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Dietary Diversity is Associated With Maternal Anemia and Key Prenatal Outcomes in Ethiopia

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02620943
Recruitment Status : Completed
First Posted : December 3, 2015
Last Update Posted : December 3, 2015
Addis Ababa University
African Population and Health Research Center
International Development Research Centre, Canada
Information provided by (Responsible Party):
Dilla University

Brief Summary:

Background: Maternal and child under-nutrition is the underlying cause of death for millions across the globe. Anemia during pregnancy is among the leading nutritional disorders with serious short and long term consequences to both the mother and fetus.

Objective: Examine the effect of dietary diversity on maternal anemia, nutritional status and key pregnancy outcomes of pregnancy.

Methods: A prospective cohort study design, involving a total of 432 eligible pregnant women, in their second antenatal care visit was conducted between August 2014 to March, 2015. The individual dietary diversity Score (IDDS) was used as the exposure variable to select, enroll and follow the mothers. Epi-data, SPSS and STATA software are used to enter and analyze the data. Chi-square test, independent 't'-test, and GLM are used to calculate risk, association and differences between key variables at P < 0.05

Condition or disease
Anemia Low Birth Weight Pre-Term Birth Still Birth

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Study Type : Observational
Actual Enrollment : 374 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Dietary Diversity is Associated With Maternal Anemia and Key Prenatal Outcomes in a Prospective Cohort Study of Rural Ethiopia
Study Start Date : August 2014
Actual Primary Completion Date : March 2015
Actual Study Completion Date : March 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anemia

Exposed Group
Pregnant mothers reporting inadequate (<4) dietary diversity during pregnancy
Unexposed group
Pregnant mothers reporting adequate (>=4) dietary diversity during pregnancy

Primary Outcome Measures :
  1. Change in Anemia during pregnancy [ Time Frame: Change from baseline (24- 28 weeks ) to 9 month of gestation). ]
    Hemoglobin levels has been taken at each visit and were used for classification of outcomes

  2. Low birth weight [ Time Frame: Immediately at delivery ]
    Birth weight was recorded immediately after delivery in gms at the center by attending

  3. Pre-term birth [ Time Frame: Immediately at delivery ]
    Gestational age was recorded in weeks at birth

  4. Still Birth [ Time Frame: Immediately at delivery ]
    Survival and living status of the baby was recorded at birth by midwives attending the labour

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   15 Years to 49 Years   (Child, Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Sampling Method:   Probability Sample
Study Population
Pregnant women in rural Ethiopia

Inclusion Criteria:

Pregnant women who are :

  • Willing to stay in the study throughout the study
  • Visit same health center for the antenatal and delivery care services
  • pregnant mother has lived for at least six months in the study area

Exclusion Criteria:

  • Pregnant women who have known medical, surgical or obstetric problems

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02620943

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Addis Ababa University, Center for FDSC and Nutrition
Addis Ababa, Select State, Ethiopia, 1196
Sponsors and Collaborators
Dilla University
Addis Ababa University
African Population and Health Research Center
International Development Research Centre, Canada
Publications of Results:
1. Ruel MT. Is Dietary Diversity an Indicator of Food Security or Dietary Quality? A Review of Measurement Issues and Research Needs: Discussion Paper. Washington, DC 2006 USA; 2006. 2. UN Standing Committee on Nutrition. Fact sheets on Food and Nutrition Security Indicators/Measures: Dietary Diversity (DD). 2008. 3. Moges T, Birks KA, Samuel A, Kebede A, Zerfu D, Abera A, et al. Diet diversity is negatively associated with stunting among Ethiopian children 6-23 months of age. Addis Ababa, Ethiopia; 2013. 4. Arimond M, Ruel MT. Dietary Diversity, Dietary Quality, and Child Nutritional Status: Evidence from Eleven Demographic and Health Surveys. Am Soc Nutr Sci. 2004; 5. Acham H, Oldewage-theron WH, Egal AA. Dietary diversity , micronutrient intake and their variation among black women in informal settlements in South Africa : A cross-sectional study. 2012;4(February):24-39. 6. Papadaki A, Vardavas C, Hatzis C, Kafatos A. Calcium , nutrient and food intake of Greek Orthodox Christian monks during a fasting and non-fasting week. Public Health Nutr. 2007;11(10):1022-9. 7. Nevin S Scri nshat' and JPS. Synergism of nutrition , an overview13 and immunity. Am J Cli,, Nutr. 1997;66:464S - 77S. 8. Nutrition and Consumer Protection Division, FAO U. Guidelines for measuring household and individual dietary diversity. Rome, Italy; 2011. 9. Bilinsky AS and P. Household Dietary Diversity Score (HDDS) for Measurement of Household Food Access: Indicator Guide. 2006;Version 2. 10. 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(5):644-50.

Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: Dilla University Identifier: NCT02620943    
Other Study ID Numbers: AAUT
First Posted: December 3, 2015    Key Record Dates
Last Update Posted: December 3, 2015
Last Verified: November 2015
Keywords provided by Dilla University:
Pregnancy Outcome
Dietary Diversity
Birth Weight
Additional relevant MeSH terms:
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Premature Birth
Birth Weight
Hematologic Diseases
Body Weight
Obstetric Labor, Premature
Obstetric Labor Complications
Pregnancy Complications
Fetal Death
Pathologic Processes