Micronutrient Status and Dietary Diversity of Women of Reproductive Age in Rural Pakistan.
Micronutrient Status and Dietary Diversity of Women of Reproductive Age in Rural Pakistan.
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DOI：
10.3390/nu12113407
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发表时间：
2020-11-06
期刊：
影响因子：
5.9
通讯作者：
Khan MJ
中科院分区：
文献类型：
--
作者：
Brazier AKM;Lowe NM;Zaman M;Shahzad B;Ohly H;McArdle HJ;Ullah U;Broadley MR;Bailey EH;Young SD;Tishkovskaya S;Khan MJ
消费多样化的饮食是必不可少的，以确保摄入足够的微量营养素。这项研究的目的是评估营养状况和饮食多样性的育龄妇女（WRA）生活在一个边缘化的社区在巴基斯坦农村。招募入组时未妊娠或哺乳的47名WRA（35 ± 7岁）参与研究。研究营养学家进行了24小时的饮食回忆访谈，收集的数据用于在季风和冬季（10月至2月）五次创建女性最低饮食多样性评分（MDD-W）。营养状况进行了评估人体测量和微量营养素状况的生化标志物。身高和体重被用来确定身体质量指数（BMI），并测量中上臂周长。采用电感耦合质谱法测定血浆锌、铁和硒浓度，采用血清铁蛋白和血液血红蛋白浓度评估铁状态。平均（±SD）食物组多样性评分为4 ± 1，26%至41%的参与者达到MDD-W 5。BMI为27.2 ± 5.5 kg/m2，28%肥胖，34%超重，6%体重不足。根据血浆锌浓度，缺锌的患病率为29.8%; 17%的参与者血浆硒水平低; 8.5%缺铁; 2%患有缺铁性贫血。调查结果表明，生活在这个社区的妇女的饮食多样性低，符合微量营养素含量低的饮食，锌缺乏症很普遍。公共卫生干预措施，旨在增加WRA的饮食多样性，以改善微量营养素的摄入量，特别是锌，在这个人口。
Consuming a diverse diet is essential to ensure an adequate intake of micronutrients. The aim of this study was to assess the nutritional status and dietary diversity of women of reproductive age (WRA) living in a marginalized community in rural Pakistan. Forty-seven WRA (35 ± 7 years old) who were not pregnant or lactating at enrollment, were recruited to participate in the study. Twenty-four-hour dietary recall interviews were conducted by the study nutritionist, and the data collected were used to create a minimum dietary diversity for women score (MDD-W) on five occasions during the monsoon and winter seasons (October to February). Nutritional status was assessed using anthropometry and biochemical markers of micronutrient status. Height and weight were used to determine body mass index (BMI), and mid-upper-arm circumference was measured. Plasma zinc, iron, and selenium concentrations were measured using inductively coupled mass spectrometry, and iron status was assessed using serum ferritin and blood hemoglobin concentrations. The mean (±SD) food group diversity score was 4 ± 1 with between 26% and 41% of participants achieving an MDD-W of 5. BMI was 27.2 ± 5.5 kg/m2 with 28% obese, 34% overweight, and 6% underweight. The prevalence of zinc deficiency, based on plasma zinc concentration, was 29.8%; 17% of the participants had low plasma selenium levels; 8.5% were iron deficient; and 2% were suffering from iron deficiency anemia. The findings indicate that the women living in this community consume a diet that has a low diversity, consistent with a diet low in micronutrients, and that zinc deficiency is prevalent. Public health interventions aimed at increasing the dietary diversity of WRA are needed to improve the micronutrient intake, particularly of zinc, in this population.
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影响因子：
3.2
作者：
Harding KL;Aguayo VM;Webb P
通讯作者：
Webb P
影响因子：
7.1
作者：
Hunt, JR
通讯作者：
Hunt, JR
影响因子：
3.4
作者：
Harding KL;Aguayo VM;Namirembe G;Webb P
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Webb P
影响因子：
4.8
作者：
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通讯作者：
Lindshield BL
影响因子：
2.9
作者：
Lowe NM;Khan MJ;Broadley MR;Zia MH;McArdle HJ;Joy EJM;Ohly H;Shahzad B;Ullah U;Kabana G;Medhi R;Afridi MZ
通讯作者：
Afridi MZ