Maternal Dietary Diversity and Growth of Children Under 24 Months of Age in Rural Dodoma, Tanzania

Huang, Megan; Sudfeld, Christopher R.; Ismail, Abbas; Vuai, Said; Ntwenya, Julius Edward; Mwanyika‐Sando, Mary; Fawzi, Wafaie W.

doi:10.1177/0379572118761682

Cited by 29 publications

(36 citation statements)

References 25 publications

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“…Our analysis covers data from eight sites in six countries, including Kersa and Harar in Ethiopia; Dar es Salaam and Dodoma in Tanzania; Ningo Prampram in Ghana, Ibadan in Nigeria; Iganga and Mayuge in Uganda; and Nouna in Burkina Faso. Study site details are described in Berhane et al and other studies .…”

Section: Methodsmentioning

confidence: 99%

Factors associated with depressive symptoms and suicidal ideation and behaviours amongst sub‐Saharan African adolescents aged 10‐19 years: cross‐sectional study

Nyundo

Manu

Regan

et al. 2019

Tropical Med Int Health

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objective This study aimed to determine the burden of depression, suicidal ideation and suicidal behaviour amongst adolescents at sites in six sub-Saharan African countries and examine associated risk and protective factors.methods Household-based cross-sectional study involving male and female adolescents ages 10-19 years. A total of 7,662 adolescents from eight sites in six countries participated in the survey. Three sites were urban: Dar es Salaam (Tanzania), Harar (Ethiopia) and Ibadan (Nigeria); five were rural: Dodoma (Tanzania), Iganga/Mayuge (Uganda), Kersa (Ethiopia), Ningo Prampram (Ghana) and Nouna (Burkina Faso). Log-binomials models were used to estimate relative risks and confidence intervals for factors associated with depression and suicidal behaviour. This was supplemented using log-Poisson models as needed.results The prevalence of suicidal behaviour over the last 12 months ranged between 1.2% and 12.4% in the eight sites. Depressive symptoms and suicidal ideation/behaviours were associated with older age, female sex, food insecurity, poor access to health care and substance use. Depression was strongly associated with increased risk of suicidal behaviour at two sites where the multivariate model converged: Harar, Ethiopia (RR = 3.5, 95% CI 1.8, 7.0, P < 0.05) and Ibadan, Nigeria (RR = 3.7, 95% CI 2.2, 6.3, P < 0.0001).conclusions Depressive symptoms and suicidal behaviour are common amongst sub-Saharan African adolescents at these 8 sites. Most factors associated with depressive symptoms are modifiable and preventable. Routine screening for depressive symptoms in services frequented by adolescents in these and similar communities would be crucial in early detection and prompt intervention.keywords depressive symptoms, suicidal behaviour, adolescents, sub-Saharan Africa, ARISE Sustainable Development Goals (SDGs): SDG 1 (no poverty), SDG 2 (zero hunger), SDG 3 (good health and well-being), SDG 5 (gender equity), SDG 8 (decent work and economic growth), SDG 10 (reduced inequalities), SDG 17 (partnerships for the goals)

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Section: Methodsmentioning

confidence: 99%

Factors associated with depressive symptoms and suicidal ideation and behaviours amongst sub‐Saharan African adolescents aged 10‐19 years: cross‐sectional study

Nyundo

Manu

Regan

et al. 2019

Tropical Med Int Health

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“…Dietary diversity score, which consists of a simple count of food groups that an individual has consumed over the preceding 24 h, is considered a proxy for nutrient adequacy of the diet of individuals [ 21 ]. Several studies in African countries have revealed that low dietary diversity was associated with malnutrition, while consumption of an adequate variety of food can improve general nutritional status [ 15 , 19 , 20 ]. In order to plan an effective intervention program aimed at improving feeding practices and dietary diversity of children living with HIV, it is crucial to understand their current nutritional status and dietary intake.…”

Section: Introductionmentioning

confidence: 99%

Nutritional status and dietary diversity of school-age children living with HIV: a cross-sectional study in Phnom Penh, Cambodia

Yasuoka

Okawa

et al. 2020

BMC Public Health

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Background HIV/AIDS continues to be a major public health concern for children. Each day, worldwide, approximately 440 children became newly infected with HIV, and 270 children died from AIDS-related causes in 2018. Poor nutrition has been associated with accelerated disease progression, and sufficient dietary diversity is considered a key to improve children’s nutritional status. Therefore, this study aims to 1) examine nutritional status of school-age children living with HIV in Phnom Penh, Cambodia, and 2) identify factors associated with their nutritional status, especially taking their dietary diversity into consideration. Methods This cross-sectional study was conducted in May 2018 within the catchment area of the National Pediatric Hospital, Cambodia. Data from 298 children and their caregivers were included in the analyses. Using semi-structured questionnaires, face-to-face interviews were conducted to collect data regarding sociodemographic characteristics, quality of life, and dietary diversity. To assess children’s nutritional status, body weight and height were measured. Viral load and duration of antiretroviral therapy (ART) were collected from clinical records. Multiple logistic regression analyses were performed to identify factors associated with stunting and wasting. Results Of 298 children, nearly half (46.6%) were stunted, and 13.1% were wasted. The mean number of food groups consumed by the children in the past 24 h was 4.6 out of 7 groups. Factors associated with children’s stunting were age (adjusted odds ratio [AOR] 2.166, 95% confidence interval [CI]: 1.151, 4.077), household wealth (AOR 0.543, 95%CI: 0.299, 0.986), duration of receiving ART (AOR 0.510, 95%CI: 0.267, 0.974), and having disease symptoms during the past 1 year (AOR 1.871, 95%CI: 1.005, 3.480). The only factor associated with wasting was being male (AOR 5.304, 95%CI: 2.210, 12.728). Conclusions Prevalence of stunting was more than double that of non-infected school-age children living in urban areas in Cambodia. This highlights the importance of conducting nutritional intervention programs, especially tailored for children living with HIV in the country. Although dietary diversity was not significantly associated with children’s nutritional status in this study, the findings will contribute to implementing future nutritional interventions more efficiently by indicating children who are most in need of such interventions in Cambodia.

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“…In the Infant and Young Child Feeding guidelines published by the United Nations, dietary diversity scores of pre-school children are dichotomized: children who had at least four of the seven food groups were considered to have adequately diversi ed dietary intake [29]. In our study, we dichotomized the score using median as there is no recommended cut-off points for our study population (school-age children) [16][17][18][19][20][21]. The median of the children's dietary diversity scores was calculated to determine the cutoff point between lower and higher dietary diversity.…”

Section: Data Management and Statistical Analysismentioning

confidence: 99%

“…Along with micronutrient supplementation, su cient dietary diversity is considered a key to improving overall nutritional and health status of children living with HIV [12][13][14]. A number of recent studies have explored risk factors for undernutrition, using dietary diversity score developed by the Food and Agriculture Organization [15][16][17][18][19][20]. Dietary diversity score, which consists of a simple count of food groups that an individual has consumed over the preceding 24 hours, is considered a proxy for nutrient adequacy of the diet of individuals [21].…”

Section: Introductionmentioning

confidence: 99%

“…Dietary diversity score, which consists of a simple count of food groups that an individual has consumed over the preceding 24 hours, is considered a proxy for nutrient adequacy of the diet of individuals [21]. Several studies in African countries have revealed that low dietary diversity was associated with malnutrition, while consumption of an adequate variety of food can improve general nutritional status [15,19,20]. In order to plan an effective intervention program aimed at improving feeding practices and dietary diversity of children living with HIV, it is crucial to understand their current nutritional status and dietary intake.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Nutritional status and dietary diversity of school-age children living with HIV: a cross-sectional study in Phnom Penh, Cambodia

Yasuoka¹,

Okawa

et al. 2020

Preprint

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Background: HIV/AIDS continues to be a major public health concern for children. Each day, worldwide, approximately 440 children became newly infected with HIV, and 270 children died from AIDS-related causes in 2018. Poor nutrition has been associated with accelerated disease progression, and sufficient dietary diversity is considered a key to improve children’s nutritional status. Therefore, this study aims to 1) examine nutritional status of school-age children living with HIV in Phnom Penh, Cambodia, and 2) identify factors associated with their nutritional status, especially taking their dietary diversity into consideration. Methods: This cross-sectional study was conducted in May 2018 within the catchment area of the National Pediatric Hospital, Cambodia. Data from 298 children and their caregivers were included in the analyses. Using semi-structured questionnaires, face-to-face interviews were conducted to collect data regarding sociodemographic characteristics, quality of life, and dietary diversity. To assess children’s nutritional status, body weight and height were measured. Viral load and duration of antiretroviral therapy (ART) were collected from clinical records. Multiple logistic regression analyses were performed to identify factors associated with stunting and wasting. Results: Of 298 children, nearly half (46.6%) were stunted, and 13.1% were wasted. The mean number of food groups consumed by the children in the past 24 hours was 4.6 out of 7 groups. Factors associated with children’s stunting were age (adjusted odds ratio [AOR] 2.166, 95% confidence interval [CI]: 1.151, 4.077), household wealth (AOR 0.543, 95%CI: 0.299, 0.986), duration of receiving ART (AOR 0.510, 95%CI: 0.267, 0.974), and having disease symptoms during the past one year (AOR 1.871, 95%CI: 1.005, 3.480). The only factor associated with wasting was being male (AOR 5.304, 95%CI: 2.210, 12.728). Conclusions: Prevalence of stunting was more than double that of non-infected school-age children living in urban areas in Cambodia. This highlights the importance of conducting nutritional intervention programs, especially tailored for children living with HIV in the country. Although dietary diversity was not significantly associated with children’s nutritional status in this study, the findings will contribute to implementing future nutritional interventions more efficiently by indicating children who are most in need of such interventions in Cambodia.

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Maternal Dietary Diversity and Growth of Children Under 24 Months of Age in Rural Dodoma, Tanzania

Abstract: Greater maternal dietary diversity was associated with improved child WHZ and WAZ outcomes. Sustainable interventions to increase maternal dietary diversity may improve WHZ and WAZ in young children in similar settings.

Cited by 29 publications

References 25 publications

Factors associated with depressive symptoms and suicidal ideation and behaviours amongst sub‐Saharan African adolescents aged 10‐19 years: cross‐sectional study

Factors associated with depressive symptoms and suicidal ideation and behaviours amongst sub‐Saharan African adolescents aged 10‐19 years: cross‐sectional study

Nutritional status and dietary diversity of school-age children living with HIV: a cross-sectional study in Phnom Penh, Cambodia

Nutritional status and dietary diversity of school-age children living with HIV: a cross-sectional study in Phnom Penh, Cambodia

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