Dietary diversity score is a useful indicator of vitamin A status of adult women in Northern Kenya

Fujita, Masako; Lo, Yun Jia; Baranski, Janine R.

doi:10.1002/ajhb.22327

Cited by 22 publications

(16 citation statements)

References 42 publications

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“…Beyond this basic plan, variations were seen in the diversity of ingredients women included in their meals (Fujita et al, 2012). For example, those who were less fortunate took their morning tea without milk.…”

Section: Discussionmentioning

confidence: 99%

Nutrient intakes associated with elevated serum C‐reactive protein concentrations in normal to underweight breastfeeding women in Northern Kenya

Fujita

Brindle

et al. 2014

American J Hum Biol

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Objectives Low-grade elevation of C-reactive protein (CRP) is a non-specific inflammatory marker, used as a predictor for cardiovascular disease development and chronic inflammatory risks. Research investigating dietary influences on inflammation has focused primarily on the relationship between dietary characteristics, CRP elevation and BMI in the populations at greatest risk for cardiovascular disease, namely those in the overweight and obese ranges, often in clinical settings and/or among those middle aged or older, leaving little information about normal to underweight populations of reproductive age in ecological settings. This study evaluates impacts of dietary nutrients on serum CRP levels in a population of predominantly underweight to normal weight adult women experiencing the additional nutritional demands of lactation. Methods Data from non-overweight breastfeeding Ariaal women of Kenya collected in 2006 were used (n = 194). Logistic regression models were applied using low-grade CRP elevation (hsCRP > 3 mg/L) as the outcome variable and dietary nutrients, age, BMI, and serum retinol as predictors. Results Models showed that energy intake (Kcal) and age were positive predictors of CRP elevation while folate intake, total vitamin A intake, and serum retinol concentration were protective against CRP elevation. Unlike previous studies among higher BMI populations, this study found no significant effect of dietary lipids/fatty acids or BMI on CRP elevation. Conclusions The effects of specific dietary nutrients on inflammatory status may vary with BMI or, in women, reproductive status. Further research should investigate the role of dietary fats, fatty acids, and antioxidant vitamins across populations with a wide range of BMI, including postpartum women.

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Section: Discussionmentioning

confidence: 99%

Nutrient intakes associated with elevated serum C‐reactive protein concentrations in normal to underweight breastfeeding women in Northern Kenya

Fujita

Brindle

et al. 2014

American J Hum Biol

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“…Study had reported that DDS is well correlated with serum retinol level and could predict vitamin A deficiency (23). …”

Section: Discussionmentioning

confidence: 99%

Consumption of vitamin a rich foods and dark adaptation threshold of pregnant women at Damot Sore District, Wolayita, southern Ethiopia

Abebe¹,

Abebe²,

Loha³

et al. 2014

Ethiop J Health Sci

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BackgroundMore than 7.2 million pregnant women in developing countries suffer from vitamin A deficiency. The objective of this study was to assess dark adaptation threshold of pregnant women and related socio-demographic factors in Damot Sore District, Wolayita Zone, Southern Ethiopia.MethodsA cross-sectional study design was employed to collect data from 104 pregnant women selected by a two stage cluster sampling. A Dietary Diversity Score was calculated by counting the number of food groups consumed by the women in 24 hour period prior to the study. Scotopic Sensitivity Tester-1 was used to test participant's pupillary response to graded amounts of light in a dark tent.ResultsHalf of the pregnant women in this study had dietary diversity score less than three. The majority of participants (87.5%) had consumed either animal or plant source vitamin A rich foods less than three times a week. For a unit increase in individual dietary diversity score, there was a decrease in dark adaptation measurement by 0.29 log cd/m2 (p=0.001). For a unit increase in gestational week of pregnancy, there was an increase in dark adaptation measurement by 0.19 log cd/m2 (P=0.027).ConclusionsResults from this study indicated that the pregnant women had low consumption of vitamin A rich foods, and their dark adaptation threshold increases with gestational age indicating that their vitamin A status is getting worse. There is a need to design appropriate intervention and target this group of population.

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“…indicators [13][14][15], the strength of our study was the possibility to examine two seasons with different food consumption patterns. Indeed, our results suggest that the associations between dietary diversity and micronutrient status may vary from season to the other -we found a seasonal discrepancy in the association between dietary diversity and zinc.…”

Section: Compared With Earlier Reports On the Associations Between DImentioning

confidence: 99%

“…Indeed, previous studies in pregnant women in Southern Ethiopia [13] and breastfeeding women in Northern Kenya [14] have found that women with a low DDS had an increased risk of having vitamin A deficiency compared to women with a higher DDS. Furthermore, the Ethiopian researchers also found an association between DDS and serum zinc among pregnant women [15].…”

Section: Introductionmentioning

confidence: 97%

Associations of dietary diversity scores and micronutrient status in adolescent Mozambican girls

et al. 2016

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Dietary diversity score is a useful indicator of vitamin A status of adult women in Northern Kenya

Cited by 22 publications

References 42 publications

Nutrient intakes associated with elevated serum C‐reactive protein concentrations in normal to underweight breastfeeding women in Northern Kenya

Nutrient intakes associated with elevated serum C‐reactive protein concentrations in normal to underweight breastfeeding women in Northern Kenya

Consumption of vitamin a rich foods and dark adaptation threshold of pregnant women at Damot Sore District, Wolayita, southern Ethiopia

Associations of dietary diversity scores and micronutrient status in adolescent Mozambican girls

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