Adequate vitamin A rich food consumption and associated factors among lactating mothers visiting child immunization and post-natal clinic at health institutions in Gondar Town, Northwest Ethiopia

Aserese, Addisalem Damtie; Atenafu, Azeb; Sisay, Mekonnen; Sorrie, Muluken Bekele; Yirdaw, Birhanu Wubale; Zegeye, Martha kassahun

doi:10.1371/journal.pone.0239308

Cited by 10 publications

(19 citation statements)

References 13 publications

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“…In addition, compared with the control group, the levels of CD3 + and CD4 + and the ratio of CD4/CD8 increased more significantly in the observation group after the adjuvant treatment of vitamin A and D drops, indicating that vitamin A and D drops as an adjuvant treatment could better improve the immunity of children and effectively improve their health level. Studies have shown that the deficiency of vitamins A and D is significantly related to the incidence of various diseases in children, and the supplementation of vitamins A and D can effectively improve the immune level of children and enhance their resistance to viruses [ 23 , 24 ]. These studies suggest that vitamin A and D supplementation can help to improve the immune level of children.…”

Section: Discussionmentioning

confidence: 99%

[Retracted] Changes of Serum Ferritin, Hemoglobin, and Serum Iron (SI) and Treatment Effect of Iron Proteinsuccinylate Oral Solution Combined with Vitamin A and D Drops on Children with Nutritional Iron Deficiency Anemia

Yan-bo

Zhang

et al. 2022

BioMed Research International

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Objective. The purpose was to evaluate the treatment effect of iron proteinsuccinylate oral solution combined with vitamin A and D drops on children with nutritional iron deficiency anemia. Methods. 124 children treated in the outpatient department of our hospital from January 2017 to January 2020 were selected as the study subjects. They were randomly divided into control and observation two groups. The control group was treated with iron proteinsuccinylate oral solution (1.5 mL/kg) in the morning and evening, respectively. The observation group received adjuvant treatment with oral vitamin A and D drops based on the treatment of the control group. The treatment effect of proteinsuccinylate oral solution combined with vitamin A and D drops was evaluated by the serum iron (SI), serum ferritin (SF), and transferrin (TRF) levels, the values of CD3+, CD4+, and CD4+/CD8+, and other evaluation indicators. Results. After treatment, the SI and SF levels of children in both groups significantly increased ( P < 0.01 ) while the TRF level significantly decreased ( P < 0.01 ), and the SI and SF levels in the observation group increased more significantly, and the TRF level decreased more significantly compared with those in the control group ( P < 0.01 ). After treatment, the values of CD3+, CD4+, and CD4+/CD8+ of children in both groups significantly increased compared with those before treatment ( P < 0.01 ), and the values of CD3+, CD4+, and CD4+/CD8+ increased more significantly in the observation group compared with those in the control group ( P < 0.01 ). In addition, the evaluation results of treatment effect showed that the markedly effective rate in the observation group was significantly higher than that in the control group ( P < 0.01 ). Conclusion. Iron proteinsuccinylate oral solution combined with vitamin A and D drops can better improve the anemia symptoms in children, with high application value.

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Section: Discussionmentioning

confidence: 99%

[Retracted] Changes of Serum Ferritin, Hemoglobin, and Serum Iron (SI) and Treatment Effect of Iron Proteinsuccinylate Oral Solution Combined with Vitamin A and D Drops on Children with Nutritional Iron Deficiency Anemia

Yan-bo

Zhang

et al. 2022

BioMed Research International

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“…The possible reason for its inconstancy might be setting, time, and sample size deference. The possible reason might be that households with poor wealth did not obtain minimum meal frequency for their child, and poor household wealth will affect adherence to the consumption of foods rich in vitamin A and dietary diversity to their child [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Spatial distribution and geographical heterogeneity factors associated with poor consumption of foods rich in vitamin A among children age 6–23 months in Ethiopia: Geographical weighted regression analysis

et al. 2021

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Introduction Vitamin A deficiency is a major public health problem in poor societies. Dietary consumption of foods rich in vitamin A was low in Ethiopia. This study aimed to assess the spatial distribution and spatial determinants of dietary consumption of foods rich in vitamin A among children aged 6–23 months in Ethiopia. Methods Ethiopian 2016 demographic and health survey dataset using a total of 3055 children were used to conduct this study. The data were cleaned and weighed by STATA version 14.1 software and Microsoft Excel. Children who consumed foods rich in vitamin A (Egg, Meat, Vegetables, Green leafy vegetables, Fruits, Organ meat, and Fish) at least one food item in the last 24 hours were declared as good consumption. The Bernoulli model was fitted using Kuldorff’s SaTScan version 9.6 software. ArcGIS version 10.7 software was used to visualize spatial distributions for poor consumption of foods rich in vitamin A. Geographical weighted regression analysis was employed using MGWR version 2.0 software. A P-value of less than 0.05 was used to declare statistically significant predictors spatially. Results Overall, 62% (95% CI: 60.56–64.00) of children aged 6–23 months had poor consumption of foods rich in vitamin A in Ethiopia. Poor consumption of foods rich in vitamin A highly clustered in Afar, eastern Tigray, southeast Amhara, and the eastern Somali region of Ethiopia. Spatial scan statistics identified 142 primary spatial clusters located in Afar, the eastern part of Tigray, most of Amhara and some part of the Oromia Regional State of Ethiopia. Children living in the primary cluster were 46% more likely vulnerable to poor consumption of foods rich in vitamin A than those living outside the window (RR = 1.46, LLR = 83.78, P < 0.001). Poor wealth status of the household, rural residence and living tropical area of Ethiopia were spatially significant predictors. Conclusion Overall, the consumption of foods rich in vitamin A was low and spatially non-random in Ethiopia. Poor wealth status of the household, rural residence and living tropical area were spatially significant predictors for the consumption of foods rich in vitamin A in Ethiopia. Policymakers and health planners should intervene in nutrition intervention at the identified hot spot areas to reduce the poor consumption of foods rich in vitamin A among children aged 6–23 months.

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“…Similar to this study, low dietary diversity was highly prevalent among pregnant women ( N = 104) in the Damot Sore district of Southern Ethiopia ( 57 ). Another studies in Ethiopia reported that one quarter of households had low dietary diversity ( 58 ) or low to medium dietary diversity ( 20 ). In contrast, a study among 624 lactating mothers attending an immunization clinic in Gondar town, Ethiopia, determined that women had adequate vitamin A consumption with a greater proportion of women consuming more than five food groups ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…In China, inadequate consumption of fruits and vegetables was associated with low levels of serum vitamin A among lactating women ( 18 ). In Ethiopia, more than 70% of pregnant women had low dietary diversity scores and low consumption of animal sourced foods ( 19 ) and 60% of lactating women had inadequate consumption of vitamin A rich foods ( 20 ). Diets of healthy women of reproductive age in Indonesia were considered low in animal sourced foods and fruit and vegetable consumption, suggesting greater risk of nutrient deficiencies ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

Predictors of vitamin A rich food consumption among women living in households growing orange-fleshed sweetpotatoes in selected regions in Uganda

Nankumbi

Sibeko

Mercado

et al. 2023

Front. Public Health

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ObjectiveVitamin A deficiency (VAD) has serious public health consequences including morbidity and mortality for populations in low and middle-income countries (LMICs), especially for children under 5 years and pregnant women. LMICs are at greater risk of VAD, in part due to low levels of consumption of vitamin A-rich foods most of which are plant-based, such as orange-fleshed sweet potatoes (OFSP), with lower bioavailability than animal sources of the vitamin A. Food-based approaches such as biofortification of OFSP, including promoting the consumption of vitamin A-rich biofortified staple crops, has been shown to be potentially effective in improving the status of vitamin A and other micronutrients. This study examined vitamin A-rich food consumption and its predictors among women of reproductive age from OFSP-growing households in two regions of Uganda.MethodsA cross-sectional survey was conducted among 617 OFSP growing households, focusing on women in the reproductive age group from the northern and eastern regions of Uganda. Households were not receiving any VAD-related intervention at the time of the survey. Quantitative data included vitamin A-rich food consumption, knowledge on vitamin A, and rich food sources dietary intake, using a 7-day food frequency questionnaire. Vitamin A consumption and risk of deficiency were estimated using the Hellen Keller International guide.ResultsThe majority of women in this study were either pregnant (80%) or lactating (17%). 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 VAD. Knowledge about vitamin A [b (SE) = −0.18 (0.50), p < 0.001] was significantly and inversely associated with vitamin A rich food consumption.ConclusionComponents of food insecurity such as availability, affordability, utilization, and changing food preferences may contribute to the unexpected inverse relationship between knowledge and consumption of vitamin A rich foods. Scaling up biofortified food initiatives, including OFSP, can improve consumption of vitamin A rich foods with effective strategies to comprehensively address consumption barriers such as lack of nutrition education, cooking skills, and storage facilities, as well as low production levels and perceived contamination of biofortified foods.

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Adequate vitamin A rich food consumption and associated factors among lactating mothers visiting child immunization and post-natal clinic at health institutions in Gondar Town, Northwest Ethiopia

Cited by 10 publications

References 13 publications

[Retracted] Changes of Serum Ferritin, Hemoglobin, and Serum Iron (SI) and Treatment Effect of Iron Proteinsuccinylate Oral Solution Combined with Vitamin A and D Drops on Children with Nutritional Iron Deficiency Anemia

[Retracted] Changes of Serum Ferritin, Hemoglobin, and Serum Iron (SI) and Treatment Effect of Iron Proteinsuccinylate Oral Solution Combined with Vitamin A and D Drops on Children with Nutritional Iron Deficiency Anemia

Spatial distribution and geographical heterogeneity factors associated with poor consumption of foods rich in vitamin A among children age 6–23 months in Ethiopia: Geographical weighted regression analysis

Predictors of vitamin A rich food consumption among women living in households growing orange-fleshed sweetpotatoes in selected regions in Uganda

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