Low dietary diversity is associated with linear growth faltering and subsequent adverse child developmental outcomes in rural Democratic Republic of the Congo (REDUCE program)

George, Christine Marie; Coglianese, Nicole; Bauler, Sarah; Perin, Jamie; Kuhl, Jennifer; Williams, Camille; Kang, Yunhee; Thomas, Elizabeth; François, Ruthly; Ng, Angela; Presence, Amani Sanvura; Claude, Bisimwa Rusanga Jean; Tofail, Fahmida; Mirindi, Patrick; Cirhuza, Lucien Bisimwa

doi:10.1111/mcn.13340

Cited by 4 publications

(1 citation statement)

References 41 publications

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“…In this regard, inadequate intake of a diversified diet was found to be the predisposing factor of all forms of undernutrition except stunting and severe undernutrition, viz., stunting, wasting, and underweight. In particular, many prior studies in India [ 41 ] and abroad [ 22 , 42 , 43 ] have already exemplified that diverse dietary intake is positively associated with optimal nutritional status since dietary diversity elevates micronutrient density and aid in proper nourishment.…”

Section: Discussionmentioning

confidence: 99%

Effects of Dietary Diversity on Growth Outcomes of Children Aged 6 to 23 Months in India: Evidence from National Family and Health Survey

et al. 2022

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Low dietary diversity significantly interplays with children’s growth failure. However, evidence of its crucial role in children’s health remains inconclusive in developing countries such as India. This study attempts to find the association between dietary diversity and growth outcomes among children aged between 6 and 23 months in India using the fourth round of the National Family Health Survey (NFHS), 2015–2016. A total of 67,278 mother-child pairs of children between the ages of 6–23 months and mothers aged 15–49 years were included in this study. Pearson’s chi-square significance test and multivariable logistic regression were used to determine the association between dietary diversity and child growth outcomes (stunted, wasted, and underweight). The study found that the prevalence of stunting and severe stunting among children aged between 6 and 23 months were 35.9% and 16.2%; 23.8% and 8.5% represented wasting, and severe wasting; and more than 32%, 10% were underweight and severely underweight respectively. This present study found that having an inadequate minimum dietary diversity (<4 food groups) significantly increases the risk of being stunted (adjusted odds ratio (AOR) = 1.29; 95% confidence interval (CI); 1.21–1.38), wasted (AOR = 1.29; 95% CI; 1.21–1.38), and underweight (AOR = 1.47; 95% CI; 1.39–1.56). Further, it was noted that children who did not intake dairy products, eggs, and other fruits and vegetables were more likely to be stunted, wasted, and underweight and more likely to be severely stunted, wasted, and underweight. Therefore, additional nutrition-specific interventions are urgently needed to strengthen and enhance existing feeding interventions aimed at improving infant and young child feeding (IYCF) practices, including complementary feeding practices among children aged between 6 and 23 months in India. The Government should focus such interventions more on states or regions where the prevalence of adequate minimum dietary diversity (MDD) and malnutrition is high.

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Section: Discussionmentioning

confidence: 99%

Effects of Dietary Diversity on Growth Outcomes of Children Aged 6 to 23 Months in India: Evidence from National Family and Health Survey

et al. 2022

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De-novo exposure assessment of heavy metals in commercially important fresh and dried seafood: Safe for human consumption

Arisekar,

Shalini,

Sundhar

et al. 2023

Environmental Research

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Low dietary diversity is associated with linear growth faltering and subsequent adverse child developmental outcomes in rural Democratic Republic of the Congo (REDUCE program)

George

Coglianese²,

Bauler³

et al. 2022

Maternal & Child Nutrition

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The objective of this study was to investigate the association between dietary diversity, child growth and child developmental outcomes. This was a prospective cohort study. Developmental outcomes were assessed by communication, fine motor, gross motor, personal social, problem solving and combined developmental scores measured by the Extended Ages and Stages Questionnaire (EASQ) at a 6-month follow-up visit. Height and weight were measured at baseline and a 6-month followup. Baseline minimum dietary diversity (MDD) for children 6-23 months old was defined by consumption of five or more of the following food groups: (1) breast milk;(2) grains, roots and tubers; (3) legumes and nuts; (4) dairy products; (5) flesh foods; (6) eggs; (7) vitamin A-rich fruits and vegetables and (8) other fruits and vegetables.Participants were 117 children 6-23 months of age. Linear growth faltering was defined as a significant decline (p < 0.05) in length-for-age Z-scores (LAZ) between baseline and follow-up. Regression models were performed. The study was conducted in rural eastern Democratic Republic of the Congo (DRC). MDD was positively associated with change in LAZ (coefficient: 0.87 [95% confidence interval [CI]: 0.33, 1.40]), and a reduced odds of stunting (LAZ < −2) (odds ratio: 0.21 [95% CI: 0.07, 0.61]). MDD was also associated with a significantly higher combined EASQ-Z-scores

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Low dietary diversity is associated with linear growth faltering and subsequent adverse child developmental outcomes in rural Democratic Republic of the Congo (REDUCE program)

Cited by 4 publications

References 41 publications

Effects of Dietary Diversity on Growth Outcomes of Children Aged 6 to 23 Months in India: Evidence from National Family and Health Survey

Effects of Dietary Diversity on Growth Outcomes of Children Aged 6 to 23 Months in India: Evidence from National Family and Health Survey

De-novo exposure assessment of heavy metals in commercially important fresh and dried seafood: Safe for human consumption

Low dietary diversity is associated with linear growth faltering and subsequent adverse child developmental outcomes in rural Democratic Republic of the Congo (REDUCE program)

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