School of Public Health, Makerere University, P.O. Box 7072, Kampala, Uganda.
Department of Global Health and Population, Harvard University, Boston, USA.
BMC Public Health. 2020 Apr 19;20(1):534. doi: 10.1186/s12889-020-08669-7.
Globally adolescents constitute over 16% but in SSA, they make up 23% of the population. While little is known about diets of these adolescents, rapid changes in physiological and social processes undergone require adequate diets. This study aimed to determine dietary diversity and associated factors among adolescents residing in the Iganga -Mayuge HDSS.
As part of the African Research, Implementation Science, and Education (ARISE) Network, we analysed collected data among 598 adolescents to assess the health status and adolescents' behaviour. Dietary diversity was scored using the 9 food group categories as per the Food and Agriculture Organization -WDDS. Crude and adjusted prevalence rate ratios were estimated using the modified Poisson regression model to identify associated factors.
Among the participants, 45.3% had a low dietary diversity score. Proportions of adolescents who consumed from the different food categories over a 24-h period were; cereals/roots/tubers (99.7%), fats & oils (87.0%), spices & beverages (84.1%), sweets (77.1%), legumes (66.2%), other non-vitamin A-rich vegetables (53.8%), dark green leafy vegetables (42.3%), meat/poultry/fish (33.1%), dairy products (32.9%), eggs (11.2%), vitamin A-rich fruits and vegetables (33.4%) and other fruits (8.2%). Staying with a single parent or guardian, low socio-economic class, and dependency on home meals was associated with low dietary diversity.
Adolescents diets were low in diversity and characterised with low micronutrients source foods, but plenty of fats and oils. Interventions to address contributing factors to the burden ought to target the parenting contexts of the adolescents residing in rural eastern Uganda.
全球范围内，青少年占比超过 16%，而在撒哈拉以南非洲地区，青少年占比达到 23%。尽管人们对这些青少年的饮食知之甚少，但他们在生理和社会进程方面的快速变化需要充足的饮食。本研究旨在确定居住在伊甘加-马尤盖人口与健康动态监测系统中的青少年的饮食多样性及其相关因素。
作为非洲研究、实施科学和教育（ARISE）网络的一部分，我们分析了 598 名青少年的现有数据，以评估他们的健康状况和青少年行为。饮食多样性采用粮农组织-WDDS 的 9 类食物组进行评分。使用修正后的泊松回归模型估计粗和调整后的患病率比，以确定相关因素。
在参与者中，有 45.3%的人饮食多样性得分较低。在 24 小时内，不同食物类别消费比例如下：谷物/根茎/块茎（99.7%）、脂肪和油（87.0%）、香料和饮料（84.1%）、糖果（77.1%）、豆类（66.2%）、其他非维生素 A 丰富蔬菜（53.8%）、深绿色叶菜（42.3%）、肉类/家禽/鱼类（33.1%）、乳制品（32.9%）、蛋类（11.2%）、维生素 A 丰富的水果和蔬菜（33.4%）和其他水果（8.2%）。与单亲或监护人一起生活、社会经济地位较低以及依赖家庭膳食与低饮食多样性相关。
青少年的饮食多样性较低，以低微量营养素来源的食物为特征，但脂肪和油类食物较多。为了解决导致乌干达农村地区青少年负担的因素，干预措施应针对青少年的父母教养环境。
