Kundu Satyajit, Sayeed Abu, Azene Abebaw Gedef, Rezyona Humayra, Banna Md Hasan Al, Khan Md Shafiqul Islam
Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
Department of Post-Harvest Technology and Marketing, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Patuakhali, Bangladesh.
Curr Dev Nutr. 2022 Jun 25;6(8):nzac109. doi: 10.1093/cdn/nzac109. eCollection 2022 Aug.
Dietary diversity (DD) is a key component of diet quality, and malnutrition due to poor diet quality leads to child morbidity and mortality. However, in Bangladesh, there is a lack of information on childhood DD (for children aged 6-59 mo) amid the coronavirus disease 2019 (COVID-19) pandemic.
The purpose of this study was to assess the minimum DD and its associated factors among children aged 6-59 mo during the COVID-19 pandemic in Bangladesh.
A cross-sectional study was carried out in 6 districts of Bangladesh. A total of 1190 respondents were included using cluster random sampling. The Individual Dietary Diversity Score (IDDS) for children was used to assess the children's DD. Factors associated with DD of children were identified using a multilevel binary logistics regression model.
About 70% of the children aged 6-59 mo had minimum DD during the COVID-19 pandemic in Bangladesh. Children who belonged to slum areas [adjusted odds ratio (AOR): 0.45; 95% CI: 0.24, 0.83], family income 12,000-15,000 Bangladeshi taka (BDT) (AOR: 1.79; 95% CI: 1.06, 3.05) and >15,000 BDT (AOR: 2.59; 95% CI: 1.47, 4.57), mothers aged 26-30 y (AOR: 0.35; 95% CI: 0.20, 0.62) and >30 y (AOR: 0.43; 95% CI: 0.22, 0.85), respondents who had 2 children <5 y old (AOR: 0.43; 95% CI: 0.28, 0.66), and children aged 12-23 mo (AOR: 1.89; 95% CI: 1.14, 3.20) were significantly associated with DD among children aged 6-59 mo.
The findings of this study highlight the need for food and nutrition-related intervention, particularly targeting mothers of younger age and with >2 children <5 y old, mothers from slum regions, and fathers who were unemployed, to improve children's DD practices.
饮食多样性是饮食质量的关键组成部分，饮食质量差导致的营养不良会引发儿童发病和死亡。然而，在孟加拉国，2019年冠状病毒病（COVID-19）大流行期间缺乏关于儿童（6至59个月大）饮食多样性的信息。
本研究的目的是评估孟加拉国COVID-19大流行期间6至59个月大儿童的最低饮食多样性及其相关因素。
在孟加拉国6个地区开展了一项横断面研究。采用整群随机抽样法共纳入1190名受访者。使用儿童个体饮食多样性评分（IDDS）来评估儿童的饮食多样性。采用多水平二元逻辑回归模型确定与儿童饮食多样性相关的因素。
在孟加拉国COVID-19大流行期间，约70%的6至59个月大儿童的饮食多样性处于最低水平。居住在贫民窟地区的儿童[调整比值比（AOR）：0.45；95%置信区间（CI）：0.24，0.83]、家庭收入为12,000 - 15,000孟加拉塔卡（BDT）的儿童（AOR：1.79；95%CI：1.06，3.05）以及家庭收入>15,000 BDT的儿童（AOR：2.59；95%CI：1.47，4.57）、年龄在26 - 30岁的母亲（AOR：0.35；95%CI：0.20，0.62）以及年龄>30岁的母亲（AOR：0.43；95%CI：0.22，0.85）、家中有2名5岁以下儿童的受访者（AOR：0.43；95%CI：0.28，0.66）以及年龄在12 - 23个月的儿童（AOR：1.89；95%CI：1.14，3.20）与6至59个月大儿童的饮食多样性显著相关。
本研究结果强调需要开展与食物和营养相关的干预措施，特别是针对年龄较小且有2名5岁以下儿童的母亲、来自贫民窟地区的母亲以及失业父亲，以改善儿童的饮食多样性状况。
