Dietary intake knowledge and reasons for food restriction during pregnancy among pregnant women attending primary health care centers in Ile-Ife, Nigeria

Mattew O. Oluleke¹, Akintayo O. Ogunwale², Oyedunni S. Arulogun³, Ademola L. Adelekan⁴

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¹ Department of Community Health Nursing, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria

² Department of General Studies, Oyo State College of Agriculture and Technology, Igboora, Oyo State, Nigeria

³ Department of Health Promotion & Education, College of Medicine, University of Ibadan, Ibadan, Nigeria

⁴ THRIVES Project, Department of Medicine, University College Hospital, Ibadan, Nigeria

IJPS 2016, 2(1), 103–116; https://doi.org/10.18063/IJPS.2016.01.006

© Invalid date by the Authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )

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Abstract

The study investigated dietary intake knowledge and reasons for food restriction during preg-nancy among pregnant women attending antenatal clinics in Ile-Ife, Nigeria. This cross-sectional survey involved 530 pregnant women visiting 35 primary health care (PHC) centers in Ile-Ife. Interview-er-administered questionnaire used to collect data included a 30-point knowledge scale and food restric-tion related questions. Data were analyzed using descriptive statistics and chi-square at P = 0.05. Mean age was 27.0 ± 5.3 years, 44.5% had tertiary education and 11.1% earned above ₦50,000 monthly (ap-proximately US$315). Mean knowledge score was 23.6 ± 4.2 and 75.5% had good knowledge. Higher education was significantly associated with good knowledge of dietary intake. Reasons for food restric-tion during pregnancy included cultural taboos (36.5%) and religious beliefs (12.1%). Major foods that were restricted or avoided for cultural reasons were protein and vitamin-rich foods such as snail (97.5%) and walnut (84.0%). Foods avoided based on religious beliefs included pork (87.4%) and dog (76.9%). A higher proportion (94.8%) of respondents who earn more than ₦50,000 avoided foods due to cultural taboos (94.8%) compared with those without monthly income (58.3%) (P≤0.05). The proportions of respondents who avoided foods due to cultural taboos with no formal, primary, secondary, and tertiary education were 95.5%, 93.8%, 79.8%, and 86.4% respectively (P≤0.05). Overall, respondents were knowledgeable about dietary intake. However, cultural taboos and religious beliefs were major reasons for food restriction among pregnant women and were more pronounced among women with low educa-tion and low monthly income. Nutrition education interventions are needed to address the phenomenon.

Keywords

pregnant women

food restriction

dietary intake

cultural taboos

References

[1]

Adeleye O A, Akoria O A, Shuaib Z O, et al. (2010). Barriers and knowledge of benefit regarding family planning methods among women attending antenatal clinics in a Southern Nigerian community. Asian Journal of Medical Sciences, 2(4): 190–194.

[2]

American Dietetic Association. (2005). Nutrition Trends Survey. American Dietetic Association: Chicago, IL, USA.

[3]

Beydoun M A and Wang Y. (2008). Do nutrition knowledge and beliefs modify the association of socioeconomic factors and diet quality among US adults? Journal of Preventive Medicine, 46(2): 145–153. http://dx.doi.org/10.1016/ j.ypmed.2007.06.016.

[4]

Bhargava A. (2000). Modeling the effects of maternal nutritional status and socioeconomic variables on the anthro-pometric and psychological indicators of Kenyan infants from age 0–6 months. American Journal of Psychology and Anthropology, 111(1): 89–104. http://dx.doi.org/10.1002/(SICI)1096-8644(200001)111:1%3C89::AID-AJPA6% 3E3.0.CO;2-X.

[5]

Dyer K, Fearon K, Buckner K, et al. (2004). Diet and colorectal cancer risk. Impact of a nutrition education leaflet. Journal of Human Nutrition & Dietetics, 17(6): 576–576. http://dx.doi.org/10.1111/j.1365-277x.2004.00568_3.x.

[6]

EFSA Panel on Dietetic Products, Nutrition, and Allergies (NDA). (2010). Scientific opinion on dietary reference values for water. EFSA Journal, 8(3): 1459–1507. http://dx.doi.org/10.2903/j.efsa.2010.1459.

[7]

Gittelsohn J, Anliker J A, Sharma S, et al. (2006). Psychosocial determinants of food purchasing and preparation in American Indian households. Journal of Nutrition Education and Behavior, 38(3): 163–168. http://dx.doi.org/10.1016/j.jneb.2005.12.004.

[8]

Global Campaign for Education. (2005). Girls can’t wait: why girls’ education matters, and how to make it happen now. Reproductive Health Matters, 13(25): 19–22. http://dx.doi.org/10.1016/S0968-8080(05)25188-1.

[9]

Harding J E. (2001). The nutritional basis of the fetal origins of adult disease. International Journal of Epidemiology, 30(1): 15–23. http://dx.doi.org/10.1093/ije/30.1.1.15.

[10]

Kalesanwo O. (2005). Assessment of Nigeria knowledge and behavior of mothers in Ijebu-Igbo, Ogun State, Nigeria School Health Journal, 17(2), 169–174.

[11]

Kavle J, Mehanna S, Khan G, et al. (2014). Cultural beliefs and perceptions of maternal diet and weight gain during pregnancy and postpartum family planning in Egypt. Retrieved on March 2, 2015 from http://www.popline.org/node/581638.

[12]

King R. (2000). Collaboration with traditional healers in HIV/AIDS prevention and care in sub-Saharan Africa: a literature review. Retrieved on February 15, 2016 from http://www.popline.org/node/183815.

[13]

Maduforo A. (2010). Superstitions and nutrition among pregnant women in Nwangele local government area of Imo state, Nigeria, Journal of Research in National Development, 8(2). http://dx.doi.org/10.4314/jorind.v8i2.66832.

[14]

Maimbolwa M C, Yamba B, Diwan V, et al. (2003). Cultural childbirth practices and beliefs in Zambia. Journal of Advanced Nursing, 43(3): 263–274. http://dx.doi.org/10.1046/j.1365-2648.2003.02709.x.

[15]

National Population Commission (NPC) [Nigeria] and ICF International. (2014). Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF International. Retrieved on January 21, 2016 from https://dhsprogram.com/pubs/pdf/FR293/FR293.pdf.

[16]

Oboro V O,Tabowei T O, Jemikolajah J J, et al. (2003). Pregnancy outcome among nulliparous teenagers in suburban Nigeria. Journal of Obstetrics and Gynaecology, 23(2): 166–169. http://dx.doi.org/10.1080/0144361031000074718.

[17]

Odebiyi A I. (1989). Food taboos in maternal and child health: the views of traditional healers in Ile-Ife, Nigeria. Social Science & Medicine, 28(9): 985–996. http://dx.doi.org/10.1016/0277-9536(89)90328-6.

[18]

Ogunjuyigbe P O, Ojofeitimi E O, Sanusi R A, et al. (2008). Food aversion during pregnancy: a major cause of poor pregnancy outcome in Nigeria. Journal of Chinese Clinical Medicine, 3(7): 389–397.

[19]

Ogunjuyigbe P O. (2004). Under-five mortality in Nigeria: perception and attitudes of the Yoruba’s towards the exis-tence of “Abiku”. Demographic Research, 11(2): 44–54. http://dx.doi.org/10.4054/DemRes.2004.11.2.

[20]

Ojofeitimi E O, Ogunjuyigbe P O, Sanusi R A, et al. (2008). Poor dietary intake of energy and retinol among preg-nant women: implication for pregnancy outcome in Southwest Nigeria. Pakistian Journal of Nutrition, 7(3): 480–484. http://dx.doi.org/10.3923/pjn.2008.480.484.

[21]

Ozdoğan Y and Ozferzcelik A O. (2011). Evaluation of the nutrition knowledge of sports department students of universities. Journal of the International Society of Sports Nutrition, 8: 11. http://dx.doi.org/10.1186/1550-2783-8-11.

[22]

Ramakrishnan U. (2004). Nutrition and low birth weight: from research to practice. American Journal of Clinical Nutrition, 79(1): 17–21.

[23]

Scholl T O and Johnson W G. (2000). Folic acid: influence on the outcome of pregnancy. American Journal of Clini-cal Nutrition, 71(5 Suppl): 1295S–303S.

[24]

Sholeye O O, Badejo C A and Jeminusi O A. (2014). Dietary habits of pregnant women in Ogun-East Senatorial Zone, Ogun State: a comparative study. International Journal of Nutrition and Metabolisim, 6(4): 42–49.

[25]

Wardlaw T, Blanc A, Zupan J, et al. (2004). Low Birth Weight: Country, Regional and Global Estimates. UNICEF Publications: New York.

[26]

World Health Organization. (2015). Maternal mortality. Retrieved on January 16, 2016 from www.who.int/mediacentre/factsheets/fs348/en/

[27]

Wright J M, Hoffman C S and Savitz D A. (2010). The relationship between water intake and foetal growth and pre-term delivery in a prospective cohort study. BMC Pregnancy and Childbirth, 10: 48. http://dx.doi.org/10.1186/1471-2393-10-48.

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