scholarly journals High Prevalence of Stunting and Anaemia Is Associated with Multiple Micronutrient Deficiencies in School Children of Small-Scale Farmers from Chamwino and Kilosa Districts, Tanzania

Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1576
Author(s):  
Victoria Flavian Gowele ◽  
Joyce Kinabo ◽  
Theresia Jumbe ◽  
Constance Rybak ◽  
Wolfgang Stuetz
Keyword(s):  
Vitamin A ◽  
School Children ◽  
Cross Sectional Study ◽  
Leafy Vegetables ◽  
Small Scale ◽  
Micronutrient Deficiencies ◽  
Cross Sectional ◽  
Green Leafy Vegetables ◽  
Small Scale Farmers ◽  
Dark Green

Inadequate macro- and micronutrient nutrition and its consequences, such as anaemia, iron and vitamin deficiency, and growth retardation, could particularly affect children of small-scale farmers. In the present cross-sectional study, 666 school children aged 5–10 years from villages of Chamwino and Kilosa districts were studied for associations between nutritional and micronutrient status and dietary intake. The overall prevalence of stunting, underweight, and overweight was 28.1, 14.4, and 5%, while that of anaemia and deficiency of iron (ID), vitamin A (VAD), and zinc (ZnD) was 42.9, 29.3, 24.9, and 32.8%, respectively. Dietary recalls (24h) revealed that, except of iron (74%), only small proportions of children reached the recommended daily micronutrient intakes: 4% for zinc, 19% for vitamin A, and 14–46% for B vitamins. Stunting was highly associated with wasting in both districts and with VAD in Chamwino. Anaemia was predicted by ID, VAD, and ZnD in Chamwino and by elevated infection markers, C-reactive protein (CRP) and α-1 glycoprotein (AGP), in Kilosa. Overall, elevated CRP and/or AGP increased the risk while higher serum carotenoids indicating a diet of more fruit and vegetables reduced the risk of VAD. The significantly lower prevalence of anaemia and ID in Chamwino was related to higher iron and vitamin A intake and the consumption of mainly bulrush millet with dark green leafy vegetables compared to maize or rice with legumes in Kilosa. Nutrition and hygiene education integrated with home and school garden programmes could reduce the multiple burdens of anaemia; micronutrient deficiencies and infections; and, in the long term, the prevalence of stunting.

scholarly journals Consumption of Dark Green Leafy Vegetables Predicts Vitamin A and Iron Intake and Status among Female Small-Scale Farmers in Tanzania

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1025 ◽  
Author(s):  
Wolfgang Stuetz ◽  
Victoria Gowele ◽  
Joyce Kinabo ◽  
Nyamizi Bundala ◽  
Hadijah Mbwana ◽  
...  
Keyword(s):  
Vitamin A ◽  
Iron Status ◽  
Leafy Vegetables ◽  
Small Scale ◽  
Iron Intake ◽  
Serum Retinol ◽  
Cross Sectional ◽  
Green Leafy Vegetables ◽  
Small Scale Farmers ◽  
Dark Green

Inadequate consumption of micronutrient-dense foods such as vegetables and meat are an important contributing cause for anemia and deficiencies of iron and vitamin A in rural communities of Tanzania. A cross-sectional study was conducted in 2016 to examine nutritional and micronutrient status and their associations to the diet of female small-scale farmers in the sub-humid Kilosa (n = 333) and the semi-arid Chamwino (n = 333) districts, in the Morogoro and Dodoma region. An overall higher prevalence of overweight (19.7%) and obesity (7.1%) than of underweight (5.9%) was detected. Significantly more women in the two villages of Kilosa (27–40%) than in the two villages of Chamwino district (19–21%) were overweight/obese, but also more frequently had anemia (34–41% vs. 11–17%), iron deficiency (24–32% vs. 15–17%), and low serum retinol (21–24% vs. 8–9%). Overall, only a small proportion of women reached recommended daily micronutrient intakes: 27% for vitamin A, 17% for iron, 7% for zinc, and 12–38% for B-vitamins. The amount of dark green leafy vegetables (DGLV) consumed was the main determinant of vitamin A and iron intake by women in Chamwino and corresponded to higher hemoglobin, serum retinol and iron status than in the villages of the Kilosa district; in agreement, DGLV consumption also predicted iron and vitamin A intake in Kilosa district. DGLV consumed with wholemeal millet was advantageous in terms of women’s vitamin A and iron intake and status over the predominantly maize-rice-based diet lacking vegetables.

scholarly journals Dietary diversity among women of reproductive age (15-49 years): implication for folate deficiency in Mbarara district, Uganda

2019 ◽  
Vol 6 (7) ◽  
pp. 2745
Author(s):  
Denison Tamale ◽  
Grace Kagoro-Rugunda
Keyword(s):  
Dietary Diversity ◽  
Vegetable Consumption ◽  
Folate Deficiency ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Leafy Vegetables ◽  
Micronutrient Deficiencies ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Green Leafy Vegetables

Background: Understanding dietary diversity of women of reproductive age (WRA) is vital for better nutritional interventions of their health and that of unborn. Most diets consumed are macronutrient dense which leads to micronutrient deficiencies like neural tube defects (NTDs).Thirty three babies were born with NTDs at Mbarara Regional Referral Hospital during 2016 and 2017 for reasons among which is folate deficiency. Folate can be derived cheaply from green vegetable consumption before antenatal visits. The study’s objective was to assess dietary diversity of WRA (15-49 years) living within Mbarara district.Methods: A cross sectional study was conducted for three months using a translated dietary diversity questionnaire from Food and Agricultural Organisation. Applying a 24 h recall method at various intervals of feeding, 402 WRA living within three constituencies of Mbarara district were randomly selected to participate.Results: 70.1% of WRA attained high Individual dietary diversity score (IDDS) of (≥6). 45.1% consumed folate rich plant and animal sources. 4.8%, 8.4%, and 17.6% consumed dark green leafy vegetables, vitamin rich fruits and animal sources respectively. Education, constituency of residence and occupation had a significant association with IDDS of P≤0.05 (0.000, 0.004, 0.030) respectively. WRA who scored IDDS≥6, 58.2% attained at least secondary education, 51.1% lived in urban constituency and 47.5% were working. 30% consumed starchy staple groups, though at 15.8% legumes, nuts and seeds group was most consumed.Conclusions: Low intake of folate rich sources was noted, though many WRA consumed diverse diets therefore, education and employment are suitable interventions.

scholarly journals HEMOGLOBIN STATUS OF FEMALE MEDICOS IN URBAN AREA AND FACTORS AFFECTING IT: AN OBSERVATIONAL CROSS-SECTIONAL STUDY

2017 ◽  
Vol 10 (3) ◽  
pp. 439
Author(s):  
Drpadmajauday Kumar ◽  
Varsha Kalyanpur
Keyword(s):  
Statistical Significance ◽  
Cross Sectional Study ◽  
Leafy Vegetables ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Green Leafy Vegetables ◽  
Nutritional Anemia ◽  
Mild Anemia ◽  
History Of

ABSTRACTObjectives: Estimating the hemoglobin (Hb) status in female medicos through prospective cross-sectional study and assessment of influencing ofcofactors were objectives.Methods: Women medicos who volunteered, consented and met selection criteria were enrolled. Hb level was estimated to diagnose anemia.Relationship with influencing factors was assessed statistically.Result: A total of 100 eligible students were enrolled. Mean age±standard deviation (SD) age of the participants’ was 20.9±3.1 years (17-25 years).Mean±SD Hb was 12.25±1.0189 g% (9.0-16.0 g%). 33 were anemic, and mild anemia (32%) was frequent. There was a history of worm infestation inthree students (3%), who were treated adequately. Nine were on iron supplements of which five were still anemic and were continuing the treatmentby the end of the study. 28 (84.84%) anemic students were not on any iron or hematinic treatment. There was no association between the anemiaand nature of diet, consumption of green leafy vegetables, consumption of coffee/tea after food, smoking/tobacco or alcohol consumption, mother’seducation, socioeconomic status, menstrual factors, and physical exercise. The prevalence of anemia was found to be higher in underweight andoverweight students in comparison to students with normal body mass index.Asymptomatic participants (n=78) outnumbered symptomatic ones(n=22), but without any statistical significance. Easy fatigability (14%), pallor (7%), breathlessness (6%), weakness (9%), and easy bruising (1%)were frequent complaints.Conclusion: Anemia is frequent among women medicos, often underdiagnosed, under-reported, many remaining asymptomatic. Negligence ofmedical students toward their anemic status despite the awareness of consequences of low Hb level is a serious cause of concern.Keywords: Awareness, Hemoglobin, Nutritional anemia, Women medical students.

scholarly journals Dietary Diversity in Cambodian Garment Workers: The Role of Free Lunch Provision

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1010 ◽  
Author(s):  
Jan Makurat ◽  
Eleonore Kretz ◽  
Frank Wieringa ◽  
Chhoun Chamnan ◽  
Michael Krawinkel
Keyword(s):  
Vitamin A ◽  
Dietary Intake ◽  
Dietary Diversity ◽  
Controlled Trial ◽  
Leafy Vegetables ◽  
Food Groups ◽  
Green Leafy Vegetables ◽  
Garment Workers ◽  
Dark Green ◽  
Randomised Controlled

The objective of this paper is to compare food consumption by Cambodian garment workers with and without access to a free model lunch provision through a factory-based canteen. Data from an exploratory randomised controlled trial were analysed. In total, 223 female Cambodian garment workers were allocated to an intervention arm (six-month lunch provision) or a control arm. Dietary intake on workdays was assessed by qualitative 24-h recalls at baseline and twice at follow-ups during the period of lunch provision using the Food and Agricultural Organization (FAO) guideline on assessing women’s dietary diversity. In total, 158 participants provided complete data on the dietary intake over workdays at all interviews. Lunch provision resulted in a more frequent consumption of dark green leafy vegetables (DGLV), vitamin A-rich fruits, other fruits, and oils and fats during lunch breaks. In contrast, flesh meats, legumes, nuts and seeds, as well as sweets, were eaten at a lower frequency. Except for a higher consumption rate of vitamin A-rich fruits and a lower intake frequency of sweets, lunch provision had a less clear impact on total 24-h intake from different food groups and was not associated with a higher women’s dietary diversity score (WDDS). A more gap-oriented design of the lunch sets taking into account underutilised foods and the nutritional status of the workers is recommended.

scholarly journals Lack of improvement in vitamin A status with increased consumption of dark-green leafy vegetables

The Lancet ◽  
1995 ◽  
Vol 346 (8967) ◽  
pp. 75-81 ◽  
Author(s):  
S de Pee ◽  
C.E West ◽  
J.G.A.J Hautvast ◽  
Muhilal ◽  
D Karyadi ◽  
...  
Keyword(s):  
Vitamin A ◽  
Leafy Vegetables ◽  
Green Leafy Vegetables ◽  
Vitamin A Status ◽  
Dark Green

scholarly journals Factors influencing the uptake of pulse vitamin A supplementation among children in a rural area in India: a cross sectional study

2019 ◽  
Vol 7 (1) ◽  
pp. 61
Author(s):  
Vinod K. Ramani ◽  
Anand Lakshman
Keyword(s):  
Vitamin A ◽  
Technical Assistance ◽  
Health Workers ◽  
Vitamin A Deficiency ◽  
Health Department ◽  
Cross Sectional Study ◽  
Leafy Vegetables ◽  
Cross Sectional ◽  
Vitamin A Supplementation ◽  
Factors Influencing

Background: The change in strategy of India’s National Program for the prevention and control of nutritional blindness due to Vitamin A deficiency during 2006, aims for all children aged 9 months to 5 years to receive biannual pulse dose of Vitamin A with a total nine mega doses of Vitamin A. Micronutrient initiative (MI) was providing technical assistance to the State Health department of Karnataka in implementing the new bi-annual strategy, in partnership with UNICEF during the period 2006 to 2010.Methods: During July 2006, the Investigator evaluated its coverage in Gulbarga district. This study assessed the factors influencing the uptake of pulse Vitamin A supplementation (VAS) among children from impoverished background. Using oral questionnaires, a total of 30 Parents (Mothers) of these children, 12 childcare workers (AWWs), 12 peripheral health workers (ANMs) were interviewed regarding barriers towards implementing this Program and assessment of the facilities (12 Anganwadi centres) were conducted.Results: Only 28% of the facility had some IEC display regarding VAS. 75% of ANMs were aware that either green leafy vegetables or fish or fruits are the main source of micronutrients. A similar number of ANMs knew that Vitamin A deficiency causes night blindness, >90% of AWW had informed parents about the program during the monthly mother meetings. <20% of parents were aware of the current pulse VAS program and a similar number were aware of the next round of supplementation.Conclusions: Regular interaction with families, monitoring the activities of field level health workers and supportive supervision will enable uptake of VAS Program. Future action should prioritize sub-district level units – blocks and villages, with higher concentration of poor households.

scholarly journals Priority micronutrient density in foods

2021 ◽  
Author(s):  
Ty Beal ◽  
Flaminia Ortenzi
Keyword(s):  
Goat Milk ◽  
Food Composition ◽  
Leafy Vegetables ◽  
Food Sources ◽  
Small Fish ◽  
Micronutrient Deficiencies ◽  
Middle Income ◽  
Fresh Fish ◽  
Green Leafy Vegetables ◽  
Dark Green

Abstract Despite concerted efforts to improve diet quality and reduce malnutrition, micronutrient deficiencies remain widespread globally, especially in low- and middle-income countries and among population groups with increased needs, where diets are often inadequate in iron, zinc, folate, vitamin A, calcium, and vitamin B12. There is a need to understand the top food sources of these commonly lacking micronutrients, which are essential for optimal health. To fill this critical knowledge gap, we built an aggregated global food composition database and developed an approach to rate foods according to their density in priority micronutrients. We show that the top sources of multiple priority micronutrients are organs, small fish, dark green leafy vegetables, shellfish, beef, goat, eggs, milk, cheese, and canned fish with bones. Lamb, mutton, goat milk, and pork are also good sources, followed by yogurt, fresh fish, pulses, and teff.

scholarly journals Effect of green leafy vegetables powder on anaemia and vitamin-A status of Ghanaian school children

BMC Nutrition ◽  
2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Godfred Egbi ◽  
Samuel Gbogbo ◽  
George Ekow Mensah ◽  
Mary Glover-Amengor ◽  
Matilda Steiner-Asiedu
Keyword(s):  
Vitamin A ◽  
School Children ◽  
Leafy Vegetables ◽  
Green Leafy Vegetables ◽  
Vitamin A Status

scholarly journals Relationship of homestead food production with night blindness among children below 5 years of age in Bangladesh

2011 ◽  
Vol 14 (9) ◽  
pp. 1627-1631 ◽  
Author(s):  
Ashley A Campbell ◽  
Nasima Akhter ◽  
Kai Sun ◽  
Saskia de Pee ◽  
Klaus Kraemer ◽  
...  
Keyword(s):  
Vitamin A ◽  
School Children ◽  
Food Production ◽  
Night Blindness ◽  
Population Based ◽  
Cross Sectional Study ◽  
Home Garden ◽  
Cross Sectional ◽  
Vitamin A Supplementation ◽  
Rural Bangladesh

AbstractObjectiveTo examine the relationship between homestead food production and night blindness among pre-school children in rural Bangladesh in the presence of a national vitamin A supplementation programme.DesignA cross-sectional study.SettingA population-based sample of six rural divisions of Bangladesh assessed in the Bangladesh Nutrition Surveillance Project 2001–2005.SubjectsA total of 158 898 children aged 12–59 months.ResultsThe prevalence rates of night blindness in children among those who did and did not receive vitamin A capsules in the last 6 months were 0·07 % and 0·13 %, respectively. Given the known effect of vitamin A supplementation on night blindness, the analysis was stratified by children's receipt of vitamin A capsules in the last 6 months. Among children who did not receive vitamin A capsules in the last 6 months, the lack of a home garden was associated with increased odds of night blindness (OR = 3·16, 95 % CI 1·76, 5·68; P = 0·0001). Among children who received vitamin A capsules in the last 6 months, the lack of a home garden was not associated with night blindness (OR = 1·28, 95 % CI 0·71, 2·31; P = 0·4).ConclusionsHomestead food production confers a protective effect against night blindness among pre-school children who missed vitamin A supplementation in rural Bangladesh.

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