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建议在印度家庭和个人层面扩大饮食多样性数据。

Recommendations to scale up dietary diversity data at household and individual level in India.

机构信息

Indian Institute of Health Management Research (IIHMR), Bangalore, Karnataka, 560105, India.

International Institute for Population Sciences (IIPS), Mumbai, 400088, India.

出版信息

Diabetes Metab Syndr. 2021 Nov-Dec;15(6):102310. doi: 10.1016/j.dsx.2021.102310. Epub 2021 Oct 7.

Abstract

BACKGROUND AND AIMS

An attempt to recommend scale up of dietary diversity data at household and individual level for improving the food and nutrition security, the study was conducted with the objective to explore the dietary diversity (DD) and its associated risk factors among reproductive age women in India.

METHODOLOGY

A total of 5,48,806 women aged 15-49 years were asked how often they consume various types of food groups (daily, weekly, occasionally, or never). Association between adequate DD and its covariates such as individual and household were measured by using logistic regression.

RESULTS

Most of the population consumed dark green leafy vegetables, milk/curd and pulses/beans. Only 1.7% of women consumed diet with adequate diversity or five or more food groups. Women's educations, gestation status, wealth status, sex of household head, household size, religion, place of residence and land ownership were significantly associated with adequate DD. The percentages of population with adequate DD varies from 7% to <1% in different states of India which shows that good-quality-diet is a major issue in entire country.

CONCLUSION

There is an urgent need of programs focused on availability of food with maximum diversity at minimum cost in order to reduce maternal and child mortality in India. To reduce geographic variation in achieving adequate DD, new approaches are required in developing multiple interventions to address major preventable causes of DD. Individual state government should also take serious measure to improve the consumption of variety of food groups.

摘要

背景和目的

为了提高食物和营养安全,尝试推荐在家庭和个人层面扩大饮食多样性数据,本研究旨在探讨印度育龄妇女的饮食多样性(DD)及其相关危险因素。

方法

共有 548806 名 15-49 岁的妇女被问及她们食用各种食物组的频率(每天、每周、偶尔或从不)。使用逻辑回归来衡量充足的 DD 与其个体和家庭等协变量之间的关联。

结果

大多数人食用深绿色叶菜、牛奶/凝乳和豆类。只有 1.7%的女性饮食多样化或食用五种或更多种食物。妇女的教育程度、妊娠状况、财富状况、户主性别、家庭规模、宗教、居住地和土地所有权与充足的 DD 显著相关。具有充足 DD 的人口比例在印度不同邦从 7%到<1%不等,这表明优质饮食是整个国家的一个主要问题。

结论

印度迫切需要关注以最低成本提供最大多样性食物的项目,以降低母婴死亡率。为了减少实现充足 DD 的地域差异,需要开发多种干预措施来解决 DD 的主要可预防原因。邦政府也应该采取认真措施,改善对各种食物组的消费。

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