جستجوی مقالات مرتبط با کلیدواژه "dietary diversity" در نشریات گروه "پزشکی"
-
In order to combat malnutrition and micronutrient deficiencies, Nutrition Sensitive Agriculture (NSA) gives nutrient-dense foods, dietary diversity, and food fortification the highest priority. This micro-intervention project's goal is to increase home-gardening system's contribution to raising women's dietary diversity score (WDDS) by diversifying family farming practices.
MethodsIn Ethiopia's Boru-Meda Kebele, The authors applied the intervention to 40 specifically chosen female beneficiaries between the ages of 15 and 49. FAO's standardized questionnaire was used as a tool to conduct an initial and end-line dietary diversity survey by giving careful consideration to cultural and religious elements. The qualitative information was also gathered using case studies, key informant interviews, and focus group discussions.
ResultsThe local population's diet was dominated by staple cereal crops, and women were less knowledgeable about home gardening and diverse diets. Before intervention, the average number of food groups produced and consumed was 2.63±1.00 and 3.68±1.16 respectively. The intervention enhanced the WDDS to 6.13±0.76, and the production diversity to 5.63±0.90. The intervention changed the community's consumption and production patterns, especially among women.
ConclusionHome-garden agriculture helps to increase WDDS. As a result, development partners must concentrate on farming system diversification by increasing the accessibility of vegetable seeds and educating local farmers about the contribution of diversified vegetable production and consumption. Strengthening the cooperation among stakeholders and maintaining monitoring of activities should also be given due emphasis
Keywords: Dietary diversity, Diversified production, Home garden agriculture, Nutrition sensitive agriculture, Women dietary diversity -
BackgroundDietary diversity indicates diet quality and can be linked to health and nutritional outcomes. Minimum dietary diversity for women (MDD-W) is a proxy indicator for food security and micronutrients in diets of women aged 15-49. This study assessed dietary diversity and its determinants among semi-urban Bangladeshi women of reproductive age in Cumilla District.MethodsIn a cross-sectional survey, 391 households (372 estimated sample size) were randomly enrolled. A semi-structured questionnaire collected demographic, socioeconomic, and dietary data. Within each household, a married woman (15-49 years) provided the data on nutrition knowledge and dietary practices. Dietary quality was assessed using the minimum dietary diversity for women (MDD-W).ResultsThe average MDD-W score was 5.2±1.9. About 56.5% of women fulfilled adequate MDD-W. Regression analysis showed that the monthly household income and having knowledge about a balanced diet were the determinants of MDD-W. Women in households that had a monthly income of BDT 10,000 to 20,000 were 75% less likely (aOR 0⋅25, CI 0⋅11, 0⋅61) to meet the MDD-W than the households that had a monthly income more than BDT 30,000, while women who had knowledge about a balanced diet were 1.57 times more likely (aOR 1.57, CI 1.02, 2.44) of achieving the MDD-W than who had no knowledge about a balanced diet.ConclusionIt was shown that having knowledge about a balanced diet and higher household income increases the MDD-W.Keywords: Dietary diversity, women, Nutrition, Food security, Bangladesh
-
Background
To contribute to the fight against malnutrition among women of reproductive age, this study aimed to evaluate the quality of food and the nutritional status of pregnant and lactating women.
MethodsThis cross-sectional study was conducted from June 2018 to September 2018 to explore the frequency and distribution of the dietary, socioeconomic, and health characteristics of pregnant and lactating women as well as their nutritional status. The target population consisted of 124 pregnant women and 118 nursing women age between 15 to 49 years.
ResultsThe prevalence of acute malnutrition was 30.9% among women in general, 1.6% with severe malnutrition according to the mid-upper arm circumference (MUAC). In terms of the body mass index (BMI), the prevalence of malnutrition among lactating women was 13.5%; 10.5% with moderate malnutrition and 3.5% with severe malnutrition. The women aged between 15 to 49 years had poor dietary diversity. The mean dietary diversity score (DDS) was estimated at 4.14±0.86. This score was 4.19±0.87 in pregnant women and 4.09 ± 0.85 in lactating women. However, no statistically significant difference was observed between them (P = 0.20 and OR = 0.82) [0.4; 1.4]. A substantial proportion (19.8%) of women had a low DDS (< 5), with a rate of 16.9% among pregnant women and 22.9% among lactating women.
ConclusionThis study revealed the presence of food and nutrition insecurity in semi-urban areas, particularly in "undeveloped" areas. Improving the living conditions of the populations in these localities, in parallel with nutritional education actions, could help to reduce the disease.
Keywords: Malnutrition, Dietary diversity, Pregnancy, Lactating women -
Diversity in food consumption is a qualitative measure in food consumption and illustrates the household access to various types of food and is also an indicator of the quality of consumed food. The consumption of a variety of foods is expected to fulfll all the nutrients needed in everyday life, and is an important factor to determine the nutritional status. Nutritional problems experienced by children under fve years old (toddlers) are the impact of malnutrition in everyday life of these children. The effect of nutrient defciency due to low food variation was shown to cause low birth weight, under-nutrition, malnutrition, stunting and various other nutritional problems. So this review aimed to describe the relationship between dietary diversity and nutritional status in children under five years old in Indonesia.
Keywords: Dietary diversity, Nutritional status, children, Indonesia -
سابقه و هدف
اضطراب یکی از مشکلات و ناراحتی های روان شناختی خصوصا در نوجوانان می باشد که در عصر حاضر از علل ناتوانی جامعه به شمار می رود. امتیاز تنوع غذایی معیاری مهم برای کفایت دریافت غذایی در نوجوانان بوده و پیش بینی کننده خوبی برای بیماری های مزمن است و ارتباط آن با بیماری های روان شناختی مورد توجه قرار گرفته است. هدف از این مطالعه بررسی همبستگی امتیاز تنوع غذایی با اضطراب در نوجوانان می باشد.
مواد و روش هااین مطالعه به صورت یک مطالعه مقطعی-تحلیلی روی 412 نفر از دانش آموزان دبیرستان های دولتی دخترانه شهر بابل با روش نمونه گیری تصادفی ساده انجام شد. اطلاعات اقتصادی- اجتماعی با پرسشنامه اطلاعات عمومی و امتیاز تنوع رژیم غذایی با پرسشنامه 24 ساعته یادآمد غذایی و فعالیت بدنی از طریق پرسشنامه MET ،محاسبه گردید. جهت تعیین اضطراب نوجوانان از پرسشنامه DASS-42، و برای تمام تحلیل های آماری از نرم افزار SPSS (version 24) استفاده شد.
یافته هااین پژوهش نشان داد، میزان شیوع اضطراب به 9/51% بود و امتیاز تنوع غذایی به طور معنی داری با اضطراب (0001/0>p) ارتباط داشت.
نتیجه گیریافزایش امتیاز تنوع غذایی، با افزایش کیفیت تغذیه نوجوانان و کاهش بروز اضطراب در نوجوانان ارتباط دارد.
کلید واژگان: امتیاز تنوع غذایی, اضطراب, نوجوانانBackground and ObjectivesAdolescence is the period of rapid growth, alterations in body composition and psychosocial development. Adolescents, who eat well and participate in daily physical activities, live a healthy life. A healthy lifestyle promotes optimal growth and better performance at school and work and minimizes the risk of nutrient-linked chronic diseases. The purpose of this study was to determine dietary diversity, and its relation to anxiety among adolescent high school girls.
Materials & MethodsThis study was a cross-sectional study, which was designed based on the update of HEI-2015. The study population included 412 high schoolgirls aged 11–17. Data of diet, sociodemographic and anthropometric characteristics were collected. Dietary diversity score (DDS) and anthropometric characteristics of the girls were measured. Furthermore, DASS-42 questionnaire was used to report the adolescents who suffered from anxiety. Relationships between DDS and anxiety were assessed.
ResultsThis study showed that DDS included an inverse correlation with anxiety in adolescents. In students who were healthy, DDS was greater than that in participants with anxiety (p < 0.0001).
ConclusionDietary diversity could be inversely associated with anxiety in adolescence. So that by increasing dietary diversity score, the degree of anxiety was lower. Further prospective investigations are needed to confirm this finding.
Keywords: Dietary diversity, Anxiety, Adolescents -
IntroductionDietary diversity score (DDS) and Food variety score (FVS) are the appropriate measures used to evaluate the overall quality of dietary patterns. However, their associations with the serum levels of micronutrients remain unclear. The present study aimed to investigate the correlations between DDS/FVS and serum ferritin and magnesium status in the non-athlete females joining the sports clubs in Tehran, Iran.MethodsThis cross-sectional survey was conducted on 397 non-athlete women, who were members of the sports clubs in Tehran, Iran in 2013. Dietary intake was assessed using a 24-hour recall questionnaire. DDS and FVS were calculated and classified into two groups based on the guidelines of the minimum dietary diversity of women (MDD-W) and median, respectively. Serum ferritin was measured using the ELISA assay, and serum magnesium was measured using atomic absorption spectrophotometry.ResultsMean DDS and FVS was 5.7±1.4 (range: 2-9) and 15.3±4.7 (range: 5-32), respectively. After adjustment for the confounding factors, serum magnesium in the group with high FVS was significantly higher compared to the other group (P=0.01). In the group with high FVS, serum ferritin was also higher, and the difference was considered significant (P=0.058). In addition, linear regression analysis indicated a significant association between high FVS and serum magnesium level (P=0.02). However, no significant correlations were observed between the serum levels of micronutrients and DDS.ConclusionAccording to the results, higher FVS may be associated with higher serum magnesium and ferritin levels. Further investigations are required to assess the correlations between DDS, FVS, and the status of serum micronutrients.Keywords: Dietary Diversity, Food Variety, Ferritin, magnesium, Micronutrient
-
Backgroun: The increasing variety of foods and food groups in the diet helps to ensure adequate intake of essential nutrients and promotes good health. The main objective was to determine the diet quality of women, infants, and young children in agricultural mitigation period of Burkina Faso.MethodsA 24-h dietary open recall was used to collect all foods taken by women, infants, and young children in Centre-West region of Burkina Faso. The dietary diversity (DD) score was equal to the number of consumed food groups for infants (6-23 months) according to WHO recommendations and for women and young children (24-59 months) according to food and agriculture organization (FAO). Three DD classes were determined for the individual average DD. For each DD class, food consumption profile was determined by food items or groups consumed by at least 50 percent of women, infants, and young children according to FAO guide.ResultsThe study was conducted among 971 women, 419 infants, and 189 young children. Regarding the dietary diversity score (DDS), 16.3, 39.2, and 44.5 percent of women and 12.7, 49.7, and 37.6 percent of young children had low (< 5), average (= 5), and high (> 5) rates, respectively. Furthermore, DDS was low (< 4), average (= 4) and high (> 4) in 22.9, 12.6, and 64.4 percent of infants, respectively. The consumption rates of roots/tubers, dairy products, eggs, and fruits were very low regardless of the women, infants, and young children DDS in times of agricultural mitigation.ConclusionThe diet of women and young children was a little more diversified compared to infants.Keywords: Food, Women, Children, Dietary diversity
-
BackgroundThe prevalence of obesity in the world shows the impact of environmental factors such as sex, marital status, and changes in eating patterns as well as the replacement of high-fat diets rather than healthy diets.ObjectivesThe aim of this study was to investigate the relationship between dietary diversity score, general obesity, and abdominal obesity among female athlete students of Mazandaran University of Medical Science.MethodsIn this cross-sectional study, 143 healthy amateur athletes aged 18 to 28 years old were randomly selected as female students. The usual food intake was evaluated using a 24-hour recall questionnaire for three consecutive days. Dietary scores were calculated based on scores of five food groups. Weight, height, waist circumference, and hip circumference were measured based on standard methods. Data were analyzed using descriptive statistics and inferential statistics. Pearson correlation coefficient and linear regression were used.ResultsThere was an inverse and significant relationship between the dietary diversity score and general and abdominal obesity in amateur female students (P ≤ 0.05).ConclusionsThere is an inverse and significant relationship between the adherence to a high-diversity diet and obesity patterns. Finding dietary patterns associated with obesity can help obesity prevention and provide a healthy diet for controlling this epidemic in the community.Keywords: Dietary Diversity Score, Dietary Diversity, Abdominal Obesity
-
BackgroundDue to the importance of nutrition during pregnancy and its role in future generation's health, the study tried to determine dietary diversity and its relationship with newborn's anthropometric indices at birth.MethodsIn this cross-sectional study, 400 pregnant women (28-40 weeks of pregnancy) whom were referred to the health centers in Zahedan were studied in 2016. To assess the usual dietary intake, food frequency questionnaire and the 24-hour recall were used. Dietary diversity was calculated based on the score 8 of food groups using food pyramid of Food and Agriculture Department, and Kant method. Newborn's anthropometric indices were measured by the standard and analyzed by using descriptive statistics and analytical tests.ResultsThe mean (± Standard deviation) of the total score of dietary diversity was 2.60 ± 0.73 and the highest diversity was seen in the dairy group (0.45 ± 0.19) and the lowest diversity of food was observed in grains group (0.20 ± 0.10). There was a significant difference between various groups of birth weight at the score of dietary diversity and it was significantly increased by rising family's incomes. The linear regression analysis has shown that the variables including; weight at the beginning of pregnancy, a variety of dairy products, vegetables and total dietary diversity could be considered for predicting birth weight.ConclusionThe study has shown that there was a significant correlation between the score of dietary diversity and newborn's anthropometric indices at birthKeywords: Birth weight, Dietary diversity, Pregnancy
-
زمینه و هدفشاخص توده بدنی و دور کمر از پیشگویی کننده های بیماری های مزمن می باشند که به حفظ سلامتی در محیط نظامی کمک می کند. این مطالعه به بررسی تاثیر سبک زندگی بر تغییرات تن سنجی طی دوره آموزشی می پردازد.روش کاردر این مطالعه نیمه تجربی روی 246 نفر با توجه به معیارهای ورود از یک مرکز نظامی به صورت خوشه ایانتخاب و پس از کسب رضایت نامه به سنجش شاخص های تن سنجی، دموگرافیک، یادامد غذایی پرداخته و افراد تا پایان دوره پیگیری شدند و ارتباط سبک زندگی با تغییرات تن سنجی به وسیله رگرسیون خطی مشخص و مقادیر کمتر از 05/0 معنا دار در نظر گرفته شد.یافته هامیانگین نمایه توده بدن افراد پیش از شروع دوره آموزشی 8/3+9/23 و دور کمر 6/0+7/88 سانتی متر بود که پس از دوره این مقادیر به 0/7±3/22 و 9/9+3/87 کاهش یافتند. تنوع غذایی و میزان فعالیت فیزیکی پیش از ورود به دوره تاثیر آماری معنادار در تغییرات تن سنجی افراد طی دوره سربازی داشت.نتیجه گیریشاخص توده بدنی و دور کمر طی دوره آموزشی سربازی کاهش می یابد. تنوع غذایی بالا و زندگی پرتحرک از فاکتورهای کاهنده تغییر شاخص های تن سنجی هستند. مطالعات بیشتری این روابط را مشخص تر می کند.کلید واژگان: شاخص توده بدنی, محیط دور کمر, ارتش, تنوع غذاییBackgroundBody Mass index (BMI) and waist circumference are the predictors of chronic diseases. Anthropometric measurements help to remain healthy. This study aimed at examining the effect of lifestyle on anthropometric changes over the course.MethodsIn this study, 246 individuals were selected according to criteria. Cluster sampling was done in the military barracks. After obtaining consent, anthropometric indices, demographic and food recall were measured and followed to end course. Relationship between lifestyle and anthropometry was determined by linear regression. A p- value less than 0.05 was considered significant.ResultsMean BMI before the start of training 23.9.8 and waist 88.7.6 cm and after the period decreased to 22.3.0 and 87.9.9 cm respectively. Dietary diversity and physical activity before entering to course had statistically significant effect on anthropometric changes during the military period.ConclusionBMI and waist circumference decreased during the military training. Dietary diversity and high physical activity prevent anthropometric changes. Further studies of these relationships make it clearer.Keywords: Body mass index, waist circumference, army, dietary diversity
-
BackgroundThe importance of healthy eating habits increases in adolescence therefore, healthy eating index (HEI) and diet diversity score (DDS) are embedded in order to evaluate them. This study was undertaken to assess the diet quality of high school students in Shiraz, southern Iran.MethodsThis cross-sectional study enrolled 696, fourteen to twenty years old teenage boys and girls in Shiraz, southern Iran. Anthropometric indices including weight, height and waist circumference (WC) were measured. A 168-item food frequency questionnaire (FFQ) was used to estimate usual dietary intakes, then HEI and DDS were calculated. Two physical activity questionnaires, one related to sitting activities and another about other activities were completed by participants.ResultsAmong 341 boys and 355 girls, 51.4%, 31.2% and 17.4% had were normal, underweight, and overweight or obese, respectively. Mean WC of participants was 71.7±10.71 cm. The mean of HEI score was 57.6±6.8. Only 0.2% of students had a good diet. The mean of DD Score was 6.4±1.3. About 23.5% of participants had highly diverse diet. A statistically significant higher HEI score (girls: 58.8±7.0, boys: 56.4±6.4) and lower DDS score (6.7±1.3 vs 6.1±1.2) were noticed in girls compared to boys. A positive association was seen between fruits and vegetables diversity score and negative relation between breads/grains, meat and dairies diversity scores with HEI.ConclusionDietary habits of most of junior and senior high school students in Shiraz needed moderate to severe improvements. So it is necessary to promote adolescent's nutritional knowledge and attitudes.Keywords: Diet quality, Healthy Eating Index, Dietary diversity, Adolescence, Iran
-
سابقه و هدفیکی از شایع ترین اختلالات پوستی دوران نوجوانی و بلوغ، آکنه ولگاریس می باشد. مطالعات متعدد، نتایج بحث برانگیز متفاوتی را در مورد تنوع رژیم غذایی و پاتوفیزیولوژی این بیماری بیان نموده اند. هدف از پژوهش حاضر، بررسی ارتباط امتیاز تنوع غذایی DDS (Dietary Diversity Score) و آکنه ولگاریس در دختران مدارس راهنمایی و دبیرستان های شهر تهران است.مواد و روش هااین مطالعه مورد- شاهدی بین 135 بیمار آکنه ولگاریس و 135 دختر نوجوان بدون هیچ علائمی از آکنه در سال 1393 صورت گرفت. درجه بندی شدت آکنه براساس معیار Consensus Conference On Acne Classification بود. از دو یاد آمد 24 ساعته خوراک برای ارزیابی دریافت غذایی معمول افراد استفاده شد. تنوع غذایی براساس امتیازدهی به 5 گروه غذایی بر اساس هرم غذایی دپارتمان غذا و کشاورزی آمریکا محاسبه گردید. وزن، قد و نمایه توده بدن طبق روش استاندارد اندازه گیری شد. افراد براساس محدوده چارک های امتیاز تنوع غذایی تقسیم بندی شدند.یافته هامیانگین (± انحراف معیار) امتیاز کل تنوع غذایی افراد مبتلا به آکنه و سالم به ترتیب (73/1±77/5، 85/1±64/5 و 05/0کلید واژگان: امتیاز تنوع غذایی, تنوع غذایی, آکنه ولگاریسBackground And ObjectivesOne of the most common skin disorders during adolescence is acne vulgaris. The role of dietary diversity in the pathophysiology of acne vulgaris is highly controversial. The present study was conducted to report the relationship between dietary diversity score (DDS) and acne vulgaris among Tehranian girls.Materials And MethodsThis case-control study was conducted among 135 teenage acne vulgaris patients as cases and 135 teenage girls without any signs of acne as controls in 2014. "Consensus Conference on Acne Classification" was used to determine acne severity. Their usual dietary intake was assessed by two 24-hour recall questionnaires. DDS was calculated according to the scoring of the five food groups based on the US Department of Agriculture Food Guide Pyramid. Weight, height and Body Mass Index (BMI) were measured according to the standard methods. The participants were categorized on the basis of quartile cut-off points of DDS.ResultsThe means (± SD) of DDS in the case and control group were (5.77 ± 1.73, 5.64 ± 1.85, P>0.05) respectively. The meat and egg food group in the cases (1.02 ± 0.52) and grain food group in the controls (1.02 ± 0.57) had the lowest DDS. Although there was no significant association between DDS and acne vulgaris after adjustment for confounders, the participants in the highest quartile of DDS were less likely to have acne vulgaris (Odds ratios in the highest quartiles: 1.16, 1.30, 1.34, 1.23 and 1.42).ConclusionsNo significant difference was observed between DDS and acne among Tehranian girls. Further prospective studies are needed to confirm these findings.Keywords: Dietary diversity score, Dietary diversity, Acne vulgaris
-
Background And ObjectivesThis study was undertaken to determine the relationship between food security and individual dietary diversity score (IDDS).Materials And MethodsThis population-based cross-sectional study was conducted on 200 non-diabetic individuals aged ≥40 years, selected randomly from the Tehran Lipid and Glucose Study. Household food security was measured using a validated United States Department of Agriculture (USDA) 18-item questionnaire and IDDS using a valid and reliable 147-item food frequency questionnaire based on five food groups of the Food Guide Pyramid.ResultsOverall, 48.5% of the study subjects had high, 36.0% had borderline, and 15.5% had low food security. Significant inverse correlations were observed between the scores for food security, diversity of fruits and vegetables, and total IDDS. Food secure group had significantly higher total IDDS (4.74 ± 1.40 vs. 5.15 ± 1.28, P = 0.033) and score for diversity of fruits (1.48 ± 1.40 vs. 1.68 ± 1.28, P = 0.030) as compared to the food insecure group. After adjusting for covariates, higher food security score was associated with lower total IDDS (regression coefficient for a 1-unit difference in diversity score = -0.130, P = 0.040), and score for diversity of fruits (regression coefficient for a 1-unit difference in diversity score = -0.182, P = 0.010).ConclusionsThe results showed an inverse relationship between food security score and dietary diversity score. Intake of different fruits is associated with higher food security.Keywords: Dietary diversity, Food security, Food insecurity
-
زمینه و هدفرژیم های غذایی متنوع با احتمال افزایش دریافت مواد مغذی همراه هستند. این تحقیق به منظور ارزیابی ارتباط بین امتیاز تنوع گروه های غذایی و کفایت مواد مغذی خاص در زنان تهرانی انجام شد.روش کاردر این مطالعه مقطعی، 286 خانم 18 سال به بالا و ساکن منطقه 13 تهران که نماینده جمعیت زنان تهرانی بودند. شرکت داشتند. دریافت مواد غذایی با استفاده از پرسشنامه یاد آمد غذایی 2 روزه ارزیابی شد. از شاخص های امتیاز تنوع غذایی (Dietary Diversity Score=DDS) و تنوع غذایی (Food Variety = FV) استفاده شد. میانگین نسبت کفایت غذایی (Mean Adequacy Ratio = MAR) به عنوان شاخص کفایت تغذیه ای انتخاب شد که با تقسیم مقدار مصرفی 12 ماده مغذی و انرژی بر مقدار توصیه شده آنها به دست آمد.یافته هامیانگین سنی افراد، 13±41 سال و میانگین نمایه توده بدن (Body Mass Index=BMI) آنها، 4±27 کیلوگرم بر مترمربع بود. میانگین امتیاز تنوع غذایی 1.02±6.11 بود. DDS با (r=0.4 و P<0.05) MAR. (Nutrient adequacy Ratio) NAR تیامینP<0.05) و (r=0.3ویتامین A (P<0.05 و (r=0.4 کلسیمP<0.05) و(r=0.4 فسفرP<0.05) و(r=0.4 و چربی کل دریافتیP<0.05) و(r=0.3 مرتبط بود. تنوع غلات کامل با NAR پروتیینP<0.05) و (r=0.3 تنوع سبزیجات و میوه ها با NAR ویتامین C P<0.05) و (r=0.3 و ویتامینA P<0.05)و(r=0.3 ارتباط داشت. در چارک چهارم امتیاز تنوع گروه های غذایی، دریافت غالب درشت مغذی ها و ریز مغذی ها در بیش ترین مقدار قرار داشت. امتیاز تنوع گروه گوشت و شیر، مهم ترین تعیین کننده MAR بود.
نتیجه گیری کلی: تنوع اقلام مصرفی در گروه های غذایی مختلف، شاخصی مفید از کفایت مواد مغذی خاص، به شمار می رود. بنابراین به منظور تعیین کفایت مواد مغذی خاص، امتیاز تنوع گروه های غذایی میتواند در نظر گرفته شود.
کلید واژگان: تنوع غذایی, کفایت مواد مغذی, گروه غذایی, زنانBackground and ObjectiveThis study was carried out to examine the relationship between the scores of various food groups and the adequacy of specific nutrients in Tehrani women.MethodIn this cross-sectional study, 286 females aged 18 and over from district 13 in Tehran — chosen as representatives for Tehrani female population — participated. We assessed their food intake through a validated semi-quantitative food frequency and two 24-hour recall questionnaire. Two different dietary diversity indices named dietary diversity score (DDS) and food variety score were used. Mean adequacy ratio(MAR), i.e. the mean ratio of intake to recommended amount of 12 nutrients and their calories, was calculated as an indicator of nutrient adequacy.ResultsThe mean ± SD of age and body mass index was 41±13 years and 27±4 kg/m2 respectively. The mean of DDS was measured to be 6.11± 1.02. DDS correlated with MAR(r=0.4, p<0.05), the NAR (Nutrient Adequacy Ratio) of Thiamine(r=0.3, p<0.05), vitamin A(r=0.4, p<0.05), Calcium(r=0.4, p<0.05), Phosphorus(r=0.4, p<0.05) and total intake of fat(r=0.3, p<0.05). Variety of whole grains correlated mostly with the NAR of protein(r=0.3, p<0.05). Variety of vegetables and fruits had the highest correlation with the NAR of vitamin C(r=0.3, p<0.05) as well as vitamin A(r=0.3, p<0.05). In the forth quartile of variety score of food groups, the intake of most macro-and micro-nutrients made the highest amount. Variety score of meat and milk was the most important predictor of MAR.ConclusionVariety of different food groups is a useful indicator of specific nutrients adequacy. Hence to determine the adequacy of a specific nutrient, the variety score of specific food groups can be considered.Keywords: Dietary Diversity, Nutrient Adequacy, Food Group, Women -
سابقه و هدف
این مطالعه به منظور تعیین تنوع مواد غذایی مصرفی وارتباط آن با کفایت دریافت مواد مغذی در نوجوانان 18-10 ساله جامعه شهری منطقه 13 تهران انجام شد.
مواد و روش هاارزیابی دریافتهای غذایی در 1476 نفر از افراد مورد بررسی در مطالعه قند و لیپید تهران با استفاده از یادآمد 24 ساعته خوراک برای دو روز توسط پرسشگران مجرب صورت گرفت. در این بررسی پس از حذف موارد کم و بیش گزارش دهد، 304 نوجوان در قالب بخشی از مطالعه مقطعی هرم راهنمای غذایی در سال 78، مورد ارزیابی تنوع غذایی گروه به 23 زیر گروه تقسیم شده اند. هر یک از پنج گروه حداکثر 2 امتیاز از کل 1 امتیار تنوع غذایی را دارا بود. برای اینکه هر فرد مصرف کننده هر یک از زیر گروه های غذایی محسوب شود، می باید حداقل نصف سروینگ از ماده غذایی را در عرض 2 روز یاد آمد مصرف کرده باشد. نسبت کفایت برخی مواد مغذی و میانگین آنها با استفاه از مقادیر توصیه شده استانداردها و در نظر گرفتن سن و جنس محاسبه شد. وزن با استفاده از ترازوی فنری و قد مطابق پروتکل های استاندارد امتیاز دهی تنوع غذایی (DDS) با نسبت کفایت مواد مغذی (NAR) و میانگین نسبت کفایت مواد مغذی (MAR) بکار رفت. با توجه به نرمال بودن و یا نرمال نبودن توزیع داده ها از همبستگی Pearson و یا Spearman استفاده شد.
یافته هاامتیاز کل تنوع غذایی 08/1؟ 26/6) بود. بیشترین امتیاز را میوه ها (61/0؟ 46/1) و کمترن امتیاز را غلات (27/0؟95/0) داشتند. همبستگی مثبت و معنی داری میان DDS و MAR مشاهده شد (42/0 = r و 001/0>p). 50% افراد امتیاز کل تنوع غذایی برابر 6 یا بیشتر از آن داشتند. BMI در افرادی که امتیاز کل تنوع غذایی آنها بیشتر یا مساوی 6 بود، نسبت به سایرین بالاتر بود (07/4؟ 81/19 در مقابل 30/3؟ 95/18 کیلوگرم برمتر مربع و 01/0>p). همبستگی مثبت و معنی داری میان DDS و غالب نسبت کفایت مواد مغذی دریافتی مشاهده شد.
نتیجه گیری و توصیه هااندازه گیری امتیاز تنوع غذایی روش مناسبی جهت اندازه گیری کفایت دریافت موادمغذی است و با ایجاد تنوع غذایی بیشتر با توجه به هرم راهنمای غذایی می توان به کفایت تغذیه ای بالاتر و دریافت کافی مواد مغذی و مواد غیر مغذی ضروری برای سلامت دست یافت.
کلید واژگان: تنوع مواد غذایی, کفایت دریافت مواد مغذیBackgroundThe purpose of this study was to determine dietary diversity and its relation to dietary adequacy in 10-18 year old adolescents of district 13 of Tehran in 1999-2001.
Materials And MethodsDietary intake assessment was undertaken with 2-day 24-hour recall by expert interviewers in 1476 individuals participating in Tehran Lipid and Glucose Study. Having excluded the under and over-reporters, 304 cases, aged 10-18 year old, remained in this study. The dietary diversity score was calculated as part of the pyramid serving database that categorized into 23 broad food groups. Each of the 5 broad food categories received a maximum diversity score of 2 of the 10 possible score points. To be counted as a "consumer" for any of the food group categories, a respondent needed to consume one-half serving, as defined by Food Guide Pyramid quantity criteria, at any time during the 2-day survey period. The nutrient adequacy ratio (NAR) for a given nutrient is the ratio of a subject's intake to the current recommended allowance for the subject's sex and age category. Weight and Height were determined by using a digital electronic weighing scale and tape meter, according to standard protocols of measurements. Then BMI was calculated. Student's t-test was used to compare the means. Those variables with normal distribution were tested by Pearson correlation coefficient and the others were tested by Spearman correlation coefficient.
ResultsDietary diversity score (DDS) was 6.261.08 in this study. The maximum and minimum of diversity was related to fruit (1.460.61) and bread-grain (0.950.27) groups, respectively. Positive and significant correlation was observed between DDS and NAR (r=0.42, P<0.001). Fifty percent of people had DDS of >6, and in them, BMI was higher than those with a DDS of <6, (19.814.07 vs 18.953.30 Kg/m2, P<0.01). There was significant and positive correlation between DDS and most NARs.
ConclusionCalculation of DDS is an appropriate method to evaluate nutrient intake adequacy. As evidence on diet and health accumulates, it becomes clearer that although individual nutrients are important, they work most effectively in the context of a complex dietary pattern that includes a balance of nutrients from a variety of healthful foods.
Keywords: Dietary diversity, Dietary adequacy, Teenager
- نتایج بر اساس تاریخ انتشار مرتب شدهاند.
- کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شدهاست. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
- در صورتی که میخواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.