Low dietary diversity is a predictor of child stunting in rural Bangladesh
- 15 September 2010
- journal article
- Published by Springer Science and Business Media LLC in European Journal of Clinical Nutrition
- Vol. 64 (12), 1393-1398
- https://doi.org/10.1038/ejcn.2010.171
Abstract
Dietary diversity is associated with overall quality and nutrient adequacy of the diet in low-income countries. We determined the association between dietary diversity and stunting among children aged 6-59 months in rural Bangladesh. In total, 165 111 under-fives who participated in the National Surveillance Project in 2003-2005 were included in the analysis. Dietary diversity score (DDS) was constructed through the summation of the number of days each of the nine food groups was consumed in the previous week. The association between stunting and DDS was determined adjusting for confounders using logistic regression models. All analyses were performed separately for children aged 6-11, 12-23 and 24-59 months. One-half of the children were stunted. In multivariate analyses, compared with low DDS, high dietary diversity was associated with a 15, 26 and 31% reduced odds of being stunted among children aged 6-11, 12-23 and 24-59 months, respectively, after adjusting for all potential confounders (odds ratio (OR)=0.85, 95% confidence interval (CI): 0.76-0.94; OR=0.74, 95% CI: 0.69-0.79; OR=0.69, 95% CI: 0.66-0.73). In all groups, children who were still breastfed were more likely to have limited diversity (OR=1.88, 95% CI: 1.32-2.67; OR=1.71, 95% CI: 1.52-1.92; OR=1.15, 95% CI: 1.11-1.19). Those having diarrhea in the past week and coming from families with low socioeconomic status were more likely to have decreased diversity (P<0.05). Reduced dietary diversity is a strong predictor of stunting in rural Bangladesh. The inclusion of a variety of food groups into complementary foods may be essential to improve child nutritional status.Keywords
This publication has 15 references indexed in Scilit:
- Household Dietary Diversity and Food Expenditures Are Closely Linked in Rural Bangladesh, Increasing the Risk of Malnutrition Due to the Financial CrisisJournal of Nutrition, 2010
- An infant and child feeding index is associated with child nutritional status in rural ChinaEarly Human Development, 2009
- Maternal and child undernutrition: consequences for adult health and human capitalThe Lancet, 2008
- Dietary Diversity Score Is a Useful Indicator of Micronutrient Intake in Non-Breast-Feeding Filipino Children2Journal of Nutrition, 2007
- Trends of under- and overweight among rural and urban poor women indicate the double burden of malnutrition in BangladeshInternational Journal of Epidemiology, 2007
- Food variety and dietary diversity scores in children: are they good indicators of dietary adequacy?Public Health Nutrition, 2006
- An Infant and Child Feeding Index Is Associated with the Nutritional Status of 6- to 23-Month-Old Children in Rural Burkina FasoJournal of Nutrition, 2006
- Nutrient adequacy and dietary diversity in rural Mali: association and determinantsEuropean Journal of Clinical Nutrition, 2004
- Assessing and Communicating Impact of Nutrition and Health ProgramsPublished by Springer Science and Business Media LLC ,2003
- Food-Consumption Patterns in Central West Africa, 1961 to 2000, and Challenges to Combating MalnutritionFood and Nutrition Bulletin, 2003