Department of Public Health, School of Health Sciences, Madda Walabu University, Goba, Ethiopia.
Nutrition and Dietetics Department, Faculty of Public Health, Jimma University, Jimma, Ethiopia.
Sci Rep. 2024 Aug 24;14(1):19706. doi: 10.1038/s41598-024-70861-1.
Maternal malnutrition is pervasive throughout the world, notably in sub-Saharan Africa (SSA), including Ethiopia. This study aimed to assess the effect of nutrition education on the nutritional status of pregnant women in urban settings in Southeast Ethiopia. A community-based two-arm parallel cluster randomized controlled trial was conducted among 447 randomly selected pregnant women attending antenatal care (224 intervention and 223 control). We used a multistage cluster sampling technique followed by systematic sampling to select the pregnant women. Pregnant women who participated in the intervention arm received six nutrition education sessions. Women in the control group received standard care. A nonstretchable mid-upper arm circumference (MUAC) tape was used to measure the MUAC. A linear mixed effects model (LMM) was used to evaluate the effect of the intervention on MUAC, accounting for the clustering. The net mean ± standard error of MUAC between the intervention and control groups was 0.59 ± 0.05 (P < 0.0001). The multivariable LMM indicated that having received nutrition education interventions (β = 0.85, 95% CI 0.60, 1.12, P < 0.0001) improved the MUAC measurement of pregnant women. Thus, nutrition education during pregnancy will combat undernutrition among pregnant women.Trial Registration: Clinicaltrials.gov (PACTR202201731802989), retrospectively registered on 24/01/2022.
孕产妇营养不良在全世界普遍存在，特别是在撒哈拉以南非洲（SSA），包括埃塞俄比亚。本研究旨在评估营养教育对埃塞俄比亚东南部城市孕妇营养状况的影响。在东南埃塞俄比亚，对 447 名随机选择的孕妇进行了基于社区的两臂平行集群随机对照试验（224 名干预组和 223 名对照组）。我们使用多阶段聚类抽样技术和系统抽样来选择孕妇。参加干预组的孕妇接受了六次营养教育课程。对照组的女性接受标准护理。使用不可拉伸的上臂中部周长（MUAC）带测量 MUAC。线性混合效应模型（LMM）用于评估干预对 MUAC 的影响，同时考虑了聚类。干预组和对照组之间 MUAC 的净平均 ± 标准误差为 0.59 ± 0.05（P < 0.0001）。多变量 LMM 表明，接受营养教育干预（β = 0.85，95%CI 0.60，1.12，P < 0.0001）改善了孕妇的 MUAC 测量值。因此，孕期营养教育将有助于对抗孕妇的营养不良。试验注册：Clinicaltrials.gov（PACTR202201731802989），于 2022 年 1 月 24 日进行了回顾性注册。
