scholarly journals Dietary Diversity and All-Cause and Cause-Specific Mortality in Japanese Community-Dwelling Older Adults

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1052 ◽  
Author(s):  
Rei Otsuka ◽  
Chikako Tange ◽  
Yukiko Nishita ◽  
Yuki Kato ◽  
Makiko Tomida ◽  
...  
Keyword(s):  
Dietary Diversity ◽  
Smoking Status ◽  
Community Dwelling ◽  
Food Groups ◽  
Dietary Diversity Score ◽  
Hazard Ratios ◽  
Specific Mortality ◽  
Aging Study ◽  
Dietary Records ◽  
Age Range

We examined associations between dietary diversity and all-cause and cause-specific mortality in 386 men and 413 women (age range, 60–79 years at baseline) who took part in the National Institute for Longevity Sciences-Longitudinal Study of Aging study from 1997 to 2000. Dietary intake was assessed using three-day dietary records and photographs. The Quantitative Index for Dietary Diversity was used to determine the dietary diversity among thirteen food groups. Dietary diversity score and each food intake were examined by sex-stratified tertiles, and hazard ratios (HR) were calculated to compare the risk for all-cause and cause-specific deaths across tertiles, after controlling for age, sex, body mass index, alcohol intake, smoking status, education, physical activity, and disease history. During a mean follow-up of 15.7 years, 289 subjects (36.2%) died. Compared to the subjects in the lowest tertile, the multivariate-adjusted HR for all-cause and cancer mortality was 0.69 (95% confidence interval (CI): 0.51–0.94) and 0.57 (95% CI: 0.33–0.98), respectively (trend p < 0.05), in subjects in the highest tertile of dietary diversity. There were no significant associations between dietary diversity score and death from cardiovascular or cerebrovascular disease. Eating a variety of foods might contribute to longevity in older Japanese community dwellers.

Assessment of food security among households in Eastern Cape Province, South Africa

2018 ◽  
Vol 45 (1) ◽  
pp. 2-17 ◽  
Author(s):  
Ebenezer Toyin Megbowon ◽  
Abbyssinia Mushunje
Keyword(s):  
South Africa ◽  
Food Security ◽  
Poisson Regression ◽  
Dietary Diversity ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Food Groups ◽  
Content Type ◽  
Dietary Diversity Score ◽  
Household Dietary Diversity

Purpose The purpose of this paper is to analyze food security status and its determinants among households in the Eastern Cape Province of South Africa. Design/methodology/approach The analysis is based on the General Household Survey which was conducted in 2014 where 3,033 households were sampled from the province. Specifically, this study examines the determinants of food security proxy by dietary diversity (24-hour recall) using descriptive statistics, Poisson regression. A frequency count of food groups consumed household dietary diversity score was used as the explained variable. Findings The descriptive analysis shows that, although 61.7 percent of households in the study area have a high dietary diversity score, however, food group giving micronutrients are less consumed as food groups having cereals (maize), beef, sugar and oil was mostly consumed. Results on the marginal effect of Poisson regression indicate that household head characteristics (age, gender, education, marital status, and employment status), pension receiving households and geographical location significantly influence household dietary diversity. Originality/value This study advocates for the intensification of rural development and food security programs, formal and informal education for household heads, female empowerment and dietary enlightenment for households in order to promote the consumption of diverse diets and more healthful food groups.

scholarly journals Sex-Specific Association between Social Frailty and Diet Quality, Diet Quantity, and Nutrition in Community-Dwelling Elderly

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2845
Author(s):  
Chi Hsien Huang ◽  
Kiwako Okada ◽  
Eiji Matsushita ◽  
Chiharu Uno ◽  
Shosuke Satake ◽  
...  
Keyword(s):  
Diet Quality ◽  
Nutritional Assessment ◽  
Dietary Diversity ◽  
Mini Nutritional Assessment ◽  
Community Dwelling ◽  
Dietary Diversity Score ◽  
Japanese Adults ◽  
Quality Diet ◽  
Specific Association ◽  
Poor Nutrition

The effects of social frailty on diet and nutrition are under-investigated. Our study aimed to assess the association between social frailty and diet quality, diet quantity, and nutrition over a 3-year period in community-dwelling older Japanese adults. This prospective cohort study recruited individuals aged ≥60 years from a community college and followed up 666 participants annually. Social frailty was determined using a 4-item questionnaire. Diet quantity (energy and macronutrient intake) and diet quality (dietary diversity score and Diet Quality Index-International) were assessed using a food frequency questionnaire. Nutrition was evaluated using the Mini-Nutritional Assessment (MNA). Out of the 666 participants (56.5% women), 250 (37.5%) were categorized as having social prefrailty or frailty. Regarding diet quantity, energy intake (β = −1.59kcal/kg/day, p < 0.01) and nutrient intake (protein intake, β = −0.08g/kg/day; fat intake, β = −0.06g/kg/day; carbohydrate intake, β = −0.18g/kg/day; fiber intake, β = −0.01g/kg/day; all p < 0.05) were lower in men with social prefrailty or frailty than in men with social robustness. Dietary diversity score (β = −0.25, p = 0.01) and MNA score (β = −0.32, p = 0.04) decreased in men with social prefrailty or frailty. However, these associations were not observed in women. Social frailty is associated with lower dietary intake, poor diet quality, and poor nutrition among community-dwelling older men. Future studies are required to determine the benefits of sex-specific interventions targeting social frailty on nutritional outcomes.

scholarly journals Difference in the association of food security and dietary diversity with and without imposed ten grams minimum consumption

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Trias Mahmudiono ◽  
Dwi Putri Pangesti Suro Andadari ◽  
Calista Segalita
Keyword(s):  
Dietary Diversity ◽  
Population Level ◽  
P Value ◽  
Food Groups ◽  
Cross Sectional ◽  
Minimum Requirement ◽  
Dietary Diversity Score ◽  
The Difference ◽  
Diversity Measurement ◽  
Food Consumed

Background: Dietary diversity measurement is one of the simple tools to assess the quality of food consumed in population-level and endorse by many international agencies. However, there is a growing concern that the current dietary diversity measures were lacking in the sensitivity due to the omission of minimum food consumed to be considered as consuming certain food groups in the calculation of dietary diversity score. The purpose of this study is to find the difference in DDS measurement between two methods by applying a 10-grams minimum intake for all food groups and the other one, without. Design: A cross-sectional studies involving 55 samples from two villages with different geographical characteristics. Methods: One village represents the agricultural area; other was fishpond/coastal area. Dietary diversity was analyzed using Individual Dietary Diversity Score (IDDS) with 9 food categorizations. Dietary diversity measurement calculated based on the food recall with consideration of 10 grams minimum of food weight consumption. Mann Whitney Test used to analyze the difference between calculation of dietary diversity score with and without minimum 10-grams. Results: There is no difference of children’s dietary diversity between agriculture and fishpond family group when the dietary diversity was omitting 10 grams minimum intake (p-value=0.184), while, using 10 grams minimums intake (p=0.024), there is a difference. Conclusions: Using 10 grams minimum had shown to strengthened the relationship between dietary diversity and adequacy. Further research is needed to find other minimum requirement in different kind of population to find differences among them.

scholarly journals The study of dietary diversity score in children between 6 months to 23 months: a hospital based study

2018 ◽  
Vol 5 (3) ◽  
pp. 1053 ◽  
Author(s):  
Divya N. ◽  
Rajanish K. V. ◽  
Malavika J. ◽  
Aarti Sharma
Keyword(s):  
Nutritional Status ◽  
Dietary Diversity ◽  
Strong Predictor ◽  
Feeding Practices ◽  
Well Being ◽  
Physical Growth ◽  
Food Groups ◽  
Dietary Diversity Score ◽  
Nutrient Adequacy ◽  
Nutritional Status Of Children

Background: Dietary diversity is a qualitative measure of food consumption that reflects household access to a variety of foods and is also a proxy for nutrient adequacy of diet of individual. Breast-feeding and complementary feeding practices are fundamental to children’s survival and development. Feeding practices have an impact on physical growth, which is one of the best indicators of children’s well-being. However, the relation between the quality of feeding practices during early age and nutritional status are difficult to establish, and, depending on the context and overall living conditions, the influence of feeding factors on children’s nutritional status can vary considerably. This study helps us to assess the dietary diversity score by simple food count method which is a good indicator of adequate micronutrient intake.Methods: The study was a retrospective study conducted on babies between 6 months to 23 months of age presenting in Paediatric outpatient Department. Data was collected by 24-hour recall method for 3 days and an average.Results: 30% of subjects had weight for age below 2 SD and 8% had length for age below 2 SD. Dietary diversity Score of 1and 6 in 8%, 2 in 48%, 3 and 5 in 6%, 4 in 24% was noted. The average scoring was low among 6-9 and10-12 months and it increased between 13-23 months. With increase in age there was increase in dietary diversity score and vice versa.Conclusions: Limited diversity in complementary foods is a strong predictor of the nutritional status of children. Inclusion of a variety of food groups may be more essential to improve child’s nutritional status.

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

2021 ◽  
Vol 1 (4) ◽  
pp. 258-263
Author(s):  
Indresh Kumar ◽  
Madhulika Gautam
Keyword(s):  
Rural Community ◽  
Diet Quality ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Food Groups ◽  
Dietary Diversity Score ◽  
Minimum Quantity ◽  
Nutrient Adequacy ◽  
The Individual ◽  
The Relationship

Dietary diversity indicators can serve as a proxy for diet quality and have shown an association with Dietary diversity indicators can serve as a proxy for diet quality and 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 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. 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 micronutrients with the Individual Dietary Diversity Score was shown to be strong after applying minimum 15 grams intake quantity restriction of the food groups.

Obstetrical care is associated with child’s dietary diversity in Indonesia: analysis from Demographic and Health Survey 2017

2020 ◽  
pp. 1-10
Author(s):  
Anna Marie Pacheco Young ◽  
Yunhee Kang
Keyword(s):  
Health Facility ◽  
Health Survey ◽  
Fruits And Vegetables ◽  
Dietary Diversity ◽  
Demographic And Health Survey ◽  
Food Groups ◽  
Cross Sectional ◽  
Obstetrical Care ◽  
Dietary Diversity Score ◽  
Antenatal Visits

Abstract Objective: To explore the influence of obstetrical care factors on dietary diversity and individual food group consumption in Indonesia. Design: Cross-sectional study to assess the association between pregnancy care factors and dietary diversity score, minimum dietary diversity (MDD) and consumption of seven food groups. Setting: Data from the Indonesia Demographic and Health Survey 2017. Participants: A total of 5113 children aged 6–23 months. Results: Dietary diversity score was significantly higher for children whose mothers received four or more prenatal care visits, were delivered at a health facility, had a professionally trained delivery assistant and were delivered by C-section. Children born at a health facility and delivered by a health professional had higher odds of meeting MDD (adjusted OR (AOR) 1·45, 95 % CI 1·18, 1·79 and OR 2·10, 95 % CI 1·54, 2·87, respectively). Four or more antenatal visits, delivering at a health facility and having a professional delivery attendant were associated with higher odds of consumption of lentils (AOR 1·66, 95 % CI 1·23, 2·25, AOR 1·30, 95 % CI 1·02, 1·65 and AOR 1·79, 95 % CI 1·19, 2·69). Four or more antenatal visits, delivering at a health facility and having a professional delivery attendant had higher odds of consumption of other fruits and vegetables (AOR 1·70, 95 % CI 1·23, 2·35, OR 1·23, 95 % CI 1·03, 1·61 and OR 1·90, 95 % CI 1·29, 2·79). Conclusions: Efforts focusing on providing nutritional education during antenatal care and delivery should be encouraged, especially for mothers seeking care outside of a health facility.

scholarly journals Nutritional Status of School Going Adolescent Girls in Awash Town, Afar Region, Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-9 ◽  
Author(s):  
Molla Kahssay ◽  
Lidia Mohamed ◽  
Abel Gebre
Keyword(s):  
Nutritional Status ◽  
Adolescent Girls ◽  
Transition Period ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Early Adolescent ◽  
Growth Spurt ◽  
Nutritional Requirement ◽  
Food Groups ◽  
Dietary Diversity Score

Background. Adolescence is an essential stage in the human life cycle, a transition period between childhood and adulthood that is characterized by rapid growth spurt in which nutritional requirement is high. Adolescents are risk groups for malnutrition, but they are not part of a target in many intervention strategies. Hence, this study was aimed at assessing nutritional status of adolescent girls and its associated factors. Methods. Institutional based cross-sectional study design was employed among randomly selected 348 school going adolescent girls. Data were entered into Epi Info and transported to SPSS version 20 for further analysis. Binary logistic regression analysis was used to identify predicators of nutritional status of adolescent girls at p value <0.05 and 95% confidence level. Results. This study revealed that 22.9% and 8.82% of school adolescent girls were stunted and thin, respectively. Being at early adolescent age (14-15 years) [AOR = 1.4, 95% CI (1.04–4.28)], ownership of phone [AOR = 3.3, 95% CI (1.55–7.02)], and dietary diversity score of <4 food groups [AOR = 2.2, 95% CI (1.4–4.54)] were some of the potential predictors of stunting. Similarly, dietary diversity score of <4 food groups [AOR = 1.8, 95% CI (1.14–4.38)] and low food consumption [AOR = 3, 95% CI (1.15–7.90)] were some of the potential predictors of thinness. Conclusion and Recommendation. The prevalence of both stunting and thinness is a public health problem in the study area. Early adolescent age (10–14 years), ownership of phone, and dietary diversity score of <4 food groups were independent predictors of stunting. Dietary diversity score of <4 food groups and eating less than usual were independent predictors of thinness. An integrated nutritional intervention and health related services that meet the needs of adolescent girls in the school community have to be established and strengthened. Since adolescent age is period of growth and development in which growth spurt and nutritional requirement are high, adolescents should be provided with enough meals and diversified foods.

scholarly journals The Relationship Between Dietary Diversity Among Women of Reproductive Age and Agricultural Diversity in Rural Tanzania

2019 ◽  
Vol 41 (1) ◽  
pp. 50-60 ◽  
Author(s):  
Alexandra L. Bellows ◽  
Chelsey R. Canavan ◽  
Mia M. Blakstad ◽  
Dominic Mosha ◽  
Ramadhani A. Noor ◽  
...  
Keyword(s):  
Crop Production ◽  
Dietary Diversity ◽  
Reproductive Age ◽  
Baseline Survey ◽  
Food Groups ◽  
Women Of Reproductive Age ◽  
Dietary Diversity Score ◽  
Agricultural Diversification ◽  
Rural Tanzania ◽  
The Relationship

Background: Agriculture can influence diets through consumption of home-produced foods or increased purchasing power derived from sale of agricultural commodities. Objective: This article explores cross-sectional relationships between agricultural diversification and dietary diversity (a proxy for micronutrient adequacy) among women of reproductive age in rural Tanzania. Methods: Dietary diversity was measured using the women’s minimum dietary diversity score indicator. Data were analyzed from the baseline survey of a cluster randomized control trial in Rufiji, Tanzania. One woman of reproductive age was randomly surveyed from each eligible household, totaling 1006 individuals. Generalized linear mixed-effects models were used to estimate the relationship between agricultural indicators and dietary diversity. Results: Median dietary diversity score for women was 3.00 (interquartile range: 2-3). Approximately 73% of households grew at least 1 crop in the previous year. Women’s dietary diversity score was positively associated with cropping diversity ( P for trend = .04), ownership of livestock (adjusted coefficient: 0.30; 95% confidence interval [CI]: 0.08-0.44; P = .005), cash crop production (adjusted coefficient: 0.22; 95% CI: 0.03-0.41; P = .02), and production of pulses (adjusted coefficient: 0.50; 95% CI: 0.27-0.74; P < .0001) and other vegetables (adjusted coefficient: 0.64; 95% CI: 0.11-1.17; P = .02). Conclusions: Average dietary diversity is well below the recommended 5 food groups per day, a widely used indicator of micronutrient adequacy. Since the majority of households participate in agriculture, the efforts to promote agricultural diversification and/or specialization and sale of agricultural goods may positively influence dietary diversity and associated health and nutrition outcomes.

scholarly journals Only one in four lactating mothers met the minimum dietary diversity score in the pastoral community, Afar region, Ethiopia: a community-based cross-sectional study

2021 ◽  
Vol 10 ◽  
Author(s):  
Getahun Fentaw Mulaw ◽  
Fentaw Wassie Feleke ◽  
Kusse Urmale Mare
Keyword(s):  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Meal Frequency ◽  
Food Groups ◽  
Community Based ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Lactating Mothers ◽  
Minimum Dietary Diversity

Abstract Maternal dietary feeding practice is one of the proxy indicators of maternal nutrient adequacy and it improves outcomes for both mothers and their offspring. The minimum maternal dietary diversity score of lactating women is defined as when the mother ate at least four and above food groups from the nine food groups 24 h preceding the survey regardless of the portion size. Therefore, the present study aimed to determine the minimum dietary diversity score (MDDS) and its predictors among lactating mothers in the Pastoralist community, Ethiopia. A community-based cross-sectional study design was employed on 360 lactating mothers using a multi-stage sampling technique from 5 January 2020 to 10 February 2020. Data were collected using questionnaires and anthropometry measurements. Data were entered using EPI-data 4.6.02 and exported into SPSS version 25. Statistical significance was declared at P-value <0⋅05 at multivariable logistic regression. Only one in four lactating mothers met the MDDS. The majority of them consumed cereals in the preceding 24 h of data collection. The most important predictors were maternal meal frequency (adjusted odds ratio (AOR) 6⋅26; 95 % confidence interval (CI) (3⋅51, 11⋅15)), antenatal care (ANC) follow-up one to three times and four and above times (AOR: 2⋅58; 95 % CI (1⋅24, 5⋅36), 4⋅77 (1⋅90, 11⋅95), respectively) and secondary paternal education (AOR 2⋅97; 95 % CI (1⋅44, 6⋅11)). The MDDS among lactating mothers was low. Paternal education, maternal meal frequency and ANC follow-up were the significant predictors. Therefore, to improve maternal dietary diversity score emphasis should be given to those predictors.

scholarly journals Dietary diversity and nutritional status of 2 to 5 years old children in households with and without home gardens in selected districts in Siem Reap province, Cambodia

2021 ◽  
Vol 27 (2) ◽  
Author(s):  
Sek Liny ◽  
◽  
Aimee A. Sheree Barrion ◽  
Clarissa B Juanico ◽  
Josefina T. Dizon ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Dietary Diversity ◽  
Vegetable Consumption ◽  
Home Gardens ◽  
Home Garden ◽  
Household Food Security ◽  
Food Groups ◽  
Dietary Diversity Score ◽  
Home Gardening ◽  
Nutritional Status Of Children

Introduction: There is a high prevalence of malnutrition in Cambodia during the past 10 years. One of the programmes implemented to secure household food security in order to alleviate malnutrition was home gardening. This study aimed to compare the nutritional status of 2 to 5 years old children in households with and without home gardens. Methods: Twenty-five households with home gardens and 60 households without home gardens were sampled. Results: The households sampled had a mixed type of home garden with three to five crop varieties occupying 20 to 200 square meters area. The purpose of the garden was to increase vegetable consumption and produce additional income. Results showed that 72% and 65% of the children resided in households with and without home gardens, respectively. Majority had medium dietary diversity score, i.e. consumed four to five different food groups per day. Except for stunting, higher prevalences of undernutrition (32%) and wasting (8%) were observed among children residing in households with home gardens compared to children in households without home gardens. Conclusion: There were no associations for dietary diversity score and nutritional status of children from households with and without home gardens. Among the sociodemographic and economic factors, age, sex, family size, and vegetable consumption were significantly associated with dietary diversity score and nutritional status of the children.

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