Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study
Dietary diversity, an important component of diet quality, is associated with an increased probability of adequate micronutrient intake. Women of childbearing age (WCA) are particularly vulnerable to micronutrient inadequacy. The Minimum Dietary Diversity for Women (MDD-W) has been used widely as a...
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doaj-750ab4b975d54ae4b8ccdc2b9304e1a02020-11-25T03:18:50ZengMDPI AGNutrients2072-66432020-07-01121994199410.3390/nu12071994Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS StudyGeorgina Gómez0Ágatha Nogueira Previdelli1Regina Mara Fisberg2Irina Kovalskys3Mauro Fisberg4Marianella Herrera-Cuenca5Lilia Yadira Cortés Sanabria6Martha Cecilia Yépez García7Attilio Rigotti8María Reyna Liria-Domínguez9Viviana Guajardo10Dayana Quesada11Ana Gabriela Murillo12Juan Carlos Brenes13Departamento de Bioquimica, Escuela de Medicina, Universidad de Costa Rica, San Jose 94088, Costa RicaFaculdade de Ciencias Biologicas e da Saude, Universidade Sao Judas Tadeu, Sao Paulo 01000, BrazilDepartamento de Nutriçao, Faculdade de Saude Publica, Universidade de Sao Paulo, Sao Paulo 01000, BrazilCommittee of Nutrition and Wellbeing, International Life Science Institute (ILSI-Argentina), Buenos Aires C1059ABF, ArgentinaInstituto Pensi, Fundaçao Jose Egydio Setubal, Sabara Hospital Infantil, Sao Paulo 01239-040, BrazilCentro de Estudios del Desarrollo, Universidad Central de Venezuela, Caracas 1010, VenezuelaDepartamento de Nutricion y Bioquimica, Pontificia Universidad Javeriana, Bogota 110111, ColombiaColegio de Ciencias de la Salud, Universidad San Francisco de Quito, Quito 17-1200-841, EcuadorCentro de Nutricion Molecular y Enfermedades Cronicas, Departamento de Nutricion, Diabetes y Metabolismo, Escuela de Medicina, Pontificia Universidad Catolica, Santiago 833-0024, ChileInstituto de Investigacion Nutricional, La Molina, Lima 15026, PeruCommittee of Nutrition and Wellbeing, International Life Science Institute (ILSI-Argentina), Buenos Aires C1059ABF, ArgentinaDepartamento de Bioquimica, Escuela de Medicina, Universidad de Costa Rica, San Jose 94088, Costa RicaDepartamento de Bioquimica, Escuela de Medicina, Universidad de Costa Rica, San Jose 94088, Costa RicaInstituto de Investigaciones Psicologicas & Centro de Investigacion en Neurociencias, Universidad de Costa Rica, San Jose 11501, Costa RicaDietary diversity, an important component of diet quality, is associated with an increased probability of adequate micronutrient intake. Women of childbearing age (WCA) are particularly vulnerable to micronutrient inadequacy. The Minimum Dietary Diversity for Women (MDD-W) has been used widely as a proxy measurement of micronutrient adequacy. This study aimed to assess the association between MDD-W and nutrients adequacy among WCA of eight Latin American countries. Nutrient intakes from 3704 WCA were analyzed with two 24-hour dietary recalls. Dietary diversity was calculated based on ten food groups with a cut-off point of intake ≥5 groups. The mean dietary diversity score was 4.72 points, and 57.7% of WCA achieved MDD-W. Vitamin D and E showed a mean Nutrient Adequacy Ratio (NAR) of 0.03 and 0.38, respectively. WCA with a diverse diet (MDD-W > 5) reported a significantly higher intake of most micronutrients and healthy food groups with less consumption of red and processed meats and sugar-sweetened beverages. MDD-W was significantly associated with the mean adequacy ratio (MAR) of 18 micronutrients evaluated. Nevertheless, even those women with a diverse diet fell short of meeting the Estimated Average Requirements (EAR) for vitamins D and E. MDD-W is an appropriate tool to evaluate micronutrients adequacy in WCA from Latin America, showing that women who achieved the MDD-W reported higher adequacy ratios for most micronutrients and an overall healthier diet.https://www.mdpi.com/2072-6643/12/7/1994Dietary diversitynutrient adequacyfood groupsmicronutrientswomen of reproductive age |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Georgina Gómez Ágatha Nogueira Previdelli Regina Mara Fisberg Irina Kovalskys Mauro Fisberg Marianella Herrera-Cuenca Lilia Yadira Cortés Sanabria Martha Cecilia Yépez García Attilio Rigotti María Reyna Liria-Domínguez Viviana Guajardo Dayana Quesada Ana Gabriela Murillo Juan Carlos Brenes |
spellingShingle |
Georgina Gómez Ágatha Nogueira Previdelli Regina Mara Fisberg Irina Kovalskys Mauro Fisberg Marianella Herrera-Cuenca Lilia Yadira Cortés Sanabria Martha Cecilia Yépez García Attilio Rigotti María Reyna Liria-Domínguez Viviana Guajardo Dayana Quesada Ana Gabriela Murillo Juan Carlos Brenes Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study Nutrients Dietary diversity nutrient adequacy food groups micronutrients women of reproductive age |
author_facet |
Georgina Gómez Ágatha Nogueira Previdelli Regina Mara Fisberg Irina Kovalskys Mauro Fisberg Marianella Herrera-Cuenca Lilia Yadira Cortés Sanabria Martha Cecilia Yépez García Attilio Rigotti María Reyna Liria-Domínguez Viviana Guajardo Dayana Quesada Ana Gabriela Murillo Juan Carlos Brenes |
author_sort |
Georgina Gómez |
title |
Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study |
title_short |
Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study |
title_full |
Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study |
title_fullStr |
Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study |
title_full_unstemmed |
Dietary Diversity and Micronutrients Adequacy in Women of Childbearing Age: Results from ELANS Study |
title_sort |
dietary diversity and micronutrients adequacy in women of childbearing age: results from elans study |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2020-07-01 |
description |
Dietary diversity, an important component of diet quality, is associated with an increased probability of adequate micronutrient intake. Women of childbearing age (WCA) are particularly vulnerable to micronutrient inadequacy. The Minimum Dietary Diversity for Women (MDD-W) has been used widely as a proxy measurement of micronutrient adequacy. This study aimed to assess the association between MDD-W and nutrients adequacy among WCA of eight Latin American countries. Nutrient intakes from 3704 WCA were analyzed with two 24-hour dietary recalls. Dietary diversity was calculated based on ten food groups with a cut-off point of intake ≥5 groups. The mean dietary diversity score was 4.72 points, and 57.7% of WCA achieved MDD-W. Vitamin D and E showed a mean Nutrient Adequacy Ratio (NAR) of 0.03 and 0.38, respectively. WCA with a diverse diet (MDD-W > 5) reported a significantly higher intake of most micronutrients and healthy food groups with less consumption of red and processed meats and sugar-sweetened beverages. MDD-W was significantly associated with the mean adequacy ratio (MAR) of 18 micronutrients evaluated. Nevertheless, even those women with a diverse diet fell short of meeting the Estimated Average Requirements (EAR) for vitamins D and E. MDD-W is an appropriate tool to evaluate micronutrients adequacy in WCA from Latin America, showing that women who achieved the MDD-W reported higher adequacy ratios for most micronutrients and an overall healthier diet. |
topic |
Dietary diversity nutrient adequacy food groups micronutrients women of reproductive age |
url |
https://www.mdpi.com/2072-6643/12/7/1994 |
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