{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T06:38:26Z","timestamp":1787985506885,"version":"build-2784847793"},"reference-count":85,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Pan African University (PAU), life and earth science institute","award":["Received via personal acount"],"award-info":[{"award-number":["Received via personal acount"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>Low birth weight (LBW) is a major public health problem in Ethiopia. Dietary diversity is a key indicator of maternal dietary adequacy that may affect birth weight but little is known about their relationship. Hence, this study aimed to assess the association of suboptimal maternal dietary diversity during pregnancy and low birth weight in Gurage Zone, Ethiopia.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>The prospective study was conducted among 1062 pregnant women enrolled consecutively in between 16 to 20 gestational weeks and followed until delivery. The baseline data were collected at recruitment and dietary diversity was assessed using the minimum dietary diversity score for women (MDD-W) tool in three different rounds. The average of three scores was considered to categorize women into optimal (consumed \u2265 5 food groups) and suboptimal (consumed &lt; 5 food groups) dietary diversity groups. The risk of low birth weight among suboptimal dietary diversity was assessed using modified Poisson regression with robust standard error.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Of the 1062 pregnant women recruited, 959 (90.4%) women completed follow-up. Among them, 302 (31.5%) women are having optimal and the rest, 657 (68.5%) women are having suboptimal dietary diversity. The risk of low birth weight was significantly higher among women with sub-optimal dietary diversity than among those with optimal diversity (ARR = 1.89, 95% CI: 1.25, 2.84). Other factors such as rural residence (ARR = 1.61, 95% CI: 1.43, 1.87), age &gt; = 35 years (AAR = 3.94, 95% CI: 2.41, 6.46), being underweight (ARR = 1.81, 95% CI: 1.14, 2.86), height &lt; 150cm (ARR = 4.65, 95% CI: 2.52, 8.59), unwanted pregnancy (ARR = 3.35, 95% CI: 2.23, 5.02), preterm delivery (3.65, 95% CI: 2.27, 5.84) and lack of nutritional counseling (ARR = 1.69, 95% CI: 1.08, 2.67) significantly increased the risk of low birth weight.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Suboptimal dietary diversity associated low birth weight. Promoting dietary diversity by strengthening nutritional education and avoiding unwanted pregnancy particularly among rural residents may help to reduce the incidence of low birth weight.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0300480","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T17:37:38Z","timestamp":1714498658000},"page":"e0300480","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Dietary diversity and other predictors of low birth weight in Gurage Zone, Ethiopia: Prospective study"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7259-208X","authenticated-orcid":true,"given":"Teshome Gensa","family":"Geta","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samson","family":"Gebremedhin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saad Ahmed","family":"Abdiwali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akinyinka O.","family":"Omigbodun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,30]]},"reference":[{"key":"pone.0300480.ref001","article-title":"Low birthweight: country, regional and global estimates: Unicef;","author":"TM Wardlaw","year":"2004"},{"key":"pone.0300480.ref002","article-title":"Low birth weight and its associated factors.","volume":"16","author":"AIM Moreira","year":"2018","journal-title":"Einstein (Sao Paulo)."},{"key":"pone.0300480.ref003","first-page":"2019","article-title":"Low birth weight and its associated factors among newborns delivered at wolaita sodo university teaching and referral hospital, southern Ethiopia, 2018","author":"EA Lake","year":"2019","journal-title":"International journal of pediatrics"},{"key":"pone.0300480.ref004","first-page":"2017","article-title":"The prevalence and risk factors for low birth weight among term newborns in Adwa General Hospital, Northern Ethiopia.","author":"Y Gebregzabiherher","year":"2017","journal-title":"Obstetrics and gynecology international."},{"issue":"1","key":"pone.0300480.ref005","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/S0035-9203(03)90015-0","article-title":"Preventing low birthweight and reduction of child mortality","volume":"97","author":"R. 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