Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age
Ethiopia announced its first food-based dietary guidelines (FBDGs) on 15 March 2022. The present study aims to develop and evaluate the Ethiopian Healthy Eating Index (Et-HEI) based on the FBDG. Data were collected from 494 Ethiopian women of reproductive age sampled from households in five differen...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Journal Article |
| Language: | Inglés |
| Published: |
Cambridge University Press
2023
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/10568/131691 |
| _version_ | 1855535557275287552 |
|---|---|
| author | Bekele, Tesfaye Hailu Vries, Jeanne de Feskens, Edith J. Weijer, Anneloes de Brouwer, Inge D. Covic, Namukolo M. Trijsburg, Laura |
| author_browse | Bekele, Tesfaye Hailu Brouwer, Inge D. Covic, Namukolo M. Feskens, Edith J. Trijsburg, Laura Vries, Jeanne de Weijer, Anneloes de |
| author_facet | Bekele, Tesfaye Hailu Vries, Jeanne de Feskens, Edith J. Weijer, Anneloes de Brouwer, Inge D. Covic, Namukolo M. Trijsburg, Laura |
| author_sort | Bekele, Tesfaye Hailu |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Ethiopia announced its first food-based dietary guidelines (FBDGs) on 15 March 2022. The present study aims to develop and evaluate the Ethiopian Healthy Eating Index (Et-HEI) based on the FBDG. Data were collected from 494 Ethiopian women of reproductive age sampled from households in five different regions. The Et-HEI consists of eleven components, and each component was scored between 0 and 10 points, the total score ranging from 0 to 110, with maximum adherence to the FBDG. The Et-HEI score was evaluated against the Minimum Dietary Diversity for Women (MDD-W) and the probability of nutrient adequacy. The average Et-HEI score for women of reproductive age was 49 out of 110. Adherence to the recommendations for grains, vegetables, legumes, fat and oils, salt, sugar and alcohol contributed the most to this score. Most women had low scores for fruits, nuts and seeds, and animal-sourced foods, indicating low intake. The Cronbach's alpha coefficient, indicating the reliability of the Et-HEI to assess its diet quality, was 0⋅53. The low mean Et-HEI score agreed with a low mean score of the MDD-W (3⋅5 out of 10). Also, low nutrient adequacies confirmed poor adherence to nutrient-dense components of the FBDG. The Et-HEI was not associated with the intake of vitamin B12, vitamin C and calcium in this study population. Women who completed secondary school and above had relatively lower Et-HEI scores. The newly developed Et-HEI is able to estimate nutrient adequacy while also assessing adherence to the Ethiopian FBDG though there is room for improvement. |
| format | Journal Article |
| id | CGSpace131691 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Cambridge University Press |
| publisherStr | Cambridge University Press |
| record_format | dspace |
| spelling | CGSpace1316912024-11-07T09:55:49Z Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age Bekele, Tesfaye Hailu Vries, Jeanne de Feskens, Edith J. Weijer, Anneloes de Brouwer, Inge D. Covic, Namukolo M. Trijsburg, Laura dietary guidelines food nutrition households dietary diversity vitamins education Ethiopia announced its first food-based dietary guidelines (FBDGs) on 15 March 2022. The present study aims to develop and evaluate the Ethiopian Healthy Eating Index (Et-HEI) based on the FBDG. Data were collected from 494 Ethiopian women of reproductive age sampled from households in five different regions. The Et-HEI consists of eleven components, and each component was scored between 0 and 10 points, the total score ranging from 0 to 110, with maximum adherence to the FBDG. The Et-HEI score was evaluated against the Minimum Dietary Diversity for Women (MDD-W) and the probability of nutrient adequacy. The average Et-HEI score for women of reproductive age was 49 out of 110. Adherence to the recommendations for grains, vegetables, legumes, fat and oils, salt, sugar and alcohol contributed the most to this score. Most women had low scores for fruits, nuts and seeds, and animal-sourced foods, indicating low intake. The Cronbach's alpha coefficient, indicating the reliability of the Et-HEI to assess its diet quality, was 0⋅53. The low mean Et-HEI score agreed with a low mean score of the MDD-W (3⋅5 out of 10). Also, low nutrient adequacies confirmed poor adherence to nutrient-dense components of the FBDG. The Et-HEI was not associated with the intake of vitamin B12, vitamin C and calcium in this study population. Women who completed secondary school and above had relatively lower Et-HEI scores. The newly developed Et-HEI is able to estimate nutrient adequacy while also assessing adherence to the Ethiopian FBDG though there is room for improvement. 2023 2023-08-30T20:39:55Z 2023-08-30T20:39:55Z Journal Article https://hdl.handle.net/10568/131691 en Open Access Cambridge University Press Bekele, Tesfaye Hailu; de Vries, Jeanne; Feskens, Edith J.; de Weijer, Anneloes; Brouwer, Inge D.; Covic, Namukolo; and Trijsburg, Laura. 2023. Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age. Journal of Nutritional Science 12: e9. https://doi.org/10.1017/jns.2022.120 |
| spellingShingle | dietary guidelines food nutrition households dietary diversity vitamins education Bekele, Tesfaye Hailu Vries, Jeanne de Feskens, Edith J. Weijer, Anneloes de Brouwer, Inge D. Covic, Namukolo M. Trijsburg, Laura Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age |
| title | Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age |
| title_full | Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age |
| title_fullStr | Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age |
| title_full_unstemmed | Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age |
| title_short | Development of the Ethiopian Healthy Eating Index (Et-HEI) and evaluation in women of reproductive age |
| title_sort | development of the ethiopian healthy eating index et hei and evaluation in women of reproductive age |
| topic | dietary guidelines food nutrition households dietary diversity vitamins education |
| url | https://hdl.handle.net/10568/131691 |
| work_keys_str_mv | AT bekeletesfayehailu developmentoftheethiopianhealthyeatingindexetheiandevaluationinwomenofreproductiveage AT vriesjeannede developmentoftheethiopianhealthyeatingindexetheiandevaluationinwomenofreproductiveage AT feskensedithj developmentoftheethiopianhealthyeatingindexetheiandevaluationinwomenofreproductiveage AT weijeranneloesde developmentoftheethiopianhealthyeatingindexetheiandevaluationinwomenofreproductiveage AT brouweringed developmentoftheethiopianhealthyeatingindexetheiandevaluationinwomenofreproductiveage AT covicnamukolom developmentoftheethiopianhealthyeatingindexetheiandevaluationinwomenofreproductiveage AT trijsburglaura developmentoftheethiopianhealthyeatingindexetheiandevaluationinwomenofreproductiveage |