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. 2018 May 1;10(3):157-162.
doi: 10.1093/inthealth/ihy016.

Dietary diversity and nutritional status among children in rural Burkina Faso

Ali Sié  1 , Charlemagne Tapsoba  1 , Clarisse Dah  1 , Lucienne Ouermi  1 , Pascal Zabre  1 , Till Bärnighausen  2   3   4 , Ahmed M Arzika  5 , Elodie Lebas  6 , Blake M Snyder  6 , Caitlin Moe  1 , Jeremy D Keenan  6   7   8 , Catherine E Oldenburg  6   7   8
Affiliations

Dietary diversity and nutritional status among children in rural Burkina Faso

Ali Sié et al. Int Health. .

Abstract

Background: Burkina Faso has a seasonal malnutrition pattern, with higher malnutrition prevalence during the rainy season when crop yields are low. We investigated the association between dietary diversity and nutritional status among children aged 6-59 mo during the low crop yield season in rural Burkina Faso to assess the role of dietary diversity during the lean season on childhood nutritional status.

Methods: Caregivers reported the dietary diversity of the past 7 d, consisting of 11 food groups, summed into a scale. Anthropometric measurements were taken from all children. Height-for-age (HAZ), weight-for-height (WHZ) and weight-for-age (WAZ) z-scores were calculated based on 2006 WHO standards. Stunting, wasting and underweight were defined as HAZ, WHZ and WAZ <-2 SD, respectively. Multivariable regression models adjusting for potential confounders including household food insecurity and animal ownership were used to assess the relationship between anthropometric indices and dietary diversity.

Results: Of 251 children enrolled in the study, 20.6% were stunted, 10.0% wasted and 13.9% underweight. Greater dietary diversity was associated with greater HAZ (SD 0.14, 95% CI 0.04 to 0.25) among all children. There was no association between dietary diversity and wasting or mid-upper arm circumference in this study.

Conclusions: Increasing dietary diversity may be an approach to reduce the burden of stunting and chronic malnutrition among young children in regions with seasonal food insecurity.

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References

    1. Black RE, Victora CG, Walker SP et al. . Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013;382(9890):427–51. - PubMed
    1. Ruel MT. Operationalizing dietary diversity: a review of measurement issues and research priorities. J Nutr 2003;133(11):3911S–26S. - PubMed
    1. Mallard SR, Houghton LA, Filteau S et al. . Micronutrient adequacy and dietary diversity exert positive and distinct effects on linear growth in urban Zambian infants. J Nutr 2016;146(10):2093–101. - PubMed
    1. Moursi MM, Arimond M, Dewey KG et al. . Dietary diversity is a good predictor of the micronutrient density of the diet of 6- to 23-month-old children in Madagascar. J Nutr 2008;138(12):2448–53. - PubMed
    1. Arimond M, Ruel MT. Dietary diversity is associated with child nutritional status: evidence from 11 Demographic and Health Surveys. J Nutr 2004;134(10):2579–85. - PubMed

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