
Judith KimiyweKenyatta University · Foods, Nutrition and Dietetics Department
Judith Kimiywe
Doctor of Philosophy Food, Nutrition and Dietetics
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79
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Introduction
Skills and Expertise
Additional affiliations
December 2002 - March 2016
Publications
Publications (79)
Introduction: The high risk of PLHIV on ART to become diabetes clients and to develop metabolic disorders is well investigated. Regular monitoring and health care is an essential requirement. A majority of HIV clients living with diabetes have poor diabetes knowledge and poor treatment outcomes. Positive deviance mentorship may be a better option f...
Changes in the concentrations and retention levels of total and individual provitamin A carotenoids (pVACs) during ripening and local processing of the four most popular Musa cultivars of Eastern Democratic Republic of Congo were established through HPLC analysis. The predominant pVACs were all trans ?- and ?-carotene, together constituting about 9...
Due to their nutritional value, insects are increasingly proposed as alternative food sources to address nutritional deficiencies. To better understand their potential for young children, this study aims to compare four insect-based instant porridges (termites and grasshoppers) and a standard ’control’ instant porridge to examine how information ab...
Introduction: Poor diabetes knowledge among diabetes clients living with HIV remains a big public health challenge in Africa. Effective self-management of diabetes requires clients to be knowledgeable about the recommended diets, exercises, drugs, lifestyle modifications, and possible diabetes complications. The proportion of diabetes clients livin...
Introduction: Vitamin A and iron are essential micronutrients during lactation and deficiencies could have adverse health consequences for lactating teenage mothers. Teenage pregnancy is one of the main health problems in Kisumu County. Teenage pregnancy was singled out as one of the major health issues facing youth in Kisumu County. The teenage po...
Vitamin A and iron are essential micronutrients during lactation and deficiencies could have adverse health consequences for teenage mothers. The prevalence of teenage pregnancy in the county stands at 11.1%, marginally lower than the prevalence in Kenya which stands at 15%. Teenage mothers are a particularly vulnerable group to nutrient deficienci...
Despite the high protein levels, essential fatty acids and minerals that are found in edible insects, they are still not being used in complementary feeding. The aim of this study was to investigate maternal perception on use of edible insects for complementary feeding and nutrition status of children in Kakamega and Siaya Counties, Kenya. The stud...
Kenya’s higher education system is expanding at a very rapid rate. This is reflected in the increasing number of public and private universities, the expansion of existing universities, and the proliferation of online education services. Further, these universities have been increasingly expected to transcend their conventional teaching and researc...
Regardless of the fact that there are many street children in the streets of low- and middle-income countries, limited research has been done to determine their feeding practices and morbidity, yet street inhabitants live in poor conditions that may prevent them from having acceptable feeding practices, and that increase their risk of contracting d...
In Kenya, 15,347 adolescents are street inhabitants, and approximately 5,046 of them are in the streets of Nairobi. However, research on the nutrition status of adolescent street children is very limited. Therefore, the purpose of this study was to determine the nutrition status of adolescent street children 10-17 years in Nairobi. A descriptive an...
Authentic Leadership has received considerable attention because of its potential implications on the governance of an organization. Scholars have outlined authentic leadership as a possible solution for the governance of hospitals today. This study focused on five County referral hospitals. The preparedness of County referral hospitals was a chall...
Authentic Leadership has received considerable attention because of its potential implications on the governance of an organization. Scholars have outlined authentic leadership as a possible solution for the governance of hospitals today. This study focused on five County referral hospitals. The preparedness of County referral hospitals was a chall...
In most African countries, the prevalence of industrially produced trans-fatty acids (iTFA) in the food supply is unknown. We estimated the number and proportion of products containing specific (any hydrogenated edible oils) and non-specific (vegetable fat, margarine, and vegetable cream) ingredients potentially indicative of iTFAs among pre-packag...
Aims: To assess the vitamin content of locusts, lake flies, grasshoppers, and termites when fresh, sun-dried, oven-dried, and defatted. Study Design: Whole insect samples were sun-dried and oven-dried. Due to their high-fat content, termites and grasshoppers were subjected to an additional defatting step after the sun-drying and oven-drying. Place...
Food is both a basic need and a human right. As such, food security is a critical factor in individual and social health. This study aimed at assessing the pooled prevalence of household food security in Kenya. Relevant studies were systematically searched through manual and electronic searches. We searched databases including; Scopus, Embase, Scie...
Pesticide exposure is becoming a public health concern in Tanzania. This review highlights the existing information on pesticide exposure, health effects, knowledge, and awareness on pesticide handling and management and in the current pesticide regulations in Tanzania. There was a significant increase in pesticides importation of up to 4.5 million...
Maternal nutrition is critical as it lays fundamental foundation for the successful outcome of pregnancy. Kenya’s high rates of under nutrition among women of reproductive age are due to sub-optimal feeding practices, inadequate nutrient intake and insufficient knowledge on nutritionally adequate diets leading to poor pregnancy outcomes. This study...
Abstract Background Iron deficiency anemia (IDA) remains high in Kenya despite interventions. Twenty-seven percent of children aged 6 months-14 years are anemic, with low iron intake (7%) among children aged 6–23 months. Standard food interventions involve a corn soy blend (CSB), which is limited in micronutrients, and fortifiers are not accessible...
Child birth intervals and their associations have a big role in realization of sustainable development goals 3 which aim at ensuring health and promoting well-being by initiating actions towards children and mothers. Shorter than expected child birth intervals have been shown to affect maternal repletion and pregnancy outcomes. Studies have shown t...
Cardiovascular diseases (CVD) is currently second, after cancer, as the most frequent cause of death among HIV-positive subjects in areas of the world where Highly active anti-retroviral therapy (HAART) is widely available. The purpose of this study was to investigate cardiovascular disease markers in HIV-infected adults attending comprehensive car...
Increased consumption of unhealthy processed foods, particularly those high in sodium, is a major risk factor for cardiovascular diseases. Nutrition information on packaged foods can help guide consumers toward products with less sodium, however the availability of nutrition information on foods sold in Kenya is currently unknown. The aims of this...
Purpose: This study will aim to evaluate whether the provision of a structured nutrition education course to caregivers of children and adolescents with type 1 diabetes mellitus (T1DM) will help improve their children's glycemic control, dietary intake, and diversity. Research Design and Methods: The study will be a cluster randomized controlled tr...
Purpose
This study aimed to assess the association between caregiver’s level of type 1 diabetes (T1D) nutrition knowledge with children’s dietary diversity score (DDS), mean intake of macronutrients, nutrient adequacy ratios (NARs) and mean adequacy ratio (MAR).
Research Design and Methods
A cross-sectional analytical study design was used. The st...
Background: Food taboos have a long history that could be used to explain the presence of certain dietary tradition in every culture. Pregnancy imposes the need for considerable extra calorie and nutrient requirements. A balanced and adequate diet is therefore of utmost importance during pregnancy and lactation to meet the increased needs of the mo...
Preschool children are more vulnerable to malnutrition. This study sought to assess the effect of school gardens intervention in improving serum zinc, iron, and retinol levels of preschool children in the early childhood center through diet diversity in Mulala ward, Makueni County, Kenya. A between-group quasi-experimental design study on a sample...
Breastfeeding is the single most effective intervention for growth, health, development and survival of infants. Exclusive breastfeeding (EBF) for 6 months alone can reduce under-five child mortality by up to 13%. Community-based strategies such as Mother-to-Mother Support Groups (MTMSGs) have improved the rates of EBF by increasing the length of m...
Introduction: Inadequate dietary management practices among children with type 1 diabetes mellitus (T1DM) often result in preventable complications, disability, and premature deaths, and yet strict glycaemic control can help reduce the long-term complications. Furthermore, parental caregiving has also been shown to have an impact on glycaemic contr...
Objectives: This study describes the relationship between child spacing and nutrition status of the
index child in Kakuzi, Thika East Sub-County. The study covered 212 households with children 6-59
months in Kakuzi division.
Methods: The study employed a cross-sectional analytical study design. Cluster sampling was
used for where the village consti...
Human milk is considered to be the optimal source of nutrition during the first six months of a child's life. Since the milk is the only source of nutrition for the first six months of an infant's life, understanding its composition remains a matter of public health concern. Further, few studies have determined the breast milk composition of lactat...
Background: The dietary supplements market is growing at an alarming rate despite dietary source being acknowledged as the primary and priority source of nutrients. Kenya's dietary supplements market has experienced a steady growth since 2009 owing to increasingly busy lifestyles, growing health consciousness and disposable income among the general...
School gardens growing African Indigenous Leafy Vegetables (AILVs) (Amaranthus cruentus and Vigna unguiculata) were established in Kangundo and Kilalani primary schools in Machakos County, Kenya and children aged 6-10 years (Kangundo, N = 66, Kilalani, N = 46) that met the inclusion criteria participated as study subjects. There were two phases, I...
A systematic review was conducted to evaluate the status and intake of iron, vitamin A, iodine, folate and zinc in women of reproductive age (WRA) (≥15-49 years) and pregnant women (PW) in Ethiopia, Kenya, Nigeria and South Africa. National and subnational data published between 2005 and 2015 were searched via Medline, Scopus and national public he...
Objective:
To perform a systematic review to evaluate iron, vitamin A, zinc, and iodine status and intakes in children and adolescents (0-19 years) in Ethiopia, Kenya, Nigeria, and South Africa.
Method:
Both national and subnational data published from the year 2005 to 2015 were searched via MEDLINE, Scopus, and national public health websites....
Background: Access to good nutrition either at home or school can contribute to the elimination of malnutrition and its associated health and developmental problems among school-going children. School feeding programs supported by school garden food production create diversity in the meals, promote agricultural skill development, boost local food p...
The aim of this study was to explore factors associated with maternal infant and young child feeding motivation in urban and rural Kenya. We conducted 18 focus group discussions with mothers of children 0 to 23 months of age and healthcare workers. The data were transcribed, translated, and explored following the principles of content analysis. We...
Background
Dietary diversity has continued to gain widespread attention among the population since it has evidently been associated with nutrient adequacy. A diverse diet has been shown to reflect nutrient adequacy since no one food can meet the nutritional requirement of a person. Pregnant women have been considered vulnerable to malnutrition due...
Background/Aim: Pregnancy is a critical period during which adequate nutrition is considered an important factor that affects birth outcome and the health of the mother. Maternal diets during pregnancy have thus been deemed critical since the diet must meet the nutrient requirement for both the child and the mother for satisfactory birth outcome. R...
Anaemia can dramatically affect school children with adverse impact on their cognitive development and school performance. Nutrition education has not been given the priority it deserves in primary schools due to the busy school curriculum although it is concerned with changing an individual’s behavior. It is in this light that this study was desig...
African indigenous vegetables (AIVs) in Lake Victoria Basin that could provide micronutrients to fight malnutrition contain oxalates that reduce bioavailability. These can be reduced through appropriate traditional food processing techniques adopted by households. This study determined oxalate levels in formulated AIV recipes. Eleven selected AIVs...
Poor quality infant and young child (IYC) diets contribute to chronic under-nutrition. To design effective IYC nutrition interventions, an understanding of the extent to which realistic food-based strategies can improve dietary adequacy is required. We collected 24-h dietary recalls from children 6–23 months of age (n = 401) in two rural agro-ecolo...
Most health problems are directly or indirectly associated with environmental sanitation. Most illnesses could be associated with personal hygiene and sanitation of the pupils. Freund, Graybill, and Keith, 2005) in their study in Zambia reported that little was actually known about health of children from 6-15 years and much still remains to be lea...
Background and objectives
Globally, children aged under five years are prone to malnutrition. Maasai are a nomadic community in Kenya still upholding traditional and has a high rate of child undernutrition. Consideration of cultural practices is a pre-condition for ensuring appropriate dietary practices. However, information on the influence of cul...
This chapter describes what to feed school-age children, adolescents, and adults. It explains why they all need healthy diets. It discusses which foods for school-age children can be provided at home and at school, including foods carried to school and snacks bought from vendors. During adolescence, nutrient needs increase, especially energy (for b...
This chapter gives guidelines on preparing healthy meals for the household. An example explains what factors women consider when planning meals. Using dietary guidelines based on ones used in Africa, it lists the food groups (previously described in Chapter 5) that should be used when preparing sustainable and healthy meals. This includes guideline...
This third edition of Nutrition for Developing Countries explains, in clear simple language and with many illustrations, how health and nutrition workers can help households to feed and care for all their members, particularly young children during their first 1000 days from conception to age 2 years, and girls and women of reproductive age. It giv...
Background
Interventions promoting optimal infant and young child nutrition could prevent a fifth of under-5 deaths in countries with high mortality. Poor infant and young child feeding practices are widely documented in Kenya, with potential detrimental effects on child growth, health and survival. Effective strategies to improve these practices a...
Underutilized local vegetables (ULVs) in Vihiga County within the Lake Victoria Basin that could provide micronutrients to fight hidden hunger contain phytate and oxalate that reduce bioavailability. These can be reduced through appropriate traditional food processing techniques adopted by households. The aim of this study was to determine the cont...
Presently, close to 1 billion people suffer from hunger and food insecurity. Statistics in Kenya indicates that over 10 million people suffer from chronic food insecurity and poor nutrition, 2-4 million people require emergency food assistance at any given time with nearly 30 % of Kenya's children being undernourished, 35 % stunted while micro-nutr...
Introduction: Hypertension has been identified as the leading risk factor for mortality worldwide. The common clinical practice of one arm blood pressure measure and the presence of a difference between arm measurements is likely to lead to delayed diagnosis of hypertension and is associated with a higher prevalence of poor control of hypertension....
Objectives: Inappropriate complementary feeding practices among children aged 6-23 months is major cause of under nutrition. There is scarce information on the relationship between complementary feeding practices and nutritional status. This study aimed to determine the factors contributing to the complementary feeding practices and the nutritional...
School-age children are both growing and learning, and anaemia can affect cognitive function, motor performance and educational achievements of this age group. Nutrition education has not been given the priority it deserves in primary schools due to the busy school curriculum. It is in this light this study was designed for one teaching calendar ye...
This book addresses issues related to intensification of banana-based cropping systems in the (sub)humid highland areas of Africa. The information that is presented in the 28 chapters of the book is based on research carried out in the Great Lakes Region by CIALCA (Consortium for Improving Agriculture-based Livelihoods in Central Africa) and partne...
Bananas and plantains serve as important food crops in much of Africa. In the Democratic Republic of Congo (DR Congo), production of bananas is concentrated in the eastern region and ranges between 75,000 and 80,000 t/year. Bananas rank second in importance after cassava in eastern DR Congo and are good sources of carbohydrates, though recent resea...
This cross-sectional study carried out in North Kivu (NK) and South Kivu (SK) of the Eastern Democratic Republic of Congo aimed to identify the most preferred Musa cultivars, their processing/cooking methods and Musa consumption patterns among rural households. Our results showed that the preferred cooking banana varieties included yellow-pulped AA...
Background:
Since obesity in urban women is prevalent in Kenya the study aimed to determine predictors of overweight and obesity in urban Kenyan women.
Methods:
A cross-sectional study was undertaken in Nairobi Province. The province was purposively selected because it has the highest prevalence of overweight and obesity in Kenya.A total of 365...
Background: Since obesity in urban women is prevalent in Kenya the study aimed to determine predictors of overweight and obesity in urban Kenyan women.
The aim of this study was to determine the level of nutrition knowledge, attitude and practices and nutritional status of school-going children in a semi arid food insecure Machakos District, Kenya. A cross-sectional study was conducted in 15 randomly selected primary schools. A sample size of 350 pupils was used. Stratified sampling method was use...
Several studies have shown that HIV and nutrition operate in tandem. Moreover, it has been shown that the two greatly affect agricultural production due to reduced energy to work, inability to purchase agricultural inputs, low labor, and eventual death. The link between agricultural productivity, malnutrition, and HIV can therefore not be overlooke...
The HIV and AIDS pandemic continues to ravage families and communities throughout the world particularly Sub-Saharan Africa. The scourge is associated with malnutrition specifically underweight, stunting and wasting among school children most of whom are orphaned by HIV. Subsequently, inadequate food supply at the household level has led to micronu...
The HIV/AIDS pandemic continues to claim lives and render many children orphans. More than 3 million people died from AIDS including half a million children. In Sub-Saharan Africa, it is estimated that 12 million children have been orphaned by HIV and this number is set to increase. HIV/AIDS orphaned children suffer malnutrition which adversely aff...
Objective: Nutrition knowledge among primary school children in Kenya requires improvement because the coverage of nutrition in syllabi has been on a downward trend since independence. A nine-month nutrition education intervention was conducted to address the gap in knowledge among school children in Machakos District. Methodology and results: A ba...
Objective: This study investigated the effect of soybean supplementation on the nutritional status of school children from HIV affected households in western Kenya. Methodology and Results: A research design was used with 54 and 56 randomly selected subjects in the experimental and control groups, respectively. The experimental group received corn-...
Many indigenous fruit trees (IFTs) exist in Kenya that could be integrated into farming systems to support the nutritional security and income of communities. These fruits are good sources of specific vitamins and other essential micronutrients. Consumption of a range of species could help prevent a wide range of diseases. Despite their wide natura...