journals Micronutrient Status and Dietary Diversity of Women of Reproductive Age in Rural Pakistan

Nutrients ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 3407
Author(s):  
Anna K. M. Brazier ◽  
Nicola M. Lowe ◽  
Mukhtiar Zaman ◽  
Babar Shahzad ◽  
Heather Ohly ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Zinc Deficiency ◽  
Dietary Diversity ◽  
Reproductive Age ◽  
Deficiency Anemia ◽  
Plasma Zinc ◽  
Women Of Reproductive Age ◽  
Rural Pakistan ◽  
Micronutrient Status ◽  
Iron Deficient

Consuming a diverse diet is essential to ensure an adequate intake of micronutrients. The aim of this study was to assess the nutritional status and dietary diversity of women of reproductive age (WRA) living in a marginalized community in rural Pakistan. Forty-seven WRA (35 ± 7 years old) who were not pregnant or lactating at enrollment, were recruited to participate in the study. Twenty-four-hour dietary recall interviews were conducted by the study nutritionist, and the data collected were used to create a minimum dietary diversity for women score (MDD-W) on five occasions during the monsoon and winter seasons (October to February). Nutritional status was assessed using anthropometry and biochemical markers of micronutrient status. Height and weight were used to determine body mass index (BMI), and mid-upper-arm circumference was measured. Plasma zinc, iron, and selenium concentrations were measured using inductively coupled mass spectrometry, and iron status was assessed using serum ferritin and blood hemoglobin concentrations. The mean (±SD) food group diversity score was 4 ± 1 with between 26% and 41% of participants achieving an MDD-W of 5. BMI was 27.2 ± 5.5 kg/m2 with 28% obese, 34% overweight, and 6% underweight. The prevalence of zinc deficiency, based on plasma zinc concentration, was 29.8%; 17% of the participants had low plasma selenium levels; 8.5% were iron deficient; and 2% were suffering from iron deficiency anemia. The findings indicate that the women living in this community consume a diet that has a low diversity, consistent with a diet low in micronutrients, and that zinc deficiency is prevalent. Public health interventions aimed at increasing the dietary diversity of WRA are needed to improve the micronutrient intake, particularly of zinc, in this population.

scholarly journals Seasonal variability of women’s dietary diversity and food provisioning: a cohort study in rural Burkina Faso

2021 ◽  
pp. 1-31
Author(s):  
A. Lourme-Ruiz ◽  
C.K. Koffi ◽  
D. Gautier ◽  
D. Bahya-Batinda ◽  
E. Bouquet ◽  
...  
Keyword(s):  
Burkina Faso ◽  
Dietary Diversity ◽  
Reproductive Age ◽  
Food Sources ◽  
Food Groups ◽  
Food Purchases ◽  
Interaction Terms ◽  
Farm Production ◽  
Edible Species ◽  
Wild Resources

Abstract Objective: To investigate the seasonal variations of women’s dietary diversity (WDD) (items consumed and food supply) and its linkages with agriculture, market and wild resources. Design: A cohort of 300 women was followed-up over a year to investigate WDD and food sources (production, purchase or foraging). Monthly qualitative 24h-recalls allowed computing WDD Scores from a standard 10-food groups (FG) classification (WDDS-10). Associations between farm/women’s characteristics and WDDS-10 were investigated using multivariate mixed models including interaction terms factor*months. Setting: Tuy province, Burkina Faso Participants: 300 women of reproductive age Results: Both dietary diversity and food sources were seasonal. The mean WDDS-10 was relatively stable from August to January (ranging from 3.1 to 3.5 FG) when farm production predominated. The WDDS-10 gradually increased from February, concomitantly with an increase in food purchases (onions, tomatoes, mangoes), and reached its highest levels (>4 FG) from March to June, when food purchases were still relatively high and when more women consumed foraged fruits (shea plums, wild grapes). Women living on farms owning >3 plough oxen and different animal species had significantly higher WDDS-10 than others (+0.28 and +0.35 FG, respectively). Women who practiced off-farm activities also had higher WDDS-10 than those who did not (+0.21 FG, p<0.05). Other factors, e.g. the number of foraged edible species, provided advantages in terms of dietary diversity only during certain seasons (October-January, P for interaction<0.01). Conclusions: Diversifying women’s diets throughout the year requires complementary interventions aimed at diversifying production, promoting foraging and increasing income-generating activities to enable food purchasing.

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