Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal

Dados Bibliográficos

ID15094652
AutoresSigrun Henjum (0000-0002-0671-2688, OsloMet – Oslo Metropolitan University, autor correspondente), Liv Elin Torheim (0000-0002-3161-1635, OsloMet – Oslo Metropolitan University), Andrew Thorne‐lyman (0000-0001-5917-4126, WorldFish), Andrew L Thorne-Lyman, Ram Chandyo (Tribhuvan University), Wafaie W Fawzi (0000-0002-2908-600X, Harvard Global Health Institute), Prakash S Shrestha, Prakash Shrestha (0000-0002-7779-6399, Tribhuvan University), Tor A Strand (0000-0002-4038-151X, Innlandet Hospital Trust)
Ano2015
Volume18
Fascículo17
Páginas3201-3210
Data de publicação2015-12-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980015000671
PMID25824344
OpenAlexW2335047881
IdiomaEN
Citações recebidas20
Referências citadas29

Objective The main objectives were to assess the adequacy of the micronutrient intakes of lactating women in a peri-urban area in Nepal and to describe the relationships between micronutrient intake adequacy, dietary diversity and sociodemographic variables. Design A cross-sectional survey was performed during 2008–2009. We used 24 h dietary recall to assess dietary intake on three non-consecutive days and calculated the probability of adequacy (PA) of the usual intake of eleven micronutrients and the overall mean probability of adequacy (MPA). A mean dietary diversity score (MDDS) was calculated of eight food groups averaged over 3 d. Multiple linear regression was used to identify the determinants of the MPA. Setting Bhaktapur municipality, Nepal. Subjects Lactating women ( n 500), 17–44 years old, randomly selected. Results The mean usual energy intake was 8464 ( sd 1305) kJ/d (2023 ( sd 312) kcal/d), while the percentage of energy from protein, fat and carbohydrates was 11 %, 13 % and 76 %, respectively. The mean usual micronutrient intakes were below the estimated average requirements for all micronutrients, with the exception of vitamin C and Zn. The MPA across eleven micronutrients was 0·19 ( sd 0·16). The diet was found to be monotonous (MDDS was 3·9 ( sd 1·0)) and rice contributed to about 60 % of the energy intake. The multiple regression analyses showed that MPA was positively associated with energy intake, dietary diversity, women’s educational level and socio-economic status, and was higher in the winter. Conclusions The low micronutrient intakes are probably explained by low dietary diversity and a low intake of micronutrient-rich foods

Animal science · Biology · Cross-sectional study · Dietary diversity · Dietary Reference Intake · Environmental health · Food frequency questionnaire · Food group · Food security · Linear regression · Micronutrient · Nutrient · Statistics · Child Nutrition and Water Access · Food Security and Health in Diverse Populations · Mathematics · Medicine · Nutritional Studies and Diet