Association Between Dietary Diversity Score Anemia Iron Zinc And Vitamin A Biomarkers Among Women Of Reproductive Age In Selected District Of West Gojjam And Agew Awi Amhara Region Ethiopia

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Background: Women of reproductive age (WRA) in Sub-Sahara Africa (SSA) are at high ri sk ofrninadequate intake of micronutrie nts due to diet being dominated by sta rchy staples. Collection ofrninformation on dietary diversity to inform food security and nutritional assessments has been promoted,rnbut there is not an agreed upon set of indicators in usc. Recently minimum dietary diversity womenrn(MDD-W) endorsed for women, which dictate taking a minimum of five from ten-food groups. However,rnlittle is known about MDD-W predictive ability for quality of women's diet in SSA including Ethiopia.rnObjective: This study investigated the associ at ion between dietary di versity score, anemia, iron, zincrnand vitamin A status among women of reproductive age in West Gojjam and Agew Awi zone in AmhararnRegion, Ethiopia.rnMethods: The study conducted in seven kebeles in Bahir Dar Zuria and Dangla District, AmhararnRegion, Ethiopia. Case control study design employed among anemic and non-anemic women ofrnreproductive age (WRA). About 179 WRA were part icipated in the study. Data on socio-demographicrnstatus and dietary diversity using 24-hr recall , and validated food frequency questionnaires (FFQ)rncollected.rnResults: The prevalence of iron deficiency anemia, zinc deficiency and vitam in A defi ciency for bothrngroups in average were 18.4 %( serum ferritin < 30~g/L), 65 %( 70 ~g/L) and was 12.4 %« 0.81 ~mo IlL),rnrespectively. The overall MDD-W for the WRA was 3.00± 0.757 and the percentage of WRA whornachieved minimum dietary diversity (~ 5 food groups) was only 3%. All biomarkers, except serumrntransferrin receptor, had pos itive association with dietary diversity.rnConclusions: The finding of the study indicates high prevalence of iron and zinc defic iencies in bothrngroups ofWRA, while from the total , 97 % ofWRA failed to fulfill MDD. Low prevalence of vitamin Arnalso observed. There is sign ificant association between DDS and selected biomarkers. Si nce both groupsrnhad low dietary diversity score, MDD-W could not predict the diet quali ty.rnTherefore, programs that focus on impro vi ng micronutrient intake through stimulating dietary diversityrnand fortification of commonly consumed and affordable food products might be needed. In addition tornthese modern technologies like on-farm di versity, contribute towards improving dietary diversity andrnqual ity.rnKeywords: Minimum dietary diversity, women of reproduct ive age, micronutrients

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Association Between Dietary Diversity Score Anemia Iron Zinc And Vitamin A Biomarkers Among Women Of Reproductive Age In Selected District Of West Gojjam And Agew Awi Amhara Region Ethiopia

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