Dietary diversity and nutritional status among children in rural Burkina Faso

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 B...

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Hauptverfasser: Sié, Ali (VerfasserIn) , Bärnighausen, Till (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 22 March 2018
In: International health
Year: 2018, Jahrgang: 10, Heft: 3, Pages: 157-162
ISSN:1876-3405
DOI:10.1093/inthealth/ihy016
Online-Zugang:Verlag, Volltext: http://dx.doi.org/10.1093/inthealth/ihy016
Volltext
Verfasserangaben:Ali Sié, Charlemagne Tapsoba, Clarisse Dah, Lucienne Ouermi, Pascal Zabre, Till Bärnighausen, Ahmed M. Arzika, Elodie Lebas, Blake M. Snyder, Caitlin Moe, Jeremy D. Keenan, Catherine E. Oldenburg

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520 |a 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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