Assessment of energy and nutrient intake adequacy and dietary diversity of pregnant women in Abidjan
Copyright © 2024 Vanie Stephane Claver, Kouakou Nestor Kouassi, Patrick Aubin Dakia, Grodji Albarin Gbogouri
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Background: Dietary diversity is a potential indicator of adequate nutrient intake.
Aims: The study assessed dietary diversity and adequacy of nutrient intake among pregnant women in Abidjan (Côte d’Ivoire).
Subjects and Methods: A cross-sectional study was conducted on 389 healthy pregnant adult women aged 20 to 43. Participants completed a three-day, 24-hour dietary recall questionnaire and dietary data were converted into nutrient amounts using Nutrisurvey software. Dietary Diversity Score (DDS) was based on nine food groups aggregated from a 15-item questionnaire. Nutrient intake was assessed using the Nutrient Adequacy Ratio (NAR) with the mean adequacy ratio (MAR) serving as an overall indicator of diet quality. Data were analyzed using SPSS version 25.
Results: The mean DDS among pregnant women was low at 4.30 ± 1.04, with diet primarily consisting of cereals, white tubers, roots, vegetables and fish. The average energy intake of pregnant women was 2429 kcal/day for over 60 % of participants. While the majority met the Recommended Daily Allowance (RDA) for carbohydrates, fats, proteins, and vitamin B12. However, intakes of calcium, iron, magnesium, zinc, folates and vitamin C were below the RDAs for most pregnant women. The average MAR for pregnant women was 70.86% and exhibited a positive correlation with DDS (r = 0.37; p < 0.001). NAR for energy and other nutrients was positively correlated with DDS, except for vitamins B12 and C.
Conclusions: Pregnant women with adequate nutrient intakes consumed a diverse range of foods. Dietary diversity can therefore provide be a reliable indicator of nutrient adequacy in the diets of pregnant women in Abidjan’s hospital.
Keywords: Dietary diversity, nutrient intake, nutrient adequacy ratio, pregnant women, Côte d'Ivoire.
How to Cite
Adikari, A. M., Sivakanesan, R., Wijesinghe, D. G., & Liyanage, C. (2016). Assessment of nutritional status of pregnant women in a rural area in Sri Lanka. Tropical Agricultural Research, 27(2), 203-211. https://doi.org/10.4038/tar.v27i2.8168 [Crossref] [Google Scholar] [Publisher]
Allen, L., de Benoist, B., Dary, O., & Hurrell, R. (2011). Directives sur l’enrichissement des aliments en micronutriments. Ed. Lindsay Allen: London, 134. Available at https://iris.who.int/bitstream/handle/10665/44585/9789242594010_fre.pdf?sequence=1 [Publisher]
Aparicio, E., Jardí, C., Bedmar, C., Pallejà, M., Basora, J., & Arija, V. (2020). Nutrient intake during pregnancy and post-partum: Eclipses study. Nutrients, 12(5), 1325. https://doi.org/10.3390/nu12051325 [Crossref] [Google Scholar] [PubMed] [Publisher]
Arimond, M., Wiesmann, D., Becquey, E., Carriquiry, A., Daniels, M. C., Deitchler, M., Fanou-Fogny, N., Joseph, M. L., Kennedy, G., Martin-Prevel, Y., & Torheim, L. E. (2010). Simple food group diversity indicators predict micronutrient adequacy of women’s diets in 5 diverse, resource-poor settings. The Journal of Nutrition, 140(11), 2059S-2069S. https://doi.org/10.3945/jn.110.123414 [Crossref] [Google Scholar] [PubMed] [Publisher]
Asayehu, T. T., Lachat, C., Henauw, S. D., & Gebreyesus, S. H. (2016). Dietary behaviour, food and nutrient intake of women do not change during pregnancy in Southern Ethiopia. Maternal & Child Nutrition, 13(2), e12343. https://doi.org/10.1111/mcn.12343 [Crossref] [Google Scholar] [PubMed] [Publisher]
Ayensu, J., Annan, R., Lutterodt, H., Edusei, A., & Peng, L. S. (2020). Prevalence of anaemia and low intake of dietary nutrients in pregnant women living in rural and urban areas in the ashanti region of Ghana. PLOS ONE, 15(1), e0226026. https://doi.org/10.1371/journal.pone.0226026 [Crossref] [Google Scholar] [PubMed] [Publisher]
Bhutta, Z. A., Ahmed, T., Black, R. E., Cousens, S., Dewey, K., Giugliani, E., Haider, B. A., Kirkwood, B., Morris, S. S., Sachdev, H., & Shekar, M. (2008). What works? Interventions for maternal and child undernutrition and survival. The Lancet, 371(9610), 417-440. https://doi.org/10.1016/s0140-6736(07)61693-6 [Crossref] [Google Scholar] [PubMed] [Publisher]
Denguezli, W., Faleh, R., Hajjaji, A., Saidani, Z., Letaief, M., Haddad, A., Laajili, H., & Sakouhi, M. (2007). Alimentation maternelle et poids fœtal: Role des oligoéléments et vitamines. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 36(5), 473-478. https://doi.org/10.1016/j.jgyn.2007.03.006 [Crossref] [Google Scholar] [PubMed] [Publisher]
Dubois, L., Diasparra, M., Bédard, B., Colapinto, C. K., Fontaine-Bisson, B., Morisset, A., Tremblay, R. E., & Fraser, W. D. (2017). Adequacy of nutritional intake from food and supplements in a cohort of pregnant women in Quebec, Canada: The 3D cohort study (Design, develop, discover). The American Journal of Clinical Nutrition, 106(2), 541-548. https://doi.org/10.3945/ajcn.117.155499 [Crossref] [Google Scholar] [PubMed] [Publisher]
Gina Kennedy, T. B. and M. D., & Division, N. (2011). Guidelines for measuring household and individual dietary diversity. FAO ; https://openknowledge.fao.org/handle/20.500.14283/i1983e [Google Scholar] [Publisher]
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