scholarly journals Maternal nutritional status mediates the linkage between household food insecurity and mid-infancy size in rural Bangladesh

2020 ◽  
Vol 123 (12) ◽  
pp. 1415-1425
Author(s):  
Muzi Na ◽  
Abu Ahmed Shamim ◽  
Sucheta Mehra ◽  
Alain Labrique ◽  
Hasmot Ali ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Child Growth ◽  
Household Food Insecurity ◽  
Rural Bangladesh ◽  
Maternal Nutritional Status ◽  
Prenatal Factors ◽  
Household Food

AbstractHousehold food insecurity (HFI) is a major concern in South Asia. The pathways by which HFI may reduce child growth remain inadequately understood. In a cohort study of 12 693 maternal–infant dyads in rural Bangladesh, we examined association and likely explanatory pathways linking HFI, assessed using a validated nine-item perception-based index, to infant size at 6 months. Mothers were assessed early in pregnancy for anthropometric status, dietary diversity and socio-economic status. Infants were assessed for weight, length, and arm, chest and head circumferences and breast and complementary feeding status at birth and 6 months of age. Extent of HFI shared a negative, dose–response association with all measures of infant size at 6 months and odds of wasting and stunting; 57–89 % of variances in the unadjusted models were explained by prenatal factors (maternal nutritional status and dietary diversity), and birth size adjusted for gestational age. Postnatal infant breast and complementary feeding and morbidity exposures explained the remaining fraction of the significant association between HFI and differences in infant arm and chest circumferences and odds of underweight. Contextual (i.e. socio-economic) factors finally brought remaining non-significant fractions of the food insecurity-related mid-infancy growth deficit to practically zero. Improving food security prior to pregnancy and during gestation would likely improve infant growth the most in rural Bangladesh.

scholarly journals Maternal Social Support Is Associated with Child Complementary Feeding, and Household Food Security in the Vakinankaratra Region, Madagascar

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 855-855
Author(s):  
Joel Komakech ◽  
Hasina Rakotomanana ◽  
Christine Walters ◽  
Deana Hildebrand ◽  
Barbara Stoecker
Keyword(s):  
Social Support ◽  
Food Security ◽  
Food Insecurity ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Household Food ◽  
Maternal Social Support

Abstract Objectives There is limited research on the associations between maternal social support and household food security and child feeding practices in Madagascar. Our study examined the association between maternal social support, household food security, and feeding practices among mothers of children 6 - 24 months in the Vakinankaratra region, Madagascar. Methods This cross-sectional study included 344 mother-child dyads. The Medical Outcomes Study (MOS) Social Support Index was used for maternal social support scores. A mean score of >4 was considered optimal social support with ≤2 as none or little support. Food insecurity scores were determined using the Household Food Insecurity Access Scale (HFIAS). Complementary feeding practices were assessed using the World Health Organization (WHO) IYCF guidelines. Logistic and linear regression models tested the association between social support, complementary feeding practices, and household food insecurity. The models were adjusted for household, maternal and child confounders. Statistical significance was set at P < 0.05. Results Almost half of the mothers (49.1%) were supported by their spouses, although only 37.8% of mothers had optimal social support. Less than half of infants (36.34%) met minimum dietary diversity (≥4 of 7 food groups). Mothers with optimal social support had lower household food insecurity (b = −0.85, P = 0.016, R,2 = 0.10) in the adjusted models. Furthermore, children of mothers with higher social support were more likely to meet minimum dietary diversity scores (AOR = 2.36 [1.21–4.56], P = 0.021) and to achieve the minimum adequate diet (AOR = 2.32 [1.17–4.61], P = 0.018). Although maternal social support was significantly associated with child minimum meal frequency in the bivariate analysis, it became nonsignificant in the final adjusted model (AOR = 1.70 [0.93–3.11], P = 0.387). Conclusions Increased maternal social support was significantly associated with household food security, child dietary diversity, and diet adequacy. Integrating parental peer support in nutrition interventions may be effective in improving food security, and child feeding practices in the Vakinankaratra region of Madagascar. Funding Sources This study was funded by Oklahoma State University.

scholarly journals Maternal Dietary Diversity Decreases with Household Food Insecurity in Rural Bangladesh: A Longitudinal Analysis

2016 ◽  
Vol 146 (10) ◽  
pp. 2109-2116 ◽  
Author(s):  
Muzi Na ◽  
Sucheta Mehra ◽  
Parul Christian ◽  
Hasmot Ali ◽  
Saijuddin Shaikh ◽  
...  
Keyword(s):  
Food Insecurity ◽  
Longitudinal Analysis ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Rural Bangladesh ◽  
Household Food

Dietary Diversity May Play A Mediatory Role on the Association between Household Food Insecurity and Nutritional Status among Children Aged 24-59 Months

2019 ◽  
Vol 1 (1) ◽  
pp. 01-10
Author(s):  
Ahmed Abdurahman
Keyword(s):  
Logistic Regression ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Structural Equation ◽  
Dietary Diversity ◽  
Multinomial Logistic Regression ◽  
Equation Modeling ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Household Food

Background: Consuming scarce and poorly diversified diet, along with inadequate breastfeeding, contribute seriously to the complete scope of child undernutrition like stunting, wasting, underweight and micronutrient deficiency. Objective: To determine the association between dietary diversity score (DDS) and nutritional status among children aged 24 to 59 months in Haromaya district, Ethiopia. Methods: Children aged 24-59 months (N= 453) were enrolled in this cross-sectional study with a representative sample of households selected by a multistage sampling procedure in Haromaya district. Anthropometry and 24hr dietary recall were administered. Multinomial logistic regression models were applied to select variables that are candidate for multivariable model. Structural equation modeling was applied to test the mediatory effect of DDS on the relationship between household food insecurity (HFI) and child nutritional status. Results: The mean DDS was 3.62 (SD 1.09), and 50% of the children indicated poor and average DDS with only 20% children in very good DDS. By logistic regression analysis and after adjusting for the confounding factors, poor DDS was highly significant predictor of wasting, stunting and underweight (AOR = 4.09, C.I = 1.31 - 12.76, p = .01), (AOR = 2.28, C.I = 1.11 - 4.69, p = .03) and (AOR = 2.48, C.I = 1.17 - 5.24, p = .02) respectively. HFI had a significant direct effect on wasting though no significant indirect effect on wasting through mediation variable, DDS, (β1 reduced from 0.06 (S.E. = 0.027, p < .05) to 0.05 (S.E. = 0.028, p > .05). Conclusion: Poor DDS was a predictor of wasting, stunting and underweight. Additionally, DDS had a role in the association between HFI and nutritional status.

scholarly journals Seasonal variations in household food insecurity and dietary diversity and their association with maternal and child nutritional status in rural Ethiopia

Food Security ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 651-664 ◽  
Author(s):  
Kedir T. Roba ◽  
Thomas P. O’Connor ◽  
Nora M. O’Brien ◽  
Chanyalew S. Aweke ◽  
Zenebe A. Kahsay ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Food Insecurity ◽  
Seasonal Variations ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Rural Ethiopia ◽  
Household Food ◽  
Child Nutritional Status

scholarly journals Dietary Diversity May Play A Mediatory Role on the Association between Household Food Insecurity and Nutritional Status among Children Aged 24-59 Months

2019 ◽  
Vol 1 (1) ◽  
pp. 01-10
Author(s):  
Ahmed Abdurahman
Keyword(s):  
Logistic Regression ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Structural Equation ◽  
Dietary Diversity ◽  
Multinomial Logistic Regression ◽  
Equation Modeling ◽  
Household Food Insecurity ◽  
Cross Sectional ◽  
Household Food

Background: Consuming scarce and poorly diversified diet, along with inadequate breastfeeding, contribute seriously to the complete scope of child undernutrition like stunting, wasting, underweight and micronutrient deficiency. Objective: To determine the association between dietary diversity score (DDS) and nutritional status among children aged 24 to 59 months in Haromaya district, Ethiopia. Methods: Children aged 24-59 months (N= 453) were enrolled in this cross-sectional study with a representative sample of households selected by a multistage sampling procedure in Haromaya district. Anthropometry and 24hr dietary recall were administered. Multinomial logistic regression models were applied to select variables that are candidate for multivariable model. Structural equation modeling was applied to test the mediatory effect of DDS on the relationship between household food insecurity (HFI) and child nutritional status. Results: The mean DDS was 3.62 (SD 1.09), and 50% of the children indicated poor and average DDS with only 20% children in very good DDS. By logistic regression analysis and after adjusting for the confounding factors, poor DDS was highly significant predictor of wasting, stunting and underweight (AOR = 4.09, C.I = 1.31 - 12.76, p = .01), (AOR = 2.28, C.I = 1.11 - 4.69, p = .03) and (AOR = 2.48, C.I = 1.17 - 5.24, p = .02) respectively. HFI had a significant direct effect on wasting though no significant indirect effect on wasting through mediation variable, DDS, (β1 reduced from 0.06 (S.E. = 0.027, p < .05) to 0.05 (S.E. = 0.028, p > .05). Conclusion: Poor DDS was a predictor of wasting, stunting and underweight. Additionally, DDS had a role in the association between HFI and nutritional status.

scholarly journals Nutrition among men and household food security in an internally displaced persons camp in Kenya

2015 ◽  
Vol 19 (4) ◽  
pp. 723-731 ◽  
Author(s):  
Kamal P Singh ◽  
Sankara Varun Bhoopathy ◽  
Heather Worth ◽  
Holly Seale ◽  
Robyn L Richmond
Keyword(s):  
Food Security ◽  
Nutritional Status ◽  
Food Insecurity ◽  
Dietary Diversity ◽  
Household Food Insecurity ◽  
Internally Displaced Persons ◽  
Internally Displaced ◽  
Dietary Diversity Score ◽  
Household Food ◽  
The Mean

AbstractObjectiveTo determine the nutritional status of men and the food security status of their households in an internally displaced persons (IDP) camp in Kenya.DesignA descriptive, cross-sectional study using a questionnaire and biometric measurements was completed in June 2013.SettingIDP camp, Rongai, Kenya.SubjectsA total of 267 men aged ≥18 years residing within the camp were recruited via respondent-driven sampling. Statistical associations between categorical variables were analysed using Pearson’s χ2 tests, while independent t tests were used for continuous variables.ResultsAmong the men surveyed, we found a mean BMI of 20·3 (sd 2·5) kg/m2, with 23·9 % of participants in the underweight category (BMI<18·5 kg/m2). The mean Individual Dietary Diversity Score was 6 out of a maximum score of 9. The mean Household Food Insecurity Access Scale score was 11·6 (sd 6·8), with 180 participants (71·7 %) residing in households categorised as severely food insecure. Low monthly household income (<2000 Kenyan Shillings, or $US 25) was associated with a higher food insecurity score (P<0·001), greater likelihood of residing in a severely food-insecure household (P<0·001), low dietary diversity score (P<0·05) and being underweight (P<0·01).ConclusionsWhile the nutritional status of men in the IDP camp is comparable to non-displaced men in Kenya, household food insecurity is relatively high. Efforts to improve food security for the future are essential to minimise the impact of severe food insecurity on mental health, disease profiles and family well-being reported in other IDP settings.

scholarly journals Association of Complementary feeding practices and household food insecurity and anthropometric status of children aged 6-23 months old in Kabul city

2020 ◽  
Author(s):  
Gholam Reza Ahrar ◽  
Leila Azadbakht
Keyword(s):  
Food Insecurity ◽  
Odds Ratio ◽  
Complementary Feeding ◽  
Dietary Diversity ◽  
Feeding Practices ◽  
Household Food Insecurity ◽  
Meal Frequency ◽  
Z Score ◽  
Household Food ◽  
Anthropometric Status

Abstract Introduction During the first 1000 days of a child life, appropriate infant feeding practices are fundamental to growth, health and development of a child. Globally only one in six children receive a minimum acceptable diet. In Afghanistan, the status of minimum meal frequency, dietary diversity and acceptable diet were 55%, 23% and 18%, respectively among children aged 6-23 months. This study designed with the aim of determines the association of complementary feeding (CF) indicators and household food insecurity and anthropometric status of Afghan children aged 6-23 months. Methods We were selected 300 children aged 6-23 months old in this cross-sectional study through simple method. Three 24-hour dietary recall were collected for CF practices. Socioeconomic and United State Department of Agriculture (USDA) food security questionnaire were used from interview method and nutritional status was assessed using World Health Organization indicators. Chi-Square analysis were used to determined association between anthropometry of children among different age groups, complementary feeding indicators and household Food insecurity. Independent sample test was used to determined association between nutrient intake and complementary feeding indicators. Results Results showed that 59% of children received timely introduction of CF and Minimum Meal Frequency (MMF), Minimum Dietary Diversity (MDD) and Minimum Acceptable Diet were met by 87.7%, 44.7% and 42.3%, respectively. Prevalence rate of food insecurity was 90.7%. Result for odds ratio and 95% CI showed there is association between (Length for Age Z-score (LAZ) with MMF), (Weight for Age Z-score (WAZ), Weight for Length Z-score (WLZ) and Length for Age Z-score (LAZ) with MDD and MAD). Result for odds ratio and 95% CI also showed there are significant associations between WAZ, WLZ and LAZ with household food insecurity. Conclusion Household food insecurity and weak complementary feeding make more prevalence of malnutrition.

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