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Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute
Asian Institute of Research, Journal Publication, Journal Academics, Education Journal, Asian Institute

Journal of Health and Medical Sciences

ISSN 2622-7258

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open access

Published: 26 May 2023

Nutritional Knowledge and Dietary Diversity of Post-menopausal Women in Rural Areas of Bangladesh

Nurjahan Akter, Fariha Haseen, Md. Hasan, Kamran ul Baset, Hridi, Umme Haney, Syfunnahar Bristi, Syed Shariful Islam

Bangabandhu Sheikh Mujib Medical University (Bangladesh), Independent University (Bangladesh)

journal of social and political sciences
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Pages: 22-29

Keywords: Dietary Diversity, Dietary Diversity Score (DDS), Nutritional Knowledge, Post-Menopausal Women


Background: Nutrition has a significant impact on the health of post-menopausal women. An appropriate dietary plan provides women with the necessary nutrients to maximize their activity and help minimize chronic diseases that may arise after menopause. The objective of the study was to assess the nutritional knowledge and dietary diversity of post-menopausal women in the rural area of Bangladesh. Materials and methods: A cross-sectional study was conducted among post-menopausal women aged 45 to 60. A sampling frame of 167 post-menopausal women was created by visiting each household, and 101 participants were chosen randomly from this frame. Face-to-face interviews were used to gather data. The body mass index (BMI) was used to evaluate nutritional status. To gather dietary data and calculate dietary diversity scores, a 24-hour dietary recall questionnaire was used. Knowledge score was used to gauge nutrition-related knowledge. Result: The average nutrition knowledge score was 8.55 out of 13. Knowledge has a statistically significant effect on the dietary diversity of post-menopausal women (P< 0.015). In this study, BMI was 41 percent, within the normal range, 35 percent were overweight, and 22 percent were obese. Around 45 percent of the respondents had a low dietary diversity score. There was a weak association between BMI and dietary diversity (P> 0.077). Almost 90 percent of women experienced menopausal problems, and 25 percent had inadequate knowledge about menopause. Conclusion: Knowledge of nutrition is associated with post-menopausal women's dietary diversity. Nutrition knowledge can improve the dietary diversity of post-menopausal women.


  1. Bashar, M. I., Ahmed, K., Uddin, M. S., Ahmed, F., Emran, A.-A., & Chakraborty, A. (2017). Depression and Quality of Life among Postmenopausal Women in Bangladesh: A Cross-sectional Study. Journal of Menopausal Medicine, 23(3), 172.

  2. Chalwe, J. M., Mukherjee, U., Grobler, C., Mbambara, S. H., & Oldewage-Theron, W. (2021). Association between hypertension, obesity, and dietary intake in post-menopausal women from rural Zambian communities. Health SA Gesondheid, 26.

  3. Dasgupta, D., & Ray, S. (2009). Menopausal Problems Among Rural and Urban Women From Eastern India. Journal of Social, Behavioral, and Health Sciences, 3(1), 2.

  4. Gouda, M. A. (2015). Common Pitfalls in Reporting the Use of SPSS Software. Medical Principles and Practice, 24(3), 300.

  5. Harris-Fry, H. A., Azad, K., Younes, L., Kuddus, A., Shaha, S., Nahar, T., Hossen, M., Costello, A., & Fottrell, E. (2016). Formative evaluation of a participatory women’s group intervention to improve reproductive and women’s health outcomes in rural Bangladesh: a controlled before and after study. Journal of Epidemiology and Community Health, 70(7), 663–670.

  6. Harun, Md. G. D., Salema, U., Chowdhury, A., Haque, Md. I., Kafi, M. A. H., Shahajahan, Md., & Sharmin, S. (2020). Knowledge and attitudes associated with menopause among women aged 45 to 60 years: a pilot study among rural and urban women in Bangladesh. Menopause, 27(6), 648–657.

  7. Hoque, M. E., Long, K. Z., Niessen, L. W., & Mamun, A. A. (2015). Rapid shift toward overweight from double burden of underweight and overweight among Bangladeshi women: a systematic review and pooled analysis. Nutrition Reviews, 73(7), 438–447.

  8. Kashyap, A., & Chhabra, P. (2019). Assessment of Nutritional Intake and Nutritional Knowledge of Rural Post-Menopausal Women. International Journal of Science and Healthcare Research, 4(3), 68–73.

  9. Kennedy, G., Ballard, T., & Dop , M. (2010). Guidelines for measuring household and individual dietary diversity. In Nutrition and Consumer Protection Division, Food and Agriculture Organization of the United Nations (pp. 1–60).

  10. Khamis, A. G., Ntwenya, J. E., Senkoro, M., Mfinanga, S. G., Kreppel, K., Mwanri, A. W., Bonfoh, B., & Kwesigabo, G. (2021). Association between dietary diversity with overweight and obesity: A cross-sectional study conducted among pastoralists in Monduli District in Tanzania. PLOS ONE, 16(1), e0244813.

  11. Lambrinoudaki, I., Brincat, M., Erel, C. T., Gambacciani, M., Moen, M. H., Schenck-Gustafsson, K., Tremollieres, F., Vujovic, S., Rees, M., & Rozenberg, S. (2010). EMAS position statement: Managing obese postmenopausal women. Maturitas, 66(3), 323–326.

  12. Mamgain, A., & Lakhawat , S. (2019). Assessment of nutritional knowledge of menopausal women. FOOD SCIENCE RESEARCH JOURNAL, 10(2), 207–210.

  13. Mohamed, S. G., & Tayel, D. I. (2012). Dietary Behavior toward Osteoporosis among Women in a Slum Area Influenced by Nutritional Knowledge and Stages of Precaution Adoption Model. Journal of American Science, 8(8), 222–227.

  14. Nemati, A., & Baghi, A. N. (2008). Assessment of Nutritional Status in Post Menopausal Women of Ardebil, Iran. Journal of Biological Sciences, 8(1), 196–200.

  15. Parmenter, K., & Wardle, J. (1999). Development of a general nutrition knowledge questionnaire for adults. European Journal of Clinical Nutrition, 53(4), 298–308.

  16. Ra, J.-S., & Kim, H. (2021). Combined Effects of Unhealthy Lifestyle Behaviors on Metabolic Syndrome among Postmenopausal Women. Healthcare, 9(848), 1–12.

  17. Ruel, M. T. (2003). Operationalizing Dietary Diversity: A Review of Measurement Issues and Research Priorities. The Journal of Nutrition, 133(11), 3911S3926S.

  18. Sheema, M. K., Rahman, R., Yasmin, Z., Shahidur Rahman Choudhary, S. R., Ali, Md. Y., Rabbi, Md. F., & Javed, A. (2016). Food Habit and Nutritional Status of Rural Women in Bangladesh. Journal of Rural and Development, 4(5), 114–119.

  19. Singh, A., & Pradhan, S. (2014). Menopausal symptoms of postmenopausal women in a rural community of Delhi, India: A cross-sectional study. Journal of Mid-Life Health, 5(2), 62.

  20. Sinharoy, S. S., Waid, J. L., Haardörfer, R., Wendt, A., Gabrysch, S., & Yount, K. M. (2017). Women’s dietary diversity in rural Bangladesh: Pathways through women’s empowerment. Maternal & Child Nutrition, 14(1), e12489.

  21. Sirivole, M. R., & Eturi, S. (2014). Knowledge of Postmenopausal Women on Importance of Nutrition and Life style in Prevention and Management of Osteoporosis. Journal of Academia and Industrial Research (JAIR), 2(8), 468–471.

  22. Spronk, I., Kullen, C., Burdon, C., & O’Connor, H. (2014). Relationship between nutrition knowledge and dietary intake. British Journal of Nutrition, 111(10), 1713–1726.

  23. Tursunović, S., Jašić, M., Beganlić, A., & Hot, N. (2014). NUTRITIONAL STATUS AND DIETARY HABITS OF MENOPAUSAL WOMEN. Food in Health and Disease, Scientific-Professional Journal of Nutrition and Dietetics, 3(2), 116–125.

  24. Vriendt, T. D., Matthys, C., Verbeke, W., Pynaert, I., & De Henauw, S. (2009). Determinants of nutrition knowledge in young and middle-aged Belgian women and the association with their dietary behaviour. Appetite, 52(3), 788–792.

  25. Williams, L., Campbell, K., Abbott, G., Crawford, D., & Ball, K. (2012). Is maternal nutrition knowledge more strongly associated with the diets of mothers or their school-aged children? Public Health Nutrition, 15(08), 1396–1401.

  26. World Health Organisation. (2010, May 6). A healthy lifestyle - WHO recommendations. World Health Organisation.

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