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Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal.
Public Health Nutr. 2015 Dec; 18(17):3201-10.PH

Abstract

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.

Authors+Show Affiliations

1Oslo and Akershus University College of Applied Sciences,PO Box 4,St. Olavs Plass,0130 Oslo,Norway.1Oslo and Akershus University College of Applied Sciences,PO Box 4,St. Olavs Plass,0130 Oslo,Norway.2Department of Nutrition,Harvard School of Public Health,Boston,MA,USA.4Centre for International Health,University of Bergen,Bergen,Norway.2Department of Nutrition,Harvard School of Public Health,Boston,MA,USA.5Department of Child Health,Institute of Medicine,Tribhuvan University,Kathmandu,Nepal.4Centre for International Health,University of Bergen,Bergen,Norway.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25824344

Citation

Henjum, Sigrun, et al. "Low Dietary Diversity and Micronutrient Adequacy Among Lactating Women in a Peri-urban Area of Nepal." Public Health Nutrition, vol. 18, no. 17, 2015, pp. 3201-10.
Henjum S, Torheim LE, Thorne-Lyman AL, et al. Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal. Public Health Nutr. 2015;18(17):3201-10.
Henjum, S., Torheim, L. E., Thorne-Lyman, A. L., Chandyo, R., Fawzi, W. W., Shrestha, P. S., & Strand, T. A. (2015). Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal. Public Health Nutrition, 18(17), 3201-10. https://doi.org/10.1017/S1368980015000671
Henjum S, et al. Low Dietary Diversity and Micronutrient Adequacy Among Lactating Women in a Peri-urban Area of Nepal. Public Health Nutr. 2015;18(17):3201-10. PubMed PMID: 25824344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Low dietary diversity and micronutrient adequacy among lactating women in a peri-urban area of Nepal. AU - Henjum,Sigrun, AU - Torheim,Liv Elin, AU - Thorne-Lyman,Andrew L, AU - Chandyo,Ram, AU - Fawzi,Wafaie W, AU - Shrestha,Prakash S, AU - Strand,Tor A, Y1 - 2015/03/31/ PY - 2015/4/1/entrez PY - 2015/4/1/pubmed PY - 2016/8/24/medline KW - Dietary diversity KW - Lactating women KW - Micronutrient adequacy KW - Peri-urban Nepal SP - 3201 EP - 10 JF - Public health nutrition JO - Public Health Nutr VL - 18 IS - 17 N2 - 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. SN - 1475-2727 UR - https://www.unboundmedicine.com/medline/citation/25824344/Low_dietary_diversity_and_micronutrient_adequacy_among_lactating_women_in_a_peri_urban_area_of_Nepal_ L2 - https://www.cambridge.org/core/product/identifier/S1368980015000671/type/journal_article DB - PRIME DP - Unbound Medicine ER -