Determinants of nutritional status among pregnant women in East Shoa zone, Central Ethiopia

Wakwoya, Ermias Bekele; Belachew, Tefera; Girma, Tsinuel

doi:10.3389/fnut.2022.958591

Cited by 6 publications

(5 citation statements)

References 35 publications

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“…These factors may restrict access to nutritionally rich food sources, and awareness of the importance of nutrition during pregnancy, thereby impacting the dietary intake and, consequently, the weight status of these women. This assertion is supported by other articles and studies in the field [ 13 , 24 , 28 – 30 ].…”

Section: Discussionsupporting

confidence: 77%

Gestational weight gain and its determinants among pregnant women in Gurage zone, Central Ethiopia: a cohort study

Beyene,

Yunus,

Deribew

et al. 2024

BMC Women's Health

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Background The nutritional status of the mothers before pregnancy and the weights gained during pregnancy are very crucial factors affecting the pregnancy outcomes and health of the infants. This study aimed to assess early pregnancy weight, determine the magnitude of gestational weight gain, and investigate the factors affecting gestational weight gain among pregnant women in the Gurage zone, 2022. Methods A prospective cohort study was conducted among pregnant women who started antenatal care follow-up before the 16th week of gestation in the selected hospitals and health centers of the Gurage zone, Ethiopia. The gestational weight gain was obtained by subtracting the early pregnancy weight from the last pregnancy weight and categorizing based on the Institute of Medicine (IOM) recommendation. Results The early pregnancy weight status of the women at enrollment indicates that 10% of them were underweight and 83% of them had normal weight. On average, the study participants gained 13.3 kgs of weight with [95% CI: 13.0, 13.6]. More than half (56%) of them gained adequate weight, a quarter (26%) of them gained inadequate weight, and 18% of them gained excess weight during pregnancy compared to the IOM recommendation. Maternal age, occupational status, and early pregnancy weight status were found to have a statistically significant association with the gestational weight gained. Conclusion Almost half (44%) of the pregnant women gained either inadequate or excess weight during pregnancy. Promoting gestational weight gain within recommended guidelines should be emphasized for younger, employed women and those who are either underweight or overweight.

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Section: Discussionsupporting

confidence: 77%

Gestational weight gain and its determinants among pregnant women in Gurage zone, Central Ethiopia: a cohort study

Beyene,

Yunus,

Deribew

et al. 2024

BMC Women's Health

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“…According to the East Shoa zone report of 2020, the healthcare facilities in the zone are providing antenatal care for more than 54,408 pregnant women per year. The research location and participants are fully discussed elsewhere ( 24 ).…”

Section: Methodsmentioning

confidence: 99%

Effects of intensive nutrition education and counseling on nutritional status of pregnant women in East Shoa Zone, Ethiopia

2023

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BackgroundNutritional status is defined as an individual’s health condition as it is influenced by the intake and utilization of nutrients. Maternal malnutrition is widespread throughout the world, with Sub-Saharan Africa and Asia bearing the brunt of the burden. The objective of this study was to evaluate the effect of intensive nutrition education and counseling on nutritional status during pregnancy.Methods and materialsThe study was a one-year, two-arm parallel design cluster randomized controlled trial conducted in the East Shoa zone, Ethiopia, from January 1, 2021, to February 30, 2022. A total of 374 participants were enrolled in the intervention (n = 185) and control (n = 189) groups. End-line data were collected from 163 women, from each group. The intervention package provided three counseling sessions by trained midwives, three-page take-home brochures prepared in local languages, and the delivery of 18 weekly serial short text messages. The women in the control group received routine nutrition education from the health facilities. After adjusting for potential confounders, a linear mixed-effects model was employed to assess the intervention effect.ResultsAfter the intervention, the mean mid-upper arm circumference in the intervention group increased by 1.8% (23.08 vs. 23.44, p < 0.01). Similarly, the proportion of undernutrition in the intervention group was 11% (25 vs. 36%, p = 0.02) lower compared to the control arm. At the end of the trial, women in the intervention arm had significantly better nutritional status than women in the control group (β = 0.47, p < 0.01).ConclusionThe findings showed that intensive nutrition education and counseling using the health belief model was effective in improving nutritional status and reducing undernutrition among pregnant women. As a result, nutrition education and counseling using HBM constructs, as well as regular reminder messages, should be provided to pregnant women as part of the routine antenatal care service.

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“…In addition, parenting style also has psychological consequences for children's behaviour (25,30), further highlighting the multiple influences of parents' attitudes/behaviours on children's attitudes/behaviours. As for the association of low maternal education level with the suboptimal health attitudes of their children, this might be explained by the association of maternal education with health behaviour and attitudes: lower education among mothers is associated with lower use of health services (31), higher risk of smoking (32), harmful alcohol use (33), lower physical activity (34), poor nutrition (35), poorer mental health (36), and so on, and such practices (and other associated behaviours) will be conveyed to their children. This thus generates a relationship between a mother's education level and her children's attitudes to health promotion (ability to maintain and improve health).…”

Section: Comparisons With Previous Studiesmentioning

confidence: 99%

Ability to Maintain and Improve Health and Socio-Demographic Correlates among Children in Albania

Muja,

Vasil,

Toçi

et al. 2024

Slovenian Journal of Public Health

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Objective Our aim was to assess the level and socio-demographic correlates of the ability to maintain health among children in Albania, a post-communist country in the Western Balkans. Methods A cross-sectional study was conducted in Albania in September 2022. The study population consisted of a nationwide representative sample of 7,831 schoolchildren (≈54% girls) aged 12–15 years. A structured self-administered and anonymous questionnaire inquired about the children’s attitudes toward health promotion (ability to maintain and improve health) and a range of key dimensions on knowledge and practices regarding healthcare services. Socio-demographic data were also collected. Binary logistic regression was used to assess the socio-demographic correlates of children’s ability to maintain health. Results Overall, about 71% of schoolchildren exhibited the best attitudes toward health promotion (ability to maintain and improve health). In the multivariable adjusted logistic regression models, poorer attitudes toward health promotion (ability to maintain and improve health) were significantly related to older age (OR=1.2, 95% CI=1.0–1.3), middle/low maternal education (OR=1.2, 95%CI=1.1–1.3), poor/very poor economic situation (OR=1.5, 95%CI=1.2–1.8), lack of appropriate knowledge about rights to healthcare (OR=1.3, 95% CI=1.1–1.5), lack of knowledge about obtaining healthcare services (OR=1.7, 95%CI=1.4–2.2), and lack of consultations/visits with health professionals excluding vaccinations (OR=1.2, 95%CI=1.1–1.4). Conclusions Almost 1/3rd of Albanian schoolchildren included in this study did not exhibit the best attitudes toward health promotion (ability to maintain and improve health). The best attitudes were related to a higher socioeconomic level and adequate knowledge and practices regarding healthcare services. There is thus a need to increase health literacy levels among children in order to ultimately induce sustainable healthy behavioural/lifestyle practices.

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Determinants of nutritional status among pregnant women in East Shoa zone, Central Ethiopia

Cited by 6 publications

References 35 publications

Gestational weight gain and its determinants among pregnant women in Gurage zone, Central Ethiopia: a cohort study

Gestational weight gain and its determinants among pregnant women in Gurage zone, Central Ethiopia: a cohort study

Effects of intensive nutrition education and counseling on nutritional status of pregnant women in East Shoa Zone, Ethiopia

Ability to Maintain and Improve Health and Socio-Demographic Correlates among Children in Albania

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