Association between dietary diversity and nutritional status of children aged 6-59 months in the Tamale Metropolis
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Dietary diversity, underweight, wasting, stunting, Nutritional status, Children
Abstract
Background: Optimal growth and development in children requires adequate dietary intake from diverse food groups. A varied diet provides a comprehensive array of nutrients for achieving and maintaining optimal nutritional status in the pediatric population.
Aims: This study aimed to assess the association between dietary diversity and nutritional status of children aged 6 to 59 months in the Tamale Metropolis.
Methods: A cross-sectional study design was employed, utilizing systematic random sampling to select a cohort of 343 mothers and their children from four health facilities within the Tamale Metropolis. Data pertaining to sociodemographic characteristics, dietary intake, and anthropometric measurements, were collected. Dietary diversity score was assessed based on seven food groups, as recommended by the Food and Agriculture Organization of the United Nations. Z-scores for anthropometric indices were calculated using WHO Anthro software. Descriptive statistics, Chi-square tests, and partial correlation analyses were used for data analysis.
Results: The mean age (standard deviation) of the children was 11.9 ± 5.0 months. The prevalence of stunting, wasting, underweight, and overweight/obesity were recorded as 38.5%, 14.3%, 28.9%, and 18.1%, respectively. The proportions of children consuming from the various food groups in the preceding 24 hours were as follows: grains, roots and tubers (86.9%); legumes and nuts (24.8%); dairy products (46.1%); flesh foods (43.7%); eggs (17.8%); vitamin A rich fruits and vegetables (39.7%); and other fruits and vegetables (72.9%). The mean dietary diversity score was 3.3 ± 1.7, with 55.4% of children meeting the minimum dietary diversity criteria. Dietary diversity scores exhibited statistically significant correlations with z-scores for weight-for-age (r = 0.292), height-for-age (r = 0.382) and BMI-for-age (r = -0.165).
Conclusions: Despite a majority of the children in the Tamale Metropolis meeting the minimum dietary diversity, malnutrition remains a significant public health concern. Dietary diversity was found to exert a distinct influence on the nutritional status of the children in this study population.
Keywords: Dietary Diversity, Underweight, Wasting, Stunting, Nutritional Status, Children.
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References
Anane, I., Nie, F., & Huang, J. (2021). Socioeconomic and geographic pattern of food consumption and dietary diversity among children aged 6–23 months old in Ghana. Nutrients, 13(2), 603. https://doi.org/10.3390/nu13020603
Amoah, A. N., Danquah, A. O., Stanislav, T. S., Drokow, E. K., Yacong, B., Wang, L., & Lyu, Q. (2022). Correlates of dietary diversity among children aged 6–23 months of head porters in Ghana. Frontiers in Public Health, 10, 1020265. https://doi.org/10.3389/fpubh.2022.1020265
Armstrong, M. E., Lambert, M. I., & Lambert, E. V. (2017). Relationships between different nutritional anthropometric statuses and health-related fitness of South African primary school children. Annals of Human Biology, 44(3), 208–213. https://doi.org/10.1080/03014460.2016.1229029
Aryeetey, R., Lartey, A., Marquis, G. S., Nti, H., Colecraft, E., & Brown, P. (2017). Prevalence and predictors of overweight and obesity among school-aged children in urban Ghana. BMC Obesity, 4(1), 1–8. https://doi.org/10.1186/s40608-017-0152-6
Bandoh, D. A., & Kenu, E. (2017). Dietary diversity and nutritional adequacy of under-fives in a fishing community in the central region of Ghana. BMC Nutrition, 3(1). https://doi.org/10.1186/s40795-016-0120-4
Darapheak, C., Takano, T., Kizuki, M., Nakamura, K., & Seino, K. (2013). Consumption of animal source foods and dietary diversity reduce stunting in children in Cambodia. International Archives of Medicine, 6(1), 1–11. https://doi.org/10.1186/1755-7682-6-29
Dangura, D., & Gebremedhin, S. (2017). Dietary diversity and associated factors among children 6–23 months of age in Gorche district, Southern Ethiopia: Cross-sectional study. BMC Pediatrics, 17(1), 1–7. https://doi.org/10.1186/s12887-017-0914-9
Dewiasty, E., Agustina, R., Saldi, S. R. F., Pramudita, A., Hinssen, F., Kumaheri, M., ... & Setiati, S. (2022). Malnutrition prevalence and nutrient intakes of Indonesian community-dwelling older adults: A systematic review of observational studies. Frontiers in Nutrition, 9, 780003. https://doi.org/10.3389/fnut.2022.780003
FAO. (2018). Dietary assessment: A resource guide to method selection and application in low resource settings. Food and Agriculture Organization of the United Nations. https://www.fao.org/3/i9940en/I9940EN.pdf
Frempong, R. B., & Annim, S. K. (2017). Dietary diversity and child malnutrition in Ghana. Heliyon, 3(5), e00298. https://doi.org/10.1016/j.heliyon.2017.e00298
Gödecke, T., Stein, A. J., & Qaim, M. (2018). The global burden of chronic and hidden hunger: Trends and determinants. Global Food Security, 17, 21–29. https://doi.org/10.1016/j.gfs.2018.03.004
Heidari-Beni, M., Riahi, R., Massoudi, S., Qorbani, M., & Kelishadi, R. (2021). Association between dietary diversity score and anthropometric indices among children and adolescents: The weight disorders survey in the CASPIAN-IV study. Journal of the Science of Food and Agriculture, 101(12), 5075–5081. https://doi.org/10.1002/jsfa.11162
Lapik, I. A., Galchenko, A. V., & Gapparova, K. M. (2020). Micronutrient status in obese patients: A narrative review. Obesity Medicine, 18, 100224. https://doi.org/10.1016/j.obmed.2020.100224
Lowe, N. M. (2021). The global challenge of hidden hunger: Perspectives from the field. Proceedings of the Nutrition Society, 80(3), 283–289. https://doi.org/10.1017/S0029665121000902
Mahmudiono, T., Sumarmi, S., & Rosenkranz, R. R. (2017). Household dietary diversity and child stunting in East Java, Indonesia. Asia Pacific Journal of Clinical Nutrition, 26(2), 317–325. https://doi.org/10.6133/apjcn.012016.01
McKay, J., Ho, S., Jane, M., & Pal, S. (2020). Overweight & obese Australian adults and micronutrient deficiency. BMC Nutrition, 6(1), 12. https://doi.org/10.1186/s40795-020-00336-9
Modjadji, P., Molokwane, D., & Ukegbu, P. O. (2020). Dietary diversity and nutritional status of preschool children in North West Province, South Africa: A cross-sectional study. Children, 7(10), 174. https://doi.org/10.3390/children7100174
Molla, W., Adem, D. A., Tilahun, R., Shumye, S., Kabthymer, R. H., Kebede, D., Mengistu, N., Ayele, G. M., & Assefa, D. G. (2021). Dietary diversity and associated factors among children (6-23 months) in Gedeo zone, Ethiopia: cross - sectional study. Italian Journal of Pediatrics, 47(1), 233. https://doi.org/10.1186/s13052-021-01181-7
Ogechi, U. P., & Chilezie, O. V. (2017). Assessment of dietary diversity score, nutritional status and socio-demographic characteristics of under-5 children in some rural areas of Imo State, Nigeria. Malaysian Journal of Nutrition, 23(3), 425–435.
Paramashanti, B. A., Huda, T. M., Alam, A., & Dibley, M. J. (2022). Trends and determinants of minimum dietary diversity among children aged 6–23 months: A pooled analysis of Indonesia Demographic and Health Surveys from 2007 to 2017. Public Health Nutrition, 25(7), 1956–1967. https://doi.org/10.1017/S1368980022000392
Ritchie, H., & Roser, M. (2017). Micronutrient deficiency. Our World in Data. Retrieved from https://ourworldindata.org/micronutrient-deficiency
Saaka, M., Wemakor, A., Abizari, A.-R., & Aryee, P. (2015). How well do WHO complementary feeding indicators relate to nutritional status of children aged 6-23 months in rural Northern Ghana? BMC Public Health, 15(1), 1157. https://doi.org/10.1186/s12889-015-2494-7
Sekartaji, R., Suza, D. E., Fauziningtyas, R., Almutairi, W. M., Susanti, I. A., Astutik, E., & Efendi, F. (2021). Dietary diversity and associated factors among children aged 6–23 months in Indonesia. Journal of Pediatric Nursing, 56, 30–34. https://doi.org/10.1016/j.pedn.2020.10.006
Sié, A., Tapsoba, C., Dah, C., Ouermi, L., Zabre, P., Bärnighausen, T., ... & Oldenburg, C. E. (2018). Dietary diversity and nutritional status among children in rural Burkina Faso. International Health, 10(3), 157–162. https://doi.org/10.1093/inthealth/ihy016
Solomon, D., Aderaw, Z., & Tegegne, T. K. (2017). Minimum dietary diversity and associated factors among children aged 6–23 months in Addis Ababa, Ethiopia. International Journal for Equity in Health, 16(1), 1–9. https://doi.org/10.1186/s12939-017-0680-1
Temesgen, H., Yeneabat, T., & Teshome, M. (2018). Dietary diversity and associated factors among children aged 6–23 months in Sinan Woreda, Northwest Ethiopia: A cross-sectional study. BMC Nutrition, 4(1), 1–8. https://doi.org/10.1186/s40795-018-0214-2
University of Ghana, GroundWork, University of Wisconsin-Madison, Kyeema Foundation, & UNICEF. (2017). Ghana micronutrient survey 2017.
Vecchio, M. G., Paramesh, E. C., Paramesh, H., Loganes, C., Ballali, S., Gafare, C. E., ... & Gulati, A. (2014). Types of food and nutrient intake in India: A literature review. The Indian Journal of Pediatrics, 81(1), 17–22. https://doi.org/10.1007/s12098-014-1465-9
World Health Organization. (2006). WHO child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. World Health Organization.
Zhao, W., Yu, K., Tan, S., Zheng, Y., Zhao, A., Wang, P., & Zhang, Y. (2017). Dietary diversity scores: An indicator of micronutrient inadequacy instead of obesity for Chinese children. BMC Public Health, 17(1), 1–11. https://doi.org/10.1186/s12889-017-4381-x
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Copyright (c) 2025 Michael Wiafe, Emmanuel Afedzie, Prisca Ntim, Esther Owusu, Anthony Wemakor
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