Dietary diversity during pregnancy reduced the risk of maternal anemia, low birth weight, and pre-term birth in a prospective cohort study in rural Ethiopia

Abstract Number Theme Presentation Type Cover Approved
0163 Other micronutrient-related interventions (e.g. agriculture, biofortification, education, social protection) Poster Not Approved


Abstract Content


Background: Anemia during pregnancy is a leading nutritional disorder with serious short and long term consequences to both the mother and fetus.Objective: The objective was to investigate the association between dietary diversity during pregnancy with maternal anemia, low-birth weight (LBW), preterm delivery and still birth (SB) in rural Ethiopia


Design: We conducted a prospective cohort study that enrolled 432 pregnant women in their second antenatal care visit (24-28 gestational weeks) of which 374 finished the follow up. Using individual dietary diversity scores (IDDS), subjects were categorized into “inadequate” (IDDS <4) and "adequate" (IDDS=4) groups and followed until delivery. Primary outcomes were maternal anemia, birth weight, still birth and term delivery. Attrition rate was balanced across the groups.


Results: The incidence for maternal anemia increased from 28.6% to 32.4% during the follow-up period. The incidence of LBW, preterm and still birth were 9.1%, 13.6% and 4.5%, respectively. Relative to mothers in the adequate group, those in the inadequate group had twice more risk of anemia (RR : 2.29; 95% CI 1.62 , 3.24) and Low birth weight babies (RR : 2.06 ; 95% CI 1.0 3, 4.11). The risk of giving birth to pre-term baby across the same groups increased over fourfold (RR : 4.61 ; 95% CI 2.31, 9.19), but that for still birth remained the same across the groups (RR : 2.71; 95% CI 0.88, 8.36) .


Adequate IDDS during pregnancy is associated with reduced risk of anemia, LBW, still birth and preterm deliveries, and thus should be promoted in such setting

Our website uses cookies to ensure you have the best experience.
Please visit our Privacy Policy page for more information.