Wubetie Biruk Yazie, Mekonen Tigist Kefale
College of Agriculture and Environmental Science Bahir Dar University Bahir Dar Ethiopia.
College of Agriculture and Natural resources Debre Markos University Debre Markos Ethiopia.
Food Sci Nutr. 2022 Dec 12;11(3):1383-1393. doi: 10.1002/fsn3.3176. eCollection 2023 Mar.
Undernutrition is continued to be significant public health problem worldwide. The extra calories and nutrients required to support breastfeeding make lactating mothers at higher risk of malnutrition than general population. Undernourished lactating mothers have also been found to influence both the quantity and quality of breast milk and then the nutritional and health status of their offspring. Different evidence showed that undernutrition among lactating mothers is a serious public health problem in Ethiopia in which one of every four lactate mothers are undernourished. Despite this fact, the prevalence of undernutrition among lactating women in Ethiopian was not well investigated and very limited number of studies are conducted. This study aims to assess the prevalence of undernutrition and associated factors among lactating mothers in rural Yilmana Densa District, Northwest Ethiopia. A community-based cross-sectional study was conducted among 428 lactating mothers. The data were collected by using interviewers administered structured questionnaire; and also, anthropometric measurements were taken from the study participants. Binary logistic regression model was undertaken to identify significantly associated factors with undernutrition. The prevalence of undernutrition among lactating mothers was 22.6%. Household income, food security status, dietary diversity score, number of meals, potable water source, and latrine facility were found to be significantly associated with undernourishment of lactating mothers. A significant proportion of lactating mothers in the district suffered from undernutrition and hence, to improve nutritional status of lactating mothers, strategies should focus on nutrition counseling, advancing diversified production and consumption, improvement of access to potable water and latrine, as well as effective household food security interventions.
营养不良仍然是全球范围内严重的公共卫生问题。母乳喂养所需的额外热量和营养物质使哺乳期母亲比普通人群面临更高的营养不良风险。研究发现,营养不良的哺乳期母亲会影响母乳的数量和质量,进而影响其后代的营养和健康状况。不同的证据表明,在埃塞俄比亚,哺乳期母亲的营养不良是一个严重的公共卫生问题,每四位哺乳期母亲中就有一位营养不良。尽管如此,埃塞俄比亚哺乳期妇女营养不良的患病率尚未得到充分调查,相关研究数量也非常有限。本研究旨在评估埃塞俄比亚西北部伊尔马纳丹萨区农村哺乳期母亲的营养不良患病率及相关因素。对428名哺乳期母亲进行了一项基于社区的横断面研究。通过访谈员管理的结构化问卷收集数据;此外,还对研究参与者进行了人体测量。采用二元逻辑回归模型来确定与营养不良显著相关的因素。哺乳期母亲的营养不良患病率为22.6%。家庭收入、粮食安全状况、饮食多样性得分、用餐次数、饮用水源和厕所设施被发现与哺乳期母亲的营养不良显著相关。该地区相当一部分哺乳期母亲患有营养不良,因此,为改善哺乳期母亲的营养状况,策略应侧重于营养咨询、促进多样化生产和消费、改善饮用水和厕所的获取,以及有效的家庭粮食安全干预措施。