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Dietary diversity predicts dietary quality regardless of season in 6–12-month-old infants in south-west Ethiopia

Mekitie Wondafrash Kibebew UGent, Lieven Huybregts, Carl Lachat UGent, Kimberley Bouckaert and Patrick Kolsteren UGent (2016) PUBLIC HEALTH NUTRITION. 19(4). p.2485-2494
abstract
Objective: Simple, cost-effective and convenient instruments like food group-based scores are proposed to assess micronutrient adequacy of children in developing countries. We assessed the predictive ability and seasonal stability of a dietary diversity score (DDS) to indicate dietary quality of infants. Design: A 24 h dietary recall assessment was carried out on a sample of 320 and 312 breast-fed infants aged 6–12 months during harvest (HS) and pre-harvest (PHS) seasons, respectively, in Ethiopia. DDS was calculated based on seven food groups, while mean micronutrient density adequacy (MMDA) was calculated for eight micronutrients. Multiple linear regression models were used to assess the relationship between DDS and MMDA, and differences in nutrient intake between the two seasons. A receiver-operating characteristic curve analysis was performed to derive DDS cut-offs that maximized sensitivity and specificity of assessing dietary quality. Setting: The study was conducted in the catchment of the Gilgel Gibe Field Research Centre of Jimma University, south-west Ethiopia. Results: The mean (sd) DDS for HS and PHS was 2·1 (0·94) and 2·3 (1·1), respectively. The DDS was associated with MMDA (β=0·045, P<0·0001 in HS; β=0·044, P<0001 in PHS). A DDS of ≤2 food groups best predicted ‘low’ MMDA (<50 %) with 84 % and 92 % sensitivity, 36 % and 43 % specificity, and 47 % and 51 % correct classification for the HS and PHS, respectively. Conclusions: DDS is predictive of dietary quality of breast-fed infants. The study supports the use of DDS to indicate inadequate intakes of micronutrients by breast-fed infants in different seasons.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Ethiopia, Dietary diversity, Micronutrient density adequacy, Breast-fed infants, COMPLEMENTARY FOODS, FEEDING PRACTICES, CHILDREN, SIDAMA, MADAGASCAR, HOUSEHOLDS, ADEQUACY, INDEXES, GROWTH, HEALTH
journal title
PUBLIC HEALTH NUTRITION
Public Health Nutr.
volume
19
issue
4
pages
2485 - 2494
Web of Science type
Article
Web of Science id
000384414900001
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
2.326 (2016)
JCR rank
59/176 (2016)
JCR quartile
2 (2016)
ISSN
1368-9800
DOI
10.1017/S1368980016000525
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
7173777
handle
http://hdl.handle.net/1854/LU-7173777
date created
2016-04-04 14:54:59
date last changed
2017-06-14 13:24:22
@article{7173777,
  abstract     = {Objective: Simple, cost-effective and convenient instruments like food group-based scores are proposed to assess micronutrient adequacy of children in developing countries. We assessed the predictive ability and seasonal stability of a dietary diversity score (DDS) to indicate dietary quality of infants.
Design: A 24 h dietary recall assessment was carried out on a sample of 320 and 312 breast-fed infants aged 6--12 months during harvest (HS) and pre-harvest (PHS) seasons, respectively, in Ethiopia. DDS was calculated based on seven food groups, while mean micronutrient density adequacy (MMDA) was calculated for eight micronutrients. Multiple linear regression models were used to assess the relationship between DDS and MMDA, and differences in nutrient intake between the two seasons. A receiver-operating characteristic curve analysis was performed to derive DDS cut-offs that maximized sensitivity and specificity of assessing dietary quality.
Setting: The study was conducted in the catchment of the Gilgel Gibe Field Research Centre of Jimma University, south-west Ethiopia.
Results: The mean (sd) DDS for HS and PHS was 2{\textperiodcentered}1 (0{\textperiodcentered}94) and 2{\textperiodcentered}3 (1{\textperiodcentered}1), respectively. The DDS was associated with MMDA (\ensuremath{\beta}=0{\textperiodcentered}045, P{\textlangle}0{\textperiodcentered}0001 in HS; \ensuremath{\beta}=0{\textperiodcentered}044, P{\textlangle}0001 in PHS). A DDS of \ensuremath{\leq}2 food groups best predicted {\textquoteleft}low{\textquoteright} MMDA ({\textlangle}50 \%) with 84 \% and 92 \% sensitivity, 36 \% and 43 \% specificity, and 47 \% and 51 \% correct classification for the HS and PHS, respectively.
Conclusions: DDS is predictive of dietary quality of breast-fed infants. The study supports the use of DDS to indicate inadequate intakes of micronutrients by breast-fed infants in different seasons.},
  author       = {Wondafrash Kibebew, Mekitie and Huybregts, Lieven and Lachat, Carl and Bouckaert, Kimberley and Kolsteren, Patrick},
  issn         = {1368-9800},
  journal      = {PUBLIC HEALTH NUTRITION},
  keyword      = {Ethiopia,Dietary diversity,Micronutrient density adequacy,Breast-fed infants,COMPLEMENTARY FOODS,FEEDING PRACTICES,CHILDREN,SIDAMA,MADAGASCAR,HOUSEHOLDS,ADEQUACY,INDEXES,GROWTH,HEALTH},
  language     = {eng},
  number       = {4},
  pages        = {2485--2494},
  title        = {Dietary diversity predicts dietary quality regardless of season in 6--12-month-old infants in south-west Ethiopia},
  url          = {http://dx.doi.org/10.1017/S1368980016000525},
  volume       = {19},
  year         = {2016},
}

Chicago
Wondafrash Kibebew, Mekitie, Lieven Huybregts, Carl Lachat, Kimberley Bouckaert, and Patrick Kolsteren. 2016. “Dietary Diversity Predicts Dietary Quality Regardless of Season in 6–12-month-old Infants in South-west Ethiopia.” Public Health Nutrition 19 (4): 2485–2494.
APA
Wondafrash Kibebew, M., Huybregts, L., Lachat, C., Bouckaert, K., & Kolsteren, P. (2016). Dietary diversity predicts dietary quality regardless of season in 6–12-month-old infants in south-west Ethiopia. PUBLIC HEALTH NUTRITION, 19(4), 2485–2494.
Vancouver
1.
Wondafrash Kibebew M, Huybregts L, Lachat C, Bouckaert K, Kolsteren P. Dietary diversity predicts dietary quality regardless of season in 6–12-month-old infants in south-west Ethiopia. PUBLIC HEALTH NUTRITION. 2016;19(4):2485–94.
MLA
Wondafrash Kibebew, Mekitie, Lieven Huybregts, Carl Lachat, et al. “Dietary Diversity Predicts Dietary Quality Regardless of Season in 6–12-month-old Infants in South-west Ethiopia.” PUBLIC HEALTH NUTRITION 19.4 (2016): 2485–2494. Print.