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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 study aims to assess dietary choices of pregnant women and its relationship with their anaemia status.

A mixed-method study comprising a survey and three focus group discussions (FGDs). The survey included 380 adult pregnant women with data collected on food choices, preferences and haemoglobin (Hb) status.

More than 50% of women in the study had Hb concentration < 11.0 g/dl; mean Hb was 10.24 g/dl (SD = 1.59). Univariate analysis was used to generate descriptive tabulations for socio-demographic characteristics of respondents, dietary choices for women and anaemia status. T-test and bivariate analysis between dietary diversity score of the women among the food groups consumed as well as their anaemia (Hb) status. This showed that women with high dietary diversity score had improved Hb status (P = 0.003), and those who consumed meat and fish as well as dark leafy vegetables had significantly high diversity scores (P = 0.031 and P = 0.049). Thematic analysis was used for analysing qualitative data.

The sample used in the study is unlikely to be fully representative of pregnant women in the Accra Metropolis. In addition, this study used a cross-sectional study design, making it difficult to establish causal associations between nutritional status and food choice of pregnant women. It does not also show variation in dietary practices by seasons of the year. The scope of the study did not allow for a detailed analysis, and this should be considered in future studies. Also, the study did not explore an obstetric factor like past bleeding history as well as the menstrual cycle of these pregnant women, as these factors are likely to interfere with the anaemia status of the pregnant women.

This paper contributes significant value by specifically focusing on and clarifying the complex relationship between dietary choices and aneamia among pregnant women. It also provides insights into the distinct dietary patterns and preferences of pregnant women, which may be contributing to the high prevalence of aneamia. The results of the study can inform the development of localized, evidence-based interventions to address this critical public health concern, ultimately leading to improved maternal and foetal health outcomes.

The purpose of this paper is to present a first proposal of a healthy dietary diversity index to evaluate meals in self-service restaurants.

This was a cross-sectional, descriptive pilot study in a Brazilian buffet-style restaurant. The study group was selected by systematic sampling and consisted of 678 individuals aged 16-81 years, who were regular diners at a selected restaurant during lunchtime. Photographs were used to assess food choices and a sociodemographic questionnaire was administered to the subjects. A healthy dietary diversity model was created following WHO recommendations and the Brazilian Food Guide. A consensus workshop was conducted with experts to discuss and classify certain dishes as more or less healthy (high/low energy density). The model attributed negative (−3.0-0.0) and positive (0.0-12.0) scores to different food groups. Higher scores meant greater diversity on the plate, and therefore a greater chance of a healthy meal (=9.0), while a lower score reflected a higher variety of energy-dense foods, such as fried dishes (=6.0).

Most diner’s plates (65.3 per cent) obtained low diversity score indexes (=6) and were considered inadequate, represented the dishes where intake should be controlled from a nutritional viewpoint (over caloric meal). There was a significant association between healthy diversity scores (=9.0) and low variety of high energy density dishes on the plates.

This method of assessing the healthy dietary diversity of a main meal could be tested as an innovative model for investigating the food choices of individuals who eat away from home.

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.

The aim of the study is to assess the dietary diversity score (DDS) and nutritional status of women in the University of Agriculture extension village in rural areas of Ogun State, Nigeria.

A representative sample of 204 women was surveyed from the rural villages in two seasons using simple random technique. A pretested interview guide was used to collect information on personal data, and socio demographic characteristics of the subjects. Information on dietary diversity was obtained using Food and Nutrition Technical Assistance Project questionnaire (FANTA). Body mass index (BMI), waist‐hip ratio (WHR) and skin fold thickness were used in classifying obesity. Information on food intake was obtained from 24‐hour dietary recall techniques. For each season, a DDS was computed and the nutritional status was assessed. Data were analysed using descriptive statistics; SPSS software package version 16.0.

The socio economic characteristic revealed that more than half (53 percent) had no formal education, 59 percent were small scale farmers. The DDS increased from 3.55±7.6 to 3.93±4.3 between the two seasons. DDS within the various food groups showed that fruit group increased from 0.48±0.20 to 0.52.±0.10, vegetable group 0.60±0.30 to 0.66±0.30, and meat group 0.48±0.20 to 0.58±0.30 while cereals/grain groups and oil/dairies group decreased from 0.42±0.30 to 0.37, 0.11±0.30 to 0.09, respectively, between the two seasons. The nutrient content of the subjects was calculated from nutrient contents of foods obtained from food composition tables and compared to dietary reference intake (DRI). The results showed that the protein, energy and fat intakes of the subjects increased significantly during the rainy season (p<0.05). Two percent of the subjects gained weight, 4 percent had weight reduction from overweight and obese category. The result of the waist‐hip ratio showed that 78 percent had normal waist‐hip ratio, 14 percent had overweight, and 7 percent were obese. The dietary diversity score of the subjects was low. There is need for nutritional education in the villages.

This may be the first research work to assess the dietary diversity score of rural women in Nigeria.

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.

The purpose of this study is to investigate the relationship between dietary diversity and haemoglobin concentration of women of reproductive age (WRA), 15−49 years in the Binduri District, of the Upper East Region (UER) of Ghana.

This cross-sectional study was conducted among 153 non-pregnant, non-lactating WRA from three randomly selected communities in the Binduri District of the UER of Ghana. Socio-demographic information, 24-h dietary recall and minimum dietary diversity scores (DDS) of the women were obtained using an interviewer-administered questionnaire. Haemoglobin concentration of the participants was measured by finger prick using Hemocue 301 Analyzer and classified according to WHO standards. Linear regression analysis was used to assess the relationship between DDS and haemoglobin concentrations of the participants.

Total study participants were 153 with mean age of 32.8 ± 8.7 years. Anaemia prevalence of 66.7% and a mean DDS of 4.0 ± 1.2 was recorded. DDS was found to be a strong predictor of haemoglobin concentration (p = 0.00, R² = 0.48).

Interventions that increase DDS may be effective in improving haemoglobin levels of WRA.

The results showed that DDS is a strong predictor of haemoglobin concentration of the WRA in this study. As the dietary diversity of the women increased, their mean haemoglobin concentration also improved. To the best of the authors’ knowledge, this is the first study of its kind to be conducted in the study area.

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.

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.