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Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis

BACKGROUNDS: Pregnancy related complications are major causes of maternal morbidity and mortality worldwide. Diversified food consumption is essential to produce hormones during pregnancy and it reduced complications. In Ethiopia, many researchers were investigated about the proportion of pregnant w...

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Autores principales: Azene, Abebaw Gedef, Aragaw, Abiba Mihret, Wubetie, Habtamu Tilaye, Wassie, Gizachew Tadesse, Tsegaye, Gebiyaw Wudie, Derebe, Muluwork Ayele, Mitiku, Habitamu Dessie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191951/
https://www.ncbi.nlm.nih.gov/pubmed/34111140
http://dx.doi.org/10.1371/journal.pone.0251906
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author Azene, Abebaw Gedef
Aragaw, Abiba Mihret
Wubetie, Habtamu Tilaye
Wassie, Gizachew Tadesse
Tsegaye, Gebiyaw Wudie
Derebe, Muluwork Ayele
Mitiku, Habitamu Dessie
author_facet Azene, Abebaw Gedef
Aragaw, Abiba Mihret
Wubetie, Habtamu Tilaye
Wassie, Gizachew Tadesse
Tsegaye, Gebiyaw Wudie
Derebe, Muluwork Ayele
Mitiku, Habitamu Dessie
author_sort Azene, Abebaw Gedef
collection PubMed
description BACKGROUNDS: Pregnancy related complications are major causes of maternal morbidity and mortality worldwide. Diversified food consumption is essential to produce hormones during pregnancy and it reduced complications. In Ethiopia, many researchers were investigated about the proportion of pregnant women with dietary diversity and its determinant factors. However, those studies are inconsistent and fragmented. Therefore, the aim of this study was to estimate the pooled proportion of pregnant women with dietary diversity practice and its associated factors in Ethiopia. METHODS: We conducted a systematic electronic web-based search of PubMed/ /MEDLINE, EMBASE, Web of Science, Google Scholar and Google online databases for identifying studies on proportion of pregnant women with dietary diversity practice and its associated factors in Ethiopia using pre-defined quality and inclusion criteria. STATA version 14 statistical software was used to analyze the data. We extracted relevant data and presented in tabular form. The I(2) test was used to assess heterogeneity across studies. Funnel plot asymmetry and Begg’s test were used to check for publication bias. The final effect size was determined by applying a random-effects model. RESULTS: Our search identified 170 studies. Of which, 23 were included in the final analysis stage. The pooled proportion of dietary diversity among pregnant women in Ethiopia was 41% (95% CI: 33, 49). Mothers can read and write (OR = 1.82 (95% CI: 1.25, 2.64)), maternal primary school and above educated (OR = 2.11 (95% CI: 1.10, 4.05)), nutritional information (OR = 4.1 (95% CI: 2.1, 7.99), dietary diversity knowledge (OR = 3.4 (95% CI: 2.73, 4.73)) and household had rich wealth index (OR = 3.45 (95% CI: 1.19, 10.1)) were significantly associated with dietary diversity practice during pregnancy. CONCLUSIONS: In this meta-analysis; we found that low proportion of pregnant women with adequate dietary diversity in Ethiopia (41%). Maternal education, nutritional information, dietary diversity knowledge and wealth index level of household were significantly associated factors of pregnant woman with dietary diversity practice. This finding implies that improving the awareness of woman about dietary diversity during pregnancy and empowering women economically would play a significant role to improve dietary diversity practice.
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spelling pubmed-81919512021-06-10 Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis Azene, Abebaw Gedef Aragaw, Abiba Mihret Wubetie, Habtamu Tilaye Wassie, Gizachew Tadesse Tsegaye, Gebiyaw Wudie Derebe, Muluwork Ayele Mitiku, Habitamu Dessie PLoS One Research Article BACKGROUNDS: Pregnancy related complications are major causes of maternal morbidity and mortality worldwide. Diversified food consumption is essential to produce hormones during pregnancy and it reduced complications. In Ethiopia, many researchers were investigated about the proportion of pregnant women with dietary diversity and its determinant factors. However, those studies are inconsistent and fragmented. Therefore, the aim of this study was to estimate the pooled proportion of pregnant women with dietary diversity practice and its associated factors in Ethiopia. METHODS: We conducted a systematic electronic web-based search of PubMed/ /MEDLINE, EMBASE, Web of Science, Google Scholar and Google online databases for identifying studies on proportion of pregnant women with dietary diversity practice and its associated factors in Ethiopia using pre-defined quality and inclusion criteria. STATA version 14 statistical software was used to analyze the data. We extracted relevant data and presented in tabular form. The I(2) test was used to assess heterogeneity across studies. Funnel plot asymmetry and Begg’s test were used to check for publication bias. The final effect size was determined by applying a random-effects model. RESULTS: Our search identified 170 studies. Of which, 23 were included in the final analysis stage. The pooled proportion of dietary diversity among pregnant women in Ethiopia was 41% (95% CI: 33, 49). Mothers can read and write (OR = 1.82 (95% CI: 1.25, 2.64)), maternal primary school and above educated (OR = 2.11 (95% CI: 1.10, 4.05)), nutritional information (OR = 4.1 (95% CI: 2.1, 7.99), dietary diversity knowledge (OR = 3.4 (95% CI: 2.73, 4.73)) and household had rich wealth index (OR = 3.45 (95% CI: 1.19, 10.1)) were significantly associated with dietary diversity practice during pregnancy. CONCLUSIONS: In this meta-analysis; we found that low proportion of pregnant women with adequate dietary diversity in Ethiopia (41%). Maternal education, nutritional information, dietary diversity knowledge and wealth index level of household were significantly associated factors of pregnant woman with dietary diversity practice. This finding implies that improving the awareness of woman about dietary diversity during pregnancy and empowering women economically would play a significant role to improve dietary diversity practice. Public Library of Science 2021-06-10 /pmc/articles/PMC8191951/ /pubmed/34111140 http://dx.doi.org/10.1371/journal.pone.0251906 Text en © 2021 Azene et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Azene, Abebaw Gedef
Aragaw, Abiba Mihret
Wubetie, Habtamu Tilaye
Wassie, Gizachew Tadesse
Tsegaye, Gebiyaw Wudie
Derebe, Muluwork Ayele
Mitiku, Habitamu Dessie
Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis
title Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis
title_full Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis
title_fullStr Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis
title_full_unstemmed Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis
title_short Dietary diversity among pregnant women and associated factors in Ethiopia: Systematic review and meta-analysis
title_sort dietary diversity among pregnant women and associated factors in ethiopia: systematic review and meta-analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191951/
https://www.ncbi.nlm.nih.gov/pubmed/34111140
http://dx.doi.org/10.1371/journal.pone.0251906
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