Tamale Metropolis’te Adölesan Gebelerde Diyet Değerlendirmesi

Tamale Metropolis'te Adölesan Gebelerde Diyet Değerlendirmesi Amaç: Adölesan gebelik boyunca optimum diyet önemlidir ve adölesan gebeler beslenme bozuklukları ile karşı karşıya kalabilirler. Bu çalışma Tamale Metropolis'te yaşayan adölesan gebelerde diyet dahil beslenme durumu ve doğum seyrini etkileyebilecek kritik faktörleri belirlemeyi amaçlamıştır. Gereç ve Yöntem: Bu kesitsel çalışma Tamale Metropolis'te 294 gebede gıda alımını ve gıda kalitesini değerlendirmek için sırasıyla Gıda Tüketimi Skorları (GTS) ve Diyet Çeşitlilik Skorları (DÇS) kullanılarak tasarlanmıştır. Bulgular: Adölesanların yaklaşık yarısında (%51.7) ortalama GTS (42.95) FAO/WFP eşik değerine göre DÇS'den (35) daha kabul edilebilir düzeyde idi.Ortalama Bireysel Diyet Çeşitlilik Skoru (BDÇS) (10) ise oldukça yüksek diyet kalitesi gösterdi. BDÇS'nin, bakıcıların cinsiyeti, mesleği ve adölesana olan yakınlığı gibi sosyo-demografik faktörlerle önemli derecede ilişkili olduğu gözlendi. Sonuç: Bu bulgular gebelik sırasında ve sonrasında beslenme durumunun iyileştirilmesi ve korunmasında, adölesan gebelerin diyet alımı artırmak için yapılan programları ve politikaları tasarlarken adölesan gebelerin bakıcıları veya eşlerinin de dikkate alınması gerektiği ihtiyacını vurgulamaktadır

Dietary Assessment of Pregnant Teenagers in Tamale Metropolis

Objective: Optimal diet is critical to nutritional status during teenage pregnancy as pregnant teenagers face serious nutritional deficits. This study was therefore aimed at exploring the many factors including dietary, which are critical in determining the nutritional status and birth outcomes of teenagers in the Tamale Metropolis. Material and Method: A cross sectional survey of 294 pregnant teenagers in Tamale Metropolis was designed to assess food intake and food quality using Food Consumption Scores (FCS) and Dietary Diversity Scores (DDS) respectively. Results: The mean Composite Food Consumption Score (CFCS) was 42.95 with just about half of the teenagers (51.7%) having acceptable levels of food intake based on the FAO/WFP threshold of more than 35 CFCS. The mean Individual Dietary Diversity Score (IDDS) of 10 also showed a considerably high dietary quality. The CFCS was observed to be significantly associated with caretakers’ socio-demographic factors such as gender, occupation and relationship with the teenager. Conclusions: These findings highlight the need to consider the caretakers or spouses of pregnant teenagers in designing intervention programs and policies to improve the dietary intake of pregnant teenagers for the improvement and maintenance of their nutritional status during and after pregnancy

___

  • 1. Aboyeji AP. Obstetric outcome of teenage primigravidae in Ilorin. Niger Med J 1997; 33: 56-9.
  • 2. Ademuyiwa MO, Sanni SA. Consumption pattern and dietary practices of pregnant women in Odeda Local Government Area of Ogun State. Int J Biol Vet Agric Food Eng 2013; 7: 1049-53.
  • 3. Allen L. To what extent can food-based approaches improve micronutrient status? Asia Pac J Clin Nutr 2008; 17: 103-5.
  • 4. Arimond M, Wiesmann D, Becquey E, et al. Simple food group diversity indicators predict micronutrient adequacy of women’s diets in 5 diverse, resource-poor settings. J Nutr 2010; 140: 2059-69.
  • 5. Boyd A. The World's Youth 2000. Population Reference. Bureau; Washington DC: Measure Communications, 1999.
  • 6. Christina CL, Grace KL, Linda SL, James HL. Pregnancy hormone metabolite patterns, pregnancy symptoms, and coffee consumption; Am J Epidemiol 2002; 156: 428-37.
  • 7. Dina L. Dietary Diversity and Nutrient Adequacy in Women of Childbearing Age in a Senegalese Peri-urban Community. School of Dietetics and Human Nutrition, McGill University, Montreal, Canada. 2004.
  • 8. FAO. Guidelines for Measuring Household and Individual Dietary Diversity. Food and Agriculture Organization of the United Nations, Rome, Italy, 2011.
  • 9. Ghana Statistical Service (GSS). Ghana Health Service (GHS) and ICF Macro. Ghana Demographic and Health Survey 2008. Accra, Ghana: GSS, GHS, and ICF Macro 2009; FR221; 147-78.
  • 10. Gina K, Maylis R, Terri B, Marie CD. Measurement of Dietary Diversity for Monitoring the Impact of Food Based Approaches; Produced as Part of the Published Proceedings of the International Symposium on Food and Nutrition Security: FoodBased Approaches for Improving Diets and Raising Levels of Nutrition. Rome, Italy 2010.
  • 11. Gross K, Alba S, Glass TR, Schellenberg JA, Obrist B. Timing of antenatal care for adolescent and adult pregnant women in south-eastern Tanzania. BMC Pregnancy Childbirth 2012; 12: 6.
  • 12. Konttinen H, Sarlio-Lähteenkorva S, Silventoinen K, Männistö S, Haukkala A. Socio-economic disparities in the consumption of vegetables, fruit and energy-dense foods: the role of motive priorities. Public Health Nutr 2013; 16: 873-82.
  • 13. Hatloy A, Torheim L, Oshaug A. Food variety-a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. Eur J Clin Nutr 1998; 52: 891-8.
  • 14. Hoddinott J, Yohannes Y. Dietary diversity as a food security indicator. Food and Nutrition Technical Assistance Project (FANTA). Washington, D.C: Academy for Educational Development, 2002.
  • 15. International Planned Parenthood Federation and Global Coalition on Women and AIDS. Ending Child Marriage: A Guide for Global Policy Action 2007. London: Portfolio Publishing, 2007.
  • 16. Johns T. Plant biodiversity and malnutrition: Simple solutions to complex problems. Afr J Food Agr Nutr Dev 2003; 3: 45-52.
  • 17. Jyothilakshmi A, Prakash J. Maternal characteristics and nutritional and health status of rural children; an overview. Ind J Nutr Diet 2004; 41: 30-7.
  • 18. Khanna S, Chand S, Singla PN, Agarwal KN. Morphological study of placenta in pregnancy anemia. Ind J Pathol Microbiol 1979; 22: 7-12.
  • 19. Madeline Z. The effect of partners’ characteristics on teenage pregnancy and its resolution. Fam Plann Perspect 2001; 33: 192-9.
  • 20. Magadi MA, Agwanda AO, Obare FO. A comparative analysis of the use of maternal health services between teenagers and older mothers in subSaharan Africa: evidence from Demographic and Health Surveys (DHS) 2006. Soc Sci Med 2007; 64: 1311-25.
  • 21. Mirmiran P, Azadbakht L, Azizi F. Dietary diversity among food groups: an indicator of specific nutrient adequacy in Tehranian women. J Am Coll Nutr 2006; 25: 354-61.
  • 22. Mirmiran P, Azadbakht L, Esmaillzadeh A, Azizi F. Dietary diversity score in adolescents- a good indicator of the nutritional adequacy of diets: Tehran lipid and glucose study. Asia Pac J Clin Nutr 2004; 13: 56-60.
  • 23. Ojengbede OA, Otolorin EO, Fabanwo AO. Pregnancy performance of Nigerian women aged 16 years and below. Afr J Med Sci 1987; 16: 89-95.
  • 24. Okpani AOU, Ikimalo J, John CT and Briggs ND. Teenage Pregnancy. Trop J Obstet Gynaecol 1995; 12: 34-6.
  • 25. Roy S, Motghare DD, Ferreira AM, Vaz FS, Kulkarni MS. Maternal determinants of low birthweight at a tertiary care hospital. J Fam Welfare; 2009; 55: 79-83.
  • 26. Steyn NP, Nel JH, Nantel G, Kennedy G, Labadarios D. Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy? Public Health Nutr 2006; 9: 644-50.
  • 27. Tontisirin K, Nantel G and Bhattacharjee L. Foodbased strategies to meet the challenges of micronutrient malnutrition in the developing world. Proc Nutr Soc 2002; 61: 243-50.
  • 28. Tucker K. Eat a variety of healthful foods: old advice with new support. Nutr Rev 2001; 59; 156- 8.
  • 29. United Nations Children’s Fund (UNICEF). Strategies of improving nutrition of children and women in developing countries; New York: UNICEF, 1990.
  • 30. United Nations Population Fund. Fast Sheet: Young people and Demographic Trends. New York: UNFPA 2000.
  • 31. Uwaezuoke IO, Uzochukwu SC, Nwagbo FE, Onwujekwe OE. Determinants of Teenage Pregnancy in Rural Communities of Abia State, South East Nigeria. J Coll Med 2004; 9: 28-33.
  • 32. WFP. Ghana Food Security and Vulnerability Analysis; United Nations, WFP Headquarters, via C.G. Viola 68, Parco de’ Medici, 00148, Rome, Italy 2012.
  • 33. WFP and FAO. Measures of Food Consumption - Harmonizing Methodologies; Interagency Workshop Report; Rome, 2008.
  • 34. WHO. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee. Technical Report Series No.854. Geneva, 1995: 460.
  • 35. WHO. Adolescent Pregnancy (Issues in Adolescent Health and Development). WHO Discussion Papers On Adolescence; Department of Child and Adolescent Health and Development. Geneva. World Health Organization, 2004.
  • 36. World Food Program. Comprehensive Food Security & Vulnerability Analysis Guidelines. Rome: United Nations World Food Program, 2009.