Maternal Dietary Diversity and Infant Outcome of Pregnant Women in Northern Ghana

Authors

  • Mahama Saaka University for Development Studies, School of Medicine and Health Sciences, P.O. Box 1883, Tamale, Ghana

DOI:

https://doi.org/10.6000/1929-4247.2012.01.02.6

Keywords:

Pregnancy, Ghana, dietary diversity, preterm delivery, low birth weight.

Abstract

Objective: Little is known regarding the role of maternal dietary diversity score (DDS) in predicting poor outcomes of pregnancy including preterm delivery, and low birth weight (LBW). The main aim of this study was to explore the relationship between dietary diversity scores of urban Ghanaian women and infant weight at birth.

Methods: This analytical cross-sectional study comprised 524 pregnant women who delivered singleton babies. A Structured questionnaire was used to collect data on socio-demographic variables (e.g. educational status, age, maternal occupation, household wealth index), obstetric history (for example, gravidity, gestational weight gain), dietary intake, malarial infection and Sulphadoxine pyrimethamine (SP) uptake, blood pressure (BP), haemoglobin concentration (Hb), anthropometric measurements (e.g. weight of mother and new born baby).

Results: This study showed that maternal dietary diversity as measured by individual dietary diversity score scores (IDDS) was a significant independent predictor for mean birth weight and LBW. Analysis of covariance (ANCOVA) showed there was a significant difference in adjusted mean birth weight between women on low and high diversified diets , F (1, 415) = 8.935, p = 0.003. The results further showed that maternal IDDS was negatively associated with the incidence of LBW (Adjusted OR = 0.43, 95% CI = 0.22–0.85, p = 0.014).

Conclusion: In nutritional deprived populations, maternal diet in the third trimester appears to be an important determinant of LBW and that DDS can serve as useful predictive indicator of maternal nutrition during pregnancy and the likelihood of delivering LBW babies.

References

World Health Organization. Report of the advisory group meeting on maternal nutrition and low birth weight. Geneva: WHO 2002.

World Health Organization. Promoting optimal fetal development: report of a technical consultation. Geneva: WHO 2006.

Abu-Saad K, Fraser D. Maternal Nutrition and Birth Outcomes. Epidemiol Rev 10; 32: 32: 5-25.

Fall CH, Yajnik CS, Rao S, et al. Micronutrients and fetal growth. J Nutr 2003; 133(5 suppl 2): 1747S-56S.

Hudson G. Food intake in a west African village. Estimation of food intake from a shared bowl. Br J Nutr 1995; 73(4): 551-69. http://dx.doi.org/10.1079/BJN19950058

Hoddinott J, Yohannes Y. Dietary Diversity as a Household Food Security Indicator. FANTA Project. Washington, DC: Academy for Educational Development 2002. http://dx.doi.org/10.3945/jn.110.123414

Arimond M, Wiesmann D, Becquey E, et al. Simple food group diversity indicators predict micronutrient adequacy of women’s diets in 5 diverse, resource-poor settings. J Nutr 2010; 140(11): 2059S-69S.

Ruel MT. Is dietary diversity an indicator of food security or dietary quality? A review of measurement issues and research needs. FCND Discussion Paper no 140 Washington, DC: IFPRI 2002.

Hatloy A, Hallund J, Diarra MM, et al. Food variety, socioeconomic status and nutritional status in urban and rural areas in Koutiala (Mali). Public Health Nutr 2000; 3(1): 57-65. http://dx.doi.org/10.1017/S1368980000000628

Arimond M, Ruel MT. Progress in Developing an Infant and Child Feeding Index: An Example using the Ethiopia Demographic and Health Survey 2000. Washington, DC: International Food Policy Research Institute 2002.

Becquey E, Martin-Prevel Y, Traissac P, et al. The household food insecurity access scale and an index-member dietary diversity score contribute valid and complementary information on household food insecurity in an urban West-African setting. J Nutr 2010; 140(12): 2233-40. http://dx.doi.org/10.3945/jn.110.125716

FAO. Guidelines for Measuring Household and Individual Dietary Diversity, Rome-Italy: FAO/Nutrition and Consumer Protection Division 2007; pp. 5-31.

FAO. Guidelines for measuring household and individual dietary diversity Rome, Italy: Food and Agriculture Organization of the United Nations 2011.

World Food Programme (WFP). Comprehensive Food Security & Vulnerability Analysis Guidelines Rome, Italy: United Nations World Food Programme 2009.

Kennedy G, Ballard T, Dop MC. Guidelines for Measuring Household and Individual Dietary Diversity Rome, Italy: FAO, Nutrition and Consumer Protection Division 2011.

WHO. Physical status: the use and interpretation of anthropometry. Report of WHO Expert Committee. WHO Technical Report Series, no 854. Geneva: World Health Organization 1995.

World Health Organization. Basic Laboratory Techniques. Geneva, Switzerland: World Health Organization 1982.

Garenne M, Hohmann S. A wealth index to screen high risk families: application to Morocco. J Health Population Nutr 2003; 21(3): 235-42.

Johnson AA, Knight EM, Edwards CH, et al. Dietary intakes, anthropometric measurements and pregnancy outcomes. J Nutr 1994; 24(6 Suppl): 936S-42S.

Mathews F, Yudkin P, Neil A. Influence of maternal nutrition on outcome of pregnancy: prospective cohort study. BMJ 1999; 319(7206): 339-43. http://dx.doi.org/10.1136/bmj.319.7206.339

Rosso P, Ed. Nutrition and Metabolism in Pregnancy: Mother and Fetus. New York, NY: Oxford University Press Inc. 1990.

Scholl TO, Hediger ML, Khoo C, et al. Maternal weight gain, diet and infant birth weight: Correlations during adolescent pregnancy. J Clin Epidemiol 1991; 44: 423-8. http://dx.doi.org/10.1016/0895-4356(91)90081-J

Susser M. Maternal weight gain, infant birth weight, and diet: causal sequences. Am J Clin Nutr 1991; 53: 1384-96.

Worthington-Roberts BS, Klerman LV. Maternal nutrition. In: Merkatz IR, Thompson JE, Mullen P, et al., Eds. New Perspectives on Prenatal Care. New York, New York: Elsevier Science Publishing Co. Inc. 1990; pp. 235-71.

Scholl TO, Hediger ML, Bendich A, et al. Use of multivitamin/ mineral prenatal supplements: influence on the outcome of pregnancy. Am J Epidemiol 1997; 146(2): 134-41. http://dx.doi.org/10.1093/oxfordjournals.aje.a009244

Doyle W, Wynn AHA, Crawford MA, et al. Nutritional counseling and supplementation in the second and third trimester of pregnancy, a study in a London population. J Nutr Med 1992; 3(3-4): 249-56. http://dx.doi.org/10.3109/13590849208997980

Ferland S, Turgeon O'Brien H. Maternal dietary intake and pregnancy outcome. J Reproduc Med 2003; 48(2): 86-94.

Moore VM, Davies MJ, Willson KJ, et al. Dietary Composition of Pregnant Women Is Related to Size of the Baby at Birth. J Nutr 2004; 134: 1820-6.

Shah PS, Ohlsson A. Knowledge Synthesis Group on Determinants of Low Birth Weight and Preterm Births. Effects of prenatal multimicronutrient supplementation on pregnancy outcomes: a meta-analysis. CMAJ 2009; 180(12): E99-E108. http://dx.doi.org/10.1503/cmaj.081777

Harder T, Rodekamp E, Schellong K, et al. Birth weight and subsequent risk of type 2 diabetes: a meta-analysis. Am J Epidemiol 2007; 165: 849-57. http://dx.doi.org/10.1093/aje/kwk071

Barker D. The malnourished baby and infant. Br Med Bull 2001; 60: 69-88. http://dx.doi.org/10.1093/bmb/60.1.69

Martin PM, Sutherland AE, Van Winkle LJ. Amino acid transport regulates blastocyst implantation. Biol Reprod 2003; 69: 1101-8. http://dx.doi.org/10.1095/biolreprod.103.018010

Harding JE. The nutritional basis of the fetal origins of adult disease. Int J Epidemiol 2001; 30: 15-23. http://dx.doi.org/10.1093/ije/30.1.15

Kramer MS, Se´guin L, Lydon J, et al. Socio-economic disparities in pregnancy outcome: why do the poor fare so poorly? Paediatr Perinat Epidemiol 2000; 14(3): 194-10. http://dx.doi.org/10.1046/j.1365-3016.2000.00266.x

Savy M, Martin-Prevel Y, Traissac P, et al. Measuring dietary diversity in rural Burkina Faso: comparison of a 1-day and a 3-day dietary recall. Public Health Nutr 2007; 10(1): 71-8. http://dx.doi.org/10.1017/S1368980007219627

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2013-01-01

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