{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:16:48Z","timestamp":1774621008424,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100022925","name":"Yirgalem Hospital Medical College","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100022925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nutrition and Metabolism"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vitamin A deficiency remains a public health problem in Ethiopia, despite programs aimed at providing lactating women with diverse diets and micronutrient supplements. However, evidence on the dietary vitamin A intake adequacy among these is limited. This study was aimed at assessing dietary vitamin A intake and associated factors among lactating women in the Wondo Genet district of Sidama Region, Southern Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A community\u2010based cross\u2010sectional study was conducted among 411 lactating women from January 1 to 28, 2024, using simple random sampling. Data were collected via an interviewer\u2010administered questionnaire. Vitamin A inadequacy was defined as dietary intake below the estimated average requirement (EAR). Logistic regression was used to identify factors associated with dietary vitamin A inadequacy, and results are presented as adjusted odds ratios (AORs) with 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The magnitude of inadequate dietary Vitamin A intake was 47.1% (95% CI: 42.2%, 52.0%). In the adjusted model, large family size (AOR\u2009=\u20091.68, 95% CI: 1.10, 2.58), food insecurity (AOR\u2009=\u20091.60, 95% CI: 1.05, 2.44), low dietary diversity (AOR\u2009=\u20091.65, 95% CI: 1.05, 2.62), not receiving nutritional counseling (AOR\u2009=\u20092.67, 95% CI: 1.66, 4.28), and consuming fewer than three meals per day (AOR\u2009=\u20092.18, 95% CI: 1.41, 3.37) were significantly associated with inadequate vitamin A intake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The study found a high prevalence of inadequate dietary vitamin A intake among lactating women in the area. Predictors of inadequate intake included large family size, food insecurity, lack of nutritional counseling, low dietary diversity, and the number of meals consumed per day. We recommend targeted nutritional counseling and education for lactating women, emphasizing vitamin A awareness, meal planning, and strategies to combat food insecurity, particularly in larger families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jnme\/5560305","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T08:55:04Z","timestamp":1770022504000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dietary Vitamin A Intake and Associated Factors Among Lactating Women in Wondo Genet District, Sidama Region, Southern Ethiopia"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1233-8899","authenticated-orcid":false,"given":"Amelo","family":"Bolka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7215-7450","authenticated-orcid":false,"given":"Selamawit","family":"Sikuare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5418-6662","authenticated-orcid":false,"given":"Aregahegn","family":"Dona","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6630-7465","authenticated-orcid":false,"given":"Assefa","family":"Philipos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"e_1_2_13_1_2","volume-title":"Joint FAO\/WHO Expert Consultation on Human Vitamin and Mineral Requirements, Vitamin and Mineral Requirements in Human Nutrition","author":"WHO\/FAO\/UN","year":"2004"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005944.pub2"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedp.2017.09.030"},{"key":"e_1_2_13_4_2","first-page":"73","article-title":"Present Knowledge in Nutrition","author":"Blaner W.","year":"2020","journal-title":"Vitamin A and Provitamin A Carotenoids"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1128\/cmr.18.3.446-464.2005"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.3945\/an.111.001701"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/s2214-109x(15)00039-x"},{"key":"e_1_2_13_8_2","unstructured":"WHO Vitamin A Deficiency and Its Consequences a Field Guide to Detection and Control 1995 https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/40535\/92415447783_eng.pdf."},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu8030149"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/156482651003100206"},{"key":"e_1_2_13_11_2","doi-asserted-by":"crossref","unstructured":"HaidarJ. Profile of Vitamin A Deficiency in Ethiopia During the Last 50 Years 2008 https:\/\/www.researchgate.net\/publication\/269405688.","DOI":"10.52439\/HIMS5506"},{"key":"e_1_2_13_12_2","unstructured":"EPHI Ethiopia National Micronutrient Survey 2016 Federal Ministry of Health of Ethiopia Addis Ababa Ethiopia."},{"key":"e_1_2_13_13_2","unstructured":"AyanaG. HailuA. A. TessemaM. andBelayA. Ethiopian National Nutrition Program End-Line Survey Technical Report 2015 https:\/\/www.researchgate.net\/publication\/316286143."},{"key":"e_1_2_13_14_2","unstructured":"SRHB Sidama National Regional State Health Bureau 2023\/2024 Indicative Plan 2023."},{"key":"e_1_2_13_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/jhn.12766"},{"key":"e_1_2_13_16_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0239308"},{"key":"e_1_2_13_17_2","article-title":"Mini Ethiopia Demographic and Health Survey 2019: Key Indicators Report","author":"CSAE","year":"2019","journal-title":"Addis Ababa, Ethiopia; Rockville, MD: CSA and ICF"},{"key":"e_1_2_13_18_2","doi-asserted-by":"publisher","DOI":"10.3329\/jhpn.v31i2.16382"},{"key":"e_1_2_13_19_2","article-title":"An Interactive 24-Hour Recall for Assessing the Adequacy of Iron and Zinc Intakes in Developing Countries","author":"Gibson R. S.","year":"2008","journal-title":"Technical Monograph Series 8, Harvest Plus"},{"key":"e_1_2_13_20_2","volume-title":"Minimum Dietary Diversity for Women: An Updated Guide to Measurement\u2014From Collection to Action","author":"FAO","year":"2021"},{"key":"e_1_2_13_21_2","article-title":"Household Hunger Scale: Indicator Definition and Measurement Guide","volume":"2","author":"Ballard T.","year":"2011","journal-title":"Food and Nutrition Technical Assistance Project"},{"key":"e_1_2_13_22_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40795-023-00693-1"},{"key":"e_1_2_13_23_2","doi-asserted-by":"publisher","DOI":"10.1080\/02673843.2017.1369889"},{"key":"e_1_2_13_24_2","doi-asserted-by":"publisher","DOI":"10.1093\/cdn\/nzaa142"},{"key":"e_1_2_13_25_2","unstructured":"KennedyG. BallardT. andDopM. Food and Agriculture Organization Guidelines for Measuring Household and Individual Dietary Diversity 2013 1\u201353."},{"key":"e_1_2_13_26_2","first-page":"19","article-title":"Muhimbili University of Health and Allied Sciences and Tanzania Food and Nutrition Center and Harvard School of Public Health","volume":"1","author":"Lukmanji Z.","year":"2008","journal-title":"Tanzania Food Composition Tables"},{"key":"e_1_2_13_27_2","first-page":"1","article-title":"Development of a Regional Food Composition Table for West Africa","volume":"1","author":"Stadlmayr B.","year":"2012","journal-title":"Food Chemistry"},{"key":"e_1_2_13_28_2","volume-title":"360 F. Minimum Dietary Diversity for Women: A Guide for Measurement","author":"FAO","year":"2016"},{"key":"e_1_2_13_29_2","doi-asserted-by":"publisher","DOI":"10.4236\/fns.2014.521219"},{"key":"e_1_2_13_30_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2024.1354459"},{"key":"e_1_2_13_31_2","first-page":"2114","article-title":"Vitamin A Dietary Assessment of Vitamin A and Iron Among Pregnant at Ndhiwa Sub-Districtn Hospital of Kenya","volume":"14","author":"Da O.","year":"2014","journal-title":"African Journal of Food, Agriculture, Nutrition and Development"},{"key":"e_1_2_13_32_2","doi-asserted-by":"publisher","DOI":"10.1079\/phn2002454"},{"key":"e_1_2_13_33_2","doi-asserted-by":"publisher","DOI":"10.3390\/nu11092025"},{"key":"e_1_2_13_34_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/1823697"},{"key":"e_1_2_13_35_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0263957"},{"key":"e_1_2_13_36_2","doi-asserted-by":"publisher","DOI":"10.18697\/ajfand.122.22775"},{"key":"e_1_2_13_37_2","volume-title":"Food Security and Nutrition: Building a Global Narrative Towards 2030. A Report by the High Level Panel of Experts on Food Security and Nutrition of the Committee on World Food Security","author":"HLPE","year":"2020"},{"key":"e_1_2_13_38_2","first-page":"819","article-title":"Comparing Intake Adequacy and Dietary Diversity Between Adolescent Schoolgirls With Normal Nutritional Status (NG) and Undernutrition (UG) Based on BMI-Forage (BAZ) Living in Urban Slums in Central Jakarta","volume":"25","author":"Rachmalina R.","year":"2019","journal-title":"Malaysian Journal of Nutrition"},{"key":"e_1_2_13_39_2","doi-asserted-by":"publisher","DOI":"10.18697\/ajfand.65.12880"},{"key":"e_1_2_13_40_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2021.e08495"},{"key":"e_1_2_13_41_2","doi-asserted-by":"publisher","DOI":"10.21203\/rs.3.rs-4847758\/v1"}],"container-title":["Journal of Nutrition and Metabolism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jnme\/5560305","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jnme\/5560305","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jnme\/5560305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T13:13:55Z","timestamp":1774617235000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jnme\/5560305"}},"subtitle":[],"editor":[{"given":"Suraiya","family":"Saleem","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":41,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jnme\/5560305"],"URL":"https:\/\/doi.org\/10.1155\/jnme\/5560305","archive":["Portico"],"relation":{},"ISSN":["2090-0724","2090-0732"],"issn-type":[{"value":"2090-0724","type":"print"},{"value":"2090-0732","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-11-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5560305"}}