Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study

Tagese Yakob Barata; Meseret Lega Bedru; Dereje Yohannes; Tsegaye Demissie

doi:doi:10.11648/j.aas.20230803.12

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Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study

Tagese Yakob Barata, Meseret Lega Bedru, Dereje Yohannes, Tsegaye Demissie

Published in Advances in Applied Sciences (Volume 8, Issue 3)

Received: 17 May 2023 Accepted: 19 June 2023 Published: 6 July 2023

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Abstract

Background: Dietary diversity is universally recognized as a key component of healthy diets and defined as the total number of food groups consumed over a reference period. Preschool children are the most vulnerable group because of their high nutritional needs for growth and development. It highly affects their nutritional status as the reason for lack of dietary diversity. The aim of this study was to assessment the levels of dietary diversity and associated factors of Preschool Children aged 4-7 years in Southern Ethiopia. Method and materials: A community based cross sectional study will be conducted. A total of 487 preschool children were included in this study. Data was collected using interview guided structured questionnaire. To calculate Dietary diversity score 24 hours recall by mothers of their children’s food consumption was used. A binary logistic regression was performed to examine the association of each independent variable on the outcome variable. Results: the prevalence of inadequate dietary diversity among preschool children in this study was 65.70% with the mean score of dietary diversity score of study was 3.27±1.50. Household who do not live near health care facility (AOR= 2.35, CI (1.50-3.69), House hold with no access to fruit (AOR=1.76 (1.11-2.80), history child illness in last two weeks (AOR=2.56, CI: (1.24-5.26) and preschool child with whose mother has counseling of child feeding at PNC (AOR=0.39; 95% CI: (0.21-0.71) were significantly associated with low dietary diversity in preschool children in study. Conclusion: The findings indicated that many preschool children in the study area did not get a minimum dietary diversity score. Therefore, health extension workers must organize community-based behavior change nutritional education for mothers or caregivers to create awareness of preschool child dietary diversity practices.

Published in	Advances in Applied Sciences (Volume 8, Issue 3)
DOI	10.11648/j.aas.20230803.12
Page(s)	70-79
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Dietary Diversity Practice, Preschool, Ethiopia

References

[1]	Marie T. Ruel; Operationalizing Dietary Diversity: A Review of Measurement Issues and Research Priorities: Food Consumption and Nutrition Division, International Food Policy Research Institute (IFPRI), Washington, D. C. 20006.
[2]	Nguyen PH, Avula R, Ruel MT, Saha KK, Ali D, Tran LM, et al. Maternal and child dietary diversity are associated in Bangladesh, Vietnam, and Ethiopia. J Nutr. 2013; 143: 1176-1183.
[3]	Pan American Health Organization (PAHO); World Health Organization (WHO). Guiding Principles for Complemen-Tary Feeding of the Breastfed Child; PAHO: Washington, DC, USA; WHO: Geneva, Switzerland, 2003.
[4]	Leyna, G. H.; Mmbaga, E. J.; Mnyika, K. S.; Hussain, A.; Klepp, K.-I. Food insecurity is associated with food consumption patterns and anthropometric measures but not serum micronutrient levels in adults in rural Tanzania. Public Health Nutr. 2010, 13, 1438–1444. [CrossRef] [PubMed].
[5]	WHO. Preparation and Use of Food-Based Dietary Guidelines; World Health Organization: Geneva, Switzerland, 1998.
[6]	Du Plessis, L. M.; Kruger, H.; Sweet, L. Complementary feeding: A critical window of opportunity from six months onwards. S. Afr. J. Clin. Nutr. 2013, 26, S129–S140.
[7]	Onyango, A. W. Dietary diversity, child nutrition and health in contemporary African communities. Comp. Biochem. Physiol. Part A Mol. Integr. Physiol. 2003, 136, 61–69. [CrossRef].
[8]	FAO/IFAD/WFP. The State of Food Insecurity in the World 2013: The Multiple Dimensions of Food Security. Rome: Food and Agriculture Organization of the United Nations. (2013).
[9]	Martin-Prevel Y BE, Taosoba S, Castan F& Coulibaly D. The 2008 food price crisis negatively affected household food security and dietary diversity in urban Burkina Faso. J Nutr Educ Behav. (2012); 142: 1748-55.
[10]	Ayalew: MB. Mortality and Its Predictors among HIV Infected Patients Taking Antiretroviral Treatment in Ethiopia: A Systematic Review. Hindawi Publishing Corporation. (2017).
[11]	Armel P AH, Jacques Z, Nongodo Firmin K, Bebar Euloges K, Ibrahim S, G, Abdoul-Salam O, Nicolas M, Adrien Bruno S. Mortality of HIV-Infected Patients on Antiretroviral Therapy in a Large Public Cohort in West Africa, Burkina Faso: Frequency and Associated Factors; Advances in Infectious Diseases. (2013).
[12]	Jarman MO, J.; Inskip, H.; Lawrence, W.; Baird, J.; Cooper, C.; Robinson, S.; Barker, M. How do Mothers Manage their Preschool Children’s Eating Habits and Does this Change as Children Grow Older? A Longitudinal Analysis. Appetite 2015,; 95, 466–474. [CrossRef] [PubMed].
[13]	Bereket D BM, and Tadesse A. Survival and determinants of mortality in adult HIV/Aids patients initiating antiretroviral therapy in Somali Region, Eastern Ethiopia. AIDS & Clinical Research. 2014, 5: 7.
[14]	Laxmi B EK, Keshab D, Rachana Sh, Deepak Kumar K, Anna Mia E and Luai Awad A: Survival on antiretroviral treatment among adult HIV-infected patients in Nepal: a retrospective cohort study in far-western Region, 2006–2011. Bhatta et al BMC Infectious Diseases (2013).
[15]	Kennedy GLP, M. R.; Seghieri, C.; Nantel, G.; Brouwer, I. Dietary Diversity Score Is a Useful Indicator of Micronutrient Intake in Non-Breast-Feeding Filipino Children. J Nutr 2007 137, 472–477. [CrossRef] [PubMed].
[16]	Melese ST BGaHK. PREVALENCE OF UNDERNUTRITION AND ASSOCIATED FACTORS AMONG PRESCHOOL CHILDREN IN JIMMA TOWN, SOUTH WEST ETHIOPIA. Afr J Food Agric Nutr Dev 20 (3): 15954-15977. 2020;
[17]	Chilezie UPOOV. Assessment of Dietary Diversity Score, Nutritional Status and Socio-demographic Characteristics of Under-5 Children in Some Rural Areas of Imo State, Nigeria. Mal J Nutr 2017; 23 (3): 425-35.
[18]	FAO. Guidelines for Measuring Household and Individual Dietary Diversity. In FAO Nutrition and Consumer Protection Division, with Support from the EC/FAO Food Security Information for Action Programme and the Food and Nutrition Technical Assistance (FANTA) Project; FAO: Rome, Italy, 2007.
[19]	Kennedy GB, T.; Dop, M. C. Guidelines for Measuring Household and Individual Dietary Diversity; Food and Agriculture Organization of the United Nation: Rome, Italy, 2013.
[20]	Millen AE, Dahhan R, Freudenheim JL, Hovey KM, Li L, McSkimming DI, et al. Dietary carbohydrate intake is associated with the subgingival plaque oral microbiome abundance and diversity in a cohort of postmenopausal women. Sci Rep. 2022; 12 (1): 2643.
[21]	Ebisa Olika Keyata ADaAO. Dietary diversity and associated factors among preschool children in selected kindergarten school of Horo Guduru Wollega Zone, Oromia Region, Ethiopia. Keyata et al BMC Nutrition https://doiorg/101186/s40795-022-00569-w. (2022) 8: 71.
[22]	AC2 S-PCaP. An Assessment of Dietary Diversity and Nutritional Status of Preschool Children. Austin J Nutri Food Sci-September 17, 2014; Volume 2 Issue 7.
[23]	Devanesan Jacinth Nithya PhD, Ramanathapuram Vaidyanathan Bhavani PhD: Factors which may limit the value of dietary diversity and its association with nutritional outcomes in preschool children in high burden districts of India; Asia Pac J Clin Nutr 2018; 27 (2): 413-420 413.
[24]	Jieying Bi CL, Shaoping Li, Zhenya He, Kevin Chen, Renfu Luo, ZimeiyiWang, Yanying Yu and Haiquan Xu. Dietary Diversity among Preschoolers: A Cross-Sectional Study in Poor, Rural, and Ethnic Minority Areas of Central South China. Nutrients. March 2019; 11, 558.
[25]	Meng LW, Y.; Li, T.; Loo-Bouwman, C.; Zhang, Y.; Szeto, I. M. Dietary Diversity and Food Variety in Chinese Children Aged 3–17 Years: Are They Negatively Associated with Dietary Micronutrient Inadequacy. Nutrients 2018, 1; 0, 1674. [CrossRef] [PubMed].
[26]	Jiang HZ, A.; Zhao, W.; Tan, S.; Zhang, J.; Zhang, Y.; Wang, P. Do Chinese Preschool Children Eat a Sufficiently Diverse Diet? A Cross-Sectional Study in China. Nutrients [CrossRef] [PubMed. 2018, 10, 794.
[27]	Ekesa BN, Blomme G and H Garming; DIETARY DIVERSITY AND NUTRITIONAL STATUS OF PRE-SCHOOL CHILDREN FROM MUSA-DEPENDENT HOUSEHOLDS IN GITEGA (BURUNDI) AND BUTEMBO (DEMOCRATIC REPUBLIC OF CONGO). July 2011; Volume 11 No. 4.
[28]	Nivo Heritiana Rakotonirainy VR, Chitale Rabaoarisoa Remonja, Randza Rasoloarijaona, Patrice Piola, Charlotte Raharintsoa, Rindra Vatosoa Randremanana. Dietary diversity of 6- to 59-month-old children in rural areas of Moramanga and Morondava districts, Madagascar. PLOS ONE \| July 13, 2018.
[29]	Perpetua Modjadji, Dineo Molokwane and Patricia Ogechi Ukegbu; Dietary Diversity and Nutritional Status of Preschool Children in North West Province, South Africa: A Cross Sectional Study: Children 2020, 7, 174; doi: 10.3390/children7100174.
[30]	Fathima Sirasa \| Neil Harris. Dietary diversity and food intake of urban preschool children in North-Western Sri Lanka. Matern Child Nutr 16: e13006. 2020.
[31]	Misgan Legesse Liben TAaYH. Factors Associated with Dietary Diversity among Children of Agro Pastoral Households in Afar Regional State, Northeastern Ethiopia. Acad J Ped Neonatol july, 31, 2017; 5 (2).
[32]	Olutosin Ademola Otekunrin OAO, Idris Akanbi Ayinde, Rahman Akintayo Sanusi, Oluseye Olusegun Onabanjo, Oluwaseun Ariyo. Dietary diversity, environment and health-related factors of under-five children: evidence from cassava commercialization households in rural South- West Nigeria. Environmental Science and Pollution Research (ESPR) on 31 October 2021.
[33]	Torheim, L. E.; Ouattara, F.; Diarra, M. M.; Thiam, F. D.; Barikmo, I.; Hatløy, A.; Oshaug, A. Nutrient adequacy and dietary diversity in rural Mali: Association and determinants. Eur. J. Clin. Nutr. 2004, 58, 594–604. [CrossRef] [PubMed].
[34]	Morseth, M. S.; Grewal, N. K.; Kaasa, I. S.; Hatloy, A.; Barikmo, I.; Henjum, S. Dietary diversity is related to socioeconomic status among adult Saharawi refugees living in Algeria. BMC Public Health 2017, 17, 621. [CrossRef] [PubMed].
[35]	Jamie L. Dorsey, Swetha Manohar, Sumanta Neupane, Binod Shrestha, Rolf D. W. Klemm KPWJ. Individual, household, and community level risk factors of stunting in children younger than 5 years: Findings from a national surveillance system in Nepal. Matern Child Nutr. 2018; 14: e12434.

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APA Style

Tagese Yakob Barata, Meseret Lega Bedru, Dereje Yohannes, Tsegaye Demissie. (2023). Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study. Advances in Applied Sciences, 8(3), 70-79. https://doi.org/10.11648/j.aas.20230803.12

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ACS Style

Tagese Yakob Barata; Meseret Lega Bedru; Dereje Yohannes; Tsegaye Demissie. Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study. Adv. Appl. Sci. 2023, 8(3), 70-79. doi: 10.11648/j.aas.20230803.12

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AMA Style

Tagese Yakob Barata, Meseret Lega Bedru, Dereje Yohannes, Tsegaye Demissie. Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study. Adv Appl Sci. 2023;8(3):70-79. doi: 10.11648/j.aas.20230803.12

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@article{10.11648/j.aas.20230803.12,
  author = {Tagese Yakob Barata and Meseret Lega Bedru and Dereje Yohannes and Tsegaye Demissie},
  title = {Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study},
  journal = {Advances in Applied Sciences},
  volume = {8},
  number = {3},
  pages = {70-79},
  doi = {10.11648/j.aas.20230803.12},
  url = {https://doi.org/10.11648/j.aas.20230803.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.aas.20230803.12},
  abstract = {Background: Dietary diversity is universally recognized as a key component of healthy diets and defined as the total number of food groups consumed over a reference period. Preschool children are the most vulnerable group because of their high nutritional needs for growth and development. It highly affects their nutritional status as the reason for lack of dietary diversity. The aim of this study was to assessment the levels of dietary diversity and associated factors of Preschool Children aged 4-7 years in Southern Ethiopia. Method and materials: A community based cross sectional study will be conducted. A total of 487 preschool children were included in this study. Data was collected using interview guided structured questionnaire. To calculate Dietary diversity score 24 hours recall by mothers of their children’s food consumption was used. A binary logistic regression was performed to examine the association of each independent variable on the outcome variable. Results: the prevalence of inadequate dietary diversity among preschool children in this study was 65.70% with the mean score of dietary diversity score of study was 3.27±1.50. Household who do not live near health care facility (AOR= 2.35, CI (1.50-3.69), House hold with no access to fruit (AOR=1.76 (1.11-2.80), history child illness in last two weeks (AOR=2.56, CI: (1.24-5.26) and preschool child with whose mother has counseling of child feeding at PNC (AOR=0.39; 95% CI: (0.21-0.71) were significantly associated with low dietary diversity in preschool children in study. Conclusion: The findings indicated that many preschool children in the study area did not get a minimum dietary diversity score. Therefore, health extension workers must organize community-based behavior change nutritional education for mothers or caregivers to create awareness of preschool child dietary diversity practices.},
 year = {2023}
}

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TY - JOUR
T1 - Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study
AU - Tagese Yakob Barata
AU - Meseret Lega Bedru
AU - Dereje Yohannes
AU - Tsegaye Demissie
Y1 - 2023/07/06
PY - 2023
N1 - https://doi.org/10.11648/j.aas.20230803.12
DO - 10.11648/j.aas.20230803.12
T2 - Advances in Applied Sciences
JF - Advances in Applied Sciences
JO - Advances in Applied Sciences
SP - 70
EP - 79
PB - Science Publishing Group
SN - 2575-1514
UR - https://doi.org/10.11648/j.aas.20230803.12
AB - Background: Dietary diversity is universally recognized as a key component of healthy diets and defined as the total number of food groups consumed over a reference period. Preschool children are the most vulnerable group because of their high nutritional needs for growth and development. It highly affects their nutritional status as the reason for lack of dietary diversity. The aim of this study was to assessment the levels of dietary diversity and associated factors of Preschool Children aged 4-7 years in Southern Ethiopia. Method and materials: A community based cross sectional study will be conducted. A total of 487 preschool children were included in this study. Data was collected using interview guided structured questionnaire. To calculate Dietary diversity score 24 hours recall by mothers of their children’s food consumption was used. A binary logistic regression was performed to examine the association of each independent variable on the outcome variable. Results: the prevalence of inadequate dietary diversity among preschool children in this study was 65.70% with the mean score of dietary diversity score of study was 3.27±1.50. Household who do not live near health care facility (AOR= 2.35, CI (1.50-3.69), House hold with no access to fruit (AOR=1.76 (1.11-2.80), history child illness in last two weeks (AOR=2.56, CI: (1.24-5.26) and preschool child with whose mother has counseling of child feeding at PNC (AOR=0.39; 95% CI: (0.21-0.71) were significantly associated with low dietary diversity in preschool children in study. Conclusion: The findings indicated that many preschool children in the study area did not get a minimum dietary diversity score. Therefore, health extension workers must organize community-based behavior change nutritional education for mothers or caregivers to create awareness of preschool child dietary diversity practices.
VL - 8
IS - 3
ER -

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Author Information

Tagese Yakob Barata

Bele Primary Hospital, Bele Hawassa Town Administrative, Wolaita Zone, Southern Ethiopia
Meseret Lega Bedru

Health Office of Geta Wereda, Gurage Zone, Southern Ethiopia
Dereje Yohannes

School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Southern Ethiopia
Tsegaye Demissie

School of Public Health, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Southern Ethiopia

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Tagese Yakob Barata, Meseret Lega Bedru, Dereje Yohannes, Tsegaye Demissie. (2023). Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study. Advances in Applied Sciences, 8(3), 70-79. https://doi.org/10.11648/j.aas.20230803.12

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ACS Style

Tagese Yakob Barata; Meseret Lega Bedru; Dereje Yohannes; Tsegaye Demissie. Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study. Adv. Appl. Sci. 2023, 8(3), 70-79. doi: 10.11648/j.aas.20230803.12

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AMA Style

Tagese Yakob Barata, Meseret Lega Bedru, Dereje Yohannes, Tsegaye Demissie. Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study. Adv Appl Sci. 2023;8(3):70-79. doi: 10.11648/j.aas.20230803.12

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@article{10.11648/j.aas.20230803.12,
  author = {Tagese Yakob Barata and Meseret Lega Bedru and Dereje Yohannes and Tsegaye Demissie},
  title = {Dietary Diversity and Associated Factors Among Preschool Children in Southern Ethiopia: A Community Based Cross-Sectional Study},
  journal = {Advances in Applied Sciences},
  volume = {8},
  number = {3},
  pages = {70-79},
  doi = {10.11648/j.aas.20230803.12},
  url = {https://doi.org/10.11648/j.aas.20230803.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.aas.20230803.12},
  abstract = {Background: Dietary diversity is universally recognized as a key component of healthy diets and defined as the total number of food groups consumed over a reference period. Preschool children are the most vulnerable group because of their high nutritional needs for growth and development. It highly affects their nutritional status as the reason for lack of dietary diversity. The aim of this study was to assessment the levels of dietary diversity and associated factors of Preschool Children aged 4-7 years in Southern Ethiopia. Method and materials: A community based cross sectional study will be conducted. A total of 487 preschool children were included in this study. Data was collected using interview guided structured questionnaire. To calculate Dietary diversity score 24 hours recall by mothers of their children’s food consumption was used. A binary logistic regression was performed to examine the association of each independent variable on the outcome variable. Results: the prevalence of inadequate dietary diversity among preschool children in this study was 65.70% with the mean score of dietary diversity score of study was 3.27±1.50. Household who do not live near health care facility (AOR= 2.35, CI (1.50-3.69), House hold with no access to fruit (AOR=1.76 (1.11-2.80), history child illness in last two weeks (AOR=2.56, CI: (1.24-5.26) and preschool child with whose mother has counseling of child feeding at PNC (AOR=0.39; 95% CI: (0.21-0.71) were significantly associated with low dietary diversity in preschool children in study. Conclusion: The findings indicated that many preschool children in the study area did not get a minimum dietary diversity score. Therefore, health extension workers must organize community-based behavior change nutritional education for mothers or caregivers to create awareness of preschool child dietary diversity practices.},
 year = {2023}
}

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