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Dietary Patterns and Risk of Micronutrient Deficiencies: their Implication for Nutritional Intervention in Ethiopia

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dc.contributor.author Seyoum Keflie, Tibebeselassie
dc.contributor.author Samuel, Aregash
dc.contributor.author Lambert, Christine
dc.contributor.author Nohr, Donatus
dc.contributor.author Biesalsk, Hans Konrad
dc.date.accessioned 2023-01-03T12:07:13Z
dc.date.available 2023-01-03T12:07:13Z
dc.date.issued 2018-01-31
dc.identifier.citation : Keflie TS, Samuel A, Christine L, et al. (2018) Dietary Patterns and Risk of Micronutrient Deficiencies: their Implication for Page 2 of 16 Nutritional Intervention in Ethiopia. J Nutrition Health Food Sci 6(1):1-16 en_US
dc.identifier.uri http://ephispace.ephi.gov.et/xmlui/handle/123456789/523
dc.description.abstract Background: Dietary patterns are the quantities, proportions, variety or combinations of different foods and beverages in diets, and the frequency with which they are habitually consumed. In Ethiopia, information on the dietary patterns and association of the proxies of dietary adequacy and quality with nutritional outcomes is scarce. The aims of this paper were to assess the interactions between dietary patterns, nutritional adequacy, nutritional quality and the risk of micronutrient deficiencies, and to highlight their implications in nutritional interventions. Methods: A community based cross-sectional study was carried out in North Shewa zone of Amhara Regional State, central Ethiopia from December 2014 to February 2015. Multistage sampling techniques were employed to recruit participants and 640 subjects involved in the study. Data were collected using structured and seven-day recall questionnaires. Chi-Square test, Kruskal-Walis test, Spearman correlation, multiple linear and multinomial regression models were used for inferential analyses. Results: The main dietary patterns included cereals, vegetables and legumes. Animal Source Foods (ASF) was consumed by 35.4% of participants. The median (range) of Food Variety Score (FVS) and Diet Diversity Score (DDS) were 16 (8-25) and 3.43 (1.14-5.57), respectively. About 28 % of subjects were malnourished. FVS had a positive correlation with DDS (r=0.502, p<0.001) and Body Mass Index (BMI) (r=0.145, p<0.001). DDS had also a positive correlation with BMI (r= 0.19, p<0.001). Family size and educational status were identified as determinant factors for FVS, but the later had a significant influence on DDS. The risks of vitamin A and iron deficiencies were 60.3% and 86.3%, respectively. The consumption of food groups rich in vitamin A and haem iron were significantly different across FVS and DDS (p<0.05). Conclusions: Dietary inadequacy, poor nutritional quality and high risk of micronutrient deficiencies were identified. These underlined the implications of nutritional interventions in central Ethiopia. Keywords: dietary patterns; micronutrients; FVS; DDS; BMI; Ethiopia Abbreviations: ASF – Animal Source Foods; BMI – Body Mass Index; DDS – Diet Diversity Score; FVS – Food Variety Score; LL – Lower Limit; OR - Odds Ratio; UL – Upper Limit; UNICEF – United Nations Children’s Fund; WHO – World Health Organization en_US
dc.language.iso en en_US
dc.publisher symbiosisonline.org en_US
dc.subject DIETARY PATTERNS en_US
dc.subject MICRONUTRIENTS en_US
dc.subject FVS en_US
dc.subject DDS en_US
dc.subject BMI en_US
dc.title Dietary Patterns and Risk of Micronutrient Deficiencies: their Implication for Nutritional Intervention in Ethiopia en_US
dc.type Journal Article en_US
ep.contributor.affiliation Ph.D. Candidate, Institute of Biological Chemistry and Nutrition (140a), University of Hohenheim, Stuttgart, Germany en_US
ep.contributor.affiliation Researcher, Ph.D. Candidate, Ethiopian Public Health Institute, Gulelle Arbegnoch Street, Gulelle Subcity, Addis Abeba, Ethiopia en_US
ep.contributor.affiliation Scientific staff, Ph.D. Institute of Biological Chemistry and Nutrition (140a), University of Hohenheim, Stuttgart, Germany en_US
ep.contributor.affiliation Professor, Scientific staff, Institute of Biological Chemistry and Nutrition (140a), University of Hohenheim, Stuttgart, Germany en_US
ep.contributor.affiliation Professor of nutritional medicine, former director, Institute of Biological Chemistry and Nutrition (140a), University of Hohenheim, Stuttgart, Germany en_US
ep.identifier.status Open Access en_US
ep.identifier.doi DOI: 10.15226/jnhfs.2018.001120 en_US
ep.journal Journal of Nutritional Health & Food Science en_US


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