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Role of dietary quality and diversity on overweight and obesity among women of reproductive age in Tanzania

Paulo, Heavenlight A. ; Mosha, Dominic ; Mwanyika-Sando, Mary ; Mboya, Innocent B. LU orcid ; Madzorera, Isabel ; Killewo, Japhet ; Leyna, Germana H. ; Msuya, Sia E. and Fawzi, Wafaie W. (2022) In PLoS ONE 17.
Abstract

This study aimed to examine associations of dietary quality and diversity among reproductive-aged women with overweight and obesity. We conducted a cross-sectional study in the Health and Demographic Surveillance System of the Dar es Salaam Urban Cohort Study (DUCS) in Tanzania. A random sample of 1004 non-pregnant women was selected from the DUCS population database and interviewed about dietary information using the FFQ. Women were aged 30.2 (±8.1) years; 27.8% were overweight and 22.6% were obese. All 1004 women in the study consumed starchy staple foods. Of all the women studied, 10.5%, 1.7% and 3.8% consumed vitamin A rich dark green vegetables, nuts and seeds, and beans and peas, respectively. Compared with women in the lowest... (More)

This study aimed to examine associations of dietary quality and diversity among reproductive-aged women with overweight and obesity. We conducted a cross-sectional study in the Health and Demographic Surveillance System of the Dar es Salaam Urban Cohort Study (DUCS) in Tanzania. A random sample of 1004 non-pregnant women was selected from the DUCS population database and interviewed about dietary information using the FFQ. Women were aged 30.2 (±8.1) years; 27.8% were overweight and 22.6% were obese. All 1004 women in the study consumed starchy staple foods. Of all the women studied, 10.5%, 1.7% and 3.8% consumed vitamin A rich dark green vegetables, nuts and seeds, and beans and peas, respectively. Compared with women in the lowest quintile of Prime Dietary Quality Score (PDQS), those who were in the highest quintile were significantly less likely to be overweight or obese (Adjusted Prevalence Ratio (APR) = 0.76, 95%CI: 0.62, 0.89) (F for trend = 0.029). Dietary diversity score (DDS) was not significantly associated with overweight and obesity. Risk factors included the highest consumption of animal foods (APR = 2.81, 95% CI: 1.51–3.51) and fast food (APR = 2.57, 95% CI: 1.24–4.34). Consumption of legumes and whole grains was associated with lower risk (APR = 0.59; 95% CI: 0.38–0.2). Dietary quality is an important predictor of overweight and obesity among women of reproductive age. Nutrition interventions may be warranted to support women of reproductive age to enter pregnancy with healthier weight to prevent adverse pregnancy outcomes and future risk of chronic diseases.

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author
; ; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
in
PLoS ONE
volume
17
article number
e0266344
publisher
Public Library of Science (PLoS)
external identifiers
  • pmid:35390059
  • scopus:85127870074
ISSN
1932-6203
DOI
10.1371/journal.pone.0266344
language
English
LU publication?
no
additional info
Publisher Copyright: Copyright: © 2022 Paulo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
id
c21c9d29-6c7f-4a58-84e6-be3714445b1f
date added to LUP
2022-09-29 09:58:42
date last changed
2024-04-18 14:34:16
@article{c21c9d29-6c7f-4a58-84e6-be3714445b1f,
  abstract     = {{<p>This study aimed to examine associations of dietary quality and diversity among reproductive-aged women with overweight and obesity. We conducted a cross-sectional study in the Health and Demographic Surveillance System of the Dar es Salaam Urban Cohort Study (DUCS) in Tanzania. A random sample of 1004 non-pregnant women was selected from the DUCS population database and interviewed about dietary information using the FFQ. Women were aged 30.2 (±8.1) years; 27.8% were overweight and 22.6% were obese. All 1004 women in the study consumed starchy staple foods. Of all the women studied, 10.5%, 1.7% and 3.8% consumed vitamin A rich dark green vegetables, nuts and seeds, and beans and peas, respectively. Compared with women in the lowest quintile of Prime Dietary Quality Score (PDQS), those who were in the highest quintile were significantly less likely to be overweight or obese (Adjusted Prevalence Ratio (APR) = 0.76, 95%CI: 0.62, 0.89) (F for trend = 0.029). Dietary diversity score (DDS) was not significantly associated with overweight and obesity. Risk factors included the highest consumption of animal foods (APR = 2.81, 95% CI: 1.51–3.51) and fast food (APR = 2.57, 95% CI: 1.24–4.34). Consumption of legumes and whole grains was associated with lower risk (APR = 0.59; 95% CI: 0.38–0.2). Dietary quality is an important predictor of overweight and obesity among women of reproductive age. Nutrition interventions may be warranted to support women of reproductive age to enter pregnancy with healthier weight to prevent adverse pregnancy outcomes and future risk of chronic diseases.</p>}},
  author       = {{Paulo, Heavenlight A. and Mosha, Dominic and Mwanyika-Sando, Mary and Mboya, Innocent B. and Madzorera, Isabel and Killewo, Japhet and Leyna, Germana H. and Msuya, Sia E. and Fawzi, Wafaie W.}},
  issn         = {{1932-6203}},
  language     = {{eng}},
  publisher    = {{Public Library of Science (PLoS)}},
  series       = {{PLoS ONE}},
  title        = {{Role of dietary quality and diversity on overweight and obesity among women of reproductive age in Tanzania}},
  url          = {{http://dx.doi.org/10.1371/journal.pone.0266344}},
  doi          = {{10.1371/journal.pone.0266344}},
  volume       = {{17}},
  year         = {{2022}},
}