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Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Research article

Nutritional status and dietary intake of urban residents in Gondar, Northwest Ethiopia

Authors: Bemnet Amare, Beyene Moges, Feleke Moges, Bereket Fantahun, Mengesha Admassu, Andargachew Mulu, Afework Kassu

Published in: BMC Public Health | Issue 1/2012

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Abstract

Background

There is paucity of data on the dietary intake and nutritional status of urban Ethiopians which necessitates comprehensive nutritional assessments. Therefore, the present study was aimed at evaluating the dietary intake and nutritional status of urban residents in Northwest Ethiopia.

Methods

This cross-sectional community based nutrition survey was conducted by involving 356 participants (71.3% female and 28.7% male with mean age of 37.3 years). Subjects were selected by random sampling. Socio demographic data was collected by questionnaire. Height, weight, hip circumference and waist circumference were measured following standard procedures. Dietary intake was assessed by a food frequency questionnaire and 24-h dietary recall. The recommended dietary allowance was taken as the cut-off point for the assessment of the adequacy of individual nutrient intake.

Results

Undernourished, overweight and obese subjects composed 12.9%, 21.3% and 5.9% of the participants, respectively. Men were taller, heavier and had higher waist to hip ratio compared to women (P < 0.05). Fish, fruits and vegetables were consumed less frequently or never at all by a large proportion of the subjects. Oil and butter were eaten daily by most of the participants. Mean energy intakes fell below the estimated energy requirements in women (1929 vs 2031 kcal/day, P = 0.05) while it was significantly higher in men participants (3001 vs 2510 kcal/day, P = 0.007). Protein intake was inadequate (<0.8 g/kg/day) in 11.2% of the participants whereas only 2.8% reported carbohydrate intake below the recommended dietary allowances (130 g/day). Inadequate intakes of calcium, retinol, thiamin, riboflavin, niacin and ascorbic acid were seen in 90.4%, 100%, 73%, 92.4%, 86.2% and 95.5% of the participants.

Conclusions

The overall risk of nutritional inadequacy among the study participants was high along with their poor dietary intake. Hence, more stress should be made on planning and implementing nutritional programmes in urban settings aimed at preventing or correcting micronutrient and some macronutrient deficiencies which may be useful in preventing nutrition related diseases in life.
Literature
1.
go back to reference Blaney S, Beaudry M, Latham M: Determinants of under nutrition in rural communities of a protected area in Gabon. Public Health Nutr. 2009, 12 (10): 1711-1725. 10.1017/S1368980008004035.CrossRefPubMed Blaney S, Beaudry M, Latham M: Determinants of under nutrition in rural communities of a protected area in Gabon. Public Health Nutr. 2009, 12 (10): 1711-1725. 10.1017/S1368980008004035.CrossRefPubMed
2.
go back to reference The Bellagio meeting: An overview on the nutrition transition and its health implications. Public Health Nutr. 2002, 5 (1A): 93-103. The Bellagio meeting: An overview on the nutrition transition and its health implications. Public Health Nutr. 2002, 5 (1A): 93-103.
3.
go back to reference WHO: Obesity: preventing and managing the global epidemic: report of a WHO consultation on obesity, Technical Report Series 894. 2000, Geneva: WHO WHO: Obesity: preventing and managing the global epidemic: report of a WHO consultation on obesity, Technical Report Series 894. 2000, Geneva: WHO
4.
go back to reference Parry EH: Urban change and health in Africa. Ethiop Med J. 1978, 17: 127-142. Parry EH: Urban change and health in Africa. Ethiop Med J. 1978, 17: 127-142.
5.
go back to reference King H, Aubert RE, Herman WH: Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes Care. 1998, 21: 1414-1431. 10.2337/diacare.21.9.1414.CrossRefPubMed King H, Aubert RE, Herman WH: Global burden of diabetes, 1995–2025: prevalence, numerical estimates, and projections. Diabetes Care. 1998, 21: 1414-1431. 10.2337/diacare.21.9.1414.CrossRefPubMed
6.
go back to reference Amos AF, McCarty DJ, Zimmet P: The rising global burden of diabetes and its complications: estimates and projections to the year 2010. Diabet Med. 1997, 14 (Suppl. 5): S1-S85.PubMed Amos AF, McCarty DJ, Zimmet P: The rising global burden of diabetes and its complications: estimates and projections to the year 2010. Diabet Med. 1997, 14 (Suppl. 5): S1-S85.PubMed
7.
go back to reference WHO: Monogram Series 57 on Interaction of Nutrition and Infection. Edited by: Schrimshaw NS, Taylor CE, Gordon JE. 1968, Geneva WHO: Monogram Series 57 on Interaction of Nutrition and Infection. Edited by: Schrimshaw NS, Taylor CE, Gordon JE. 1968, Geneva
8.
go back to reference WHO: Africa Regional Health Office: The Health of the People. 2007, the Africa regional health report WHO: Africa Regional Health Office: The Health of the People. 2007, the Africa regional health report
9.
go back to reference Fantahun M, Degu G: Burden of disease in Amahra region, Ethiopia. Ethiop Med J. 2004, 42 (3): 165-172.PubMed Fantahun M, Degu G: Burden of disease in Amahra region, Ethiopia. Ethiop Med J. 2004, 42 (3): 165-172.PubMed
10.
go back to reference Central Statistical Agency: Federal Democratic Republic of Ethiopia: Household Income, Consumption, and Expenditure Survey 2004/5. 2007, Addis: Statistical Bulletin 394 Volume I Central Statistical Agency: Federal Democratic Republic of Ethiopia: Household Income, Consumption, and Expenditure Survey 2004/5. 2007, Addis: Statistical Bulletin 394 Volume I
11.
go back to reference Abdulahi H, Mariam DH, Kebede D: Burden of disease analysis in rural Ethiopia. Ethiop Med J. 2001, 39: 271-281.PubMed Abdulahi H, Mariam DH, Kebede D: Burden of disease analysis in rural Ethiopia. Ethiop Med J. 2001, 39: 271-281.PubMed
12.
go back to reference Sheiham A: Dietary effects on dental diseases. Public Health Nutr. 2001, 4: 569-591.PubMed Sheiham A: Dietary effects on dental diseases. Public Health Nutr. 2001, 4: 569-591.PubMed
13.
go back to reference Report of a WHO Expert Committee on Physical status: the use and interpretation of anthropometry. 1995, Geneva Report of a WHO Expert Committee on Physical status: the use and interpretation of anthropometry. 1995, Geneva
14.
go back to reference Haidar J, Abate G, Kogi-Makau W, Sorensen P: Risk factors for child under-nutrition with a human rights edge in rural villages of North Wollo, Ethiopia. Public Health Nutr. 2008, 11: 675-683. Haidar J, Abate G, Kogi-Makau W, Sorensen P: Risk factors for child under-nutrition with a human rights edge in rural villages of North Wollo, Ethiopia. Public Health Nutr. 2008, 11: 675-683.
15.
go back to reference Central Statistical Authority of Ethiopia on Rural Household Income, consumption and Expenditure survey (May 1981-April 1982): Statistical Bulletin 61. 1988, Addis Central Statistical Authority of Ethiopia on Rural Household Income, consumption and Expenditure survey (May 1981-April 1982): Statistical Bulletin 61. 1988, Addis
16.
go back to reference Ethiopian Health and Nutrition Research Institute: Food Composition Table for Use in Ethiopia: Report Part IV. 1998, , Addis Ethiopian Health and Nutrition Research Institute: Food Composition Table for Use in Ethiopia: Report Part IV. 1998, , Addis
19.
go back to reference Joint FAO/WHO/UNU expert consultation on Energy and protein requirements. 1985, Geneva: WHO Technical Report Series No. 724 Joint FAO/WHO/UNU expert consultation on Energy and protein requirements. 1985, Geneva: WHO Technical Report Series No. 724
20.
go back to reference Hatloy A, Torheim LE, Oshaug A: Food variety-a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. Eur J Clin Nutr. 1998, 52: 891-898. 10.1038/sj.ejcn.1600662.CrossRefPubMed Hatloy A, Torheim LE, Oshaug A: Food variety-a good indicator of nutritional adequacy of the diet? A case study from an urban area in Mali, West Africa. Eur J Clin Nutr. 1998, 52: 891-898. 10.1038/sj.ejcn.1600662.CrossRefPubMed
21.
go back to reference Torheim LE, Barikmo I, Parr CL, Hatloy A, Ouattara F, Oshaug A: Validation of food variety as an indicator of diet quality assessed with a food frequency questionnaire for Western Mali. Eur J Clin Nutr. 2003, 57: 1283-1291. 10.1038/sj.ejcn.1601686.CrossRefPubMed Torheim LE, Barikmo I, Parr CL, Hatloy A, Ouattara F, Oshaug A: Validation of food variety as an indicator of diet quality assessed with a food frequency questionnaire for Western Mali. Eur J Clin Nutr. 2003, 57: 1283-1291. 10.1038/sj.ejcn.1601686.CrossRefPubMed
22.
go back to reference Michelotto MA, de Oliveira R, Fagundes LM, Moreira EAM: Erasmo Benício Santos de Moraes Trindade, Tales de Carvalho: Relation between anthropometric indicators and risk factors for cardiovascular disease. Arq Bras Cardiol. 2010, 94 (4): 451-457. Michelotto MA, de Oliveira R, Fagundes LM, Moreira EAM: Erasmo Benício Santos de Moraes Trindade, Tales de Carvalho: Relation between anthropometric indicators and risk factors for cardiovascular disease. Arq Bras Cardiol. 2010, 94 (4): 451-457.
23.
go back to reference Ruiz J, Mandel C, Garabedian M: Influence of spontaneous calcium intake and physical exercise on the vertebral and femoral bone mineral density of children and adolescents. J of Bone and Mineral Res. 1995, 10: 675-682.CrossRef Ruiz J, Mandel C, Garabedian M: Influence of spontaneous calcium intake and physical exercise on the vertebral and femoral bone mineral density of children and adolescents. J of Bone and Mineral Res. 1995, 10: 675-682.CrossRef
24.
go back to reference Kamadjeu RM, Edwards R, Atanga JS, Kiawi EC, Unwin N, Mbanya J-C: Anthropometry measures and prevalence of obesity in the urban adult population of Cameroon: an update from the Cameroon Burden of diabetes baseline survey. BMC Publ Health. 2006, 6: 228-10.1186/1471-2458-6-228.CrossRef Kamadjeu RM, Edwards R, Atanga JS, Kiawi EC, Unwin N, Mbanya J-C: Anthropometry measures and prevalence of obesity in the urban adult population of Cameroon: an update from the Cameroon Burden of diabetes baseline survey. BMC Publ Health. 2006, 6: 228-10.1186/1471-2458-6-228.CrossRef
25.
go back to reference Steyn K, Damasceno A: Lifestyle and Related Risk Factors for Chronic Diseases. 2006, The World Bank: In Disease and Mortality in Sub-Saharan Africa Steyn K, Damasceno A: Lifestyle and Related Risk Factors for Chronic Diseases. 2006, The World Bank: In Disease and Mortality in Sub-Saharan Africa
26.
go back to reference Treloar C, Porteous J, Hassan F, Kasniyah N, Lakshmanudu M, Sama M, Sha’bani M, Heller F: The cross cultural context of obesity: An inclen multicentre collaborative study. Health and Place. 1999, 5: 279-286. 10.1016/S1353-8292(99)00018-0.CrossRefPubMed Treloar C, Porteous J, Hassan F, Kasniyah N, Lakshmanudu M, Sama M, Sha’bani M, Heller F: The cross cultural context of obesity: An inclen multicentre collaborative study. Health and Place. 1999, 5: 279-286. 10.1016/S1353-8292(99)00018-0.CrossRefPubMed
27.
go back to reference Tesfaye F, Nawi NG, Van Minh H, Byass P, Berhane Y, Bonita R, Wall S: Association between body mass index and blood pressure across three populations in Africa and Asia. J Hum Hypertens. 2007, 21: 28-37. 10.1038/sj.jhh.1002104.CrossRefPubMed Tesfaye F, Nawi NG, Van Minh H, Byass P, Berhane Y, Bonita R, Wall S: Association between body mass index and blood pressure across three populations in Africa and Asia. J Hum Hypertens. 2007, 21: 28-37. 10.1038/sj.jhh.1002104.CrossRefPubMed
28.
go back to reference Azadbakht L, Surkan PJ, Esmaillzadeh A, Willett WC: The dietary approaches to stop hypertension eating plan affects c-reactive protein, coagulation abnormalities, and hepatic function tests among type 2 diabetic patients. Nutr. 2011, 141 (6): 1083-1088. 10.3945/jn.110.136739.CrossRef Azadbakht L, Surkan PJ, Esmaillzadeh A, Willett WC: The dietary approaches to stop hypertension eating plan affects c-reactive protein, coagulation abnormalities, and hepatic function tests among type 2 diabetic patients. Nutr. 2011, 141 (6): 1083-1088. 10.3945/jn.110.136739.CrossRef
29.
go back to reference Klimis-Zacas DJ, Kalea AZ, Yannakoulia M, Matalas A-L, Vassilakou T, Papoutsakis-Tsarouhas C, Yiannakouris N: Dietary intakes of Greek urban adolescents do not meet the recommendations. Nutr Res. 2007, 27: 18-26. 10.1016/j.nutres.2006.12.004.CrossRef Klimis-Zacas DJ, Kalea AZ, Yannakoulia M, Matalas A-L, Vassilakou T, Papoutsakis-Tsarouhas C, Yiannakouris N: Dietary intakes of Greek urban adolescents do not meet the recommendations. Nutr Res. 2007, 27: 18-26. 10.1016/j.nutres.2006.12.004.CrossRef
30.
go back to reference Institute of Medicine Food and Nutrition Board: Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. 2002, Washington D.C: National Academy Press Institute of Medicine Food and Nutrition Board: Dietary reference intakes for energy, carbohydrate, fiber, fat, fatty acids, cholesterol, protein and amino acids. 2002, Washington D.C: National Academy Press
31.
go back to reference Venter I, Winterbach A: Dietary fat knowledge and intake of mid-adolescents attending public schools in the Bellville/Durbanville area of the city of Cape Town. S Afr J Clin Nutr. 2010, 23 (2): 75-83. Venter I, Winterbach A: Dietary fat knowledge and intake of mid-adolescents attending public schools in the Bellville/Durbanville area of the city of Cape Town. S Afr J Clin Nutr. 2010, 23 (2): 75-83.
32.
go back to reference Popkin BM: Nutrition in transition: The changing global nutrition challenge. Asia Paci J of C Nutn. 2001, 10: S13-S18.CrossRef Popkin BM: Nutrition in transition: The changing global nutrition challenge. Asia Paci J of C Nutn. 2001, 10: S13-S18.CrossRef
33.
go back to reference Popkin BM: The nutrition transition and obesity in the developing world. Journal of Nutn. 2001, 1313871S-73S.73S. Popkin BM: The nutrition transition and obesity in the developing world. Journal of Nutn. 2001, 1313871S-73S.73S.
34.
go back to reference Azadbakht L, Esmaillzadeh A: Macro and micro-nutrients intake, food group’s consumption and dietary habits among female students in Isfahan University of medical sciences. Iranian R Cres Med J. 2012, 14 (4): 204-209. Azadbakht L, Esmaillzadeh A: Macro and micro-nutrients intake, food group’s consumption and dietary habits among female students in Isfahan University of medical sciences. Iranian R Cres Med J. 2012, 14 (4): 204-209.
35.
go back to reference Krisela S, Albertino D, et al: From Lifestyle and Related Risk Factors for Chronic Diseases. Disease and Mortality in Sub-Saharan Africa. Edited by: Jamison DT, Feachem RG, Makgoba MW. 2006, Washington (DC): World Bank, 2 Krisela S, Albertino D, et al: From Lifestyle and Related Risk Factors for Chronic Diseases. Disease and Mortality in Sub-Saharan Africa. Edited by: Jamison DT, Feachem RG, Makgoba MW. 2006, Washington (DC): World Bank, 2
36.
go back to reference Levin HM, Pollitt E, Galloway R, McGuire J: Micronutrient deficiency disorders. Disease control priorities in developing countries. Edited by: Jamison DT, Mosley WH, Measham AR, Bobadilla JL. 1993, Oxford: Oxford University Press, 4 21-451. 2 Levin HM, Pollitt E, Galloway R, McGuire J: Micronutrient deficiency disorders. Disease control priorities in developing countries. Edited by: Jamison DT, Mosley WH, Measham AR, Bobadilla JL. 1993, Oxford: Oxford University Press, 4 21-451. 2
37.
go back to reference Diaz JR, de las Cagigas A, Rodriguez R: Micronutrient deficiencies in developing and affluent countries [review]. Eur J Clin Nutr. 2003, 57: 70-72.CrossRef Diaz JR, de las Cagigas A, Rodriguez R: Micronutrient deficiencies in developing and affluent countries [review]. Eur J Clin Nutr. 2003, 57: 70-72.CrossRef
38.
go back to reference Prokopiev DI: Vitamin A content and carotene in blood plasma in pulmonary tuberculosis. Ter Arh. 1966, 38: 54-59. Prokopiev DI: Vitamin A content and carotene in blood plasma in pulmonary tuberculosis. Ter Arh. 1966, 38: 54-59.
39.
go back to reference Vorster HH, Wissing MP, Venter CS, Kruger HS, Kruger A, et al: The impact of urbanization on physical, physiological and mental health of Africans in the North West Province of South Africa. The THUSA study S Afr J Sci. 2000, 96: 505-514. Vorster HH, Wissing MP, Venter CS, Kruger HS, Kruger A, et al: The impact of urbanization on physical, physiological and mental health of Africans in the North West Province of South Africa. The THUSA study S Afr J Sci. 2000, 96: 505-514.
40.
go back to reference Kruger HS, Venter CS, Vorster HH: Obesity in African women in the North West Province, South Africa, is associated with an increased risk of non-communicable diseases: The THUSA study. Br J Nutr. 2001, 86: 733–-740.CrossRefPubMed Kruger HS, Venter CS, Vorster HH: Obesity in African women in the North West Province, South Africa, is associated with an increased risk of non-communicable diseases: The THUSA study. Br J Nutr. 2001, 86: 733–-740.CrossRefPubMed
41.
go back to reference Academy of Science of South Africa (ASSA): Scientific Inquiry into the Nutritional Influences on Human Immunity with Special Reference to HIV Infection and Active TB in South Africa: HIV/AIDS, TB and Nutrition. 2007, Pretoria Academy of Science of South Africa (ASSA): Scientific Inquiry into the Nutritional Influences on Human Immunity with Special Reference to HIV Infection and Active TB in South Africa: HIV/AIDS, TB and Nutrition. 2007, Pretoria
42.
go back to reference Yannakoulia M, Karayiannis D, Terzidou M, Kokkevi A, Sidossis LS: Nutrition-related habits of Greek adolescents. Eur J Clin Nutr. 2004, 58: 580-586. 10.1038/sj.ejcn.1601849.CrossRefPubMed Yannakoulia M, Karayiannis D, Terzidou M, Kokkevi A, Sidossis LS: Nutrition-related habits of Greek adolescents. Eur J Clin Nutr. 2004, 58: 580-586. 10.1038/sj.ejcn.1601849.CrossRefPubMed
43.
go back to reference Rolland-Cachera M-F, Belliste F, Deheeger M: Nutritional status and food intake in adolescents living in Western Europe. Eur J Clin Nutr. 2000, 54: 41-46. 10.1038/sj.ejcn.1600891.CrossRef Rolland-Cachera M-F, Belliste F, Deheeger M: Nutritional status and food intake in adolescents living in Western Europe. Eur J Clin Nutr. 2000, 54: 41-46. 10.1038/sj.ejcn.1600891.CrossRef
44.
go back to reference Cruz JA: Dietary habits and nutritional status in adolescents over Europe: Southern Europe. Eur J Clin Nutr. 2000, 54: 29-35. 10.1038/sj.ejcn.1600888.CrossRef Cruz JA: Dietary habits and nutritional status in adolescents over Europe: Southern Europe. Eur J Clin Nutr. 2000, 54: 29-35. 10.1038/sj.ejcn.1600888.CrossRef
45.
go back to reference Barker DJP: Fetal origins of coronary heart disease. Br Med J. 1995, 311: 171-174. 10.1136/bmj.311.6998.171.CrossRef Barker DJP: Fetal origins of coronary heart disease. Br Med J. 1995, 311: 171-174. 10.1136/bmj.311.6998.171.CrossRef
46.
go back to reference Vorster HH, Bourne LT, Venter CS, Oosthuizen W: Contribution of nutrition to the health transition in developing countries: A framework for research and intervention. Nutr Rev. 1999, 57: 341-349.CrossRefPubMed Vorster HH, Bourne LT, Venter CS, Oosthuizen W: Contribution of nutrition to the health transition in developing countries: A framework for research and intervention. Nutr Rev. 1999, 57: 341-349.CrossRefPubMed
Metadata
Title
Nutritional status and dietary intake of urban residents in Gondar, Northwest Ethiopia
Authors
Bemnet Amare
Beyene Moges
Feleke Moges
Bereket Fantahun
Mengesha Admassu
Andargachew Mulu
Afework Kassu
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-752

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