{"title":"Is Fruit and Vegetable Intake Associated with Body Composition Among Pakistani Adolescents?","authors":"N. Safdar, A. M. Murad, Nida Jawed, S. Inam","doi":"10.2147/nds.s340798","DOIUrl":"https://doi.org/10.2147/nds.s340798","url":null,"abstract":"","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46341680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Khamis, A. Mwanri, Mbazi Senkoro, K. Kreppel, B. Bonfoh, S. Mfinanga, G. Kwesigabo
{"title":"Dietary Patterns, Nutrient Intakes and Metabolic Conditions Among Agro-Pastoralists in Monduli District, Tanzania","authors":"A. Khamis, A. Mwanri, Mbazi Senkoro, K. Kreppel, B. Bonfoh, S. Mfinanga, G. Kwesigabo","doi":"10.2147/nds.s355730","DOIUrl":"https://doi.org/10.2147/nds.s355730","url":null,"abstract":"","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45428533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Bernstein, J. Hansen, Christian Kogelmann, M. Ellerbrok, M. Giżewska, Sommer Gaughan, J. C. Rocha, A. Bélanger-Quintana, F. Rohr
: Phenylketonuria (PKU) is one of the most common inherited metabolic disorders, and historically has required affected individuals to follow a severely protein-restricted diet with medical food for life. A novel enzyme substitution therapy, pegvaliase, allows many adults with PKU on therapy to have a reduction in blood phenylalanine (Phe) while on an unrestricted diet. However, there is limited information on optimal nutrition management of individuals with PKU on pegvaliase therapy. This manuscript summarizes a virtual European meeting focused on nutrition management of individuals on pegvaliase therapy, including three case studies and a patient perspective that together provide clinical insights into the real-world management of individuals with PKU on pegvaliase. described the freedom to eat an unrestricted diet as ‘life altering’ for not only her, but for her family, and reported an improvement in her quality of life. No formal assessment of quality of life was conducted.
{"title":"Normalizing Diet in Individuals with Phenylketonuria Treated with Pegvaliase: A Case Series and Patient Perspective","authors":"L. Bernstein, J. Hansen, Christian Kogelmann, M. Ellerbrok, M. Giżewska, Sommer Gaughan, J. C. Rocha, A. Bélanger-Quintana, F. Rohr","doi":"10.2147/nds.s337135","DOIUrl":"https://doi.org/10.2147/nds.s337135","url":null,"abstract":": Phenylketonuria (PKU) is one of the most common inherited metabolic disorders, and historically has required affected individuals to follow a severely protein-restricted diet with medical food for life. A novel enzyme substitution therapy, pegvaliase, allows many adults with PKU on therapy to have a reduction in blood phenylalanine (Phe) while on an unrestricted diet. However, there is limited information on optimal nutrition management of individuals with PKU on pegvaliase therapy. This manuscript summarizes a virtual European meeting focused on nutrition management of individuals on pegvaliase therapy, including three case studies and a patient perspective that together provide clinical insights into the real-world management of individuals with PKU on pegvaliase. described the freedom to eat an unrestricted diet as ‘life altering’ for not only her, but for her family, and reported an improvement in her quality of life. No formal assessment of quality of life was conducted.","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42562980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: More than 20 million births annually in developing countries are classed as low birth weight, with short- and long-term consequences. Food insecurity is the major determinant of low birth weight in developing countries. Objective: This study aimed to identify the effects of food insecurity and other possible factors associated with low birth weight in West Wollega, West Ethiopia. Methods: This facility-based unmatched case–control study was conducted among mothers who gave birth to live newborns in randomly selected hospitals in West Wollega. Data were collected using a structured interviewer-administered questionnaire. Collected data were coded and entered into Epi Info version 7.2.0.1 and analyzed by SPSS version 24. Adjusted odds ratios were used to identify predictors of low birth weight at a p -value less than 0.05. Results: The study indicated that the mother living in a food-insecure household (AOR [95% CI] = 2.9 [1.05–8]), uneducated mother (AOR [95% CI] = 5 [1.8–14]), birth interval of <24 months (AOR [95% CI] = 4.6 [1.2–18]), age at first birth of <18 years (AOR [95% CI] = 4 [1.1– 15]), late initiation of antenatal care (ANC) (AOR [95% CI] = 4.4 [1.3–15.7]), pregnancy-induced hypertension (AOR [95% CI] = 3.6 [1.03–12.9]), and maternal mid-upper arm circumference (MUAC) of <23 cm (AOR [95% CI] = 11 [4–35]) were predictors of low birth weight. Conclusion: Household food insecurity, a birth interval of <24 months, age at first birth <18 years, late initiation of first ANC, pregnancy-induced hypertension, and maternal MUAC of <23 cm were predictors of low birth weight in this study. Early screening for medical and obstetric conditions, as well as maternal nutritional status and household food insecurity, is a key action needed to reduce low birth weight in this study area.
{"title":"Effect of Food Insecurity and Other Possible Factors Associated with Low Birth Weight Among Mothers Who Gave Birth to Live Newborns in West Ethiopia: A Facility-Based Unmatched Case–Control Study","authors":"Markos Desalegn, Bekana Terefe, Haile Bikila","doi":"10.2147/nds.s317092","DOIUrl":"https://doi.org/10.2147/nds.s317092","url":null,"abstract":"Background: More than 20 million births annually in developing countries are classed as low birth weight, with short- and long-term consequences. Food insecurity is the major determinant of low birth weight in developing countries. Objective: This study aimed to identify the effects of food insecurity and other possible factors associated with low birth weight in West Wollega, West Ethiopia. Methods: This facility-based unmatched case–control study was conducted among mothers who gave birth to live newborns in randomly selected hospitals in West Wollega. Data were collected using a structured interviewer-administered questionnaire. Collected data were coded and entered into Epi Info version 7.2.0.1 and analyzed by SPSS version 24. Adjusted odds ratios were used to identify predictors of low birth weight at a p -value less than 0.05. Results: The study indicated that the mother living in a food-insecure household (AOR [95% CI] = 2.9 [1.05–8]), uneducated mother (AOR [95% CI] = 5 [1.8–14]), birth interval of <24 months (AOR [95% CI] = 4.6 [1.2–18]), age at first birth of <18 years (AOR [95% CI] = 4 [1.1– 15]), late initiation of antenatal care (ANC) (AOR [95% CI] = 4.4 [1.3–15.7]), pregnancy-induced hypertension (AOR [95% CI] = 3.6 [1.03–12.9]), and maternal mid-upper arm circumference (MUAC) of <23 cm (AOR [95% CI] = 11 [4–35]) were predictors of low birth weight. Conclusion: Household food insecurity, a birth interval of <24 months, age at first birth <18 years, late initiation of first ANC, pregnancy-induced hypertension, and maternal MUAC of <23 cm were predictors of low birth weight in this study. Early screening for medical and obstetric conditions, as well as maternal nutritional status and household food insecurity, is a key action needed to reduce low birth weight in this study area.","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44768161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Malnutrition is a serious disease and remains an important public health problem in many developing countries including Ethiopia. Malnutrition is one of the diseases under the surveillance system which is reported weekly and monthly. In the Bale zone, malnutrition is one of the major public health problems. Therefore, this trend analysis of severe acute malnutrition was to describe the magnitude, trends, disease outcome and geographical distribution of the severe acute malnutrition in Bale Zone from 2014-2017. Methods A descriptive cross-sectional study was conducted on April 2018. Data was extracted from Bale zone monthly malnutrition report database and checked for completeness and consistency then four years’ trends of severe acute malnutrition were analyzed. The prevalence and trend of severe acute malnutrition by Woreda, year and age were analyzed using Microsoft office excel and SPSS version 20 then summarized using text, table, and figure. Result A total of 37,678 severe acute malnutrition cases registered over four years (2014-2017). Of these, 31,642(84%) cured, 52(0.14%) died, 641(1.7%) defaulters, 66(0.18%) non-respondents. Among registered cases, 98.2% are 6-59months age groups. The average annual prevalence of severe acute malnutrition high among under-five children was 3.3%. Prevalence rate per 1000 population of severe acute malnutrition in 2014, 2015,2016 and 2017 are 3.6, 4.5, 7.5 and 4.7 respectively and death rate are 0.21%, 0.26%, 0.1% and 0.08% respectively. Among the Woreda, the highest prevalence at Delomena (2.45%) and lowest at Sinana woreda (0.1%). The death rate is high among 6-59months age groups (0.13%) and followed by less than 6months age group (0.008%). Conclusion Cases of severe acute malnutrition increased during the year 2014 to 2016 then decreased during 2017. The prevalence of severe acute malnutrition high in under-five age groups children at Bale zone during the study period and Delomena Woreda has
{"title":"Trends of Severe Acute Malnutrition Morbidity and Mortality (2014–2017), Bale Zone, Oromia Region, Ethiopia, 2018","authors":"M. Hasen, H. Asefa, N. Berhanu, Falaho Sani","doi":"10.2147/nds.s320515","DOIUrl":"https://doi.org/10.2147/nds.s320515","url":null,"abstract":"Background Malnutrition is a serious disease and remains an important public health problem in many developing countries including Ethiopia. Malnutrition is one of the diseases under the surveillance system which is reported weekly and monthly. In the Bale zone, malnutrition is one of the major public health problems. Therefore, this trend analysis of severe acute malnutrition was to describe the magnitude, trends, disease outcome and geographical distribution of the severe acute malnutrition in Bale Zone from 2014-2017. Methods A descriptive cross-sectional study was conducted on April 2018. Data was extracted from Bale zone monthly malnutrition report database and checked for completeness and consistency then four years’ trends of severe acute malnutrition were analyzed. The prevalence and trend of severe acute malnutrition by Woreda, year and age were analyzed using Microsoft office excel and SPSS version 20 then summarized using text, table, and figure. Result A total of 37,678 severe acute malnutrition cases registered over four years (2014-2017). Of these, 31,642(84%) cured, 52(0.14%) died, 641(1.7%) defaulters, 66(0.18%) non-respondents. Among registered cases, 98.2% are 6-59months age groups. The average annual prevalence of severe acute malnutrition high among under-five children was 3.3%. Prevalence rate per 1000 population of severe acute malnutrition in 2014, 2015,2016 and 2017 are 3.6, 4.5, 7.5 and 4.7 respectively and death rate are 0.21%, 0.26%, 0.1% and 0.08% respectively. Among the Woreda, the highest prevalence at Delomena (2.45%) and lowest at Sinana woreda (0.1%). The death rate is high among 6-59months age groups (0.13%) and followed by less than 6months age group (0.008%). Conclusion Cases of severe acute malnutrition increased during the year 2014 to 2016 then decreased during 2017. The prevalence of severe acute malnutrition high in under-five age groups children at Bale zone during the study period and Delomena Woreda has","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42640313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gebrezabher Niguse Hailu, H. B. Gebru, Desta Siyoum Belay
{"title":"Assessment of Healthy Diet and Physical Activity Among Students of Mekelle University, Northern Ethiopia: A Cross-Sectional Study","authors":"Gebrezabher Niguse Hailu, H. B. Gebru, Desta Siyoum Belay","doi":"10.2147/nds.s287278","DOIUrl":"https://doi.org/10.2147/nds.s287278","url":null,"abstract":"","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43870852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Șerban, A. Banu, Sandra Putnoky, Ștefania Ioana Butica, M. Niculescu, Salomeia Putnoky
Purpose: This study assessed potential differences in estimating short-term dietary intake of energy and nutrients and food consumption, between 4-week food frequency questionnaires (FFQs) and 7-day food records in Romanian adults. Patients and Methods: A total of 116 participants (age range 18–74 years, 31% males and 28.4% of participants being overweight and obese) were recruited. Estimates for energy and macro- and micronutrient intakes, and food group intakes were compared between the two methods using Wilcoxon-sign-rank test, correlation coefficients, Cohen’s Kappa, Bland– Altman plots with 95% limits of agreement, and quartile classifications. Results: Cohen’s Kappa values for energy and macronutrient intakes indicated moderate agreement, ranging from 0.402 (protein) to 0.470 (fat), fair agreement for most micronutrients (0.2–0.4) and poor agreement for most food groups (<0.2). When data were cross-classified into quartiles for energy and macronutrients, about 58% of participants were cross-classified in the same quartile using both methods, while 33% of participants were cross-classified in adjacent quartiles of one method versus the other. Micronutrients (such Na, Mg, Ca, K, Fe, vitamins) had the highest degree of misclassification, on average 40% being cross-classified in the same quartile and another 40% in adjacent quartiles. Bland– Altman plots suggested that both methods were comparable for energy and all macronutrients. When the consumption of food groups was compared, correlation coefficients between methods ranged from 0.09 (legumes) to 0.26 (whole grain), indicating poor correlation. Conclusion: These results showed that the relative match of a standard FFQ, as compared to the 7-day food records, was moderate in estimating macronutrient and energy, fair for most micronutrient intakes and poor for others and as for food groups.
{"title":"Relative Validation of a Four Weeks Retrospective Food Frequency Questionnaire versus 7-Day Paper-Based Food Records in Estimating the Intake of Energy and Nutrients in Adults","authors":"C. Șerban, A. Banu, Sandra Putnoky, Ștefania Ioana Butica, M. Niculescu, Salomeia Putnoky","doi":"10.2147/nds.s310260","DOIUrl":"https://doi.org/10.2147/nds.s310260","url":null,"abstract":"Purpose: This study assessed potential differences in estimating short-term dietary intake of energy and nutrients and food consumption, between 4-week food frequency questionnaires (FFQs) and 7-day food records in Romanian adults. Patients and Methods: A total of 116 participants (age range 18–74 years, 31% males and 28.4% of participants being overweight and obese) were recruited. Estimates for energy and macro- and micronutrient intakes, and food group intakes were compared between the two methods using Wilcoxon-sign-rank test, correlation coefficients, Cohen’s Kappa, Bland– Altman plots with 95% limits of agreement, and quartile classifications. Results: Cohen’s Kappa values for energy and macronutrient intakes indicated moderate agreement, ranging from 0.402 (protein) to 0.470 (fat), fair agreement for most micronutrients (0.2–0.4) and poor agreement for most food groups (<0.2). When data were cross-classified into quartiles for energy and macronutrients, about 58% of participants were cross-classified in the same quartile using both methods, while 33% of participants were cross-classified in adjacent quartiles of one method versus the other. Micronutrients (such Na, Mg, Ca, K, Fe, vitamins) had the highest degree of misclassification, on average 40% being cross-classified in the same quartile and another 40% in adjacent quartiles. Bland– Altman plots suggested that both methods were comparable for energy and all macronutrients. When the consumption of food groups was compared, correlation coefficients between methods ranged from 0.09 (legumes) to 0.26 (whole grain), indicating poor correlation. Conclusion: These results showed that the relative match of a standard FFQ, as compared to the 7-day food records, was moderate in estimating macronutrient and energy, fair for most micronutrient intakes and poor for others and as for food groups.","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43604812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Purpose: Globally in 2016, 22.9% of under-five children were stunted. In Ethiopia, the current reduction rate was 2.8%, which was far from the global nutritional target of 2025. However, evidence on the prevalence of stunting and its associated factors in Janamora district was very limited. Therefore, this study aimed to determine the prevalence of stunting and to identify the risk factors among 6–59 months children in Janamora district. Methods: A community-based cross-sectional study was conducted in Janamora district from February to March 2020. A multistage cluster sampling technique was used to select 845 study participants. Data were collected using an interviewer-administered technique from caregivers, and anthropometric measurements were taken from the child. An adjusted odds ratio and a P-value <0.05 were used to declare statistical significance. Results: The prevalence of stunting in this study was 44.9% (95% CI: 41.5, 48.4). The following conditions were significantly affected stunting: age of child 6–11 months (AOR=2.5 (1.18–5.29)), 12–24 months (AOR=3.38 (1.95–5.88)), 24–35 months (AOR=2.33 (1.35,4.01)), wealth status: poorest (AOR=2.79 (1.66,4.68)), poor (AOR=2.15 (1.29,3.57)), medium (AOR=2.09 (1.25,3.49)), good knowledge of mothers/caregivers on handwashing: (AOR = 0.64 (0.43,0.92)), presence of diarrhea: (AOR = 1.9 (1.23,2.95)), start complementary feeding at six months: (AOR=0.58 (0.39,0.88)), start complementary feeding before six months: (AOR=1.58 (1.07,2.34)), and large family size: (AOR=2.33 (1.70,3.21)). Conclusion: In this study, the prevalence of stunting was high. Being a younger child, living with a large family size, low wealth status, starting complementary feeding before and at 6-months, and diarrhea were provoking factors for stunting. On the other hand, good knowledge of mothers on handwashing during the critical time was associated with a low risk of stunting. Therefore, the nutrition programs need to give focus activities that enhance caregiver’s handwashing knowledge at the critical time and to start complementary feeding at the appropriate age.
{"title":"The Effect of Socioeconomic and Behavioral Factors on Childhood Stunting in Janamora District, Ethiopia","authors":"Yibrie Azmeraw, T. Akalu, M. Boke, K. Gelaye","doi":"10.2147/NDS.S314411","DOIUrl":"https://doi.org/10.2147/NDS.S314411","url":null,"abstract":"Purpose: Globally in 2016, 22.9% of under-five children were stunted. In Ethiopia, the current reduction rate was 2.8%, which was far from the global nutritional target of 2025. However, evidence on the prevalence of stunting and its associated factors in Janamora district was very limited. Therefore, this study aimed to determine the prevalence of stunting and to identify the risk factors among 6–59 months children in Janamora district. Methods: A community-based cross-sectional study was conducted in Janamora district from February to March 2020. A multistage cluster sampling technique was used to select 845 study participants. Data were collected using an interviewer-administered technique from caregivers, and anthropometric measurements were taken from the child. An adjusted odds ratio and a P-value <0.05 were used to declare statistical significance. Results: The prevalence of stunting in this study was 44.9% (95% CI: 41.5, 48.4). The following conditions were significantly affected stunting: age of child 6–11 months (AOR=2.5 (1.18–5.29)), 12–24 months (AOR=3.38 (1.95–5.88)), 24–35 months (AOR=2.33 (1.35,4.01)), wealth status: poorest (AOR=2.79 (1.66,4.68)), poor (AOR=2.15 (1.29,3.57)), medium (AOR=2.09 (1.25,3.49)), good knowledge of mothers/caregivers on handwashing: (AOR = 0.64 (0.43,0.92)), presence of diarrhea: (AOR = 1.9 (1.23,2.95)), start complementary feeding at six months: (AOR=0.58 (0.39,0.88)), start complementary feeding before six months: (AOR=1.58 (1.07,2.34)), and large family size: (AOR=2.33 (1.70,3.21)). Conclusion: In this study, the prevalence of stunting was high. Being a younger child, living with a large family size, low wealth status, starting complementary feeding before and at 6-months, and diarrhea were provoking factors for stunting. On the other hand, good knowledge of mothers on handwashing during the critical time was associated with a low risk of stunting. Therefore, the nutrition programs need to give focus activities that enhance caregiver’s handwashing knowledge at the critical time and to start complementary feeding at the appropriate age.","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46369491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Hassen, M. M. Temesgen, Tefera Alemu Marefiaw, Birtukan Shiferaw Ayalew, Daniel Abebe, Seid Ali Desalegn
Background: Appropriate nutrition during infancy and early childhood is a cornerstone of care for ensuring optimal child growth and development during the first 2 years of life. Globally, about 40% of under two years of age deaths are attributed to inappropriate infant and young child feeding practices. In Ethiopia, a large range of inappropriate feeding practices of mothers during infancy and early childhood were documented. This study aims to assess infant and young child feeding practice status and its determinants among mothers of children aged 6–23 months in Kalu district, Northeast Ethiopia. Methods: Community-based cross-sectional study design was applied from May 1–30/2019. A total of 605 mothers–children pair’s 6–23 months were included in the study using multi-stage sampling followed by a simple random sampling technique. Data were collected using a pretested semi-structured interviewer-administered questionnaire. Bi-variate and multivariable logistic regression were used to assess determinants associated with child feeding practices. Statistical significance was decided at p-value less than 0.05. Results: Of six hundred five (605) sampled mothers having an infant and young child age 6–23 months, 589 were successfully included in the study making a response rate of 97.35%. In our study, the overall proportion of appropriate infant and young child feeding practices was 57.7%. Place of delivery (AOR=1.977; 95% Cl (1.101, 3.552)), mothers’ age being 25–35 years (AOR =2.091; 95% Cl: (1.452, 3.011)) and family size >4 members (AOR=1.873; 95% CI: (1.311, 2.675)) were determinants positively associated with appropriate infant and young child feeding practices in Kalu district at 95% CI. Conclusion: The overall appropriate infant and young child feeding practices were better in general in Kalu district. However, this prevalence is not acceptable to ensure good health and better nutritional status of children. As a result, intervention initiatives should focus on institution delivery services that are crucial to implementing appropriate infant and young child feeding practice. Health facilities need to be strengthened and fully utilized to provide high-quality feeding counseling. Special attention needs to be given to younger mothers, in addition to increasing institution delivery service.
{"title":"Infant and Young Child Feeding Practice Status and Its Determinants in Kalu District, Northeast Ethiopia: Community-Based Cross-Sectional Study","authors":"S. Hassen, M. M. Temesgen, Tefera Alemu Marefiaw, Birtukan Shiferaw Ayalew, Daniel Abebe, Seid Ali Desalegn","doi":"10.2147/NDS.S294230","DOIUrl":"https://doi.org/10.2147/NDS.S294230","url":null,"abstract":"Background: Appropriate nutrition during infancy and early childhood is a cornerstone of care for ensuring optimal child growth and development during the first 2 years of life. Globally, about 40% of under two years of age deaths are attributed to inappropriate infant and young child feeding practices. In Ethiopia, a large range of inappropriate feeding practices of mothers during infancy and early childhood were documented. This study aims to assess infant and young child feeding practice status and its determinants among mothers of children aged 6–23 months in Kalu district, Northeast Ethiopia. Methods: Community-based cross-sectional study design was applied from May 1–30/2019. A total of 605 mothers–children pair’s 6–23 months were included in the study using multi-stage sampling followed by a simple random sampling technique. Data were collected using a pretested semi-structured interviewer-administered questionnaire. Bi-variate and multivariable logistic regression were used to assess determinants associated with child feeding practices. Statistical significance was decided at p-value less than 0.05. Results: Of six hundred five (605) sampled mothers having an infant and young child age 6–23 months, 589 were successfully included in the study making a response rate of 97.35%. In our study, the overall proportion of appropriate infant and young child feeding practices was 57.7%. Place of delivery (AOR=1.977; 95% Cl (1.101, 3.552)), mothers’ age being 25–35 years (AOR =2.091; 95% Cl: (1.452, 3.011)) and family size >4 members (AOR=1.873; 95% CI: (1.311, 2.675)) were determinants positively associated with appropriate infant and young child feeding practices in Kalu district at 95% CI. Conclusion: The overall appropriate infant and young child feeding practices were better in general in Kalu district. However, this prevalence is not acceptable to ensure good health and better nutritional status of children. As a result, intervention initiatives should focus on institution delivery services that are crucial to implementing appropriate infant and young child feeding practice. Health facilities need to be strengthened and fully utilized to provide high-quality feeding counseling. Special attention needs to be given to younger mothers, in addition to increasing institution delivery service.","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46127638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Despite advances in medical management diabetes mellitus (DM), it remains on the rise and it is the major cause of morbidity and mortality. Its etiology is multifactorial involving environmental, genetic and behavioral origins. It is closely linked to sedentary life and inappropriate food intake. Patients with DM should know about the uses of correct nutritional habits, which is the key in the regulation of blood glucose. Despite the promising experimental investigations, currently, the clinical evidence for the usage of omega-3 supplementation for the management of DM and its complications is both conflicting and limited. In this narrative review, I will summarize recent findings about dietary sources, the potential mechanisms, benefits, and practical considerations on omega-3 polyunsaturated fatty acid supplementation for the management of DM. The search of literature for this narrative review was done comprehensively by using appropriate search terms and different electronic databases.
{"title":"Purposeful Review to Identify the Benefits, Mechanism of Action and Practical Considerations of Omega-3 Polyunsaturated Fatty Acid Supplementation for the Management of Diabetes Mellitus","authors":"D. Abdissa","doi":"10.2147/NDS.S298870","DOIUrl":"https://doi.org/10.2147/NDS.S298870","url":null,"abstract":": Despite advances in medical management diabetes mellitus (DM), it remains on the rise and it is the major cause of morbidity and mortality. Its etiology is multifactorial involving environmental, genetic and behavioral origins. It is closely linked to sedentary life and inappropriate food intake. Patients with DM should know about the uses of correct nutritional habits, which is the key in the regulation of blood glucose. Despite the promising experimental investigations, currently, the clinical evidence for the usage of omega-3 supplementation for the management of DM and its complications is both conflicting and limited. In this narrative review, I will summarize recent findings about dietary sources, the potential mechanisms, benefits, and practical considerations on omega-3 polyunsaturated fatty acid supplementation for the management of DM. The search of literature for this narrative review was done comprehensively by using appropriate search terms and different electronic databases.","PeriodicalId":43423,"journal":{"name":"Nutrition and Dietary Supplements","volume":"7 8","pages":""},"PeriodicalIF":1.5,"publicationDate":"2021-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41249821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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