Jemal Kemal, Awol Mukemil
College of Health Sciences, School of Nursing and Midwifery, Salale University, Fitche, Ethiopia.
J Nutr Metab. 2019 May 2;2019:8314359. doi: 10.1155/2019/8314359. eCollection 2019.
Consumption of diversified food during pregnancy found very important and critical to determine healthy pregnancy outcome. Low dietary diversity has a major adverse effect on mothers, fetus, and life of new born. Dietary diversity is still low in low-resourced countries. Therefore, this study aims to determine prevalence of minimum dietary diversity score (MDDS) and associated factors among pregnant women.
Facility-based cross-sectional study was conducted from April to May, 2017, in Alamata General Hospital (AGH). Data were collected using a pretested and structured self-interview questionnaire. A systematic sampling technique was used to select study participants. Binary logistic regression and odds ratio with 95% confidence interval (CI) were carried out to see the association between variables and the outcomes.
From a survey of 412 participants, 61.2% had high MDDS and 38.8% had low MDDS. Multivariate analysis revealed that being government employees (AOR = 4.87, CI: 1.70-13.95), merchant (AOR = 4.67, CI: 1.81-12.05), secured food (AOR = 3.85, CI: 2.12-6.97), and eating three meals and above (AOR = 2.66, CI: 1.47-4.82) were significantly associated with high MDDS among pregnant women.
In our study, minimum dietary diversity shows small increment from previous study. Screening and special emphases should be given by a health-care provider on women diet during antenatal follow-up at health-care settings.
孕期摄入多样化食物对于确保健康的妊娠结局至关重要。低饮食多样性对母亲、胎儿及新生儿的生命均有重大不利影响。在资源匮乏的国家，饮食多样性仍然较低。因此，本研究旨在确定孕妇最低饮食多样性评分（MDDS）的患病率及其相关因素。
于2017年4月至5月在阿拉马塔综合医院（AGH）开展了一项基于机构的横断面研究。使用经过预测试的结构化自填问卷收集数据。采用系统抽样技术选取研究参与者。进行二元逻辑回归分析并计算95%置信区间（CI）的比值比，以观察变量与结局之间的关联。
在对412名参与者的调查中，61.2%的人MDDS较高，38.8%的人MDDS较低。多变量分析显示，政府雇员（调整后比值比[AOR]=4.87，CI：1.70 - 13.95）、商人（AOR = 4.67，CI：1.81 - 12.05）、有保障的食物（AOR = 3.85，CI：2.12 - 6.97）以及一日三餐及以上（AOR = 2.66，CI：1.47 - 4.82）与孕妇较高的MDDS显著相关。
在我们的研究中，最低饮食多样性相较于之前的研究略有增加。在医疗机构进行产前随访时，医护人员应针对女性饮食进行筛查并给予特别关注。
