Dietary diversity practice and associated factors among adolescents in Ethiopia, systematic review and meta-analysis.

Autor: Ayele FY; School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Zerga AA; School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Gebeyehu FB; Department of Anatomy, School of Medicine, College of Medicine and Health Science, Addis Ababa University, Addis Ababa, Ethiopia., Tadesse SE; School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Zewude S; School of Pharmacy, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia., Habteslasie Y; Department of Agro Economics, College of Agriculture, Wollo University, Dessie, Ethiopia., Befekadu Z; Department of Rural Development and Agricultural Extension, College of Agriculture and Natural Resource, Mekdela Amba University, Tuluawlya, Ethiopia.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2023 Jul 28; Vol. 18 (7), pp. e0284573. Date of Electronic Publication: 2023 Jul 28 (Print Publication: 2023).
DOI: 10.1371/journal.pone.0284573
Abstrakt: Background: Adolescence (10-19 years) is a critical life period for growth and health. An increase in dietary diversity in the food is related to improved nutrient adequacy of the diet. However, studies conducted on dietary diversity practice among adolescents showed non-conclusive and inconsistent findings on the magnitude of the problem. Likewise, there was no meta-analysis conducted in the study area. Hence, this systematic review and meta-analysis were conducted to estimate the pooled prevalence of good dietary diversity practice and its associated factors among adolescents in Ethiopia.
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline was followed. All articles were systematically searched by Google Scholar, PubMed, Hinari, Cochrane Library, Global Health and CINAHL. Meta-analysis was conducted by using STATA 14 software. Forest plots were used to present the pooled prevalence of good dietary diversity practices. A random effect model was used to compute the pooled prevalence; while subgroup analysis was performed to identify the possible source of heterogeneity. Publication bias was assessed by the begg's and egger's test. Moreover, the associated factor of dietary diversity practices was observed.
Results: This review involved 7 studies, and 3,950 participants. The pooled prevalence of good dietary diversity practice among adolescents in Ethiopia was 39.24% (95% CI: 30.82, 47.66). Mothers with formal education [AOR = 1.98, (95% CI: 1.65, 2.36)], fathers with formal education [AOR = 2.30, (95% CI: 1.81, 2.93)], Medium wealth index [AOR = 2.75, (95% CI: 1.96, 3.86)] and urban residence [AOR = 2.88, (95% CI: 1.59, 5.22)] were positively associated with good dietary diversity practice.
Conclusions: The pooled prevalence of good dietary diversity practices among adolescents is low. Being urban residents, the medium wealth quintile, mothers' educational status and fathers' educational status were independent factors of good dietary diversity practice among adolescents. Therefore, focused nutritional interventions should be given to rural residents and adolescents from low economic status.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Ayele 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.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje