Shaun Md Mahbubul Alam, Nizum Md Wahidur Rahman, Shuvo Md Asaduzzaman, Fayeza Fahmida, Faruk Md Omar, Alam Md Fakrul, Hawlader Mohammad Delwer Hossain, Mali Sujan Kanti
Department of Biochemistry and Food Analysis, Faculty of Nutrition and Food Science, Patuakhali Science and Technology University, Dumki, 8602, Patuakhali, Bangladesh.
Department of Public Health, School of Health and Life Sciences, North South University, Dhaka, 1229, Bangladesh.
Heliyon. 2022 Dec 30;9(1):e12776. doi: 10.1016/j.heliyon.2022.e12776. eCollection 2023 Jan.
Breastfeeding requires additional diversified foods for the nutritional requirements of mothers and children, especially in preventing micronutrient deficiencies. The minimum dietary diversity for women (MDD-W) is a proxy indicator of micronutrient adequacy for women.
This study aimed to identify the determinants associated with MDD in lactating women.
A community-based cross-sectional study was conducted among lactating mothers having at least one live birth in last three years from two districts of Bangladesh between 31 May 2021 and 9 June 2021. Dietary and socio-demographic information was obtained using a single 24-h recall and socio-economic status questionnaires. MDD was defined as at least four food groups consumed in the last 24 hours. In binary logistic regression, adjusted models were used to assess the relationship between MDD and socio-economic factors.
The mean Dietary Diversity Score (DDS) was 3.9 ± 1.2. The MDD was met by 29.7% of women. Respondent's ages 20-24 years [Adjusted Odds Ratio (AOR) = 0.5; 95% CI: 0.3-0.9], 25-34 years [AOR = 0.5; 95% CI: 0.3-0.8], and 35-49 years [AOR = 0.5; 95% CI: 0.2-0.9], husband's academic qualifications more than 12 years [AOR = 1.9; 95% CI: 1.0-3.7], family income more than 15000 BDT per month [AOR = 2.3; 95% CI: 1.2-4.3], and husband's profession as a day labor [AOR = 0.5; 95% CI: 0.3-0.7] were significant factors to have MDD.
DDS and MDD were very poor among the mothers, whereas women's age, husband's education, and the family's monthly income were independent determinants of MDD. Special interventions may be needed to improve MDD.
母乳喂养需要额外的多样化食物来满足母亲和儿童的营养需求，尤其是在预防微量营养素缺乏方面。妇女的最低饮食多样性（MDD-W）是衡量妇女微量营养素充足程度的一个替代指标。
本研究旨在确定与哺乳期妇女MDD相关的决定因素。
2021年5月31日至2021年6月9日，在孟加拉国两个地区对过去三年至少生育过一个活产婴儿的哺乳期母亲进行了一项基于社区的横断面研究。通过单一的24小时回顾法和社会经济状况问卷获取饮食和社会人口学信息。MDD定义为过去24小时内摄入至少四个食物组。在二元逻辑回归中，使用调整模型评估MDD与社会经济因素之间的关系。
平均饮食多样性得分（DDS）为3.9±1.2。29.7%的妇女达到了MDD。年龄在20-24岁的受访者[调整优势比（AOR）=0.5；95%置信区间：0.3-0.9]、25-34岁的受访者[AOR=0.5；95%置信区间：0.3-0.8]和35-49岁的受访者[AOR=0.5；95%置信区间：0.2-0.9]，丈夫学历超过12年[AOR=1.9；95%置信区间：1.0-3.7]，家庭月收入超过15000孟加拉塔卡[AOR=2.3；95%置信区间：1.2-4.3]，以及丈夫为日工[AOR=0.5；95%置信区间：0.3-0.7]是具有MDD的显著因素。
母亲们的DDS和MDD非常低，而妇女的年龄、丈夫的教育程度和家庭月收入是MDD的独立决定因素。可能需要采取特殊干预措施来改善MDD。
