Seasonal variation in nutritional status and anemia among lactating mothers in two agro-ecological zones of rural Ethiopia: A longitudinal study

Roba, Kedir Teji; O’Connor, Thomas P.; Belachew, Tefera; O’Brien, Nora M.

doi:10.1016/j.nut.2015.03.007

Cited by 40 publications

(48 citation statements)

References 13 publications

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“…The prevalence was lower than previous findings in Tigray region (34–55%), and Dedo and Seqa-Chekorsa districts (41%), in South-west Ethiopia [9,10,11,12]. Conversely, the prevalence was higher than in other studies in the Tigray and Oromia regions of Ethiopia [5,41,42,43,44].…”

Section: Discussioncontrasting

confidence: 69%

“…According to the Demographic and Health Survey (DHS) in Ethiopia, the prevalence of anemia in pregnant or lactating women (19% and 29%) was higher than in non-lactating-non-pregnant women (15% and 21%) (DHS 2011, 2016, respectively) [9,10]. Likewise, the prevalence of underweight (BMI < 18.5 kg/m 2 ) in lactating mothers was 25–55%, which was higher than non-pregnant-non-lactating women (22%) [5,9,10,11,12]. …”

Section: Introductionmentioning

confidence: 99%

“…As a result, scholars in Ethiopia focused on the exploration of food taboos during pregnancy and its association with their nutritional status and feeding practices [15,16,17,18]. However, lactating mothers who even need more nutrients than pregnant women [5,6,12], are ignored in this regard. Religious fasting is one of the categories of dietary or food taboos, which may affect the dietary intake and nutritional status of lactating mothers, and these may lead to undernourished breastfed children.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

Desalegn

Lambert

Riedel

et al. 2018

IJERPH

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About half of Ethiopians belong to the Orthodox Tewahedo religion. Annually, more than 200 days are dedicated to religious fasting, which includes abstaining from all types of food, animal source foods, and water. However, the association of fasting with undernutrition remains unknown in Ethiopia. Therefore, dietary pattern and nutritional status of lactating women during lent fasting and non-fasting periods were studied, and predictor variables for maternal underweight were identified. To achieve this, lactating mothers in lent fasting (N = 572) and non-fasting (N = 522) periods participated from rural Tigray, Northern Ethiopia. Average minimum diet diversity (MDD-W) was computed from two 24-h recalls, and nutritional status was assessed using body mass index (BMI). Binary logistic regression was used to identify potential predictors of maternal underweight. Wilcoxon signed-rank (WSRT) and McNemar’s tests were used for comparison of the two periods. The prevalence of underweight in fasting mothers was 50.6%. In the multivariate logistic regression model, younger age, sickness in the last four weeks preceding the survey, fasting during pregnancy, lactation periods, grandfathers’ as household decision makers, previous aid experience, non-improved water source, and not owning chicken were positively associated with maternal underweight. In WSRT, there was no significant (p > 0.05) difference on maternal body weight and BMI between periods. The average number of meals, diet diversity, and animal source foods (ASFs), consumption scores were significantly increased in non-fasting compared to fasting periods in both fasting and non-fasting mothers (p < 0.001, p < 0.05, and p < 0.001, respectively). Consumption of dark green leafy vegetables was higher in the fasting period (11%) than non-fasting (3.6%), in the study population. As a conclusion, Ethiopian Orthodox fasting negatively affected maternal nutritional status and dietary pattern in rural Tigray, Northern Ethiopia. To reduce maternal malnutrition in Ethiopia, existing multi-sectoral nutrition intervention strategies, should include religious institutions in a sustainable manner.

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Section: Discussioncontrasting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

Desalegn

Lambert

Riedel

et al. 2018

IJERPH

View full text Add to dashboard Cite

show abstract

“…In another study, occupation of lactating mothers was strongly linked to their nutritional status [27]. However, there are also studies which reported the lack of association of maternal occupation to their nutritional status during preand post-harvest seasons [28].…”

Section: Discussionmentioning

confidence: 99%

Determinants of malnutrition among pregnant and lactating women under humanitarian setting in Ethiopia

Gebre¹,

Biadgilign²,

Taddese³

et al. 2018

BMC Nutr

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Background: Despite significant gains and progress in the last decade, malnutrition remains a major public health problem in Ethiopia. Pregnant and lactating women (PLW), along with children, are among the most vulnerable groups of population during emergencies and droughts. Identifying and targeting of PLW with malnutrition is among the priorities in humanitarian emergencies. However, there is dearth of evidence on PLW nutritional status and its determinants in humanitarian context. Methods: A community-based cross-sectional study was conducted in 10 kebeles of Rayitu district of Ethiopia in June 2013. A total of 900 PLW were assessed for malnutrition using mid-upper-arm circumference (MUAC). Result: Using MUAC < 21 cm as a criteria, 216 (24%) surveyed mothers were found to be malnourished. In multivariable logistic regression analysis, those mothers who did not received antenatal care (ANC) during their pregnancy had 1.83 higher odds of (adjusted odds ratio[AOR] = 1.83, 95% confidence interval [CI]:1.10,3. 02) to be malnourished (MUAC < 21 cm) as compared to mothers who received ANC. Housewives had lower odds of (AOR = 0.59, 95 %CI: 0.37, 0.95) to be malnourished compared to those who engaged in as a pastoralist. Mothers belonging to families from which at least one person did not receive targeted supplementary feeding (TSF) in the 6 months before the study had lower odds of (AOR = 0.38, 95 %CI:0.23,0.62) to have acute malnutrition compared to those who lived in families who received TSF. Conclusions: Malnutrition is common among PLW in humanitarian settings, including those with ongoing interventions. Attending antenatal care, maternal occupational status and being a member of families who received TSF were factors associated with maternal nutritional status in this study. This signifies the need for sustainable solutions that address the high prevalence of malnutrition among PLW. Interventions targeting health system responses such as comprehensive nutrition education, support through antenatal care and women empowerment are recommended.

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“…This allowed local farmers to increase the resilience of agroecological production systems against hurricanes, droughts, floods, the recovery of previously degraded soils, and the production of healthy food for the sovereignty and food security of the country [73]. In Africa, there are also some important experiences in the development of agroecology, which have contributed to reduce human diseases, such as anemias [74], malaria [75], and HIV [76].…”

Section: Social Movements Proposalsmentioning

confidence: 99%

Agroecology and Health: Lessons from Indigenous Populations

Suárez-Torres

Suárez-López

López-Paredes

et al. 2017

Curr Envir Health Rpt

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Although no new findings are being made, the validity of ancestral knowledge and agroecology is recognized by scientific research, and by international forums organized by agencies of the United Nations. These recommend that governments should implement them in their policies of development, and in the allocation of funds to support these initiatives. Agroecology and ancestral knowledge are being adopted by a growing number of organizations, indigenous peoples and social groups in various parts of the world, as development alternatives that respond to local needs and worldviews. Its productive potential is progressively being recognized at an international level as a model that contributes to improve the condition of people regarding nutritional food.

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Seasonal variation in nutritional status and anemia among lactating mothers in two agro-ecological zones of rural Ethiopia: A longitudinal study

Cited by 40 publications

References 13 publications

Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

Ethiopian Orthodox Fasting and Lactating Mothers: Longitudinal Study on Dietary Pattern and Nutritional Status in Rural Tigray, Ethiopia

Determinants of malnutrition among pregnant and lactating women under humanitarian setting in Ethiopia

Agroecology and Health: Lessons from Indigenous Populations

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