Dietary Intake Patterns among Lactating and Non-Lactating Women of Reproductive Age in Rural Zambia

Chisela Kaliwile; Charles Michelo; Tyler J Titcomb; Mourad Moursi; Moira Donahue Angel; Chelsea Reinberg; Pheobe Bwembya; Robyn Alders; Sherry A Tanumihardjo

doi:10.3390/nu11020288

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Dietary Intake Patterns among Lactating and Non-Lactating Women of Reproductive Age in Rural Zambia

Journal article

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Dietary Intake Patterns among Lactating and Non-Lactating Women of Reproductive Age in Rural Zambia

Chisela Kaliwile, Charles Michelo, Tyler J Titcomb, Mourad Moursi, Moira Donahue Angel, Chelsea Reinberg, Pheobe Bwembya, Robyn Alders and Sherry A Tanumihardjo

Nutrients, Vol.11(2), p.288

01/29/2019

DOI: 10.3390/nu11020288

PMCID: PMC6412766

PMID: 30699920

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Abstract

Insufficient dietary intake, micronutrient deficiencies, and infection may result in malnutrition. In Zambia, an estimated 14% of women are vitamin A-deficient, ~50% are anemic, 10% are underweight, and 23% are overweight/obese. A cross-sectional survey determined food and nutrient intakes of randomly selected Zambian women ( = 530) of reproductive age (15⁻49 years). Dietary intake data were collected using interactive multiple-pass 24-h recalls. Carbohydrate, fat, protein, and selected micronutrient intakes were estimated. Prevalence of adequate intakes were determined using the estimated average requirement (EAR) cut-point method and comparisons between lactating and non-lactating women were made by two-sample -tests. The response rate was 98.7%. Overweight/obesity occurred in 20.7% (95% confidence interval (CI: 17.2, 24.5)). Almost all micronutrient intakes were inadequate, with values between 22.3% and 99.9%. Mean iron intake was >EAR, and 8.2% of women tested (12/146, 95% CI: 4.1, 13.0) were anemic (hemoglobin <115 g/L). Calcium intake was higher in lactating than non-lactating women ( = 0.004), but all intakes need improvement. Vitamin intakes in rural Zambian women are inadequate, suggesting a need for health promotion messages to encourage intake of locally available micronutrient-dense foods as well as supplementation, fortification, and biofortification initiatives. Nutritional support is important because maternal nutrition directly impacts child health.

Adolescent

Adult

Cross-Sectional Studies

Diet Surveys

Eating

Female

Humans

Lactation - physiology

Maternal Nutritional Physiological Phenomena

Middle Aged

Nutritional Status

Rural Population

Young Adult

Zambia

Details

Title: Subtitle: Dietary Intake Patterns among Lactating and Non-Lactating Women of Reproductive Age in Rural Zambia
Creators: Chisela Kaliwile - Tropical Gastroenterology & Nutrition group
Charles Michelo - University of Zambia
Tyler J Titcomb - University of Wisconsin–Madison
Mourad Moursi - International Food Policy Research Institute
Moira Donahue Angel - HarvestPlus c/o International Food Policy Research Institute, Washington, DC 20005, USA. M.Angel@cgiar.org
Chelsea Reinberg - International Food Policy Research Institute
Pheobe Bwembya - University of Zambia
Robyn Alders - The University of Sydney
Sherry A Tanumihardjo - University of Wisconsin–Madison
Resource Type: Journal article
Publication Details: Nutrients, Vol.11(2), p.288
DOI: 10.3390/nu11020288
PMID: 30699920
PMCID: PMC6412766
NLM abbreviation: Nutrients
ISSN: 2072-6643
eISSN: 2072-6643
Language: English
Date published: 01/29/2019
Academic Unit: Internal Medicine
Record Identifier: 9984548670202771

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