Association between dietary diversity and nutritional status of children aged 6-59 months in the Tamale Metropolis
Copyright © 2025 Michael Wiafe, Emmanuel Afedzie, Prisca Ntim, Esther Owusu, Anthony Wemakor
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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.
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How to Cite
Abizari, A. R., Azupogo, F., Nagasu, M., Creemers, N., & Brouwer, I. D. (2017). Seasonality affects dietary diversity of school-age children in northern Ghana. PLoS One, 12(8), e0183206. https://doi.org/10.1371/journal.pone.0183206
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
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