dc.date.accessioned | 2020-05-20T18:55:15Z | |
dc.date.available | 2020-05-20T18:55:15Z | |
dc.date.created | 2019-07-14T07:48:49Z | |
dc.date.issued | 2019 | |
dc.identifier.citation | Hjertholm, Katrine Gjermundnes Holmboe-Ottesen, Gerd Iversen, Per Ole Mdala, Ibrahimu Munthali, Alister Maleta, Kenneth Shi, Zumin Ferguson, Elaine Kamudoni, Penjani Rhoda . Seasonality in associations between dietary diversity scores and nutrient adequacy ratios among pregnant women in rural Malawi - a cross-sectional study. Food & Nutrition Research. 2019, 63 | |
dc.identifier.uri | http://hdl.handle.net/10852/76027 | |
dc.description.abstract | Background: Dietary diversity scores (DDS) are simple indicators often used as proxies for nutrient adequacy. A 10-food group indicator is proposed by the Food and Agriculture Organization of the United Nations as a global standard for measuring dietary diversity among women in low-resource settings. However, its validity as a proxy for nutrient adequacy across different agricultural seasons for pregnant women has not been determined.
Objective: We studied associations between DDS and nutrient adequacy ratios (NAR) across two different agricultural seasons (pre- and post-harvest seasons) for pregnant women in rural Malawi and assessed whether a 1-day DDS or a 3-day DDS would be the best indicator of nutrient adequacy.
Design: Dietary intakes of 330 pregnant women were assessed between gestational weeks 28 and 35. Intakes of energy, macronutrients, and 11 micronutrients were estimated using three repeated interactive 24-h diet recalls, and DDS were also calculated from these days. Correlation coefficients (r) between DDS, NAR, and mean adequacy ratio (MAR) of the 11 micronutrients were determined.
Results: After energy adjustments, we found significant correlations between DDS and MAR with both DDS indicators in the preharvest season (r = 0.22–0.23; p < 0.001) but not in the post-harvest season (p > 0.05). For individual energy-adjusted NARs, correlations were not consistently significant across the two seasons and the two DDS indicators.
Conclusions: Our results suggest that DDS could be used to predict overall nutrient adequacy during the preharvest season. As similar correlations were found using both the 1- and 3-day indicators, we recommend using a 1-day DDS, for simplicity. However, as the indicators are sensitive to seasonality they should be used with care in this study setting. | |
dc.language | EN | |
dc.publisher | Swedish Nutrition Foundation in cooperation with Open Academia | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | Seasonality in associations between dietary diversity scores and nutrient adequacy ratios among pregnant women in rural Malawi - a cross-sectional study | |
dc.type | Journal article | |
dc.creator.author | Hjertholm, Katrine Gjermundnes | |
dc.creator.author | Holmboe-Ottesen, Gerd | |
dc.creator.author | Iversen, Per Ole | |
dc.creator.author | Mdala, Ibrahimu | |
dc.creator.author | Munthali, Alister | |
dc.creator.author | Maleta, Kenneth | |
dc.creator.author | Shi, Zumin | |
dc.creator.author | Ferguson, Elaine | |
dc.creator.author | Kamudoni, Penjani Rhoda | |
cristin.unitcode | 185,51,13,0 | |
cristin.unitname | Avdeling for ernæringsvitenskap | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 1711409 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Food & Nutrition Research&rft.volume=63&rft.spage=&rft.date=2019 | |
dc.identifier.jtitle | Food & Nutrition Research | |
dc.identifier.volume | 63 | |
dc.identifier.issue | 0 | |
dc.identifier.doi | https://doi.org/10.29219/fnr.v63.2712 | |
dc.identifier.urn | URN:NBN:no-79126 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1654-6628 | |
dc.identifier.fulltext | Fulltext https://www.duo.uio.no/bitstream/handle/10852/76027/1/2712-Article%2BText-22345-1-10-20190227.pdf | |
dc.type.version | PublishedVersion | |