PATTERN OF DIETARY INTAKE AMONG PREGNANT WOMEN IN AKWA IBOM STATE, NIGERIA: A RURAL-URBAN CROSS-SECTIONAL COMPARATIVE STUDY.

Background: Fetal malnutrition has been reported to result in developmental adaptations, which may lead to chronic diseases later on in life. Maternal body composition, nutritional stores, diet, and ability to deliver nutrients through the placenta determine nutrient availability for the fetus. Thus, this study aimed to determine and compare the dietary intake among pregnant women attending antenatal clinics in rural and urban primary health centres in the Uyo senatorial district of Akwa Ibom State.

Methods: This cross-sectional study was carried out in 6 primary health care (3 urban and 3 rural) facilities in Uyo senatorial district, Akwa Ibom, selected by a multi-staged sampling technique. An interviewer-administered semistructured questionnaire was used to obtain information on weekly food frequency and 24-hour dietary recall. Descriptive statistics were used, and a chi-square test was performed to examine the relationship between outcome variables. Statistical significance was set at a p-value of 0.05.

Results: The major findings from this study indicated that urban respondents had a significantly higher intake of highly processed carbohydrates, fruits, and vegetables compared to rural respondents (p=0.025 and 0.001, respectively). Overall, highly processed carbohydrates were the most consumed food group in both locations, with 42.2% consuming them over 5 times a week. The average iron and protein intakes were below the recommended nutrient intakes (RNI) in pregnancy at 72.4% and 69.1%, respectively, whereas carbohydrate and calcium intakes exceeded the RNI at 122.5% and 125.7%, respectively. Only protein intake was significantly different across the two locations, with urban respondents having higher intake (53.1g) compared to rural respondents (40.5g), p=0.013.

Conclusion: Based on the above findings, it is recommended that adequate nutrition education be taught during antenatal clinics. Micronutrition supplementation, especially iron supplementation, should also be emphasized during the antenatal period.