Consumption of dietary folate estimates and its implication for reproductive outcome among women of reproductive age in Kersa: cross-sectional survey

BMC Nutrition

Aklilu Abraham¹  Yadeta Dessie¹  Kedir Teji Roba¹  Nega Assefa¹  Elena C. Hemler²  Isabel Madzorera²  Wafaie W. Fawzi³  Yasir Y. Abdullahi⁴ 

[1] College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia;Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;Department of Nutrition, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;Department of Nutrition, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;Department of Epidemiology, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;Jugal Hospital Department of Obstetrics and Gynecology, Harar, Ethiopia;

关键词: Folate consumption;    Dietary folate;    Food diversity;    Daily folate consumption;   

DOI  :  10.1186/s40795-021-00476-6

来源: Springer

【 摘 要 】

BackgroundDietary folate inadequacy is one the most common micronutrient deficiencies that cause neural tube defect (NTD) among infants in Sub-Saharan African countries. This study aims to determine the dietary intake of folate among women of reproductive age (WRA) of Kersa, Eastern Ethiopia.MethodsA cross-sectional study took place among voluntary women that were selected from 1140 random households. Using a validated Food Frequency Questionnaire, participant’s weekly dietary intake history of Ethiopian foods and dietary folate intake was worked out. Statistical analysis was done at a 95% confidence interval. Modified Poisson regression was used to identify factors associated with dietary folate consumption.ResultThe estimated median usual intake of folate was 170 μg/d (IQR: 118.3; 252.2) and about 33% of WRA had low folate intake and 73.9% were at risk for folate inadequacy. From the reported food groups, Beans and Peas, Starchy staples, and Vitamin-A rich dark-green leafy vegetables were the top three ranked foods that contributed much of the dietary folate. The following conditions were statistically related to dietary folate inadequacy; women’s age, being in poor wealth index, low dietary diversity, having seasonal employment, and reliance on market food sources.ConclusionsWe found that women’s dietary intake of folate in Kersa is very low and cannot protect their offspring from the risk of having NTD. They could also potentially be predisposed to poor health outcomes. Diversifying and fortification of Ethiopian wheats and salts could decrease the burden of folate deficiency in the country.

【 授权许可】

CC BY