The influence of socioeconomic status on intelligence in school-age children in Xuyong County: a mediation analysis of nutrition literacy and dietary diversity

Abstract

Purpose: While children's nutrition in rural areas has garnered attention, the most studies focus on underweight, obesity and anemia, neglecting the importance of intelligence in children's current academic performance and future success. This study aimed to examine how food and nutrition literacy (FNLIT) and dietary diversity score (DDS) mediate the impact of socioeconomic status (SES) on the intelligence development, offering insights for improving childhood nutrition.

Methods: This cross-sectional study employed a stratified cluster random sampling method and included 1704 children aged between 8 and 16 years. Questionnaires was used to collect demographic data, FNLIT, DDS and Raven's Standard Progressive Matrices (SPM) scores. SES was constructed using principal component analysis. Linear regression analysis was used to explore the interrelationship between the variables.

Results: The mean scores for FNLIT, DDS, and SPM were 58.06 ± 7.00, 6.25 ± 1.64, and 37.60 ± 8.91, respectively. SES is positively correlated with SPM (B = 0.434, p < 0.01); FNLIT mediates the relationship between SES and SPM (B = 0.065, 95% CI: 0.035, 0.098). Among participants with DDS ≤ 6, DDS mediates the relationship between SES and SPM (B = 0.017, 95% CI: 0.0002, 0.044). For students with DDS ≤ 6, FNLIT + DDS has a positive mediated (B = 0.003, 95% CI: 0.0004, 0.007), while for primary students, it show a negative effect (B = - 0.003, 95% CI: - 0.008, - 0.001).

Conclusion: Both FNLIT and DDS have impacts on children intelligence. Nutrition education and dietary interventions should prioritize children with low SES and inadequate DDS to enhance intellectual development.

Keywords: Dietary diversity scores; Intelligence; Mediation analysis; Nutrition literacy; Socioeconomic status.