Food insecurity and nutritional status of preconception women in a rural population of North Karnataka, India

Mastiholi, Shivanand C.; Somannavar, Manjunath S; Vernekar, Sunil S; Kumar, Sanjiv; Dhaded, Sangappa; Herekar, Veena; Lander, Rebecca L.; Hambidge, Michael; Krebs, Nancy F.; Goudar, Shivaprasad S.

doi:10.1186/s12978-018-0535-2

Cited by 17 publications

(18 citation statements)

References 16 publications

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“…for protein [11]. This is in contrast to the current study where only 1.4% of the women were consuming less than 50% of their daily energy and protein requirement.…”

Section: Discussioncontrasting

confidence: 99%

“…In the current study, almost one-third of women were undernourished (BMI < 18.5) similar to other studies [3,11,21]. In tribal block the proportion was more than 40%.…”

Section: Discussionsupporting

confidence: 90%

“…The current study reported that 15.9% of married women below 19 years of age and a higher proportion of tribal women were desirous to become pregnant more than non-tribal women (p < 0.001). This age distribution was similar to population-based studies done in other parts of India and South Asia [9][10][11][12][13]. The educational opportunities and better socioeconomic status in non-tribal areas might be a reason for this difference.…”

Section: Discussionsupporting

confidence: 86%

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Health risks among women desiring pregnancy within one year: a cross-sectional study in Maharashtra India

Gothankar

Doke

Palkar

et al. 2020

Preprint

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Background Health of women during preconception phase though critical is comparatively ignored period in her life cycle. Presence of health risks are judged as hazardous to well-being of women and her forthcoming progeny. The objective of the study was to measure the prevalence of health risks and its comparison between blocks.Methods A cross sectional study was conducted in two tribal and two non-tribal blocks in Nasik district, Maharashtra, India. Currently married women desiring conception within one year were included as study participants. Sample size was estimated to be 6,951. Data was collected by trained Accredited Social Health Activists using validated interview schedule. Anthropometric measures of women were recorded in standard manner. Body Mass Index criteria were used to assess the nutritional status.Results Mean age of women was 23.19 ± 3.71 years and 16% of them were adolescents. Illiteracy rate was higher in tribal than non-tribal women. Commonest reported occupation was farming. Despite being high parity and gravida status more tribal women desired pregnancy. Substance abuse was high among tribal women. Majority of women consumed meal with family members or with husband. Although 35% of women had low consumption of protein and calorie, yet most of them perceived to have abundant food.Conclusion Health risks namely younger age, illiteracy, farming with moderate to high-intensity work, high parity, low consumption of protein and calories and undernutrition were found to be prevalent and the risks were significantly more among tribal women. “Continuum of care” must include preconception care.

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“…for protein [11]. This is in contrast to the current study where only 1.4% of the women were consuming less than 50% of their daily energy and protein requirement.…”

Section: Discussioncontrasting

confidence: 99%

“…In the current study, almost one-third of women were undernourished (BMI < 18.5) similar to other studies [3,11,21]. In tribal block the proportion was more than 40%.…”

Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 86%

See 1 more Smart Citation

Health risks among women desiring pregnancy within one year: a cross-sectional study in Maharashtra India

Gothankar

Doke

Palkar

et al. 2020

Preprint

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“…Physiologically, food insecurity may negatively impact breast milk quantity through several mechanisms. First, household food insecurity is associated with decreased maternal dietary diversity (Na et al, 2016) and undernutrition (Mastiholi et al, 2018;Motbainor, Worku, & Kumie, 2017), such that breast milk production or nutrient content may be compromised. Additionally, household food insecurity is associated with greater maternal psychosocial stress (Garcia et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Greater household food insecurity is associated with lower breast milk intake among infants in western Kenya

Miller

Young

Boateng

et al. 2019

Maternal & Child Nutrition

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Household food insecurity has been hypothesized to negatively impact breastfeeding practices and breast milk intake, but this relationship has not been rigorously assessed. To generate an evidence base for breastfeeding recommendations among food‐insecure mothers in settings where HIV is highly prevalent, we explored infant feeding practices among 119 mother–infant dyads in western Kenya at 6 and 24 weeks postpartum. We used the deuterium oxide dose‐to‐the‐mother technique to determine if breastfeeding was exclusive in the prior 2 weeks, and to quantify breast milk intake. Sociodemographic data were collected at baseline and household food insecurity was measured at each time point using the Household Food Insecurity Access Scale. Average breast milk intake significantly increased from 721.3 g/day at 6 weeks postpartum to 961.1 g/day at 24 weeks postpartum. Household food insecurity at 6 or 24 weeks postpartum was not associated with maternal recall of exclusive breastfeeding (EBF) in the prior 24 hr or deuterium oxide‐measured EBF in the prior 2 weeks at a significance level of 0.2 in bivariate models. In a fixed‐effects model of quantity of breast milk intake across time, deuterium oxide‐measured EBF in the prior 2 weeks was associated with greater breast milk intake (126.1 ± 40.5 g/day) and every one‐point increase in food insecurity score was associated with a 5.6 (±2.2)‐g/day decrease in breast milk intake. Given the nutritional and physical health risks of suboptimal feeding, public health practitioners should screen for and integrate programs that reduce food insecurity in order to increase breast milk intake.

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“…More than one-third of Indian women in the reproductive age group are in a state of chronic nutritional deficiency during the preconception period leading to poor health and likely resulting in low birth weight babies. 2 Attainment of millennium development goals (MDG) by our country is largely dependent on the health of mothers and children, which in turn is influenced by diet. Finally, a women's health affects the household economic well-being, and as a woman with poor health will be less productive in the labor force.…”

Section: Introductionmentioning

confidence: 99%

Dietary pattern and nutritional status among lactating women in North Karnataka

Xavier¹,

Amgiasvasanth

2020

Int J Community Med Public Health

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Background: Women from low-income settings are considered as nutritionally vulnerable. This risk is augmented during pregnancy and lactation as food nutrient requirement increases. Lactating mothers are subjected to nutritional stresses which are further exaggerated by frequent pregnancies resulting in high maternal mortality and health risk for children. Attainment of millennium development goals (MDG) by our country is largely dependent on the health of mothers and children, which in turn is influenced by diet. Objective of this study was to assess the nutritional status and associated factors of lactating women. To assess diet pattern of lactating womenMethods: Cross-sectional study carried out for a period of three month by house to house visit in the urban field practice area of SDMCMSH, Dharwad. Taking prevalence of malnutrition among lactating mothers (15-49 years) as 50, sample size was calculated to be 100 using n=4pq/d×d. Data analysed using the IBMSPSS 20.0.Results: Majority of mothers were housewives and in the age group of 20-25 year. >80% of the participants did not take additional meals during lactation. >60% of women from low socioeconomic state were malnourished and >55% of women from high socioeconomic state but working is malnourished.Conclusions: Dietary intakes of the lactating women are insufficient compared to national recommendations. Low socioeconomic condition and working status of mother are important predictors of malnourishment. Effective nutritional education of families and communities is recommended to improve dietary practices and result in adequate nutrition.

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Food insecurity and nutritional status of preconception women in a rural population of North Karnataka, India

Cited by 17 publications

References 16 publications

Health risks among women desiring pregnancy within one year: a cross-sectional study in Maharashtra India

Health risks among women desiring pregnancy within one year: a cross-sectional study in Maharashtra India

Greater household food insecurity is associated with lower breast milk intake among infants in western Kenya

Dietary pattern and nutritional status among lactating women in North Karnataka

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