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Archives 2017
Myanmar Health Sciences Research Journal
Volume 29, Number 1
TITLE: Dietary Diversity and Nutritional Status of Children Aged 12-23 Months from Ayeyawady Region of Myanmar
AUTHOR: Lwin Mar Hlaing, Min Kyaw Htet, Agus Firmansyah, Budi Utomo & Umi Fahmida
SOURCE: Myanmar Health Sciences Research Journal, Vol. 29, No. 1, 2017
ABSTRACT: Complementary-feeding diet of Myanmar children often lacks diversity. This study was conducted in Ayeyawady from June to September 2012 to assess dietary diversity (DD) in complementary food of 12-23-month-old children (n=106) and to investigate relation between DD and their nutritional status. Dietary data were collected by 12-hr weighed-diet-record and 12-hr food-recall. Body weight and recumbent length of children were measured by using Salter-scale and wooden length-board. Data were analyzed by using SPSS software while anthropometric Z-scores were calculated by using WHO-Anthro Software. Foods were categorized into 7 food-groups. as in WHO classification. Dietary diversity score (DDS) was calculated based on sum of food-groups consumed by children. Results showed 70.8% (n=75) consumed <4 out of 7 food-groups whereas only 0.9% (n=1) consumed 6 food-groups. Stunting, wasting and underweight were found in 34.9% (n=37), 10.4% (n=11) and 26.4% (n=28); and severe stunting, wasting and underweight were found in 10.4% (n=11), 1.9% (n=2) and 9.4% (n=10), respectively. Children with DDS<4 were associated with higher prevalence of stunting (42.7%) compared to those with DDS≥4 (16.1%), (p=0.013). After considering potential confounders, linear regression showed DDS was a significant predictor of child’s length-for-age Z-score (Adjusted-R2=0.314, β=0.213, p=0.017), weight-for-age Z-score (Adjusted-R2=0.237, β=0.279, p=0.003), and weight-for-length Z-score (Adjusted-R2=0.039, β=0.247, p=0.019), respectively. Our study clearly highlighted that DDS is significant predictor of child’s nutritional status. Therefore, education on proper complementary-feeding practices with emphasis on improving dietary diversity should be promoted to prevent children from growth faltering and its adverse effects.
SUBJECT HEADINGS: Complementary feeding, Dietary diversity score, Nutritional status, Myanmar children
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