Mekonen Enyew Getaneh, Ali Mohammed Seid, Workneh Belayneh Shetie
Department of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Eur J Pediatr. 2025 Jan 30;184(2):164. doi: 10.1007/s00431-025-05995-z.
Poor consumption of fruits and vegetables is associated with an increased risk of non-communicable diseases, micronutrient deficiency, and undernutrition. Fruit and vegetable consumption is generally low worldwide, particularly in rural regions of many low- and middle-income countries. This study aimed to determine the prevalence and determinants of zero vegetable or fruit consumption among children aged 6 to 23 months in Kenya using the most recent Kenya Demographic and Health Survey. A cross-sectional study was employed using data from the most recent nationally representative KDHS 2022. A weighted sample of 2,965 children aged between 6 to 23 months who were living with their mother was included in the study. Data extracted from the KDHS 2022 data sets were cleaned, recoded, and analyzed using STATA/SE version 14.0 statistical software. Multilevel logistic regression was used to determine the factors associated with the dependent variable. Finally, variables with a p-value less than 0.05 were declared statistically significant. The proportion of zero vegetable or fruit consumption among children aged 6 to 23 months in Kenya was 45.50% (95% CI: 43.71%-47.30%). Factors like maternal education [AOR = 0.59; 95% CI (0.37, 0.93)], maternal occupation [AOR = 0.60; 95% CI (0.47, 0.76)], media exposure [AOR = 0.59; 95% CI (0.43, 0.80)], wealth index [AOR = 0.68; 95% CI (0.49, 0.95)], place of delivery [AOR = 0.69; 95% CI (0.51, 0.94)], number of ANC visits [AOR = 1.30; 95% CI (1.05, 1.62)], child's age [AOR = 0.30; 95% CI (0.21, 0.41)], community media exposure [AOR = 0.30; 95% CI (0.21, 0.41)], community literacy [AOR = 0.29; 95% CI (0.20, 0.43)], and community poverty [AOR = 1.46; 95% CI (1.04, 2.05)] were significantly associated with zero vegetable or fruit consumption.
The proportion of zero vegetable or fruit consumption among children aged 6 to 23 months in Kenya was high. Zero vegetable or fruit consumption was significantly associated with maternal education, maternal occupation, media exposure, wealth index, place of delivery, number of ANC visits, child's age, community media exposure, community literacy, and community poverty. Giving attention to jobless, media-non-exposed mothers, poor wealth status, who gave birth at home, who had no formal education, attended < 4 ANC visits, and children aged 6 to 8 months is recommended.
• Dietary recommendations for fruit and vegetable consumption were not met by many children in low and middle-income countries.
• The proportion of zero vegetable or fruit consumption among children aged 6 to 23 months in Kenya was high.
水果和蔬菜摄入量不足与非传染性疾病、微量营养素缺乏及营养不良风险增加有关。全球范围内，水果和蔬菜的摄入量普遍较低，在许多低收入和中等收入国家的农村地区尤其如此。本研究旨在利用最新的肯尼亚人口与健康调查来确定肯尼亚6至23个月大儿童中完全不食用蔬菜或水果的比例及其影响因素。采用横断面研究方法，使用来自2022年全国代表性的肯尼亚人口与健康调查（KDHS）的数据。研究纳入了2965名与母亲同住的6至23个月大儿童的加权样本。从KDHS 2022数据集中提取的数据经过清理、重新编码，并使用STATA/SE 14.0统计软件进行分析。采用多水平逻辑回归来确定与因变量相关的因素。最后，p值小于0.05的变量被判定具有统计学意义。肯尼亚6至23个月大儿童中完全不食用蔬菜或水果的比例为45.50%（95%置信区间：43.71%-47.30%）。母亲教育程度[AOR = 0.59；95%置信区间（0.37，0.93）]、母亲职业[AOR = 0.60；95%置信区间（0.47，0.76）]、媒体接触情况[AOR = 0.59；95%置信区间（0.43，0.80）]、财富指数[AOR = 0.68；95%置信区间（0.49，0.95）]、分娩地点[AOR = 0.69；95%置信区间（0.51，0.94）]、产前检查次数[AOR = 1.30；95%置信区间（1.05，1.62）]、儿童年龄[AOR = 0.30；95%置信区间（0.21，0.41）]、社区媒体接触情况[AOR = 0.30；95%置信区间（0.21，0.
