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Achieving optimal nutrition among mothers and children is still a challenge in many developing country settings, including Ethiopia. Study on dietary diversity concordance of mother-to-child dyads is limited. Hence, this study aims to assess dietary diversity concordance among mother-to-child pairs and its associated factors in Gedeo zone, Southern Ethiopia.

A community-based cross-sectional study was carried out in Gedeo zone, South Ethiopia, from January 1 to February 15, 2019. A multistage sampling technique was used to select study participants. Data was collected by using a pretested and structured questionnaire. Data entry and analysis were done by Epi data version 3.1 and SPSS version 23.0 software, respectively. Bivariate and multivariate logistic regression models were used. Variables with p < 0.25 at bivariate analysis were chosen for multivariate analysis. Variables with a p-value of <0.05 were considered statistically significant.

A total of 665 mother and child dyads participated, with a response rate of 98.6%. High concordance of dietary diversity among mother-to-child pairs was 9%. Age of the mother (adjusted odds ratio [AOR] = 0.21; 95% confidence interval [95% CI]: 0.05–0.84), age of the child between 6 and 11 months (AOR = 5.2; 95% CI: 2.3–11.6), being female (AOR = 1.8; 95% CI: 1.0–3.4), previous history of infection (AOR = 4.4; 95% CI: 1.8–11.5), source of food from the market (AOR = 0.34; 95% CI: 0.12–0.81) and rich wealth index (AOR = 5.7; 95% CI: 2.5–12.9) were the significant factors of high concordance of dietary diversity.

The prevalence of high-concordant dietary diversity among mother and children dyads was very low. Therefore, ensuring multisectoral nutrition interventions that focus on both mothers and children should be considered to improve the good dietary diversity practice.

Nutrition is a widely known determinant of health and well-being of individuals. Adequate nutrition is dependent on food availability and optimal dietary intake. Rural communities are known to be disadvantaged in comparison with their urban counterparts This study therefore assessed food security and dietary diversity among adults in a rural community in Remo, Ogun State, Nigeria.

Data for the cross-sectional study were collected using a semi-structured, interviewer-administered questionnaire and a 24-h dietary recall. Data were analyzed with SPSS 20. The relevant descriptive and inferential statistics were calculated. Participation was fully voluntary.

The mean age of respondents was 46.7 ± 19.0 years. Only 43.6 per cent of the respondents were food secure; 43.4 per cent were severely food insecure; 30.3 per cent were moderately food insecure, while 26.3 per cent were mildly food insecure. Low dietary diversity was reported among 55.2 per cent of respondents; 41.0 per cent had medium dietary diversity, while 3.8 per cent had high dietary diversity.

This study was entirely quantitative and facility-based, so could not explore some themes to a greater depth. It however adds to the body of knowledge on dietary diversity and food security among patients accessing primary care services at Ode-Remo and its health implications.

Food security among respondents was low and dietary diversity was sub-optimal, a risk factor for both hidden hunger and multi-nutrient under-nutrition. Dietary diversity was significantly different between food secure and food insecure respondents. Community-directed efforts at improving residents’ food security status and dietary diversification efforts will be most appropriate and sustainable, thereby promoting self-reliance and wellbeing.

The purpose of this paper is to analyze food security status and its determinants among households in the Eastern Cape Province of South Africa.

The analysis is based on the General Household Survey which was conducted in 2014 where 3,033 households were sampled from the province. Specifically, this study examines the determinants of food security proxy by dietary diversity (24-hour recall) using descriptive statistics, Poisson regression. A frequency count of food groups consumed household dietary diversity score was used as the explained variable.

The descriptive analysis shows that, although 61.7 percent of households in the study area have a high dietary diversity score, however, food group giving micronutrients are less consumed as food groups having cereals (maize), beef, sugar and oil was mostly consumed. Results on the marginal effect of Poisson regression indicate that household head characteristics (age, gender, education, marital status, and employment status), pension receiving households and geographical location significantly influence household dietary diversity.

This study advocates for the intensification of rural development and food security programs, formal and informal education for household heads, female empowerment and dietary enlightenment for households in order to promote the consumption of diverse diets and more healthful food groups.

Emphasis on the potential roles diverse farm production systems could play in enhancing food consumption variety and nutritional well-being in rural developing countries has increased in recent times. However, there are paucities of empirical works connecting diversity in agricultural production and dietary diversity in Africa, and Nigeria in particular. The purpose of this paper is to, therefore, examine, among others, the causal link between farm production diversity and consumption of varied diets among farm households in Nigeria using a nationally representative panel data.

Unlike the simple food count measure, the authors adopt two-dimensional indices to assess food diversity, and estimated both fixed and random effects versions of panel data econometrics models with the two-dimensional indices as regressands.

Results show that food production system is less diverse with an average farm household consuming fairly varied foods across seasons. All the econometrics models estimated consistently established positive and statistically significant influence of farm production diversity on household dietary diversity. Higher food prices, especially rice and roots and tubers could substantially reduce dietary diversity with the negative effects likely to be more devastating for low-income farm households. The specificity of household being a net food seller had positive, although weak influence on dietary diversity.

The findings accentuate, among others, the need for strategies to promote farm production diversity, transform farm households to net-sellers of foods and enable them take advantage of food price signals to boost farm incomes as important pathway for diet quality improvement and reduction of food insecurity, malnutrition and related diseases in rural Nigeria

The purpose of this study is to compare food consumption and dietary diversity in smallholder cassava value chain households (CVCHs) and non-cassava value chain households (non-CVCHs).

A total of 572 rural households were selected using multi-stage sampling from Oyo and Kwara states, Southwest Nigeria. Socio-demographic, 24 h dietary recall and food frequency questionnaires were used to collect data. Household Dietary Diversity Score (HDDS) and the Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) were measured.

The mean age of respondents was 49.1 ± 17.3 years, 68.3 per cent were female, household sizes ranged from 2-20 with an average of 8 members. Most households consumed monotonous staple-based diets mainly from roots and tubers, cereals and legumes. There was no significant difference in HDDS (6.70 ± 1.37 and 6.77 ± 1.12; p = 0.12) and MDD-W (4.78 ± 1.12 and 4.95 ± 1.16; p = 0.09) for CVCH and non-CVCH respectively. About one-third of all women did not achieve the MDD-W score required for micronutrient adequacy, with the main dietary gap being vitamin A-rich fruits and vegetables.

The findings suggest that there was no influence of households’ involvement in cassava value chain activities on their pattern of food consumption and dietary diversity.

While cassava value chain activities have potential for improved livelihoods among its actors, a nutrition-sensitive approach needs to be incorporated to translate this into their improved food consumption, dietary diversity and nutritional (particularly micronutrient) status.

Dietary patterns are important for the physical and psychological development of adolescents. The purpose of this study is to determine magnitude and severity of depression and its relation with diet diversity score (DDS) among adolescent high school students.

A cross-sectional study was conducted among 546 adolescents selected from schools using multistage sampling technique. Dietary intakes were assessed using a 24-h dietary recall, and depression severity and prevalence were assessed by PHQ-9A. A structured questionnaire was used to collect data. Linear regression analysis was used, and unstandardized beta (ß) coefficients with 95% confidence intervals (CI) were computed to determine the association of depression and its severity with dietary diversity score.

In all, 546 questionnaires were filled completely and consistently making a response rate of 97.3%. The dietary diversity score in 97 (17.8%) of the adolescents were between 1 and 3 (low dietary diversity score) but 259 (47.4%) scored greater than 6 (high dietary diversity score). Chi-square test revealed that with a decrease in DDS from highest to lowest level, the percentage of moderate to severe and severe depression slightly increased (3.4%). In addition, the percentage of moderate to severe and severe depression who consumed meat, fish and milk and dairy products slightly increased (3% and 3.2%). Multivariate adjusted regression analysis demonstrated that dietary diversity score was found to be inversely associated with depression severity and prevalence.

It was found that linear association between diet diversity and depression severity, and prevalence after adjustment for relevant con-founders. The study provided epidemiological evidence of a robust association of dietary pattern with depression symptoms' severity and prevalence in adolescents.

This purpose of this study was to assess dietary diversity among women of reproductive age (WRA) and the associations between consumption of a diversified diet and overweight/obesity statuses in Ekiti State, Nigeria.

Cross-sectional study of 207 WRA from six local government areas in Ekiti State, Nigeria, was done. A validated interviewer-administered questionnaire was used to collect data on sociodemographic characteristics, dietary intake and anthropometry. Dietary intake was assessed with 24-h dietary recall to calculate the Minimum Dietary Diversity Score for Women (MDD-W). Data were analyzed using descriptive statistics, Spearman rank correlation and Chi square test at α_0.05.

Majority of the participants (65.2%) were aged between 19 and 34 years, 58.5% were married and 49.8% had high school as their highest level of education. Mean MDD-W and body mass index (BMI) were 3.8 ± 0.9 and 25.46 ± 6.4 kg/m², respectively. All participants (100%) consumed foods from the “grains, white roots and tubers” group and majority also from the “meat and poultry” group (79.7%) but ranked low in the consumption of foods from other food groups. Many were overweight (34.8%), obese (14.0%) and a few (1.9%) had morbid obesity. MDD-W was significantly associated with marital status (X² = 7.7, P = 0.022) and BMI (X² = 11.4, P = 0.023) and had a weak positive correlation with BMI (r = 0.189, P = 0.007).

Study shows that both undernutrition and overweight/obesity coexist in the population, indicating a case of double burden of malnutrition (DBM) at a population level. However, further studies may be needed to investigate the extent of DBM at individual levels. Although there was a positive correlation between MDD-W and BMI, it cannot be used to predict causality. Study further reveals that the micronutrient intake of the WRA population in Ekiti is inadequate. Considering the importance of the 10 food groups highlighted in MDD_W to nutrition and health, the promotion of the consumption of foods from these food groups with more attention to the micronutrient-rich ones needs to be heightened.

Diet of participants was not diverse enough, indicating micronutrient inadequacy. Promotion of the consumption of a diverse diet, particularly from the food groups rich in micronutrient, needs to be heightened, while food groups high in calorie should be minimally consumed to forestall DBM.

The nexus between sustainable agri-food production and food security outcomes of farm households in sub-Saharan Africa is attracting policy attention. This study analyzes the effects of crop diversity on the incidence of food scarcity, dietary diversity, and the sale and consumption of own crops.

The study uses panel data collected in 2015 and 2018 on a randomly selected sample of 2553 households from 49 villages in northern Ghana. The study employed a fixed effects modeling approach in the empirical analysis.

The study finds that crop diversity is positively associated with better dietary diversity, reduced hunger, lower food expenditure, and higher consumption of own produce. The results show positive effects of crop diversity on the total harvested output and sale of agricultural production. Whilst sales improved sustainable food and nutrition security by providing purchasing power to buy nutritional inputs in the market, consumption of own produce rather improved food availability by reducing food scarcity and malnutrition.

Crop diversity is one of the pathways for promoting sustainable agri-food production systems to ensure the food and nutritional security of vulnerable populations and promote biodiversity to achieve environmental goals in sub-Saharan Africa. Crop diversity reduces food expenditure and raises rural incomes through improved outputs and sales, which empowers farm households to diversify their dietary options to be able to overcome incidences of hunger and malnutrition in periods of food scarcity.

The present study improves the understanding of sustainable agri-food production through crop diversity and its implications on food and nutrition security outcomes. The panel data and fixed effects modelling approach address the endogeneity problem between crop diversity and household tastes and preferences.

This paper aims to assess Food Variety Score (FVS), Dietary Diversity Score (DDS) and dietary quality of collected complementary foods consumed in Jimma town, southwest Ethiopia.

Multi-stage stratified simple random sampling method was used to identify 384 children who were between 6 to 24 months of age living in Jimma town, Ethiopia. FVS and DDS were assessed based on 24 h recall method. Aliquot of infant’s diet samples were collected from randomly selected 30 household mothers feeding to 6-24 months aged children, and they are combined to get 15 samples by enquiring the ingredients similarly used in preparation. The major nutrients, anti-nutrients were determined with standard procedures. Further, nutrient adequacy and mean adequacy were determined for collected samples.

Results showed that mean FVS was 7.14 ± 4.07 (range 0 to 18) and DDS was 3.44 ± 1.75 (range 1 to 8). Consumption of diversified diet among the studied population significantly associated with residence areas of children’s (p = 0.001), age of the care taker (p = 0.001), occupation of care takers (p = 0.001), monthly income (p = 0.001), average money spent on food purchase per month (p = 0.001). Average mean adequacy of macronutrients (crude protein, crude fat and carbohydrate) was observed as 0.81, micronutrient (Fe, Ca, Zn) mean adequacy was 0.49 and Vitamin A adequacy was 0.34 for the complementary foods. All the complementary foods were reported mean adequacy of < 1 for macro and micro nutrients.

Studies on dietary diversity and dietary quality of the complementary foods were not documented in Jimma town, Ethiopia. The results of this study are highly useful to understand the complementary foods consumption pattern particularly in dietary diversity and food variety. Moreover, results obtained on dietary quality are very useful to recommend further development in complementary food preparations in the study area.

Obesity is a multi-factorial problem that develops from an interaction between diet, genetics, physical activity, medication, and other factors. This paper aims to examine the association between dietary diversity score (DDS) and obesity among adults of Ardebil.

This case-control study was conducted on 204 cases (obese and overweight participants) and 204 controls (healthy weight individuals) matched by socioeconomic status (SES), age (older than 30 years) and sex. Dietary intake was assessed using a 24 h food recall questionnaire. Data on physical activity and socio-demographic variables were gathered. DDS was computed based on the scoring of the 14 food groups recommended by the Food and Agriculture organization guideline.

The DDS of the obese group was higher (5.02 ± 1.02) than that of the healthy weight group (4.23 ± 1.18) (p < 0.001). There was a significant association between DDS and body mass index (BMI) in both groups of study, but this association was more significant in the obese group (β = 0.501, p = 0.021) than that of healthy weight group (β = 0.413, p= 0.042). Vegetable food group score in both groups of the study was associated with obesity inversely (p < 0.05).

This study was conducted for the first time in Ardabil city and the results showed for the first time that there is a relationship between dietary diversity and obesity. People with a higher dietary diversity score are more likely to be obese. In fact, this study for the first time proved that people who are obese have a more varied diet but less vegetables and fruits.