Dietary Diversity and Undernutrition in Children Aged 6–23 Months in Sub-Saharan Africa

Aboagye, Richard Gyan; Seidu, Abdul‐Aziz; Arthur-Holmes, Francis; Cadri, Abdul; Dadzie, Louis Kobina; Hagan, John Elvis; Eyawo, Oghenowede; Yaya, Sanni

doi:10.3390/nu13103431

Cited by 54 publications

(49 citation statements)

References 41 publications

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“…We included a total of 18 covariates in our study. We selected the variables based on their availability in the DHS dataset and their association with childhood undernutrition from previous studies [ 20 , 28 , 30 ]. The variables were categorised into individual level factors, household factors, and contextual factors.…”

Section: Methodsmentioning

confidence: 99%

Birth weight and nutritional status of children under five in sub-Saharan Africa

et al. 2022

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Introduction Over the past three decades, undernutrition has become a major cause of morbidity and mortality among children under five years globally. Low birth weight has been identified as a risk factor for child morbidity and mortality, especially among children under five years in sub-Saharan Africa. There is, however, a paucity of empirical literature establishing the association between low birth weight and undernutrition in sub-Saharan Africa. We examined the association between birth weight and nutritional status of children under five in sub-Saharan Africa. Methods Our analyses were performed on a weighted sample of 110,497 children under five years from 32 countries in sub-Saharan Africa. Data were obtained from the Demographic and Health Surveys conducted from 2010 to 2019. We reported the prevalence of low birth weight and nutritional status (stunting, wasting, and underweight) for all the 32 countries using percentages. We used multilevel binary logistic regression to examine the association between birth weight and nutritional status (stunting, wasting, and underweight) of the children, controlling for covariates. The results of the regression analyses were presented using adjusted odds ratios (aOR) with 95% confidence intervals. Statistical significance was set at p<0.05. Results The prevalence of low birth weight was 5.4%, with the highest (13.1%) and lowest (0.9%) reportedin South Africa and Chad, respectively. The pooled prevalence of wasting, underweight, and stunting were 8.1%, 17.0%, and 31.3%, respectively. Niger had the highest prevalence of wasting (21.5%) and underweight (37.1%), whereas Burundi had the highest prevalence of stunting (51.7%). We found that children with low birth weight were more likely to be stunted [aOR = 1.68, 95% CI = 1.58–1.78], underweight [aOR = 1.82, 95% CI = 1.70–1.94], and wasted [aOR = 1.35, 95% CI = 1.20–1.38] after controlling for covariates. Conclusion Our study has demonstrated that low birth weight is a key determinant of undernutrition among children under five in sub-Saharan Africa. Policymakers need to give special attention to improving the nutritional status of children under-five years in sub-Saharan Africa by implementing measures aimed at enhancing the weight of children. To accelerate progress towards the achievement of the Sustainable Development Goal 3.2 target of ending preventable deaths of newborns and under-five by 2030, it is imperative for countries in sub-Saharan Africa to intensify interventions aimed at improving maternal and child nutrition. Specific nutrition interventions such as dietary modification counselling should prioritized.

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Section: Methodsmentioning

confidence: 99%

Birth weight and nutritional status of children under five in sub-Saharan Africa

et al. 2022

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“…Studies showed that children with an adequate minimum dietary diversity less likely to be stunted and underweight [ 3 , 12 ]. However, a lack of nutritional variety increases the morbidity and mortality of children [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

Minimum dietary diversity and associated factors among children under the age of five attending public health facilities in Wolaita Soddo town, Southern Ethiopia, 2021: a cross-sectional study

et al. 2022

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Background Poor quality diets are the greatest obstacles to survival, growth, development, and learning in children. Dietary diversity is a major problem in developing countries including Ethiopia. For better feeding practices and focused interventions, it is essential to identify dietary diversity in children. In order to draw firm conclusions, previous studies in Ethiopia were unable to get a thorough picture of the dietary diversity among children under the age of five. Therefore, the purpose of this study was to identify minimum dietary diversity and associated factors among children under the age of five attending public health facilities in Wolaita Soddo town, Southern Ethiopia. Methods An institution-based cross-sectional study design was used from February to March, 2021. The sample size of the study was 406. A simple random sampling was used to select the study participants. The minimum dietary diversity of the children was assessed by a standardized dietary assessment tool. The information was gathered using a standardized questionnaire that was administered by an interviewer. The collected data were entered into Epi Data 4.6 then exported to SPSS 26 for analysis. A multivariable logistic regression model was used to identify the independent predictors of the study. The statistical significance level was set at P < 0.05, and the degree of the association was measured using an AOR with a 95% CI. Results A total of 399 participants were involved in this study. Nearly half (52.1%) of the study children met the minimum dietary diversity. The most popular foods were grains, roots, and tubers (79.2%), followed by dairy products (58.1%), vitamin A-rich fruits and vegetables, and grains, roots, and tubers (58.1%). Children whose mothers worked as daily workers had a lower likelihood of meeting the minimal dietary diversity requirement. However, children with separate eating plates from adults, households with food security, low monthly food expenditure, collaborative decision-making on household spending, birth intervals greater than 24 months, and health education on infant and young child feeding were more likely to achieve the minimal dietary diversity requirements. Conclusion The proportion of the minimum dietary diversity was higher than in previous studies from Ethiopia. The minimum dietary diversity was higher than in previous studies from Ethiopia. Family planning for birth spacing, nutritional counseling on infant and young child feeding, and parent communication in a child's feeding are critical to improve dietary diversity in a child's feeding.

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“…Moraeus et al [11], [31], [32], [10], [30], [31], [8], [28], [29], [8], [27], [28] which provides an explanation that eating culture in the family affects minimal dietary diversity so that it reduces the Z score and body mass index of children [8], [27], [28], [29].…”

Section: This Opinion Has Similarities With Research Conducted By De ...mentioning

confidence: 99%

“…Early provision of complementary food is at risk for nutritional inadequate where essential protein metabolism is slower than the body's carbohydrate metabolism [49], [23], [28], [50]. This condition has an impact on the delay in the formation of muscle and bone mass and tends to increase fat mass in the body.…”

Section: This Opinion Has Similarities With Research Conducted By De ...mentioning

confidence: 99%

Analysis of Factors that affect Events and Interventions of Stunting through the E-Stunting Android Application

Masita¹,

Amalia²,

Rahayu³

et al. 2022

Open Access Maced J Med Sci

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Background: Based on the Indonesian Toddler Nutrition Status Survey in 2021, it was found that the stunting rate in Indonesia reached 24.4%, which means there were 5.33 million indicated stunting. Objective: The purpose of this study was to detect the causative factors and effectiveness of stunting interventions in the E stunting application. Methods: The type of the research is quantitative analytic with cross sectional approach using double linear regression analytic test with p = 0.05. The difference test used an unpaired sample test analytic by looking at the difference in mean in the control and treatment groups. The population uses totality sampling with the rule of thumb technique. This research instrument uses a minimum diet diversity questionnaire, diet diversity, parenting model, as well as a questionnaire with a Likert scale and has been through validity and reliability tests. Results: The results of the determinant coefficient test have a relationship between the independent and dependent variables, while Adjusted R2 = 0.803 which means 80.3% of all variables affect the z score in children, while the difference test result obtained a result of sig 2 tailed = 0.001 and the value of Sig Levene's test for equality variance of 0.44 > 0.001 Conclusion: There is an effect of frequency of eating, number of types of food, eating culture, history of breastfeeding, complementary feeding, perception, knowledge of the z score (stunting events). And E stunting is effective in assessing the causative factors and treatment in cases of infants with stunting

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Dietary Diversity and Undernutrition in Children Aged 6–23 Months in Sub-Saharan Africa

Cited by 54 publications

References 41 publications

Birth weight and nutritional status of children under five in sub-Saharan Africa

Birth weight and nutritional status of children under five in sub-Saharan Africa

Minimum dietary diversity and associated factors among children under the age of five attending public health facilities in Wolaita Soddo town, Southern Ethiopia, 2021: a cross-sectional study

Analysis of Factors that affect Events and Interventions of Stunting through the E-Stunting Android Application

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