Nutrient adequacy and dietary diversity in rural Mali: association and determinants

Torheim, Liv Elin; Ouattara, Fatimata; Diarra, Modibo M; Thiam, F D; Barikmo, Ingrid; Hatløy, Anne; Oshaug, Arne

doi:10.1038/sj.ejcn.1601853

Cited by 282 publications

(250 citation statements)

References 17 publications

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“…They reported that by increasing DDS, energy intake was also increased. Torheim et al (41) indicated a positive correlation between energy intake and DDS, as well as variety of different food groups in Mali. The results for Tehranian men were the same (19) .…”

Section: Discussionmentioning

confidence: 98%

Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth

Azadbakht

Esmaillzadeh

2010

Public Health Nutr.

142

139

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Objective: To assess the relationship between diet and disease, consideration of whole-diet indices may be more informative than single-nutrient intake. The present study was conducted to report the relationship among dietary diversity score (DDS), obesity and abdominal adiposity among female university students. Design: Cross-sectional study. Setting: Isfahan, Iran. Subjects: A representative sample of 289 healthy female students aged 18-28 years was selected randomly from Isfahan University of Medical Sciences, Iran. Usual dietary intake was assessed using a validated semi-quantitative FFQ. DDS was calculated according to the scoring of the five food groups based on the US Department of Agriculture Food Guide Pyramid. This is a score of diet variety, and shows the diversity of the consumed diet. Participants were categorised on the basis of quartile cut-off points of DDS. Potential confounders such as age, total energy intake and physical activity were considered in all the analyses. Results: The means (SD) of BMI and waist circumference were 25?9 (SD 5?1) kg/m 2 and 85?5 (SD 14) cm, respectively. The probability of obesity decreased with quartiles of DDS (OR among quartiles: 1?00, 0?41, 0?31 and 0?21, P 5 0?03; this was the same for abdominal adiposity: 1?00, 0?55, 0?36 and 0?21, P 5 0?02). Those in the lowest quartile of the DDS had the highest risk for being overweight. Conclusions: There were inverse associations among DDS, obesity and abdominal adiposity among the female students of Isfahan University. Further prospective investigations are needed to confirm this finding.

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Section: Discussionmentioning

confidence: 98%

Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth

Azadbakht

Esmaillzadeh

2010

Public Health Nutr.

142

139

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“…The links between biodiversity and dietary diversity at the household or individual levels, however, remain inconclusive. This is because some studies have reported no association [41–44]. Results from a study in Tanzania show that at the bivariate data analysis level, dietary diversity was significantly and positively influenced by crop count but did not show a significant association with the Simpson’s Index which measures the number of crops as well as the distribution of area cultivated under various crops.…”

Section: Discussionmentioning

confidence: 99%

Relationship between agricultural biodiversity and dietary diversity of children aged 6-36 months in rural areas of Northern Ghana

Saaka

Osman

Hoeschle‐Zeledon

2017

Food & Nutrition Research

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In this study, we investigated the relationship between agricultural biodiversity and dietary diversity of children and whether factors such as economic access may affect this relationship.This paper is based on data collected in a baseline cross-sectional survey in November 2013.The study population comprising 1200 mother-child pairs was selected using a two-stage cluster sampling. Dietary diversity was defined as the number of food groups consumed 24 h prior to the assessment. The number of crop and livestock species produced on a farm was used as the measure of production diversity. Hierarchical regression analysis was used to identify predictors and test for interactions.Whereas the average production diversity score was 4.7 ± 1.6, only 42.4% of households consumed at least four food groups out of seven over the preceding 24-h recall period. Agricultural biodiversity (i.e. variety of animals kept and food groups produced) associated positively with dietary diversity of children aged 6–36 months but the relationship was moderated by household socioeconomic status. The interaction term was also statistically significant [β = −0.08 (95% CI: −0.05, −0.01, p = 0.001)].Spearman correlation (rho) analysis showed that agricultural biodiversity was positively associated with individual dietary diversity of the child more among children of low socioeconomic status in rural households compared to children of high socioeconomic status (r = 0.93, p < 0.001 versus r = 0.08, p = 0.007). Socioeconomic status of the household also partially mediated the link between agricultural biodiversity and dietary diversity of a child’s diet.The effect of increased agricultural biodiversity on dietary diversity was significantly higher in households of lower socioeconomic status. Therefore, improvement of agricultural biodiversity could be one of the best approaches for ensuring diverse diets especially for households of lower socioeconomic status in rural areas of Northern Ghana.

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“…Several studies have shown that the overall nutritional quality as well as nutrient adequacy of the diet is improved with a (19) . diverse diet (27)(28)(29)(30) . DDS is a major element of a highquality diet as it represents the variety of the diet.…”

Section: Discussionmentioning

confidence: 99%

High prevalence of undernutrition and low dietary diversity in institutionalised elderly living in Sri Lanka

Rathnayake

Wimalathunga

Weech

et al. 2015

Public Health Nutr.

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Objective: The present study aimed to assess nutritional status, dietary diversity and lifestyle risk factors associated with undernutrition in an institutionalised Sri Lankan elderly population. Design: The study was of cross-sectional design followed by a stratified sampling method. Setting: Twelve homes for the elderly recruited from six provinces in Sri Lanka. Subjects: A total of 311 institutionalised elderly aged ≥60 years. Results: The mean age of the study population was 75 (SD 8) years. Prevalence of undernutrition was 30 %. Mean food variety score, dietary diversity score and dietary serving score of the study population were 8·7 (SD 1·5), 7·3 (SD 1·2) and 10·9 (SD 2·0), respectively. Mean daily intakes of fruit, vegetables, meat, fish, eggs and pulses and dairy portions were below the national recommendations, whereas the mean consumption of sugar exceeded the national recommendation. Only the mean intake of starch was within the recommendation. Food allergies (OR = 8·0; 95 % CI 3·9, 16·2), skipping meals (OR = 3·8; 95 % CI 2·0, 7·5) and lack of leisure activities (OR = 3·1; 95 % CI 1·5, 6·7) significantly increased the risk of undernutrition, whereas the use of dentures decreased the risk (OR = 0·20; 95 % CI 0·06, 0·69). Conclusions: High prevalence of undernutrition and low dietary diversity were observed in an institutionalised elderly Sri Lankan population. Therefore, there is an urgent need to implement nutrition interventions as part of geriatric care to reduce undernutrition and improve the diets of the institutionalised elderly population in Sri Lanka.

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Nutrient adequacy and dietary diversity in rural Mali: association and determinants

Cited by 282 publications

References 17 publications

Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth

Dietary diversity score is related to obesity and abdominal adiposity among Iranian female youth

Relationship between agricultural biodiversity and dietary diversity of children aged 6-36 months in rural areas of Northern Ghana

High prevalence of undernutrition and low dietary diversity in institutionalised elderly living in Sri Lanka

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