Micronutrient-rich food consumption, intra-household food allocation and child stunting in rural Nigeria

AbstractObjectiveChildren from rural households are often deprived of adequate micronutrient intakes either from food or supplementation. The present study examines: (i) the determinants of households’ micronutrient-rich food consumption; and (ii) the combined effect of vitamin A supplementation and micronutrient-rich food consumption on child stunting in households with different food allocation patterns.DesignCross-sectional study. Households’ micronutrient-rich food consumption frequency and vitamin A supplementation were used as a proxy measure for child micronutrient intakes. Intra-household food allocation patterns were assessed from caregivers’ perception of the disparity in food distribution within the household. Descriptive statistics and logistic regression were employed in analysing the study’s objectives.SettingRural communities in Kwara State, Nigeria.ParticipantsIncluded 419 children aged 6–59 months and 413 households.ResultsOwning small livestock and a refrigerator, knowledge of micronutrient-rich foods and higher parental education had strong associations with households’ micronutrient-rich food consumption. Children from households that consumed micronutrient-rich foods and received more diverse diets were less likely to experience stunting. The combined effect of micronutrient-rich food consumption and vitamin A supplementation was stronger on the likelihood of stunting reduction than the separate effect of each.ConclusionsAssets ownership, human capital and knowledge of micronutrient-rich foods improve consumption of micronutrient-rich foods among the study population. Micronutrient supplementation to children with poor access to micronutrient-rich foods may not substantially enhance child growth unless reinforced through consumption of micronutrient-rich foods. Fruit and vegetable gardening, livestock holdings and nutrition education to parents should be integral parts of community nutrition programming.

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A garden‐based nutrition intervention in the rural Dominican Republic – impact on vitamin A rich food consumption

The FASEB Journal ◽

10.1096/fasebj.26.1_supplement.631.6 ◽

2012 ◽

Vol 26 (S1) ◽

Author(s):

John Christopher Binford ◽

Meredith Ann Camp ◽

Debbie Camp

Keyword(s):

Vitamin A ◽

Dominican Republic ◽

Food Consumption ◽

Nutrition Intervention ◽

Rich Food

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KONSTRIBUSI PENDAPATAN WANITA TERHADAP KETAHANAN PANGAN RUMAH TANGGA PADA AGROEKOSISTEM SAWAH TADAH HUJAN DI KECAMATAN MA’RANG KABUPATEN PANGKEP

AGROTEK: Jurnal Ilmiah Ilmu Pertanian ◽

10.33096/agrotek.v3i2.83 ◽

2020 ◽

Vol 3 (2) ◽

pp. 168-179

Author(s):

Andi Wahida ◽

Ida Rosada ◽

Mais Ilsan

Keyword(s):

Food Security ◽

Food Consumption ◽

Household Income ◽

Food Distribution ◽

Integrated System ◽

Household Food Security ◽

Household Food ◽

Rainfed Lowland ◽

Total Household Income ◽

Food Expenditure

Food security is an integrated system consisting of various subsystem. The main subsystem are food availability, food distribution and food consumption. The realization of good security is a synergy of the interactions of the three subsystem. The purpose of this study was to identify female household socioeconomic factors in rainfed lowland agroecosystems in Ma’rang sub-district, Pangkep district, review and analyze the contribution of women’s income to household income, analyze the level of share of women’s household food expenditure in rainfed lowland areas, analyze the level of female household food security in rainfed lowland agroecosystems. This research was conducted in July to September 2018. Sampling was carried out in census, namely 22 households. The results of the study showed that the contribution of women’s income to household income was still very low at 15% of total household income, women’s household food security in rainfed lowland areas is seen from the side of food expenditure, namely 63,64 percent of the share of food expenditure is in the category of food security (≤ 60%) and as much as 36,36 percent of the share of food expenditure in the category is not food resistant (≥ 60 %), and the level of household food security is in the category of food security.

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Moderate and Severe Level of Food Insecurity Is Associated with High Calorie-Dense Food Consumption of Filipino Households

Journal of Nutrition and Metabolism ◽

10.1155/2021/5513409 ◽

2021 ◽

Vol 2021 ◽

pp. 1-15

Author(s):

Imelda Angeles-Agdeppa ◽

Marvin B. Toledo ◽

Jezreel Ann T. Zamora

Keyword(s):

Vitamin A ◽

Food Insecurity ◽

Food Consumption ◽

Fats And Oils ◽

Household Food Security ◽

Household Food Insecurity ◽

Nutrition Survey ◽

Nutrient Quality ◽

Household Food ◽

Food Insecure Households

Food insecurity is often deeply rooted in poverty. Hence, accessibility and the quality of foods consumed may affect the dietary pattern. The study aims to assess the relationship between food insecurity and dietary consumption. This investigation analyzed the data from the 2015 Updating of Nutritional Nutrition Survey. The Household Food Insecurity Access Scale (HFIAS) was used to determine household food security status and the prevalence of food insecurity. Food weighing, food inventory, and food recall were the methods used to collect food consumption data of sampled households. The study revealed poor nutrient quality and a greater likelihood of inadequacy of nutrients among moderate and severe food insecure households. Mild, moderate, and severe levels of food insecurity were found to affect 12%, 32%, and 22% of the population, respectively. The test showed that both moderate and severe food insecure families have significantly lower mean consumption of meat, milk, and fats and oils in contrast to food secure households. In comparison with food secure households, moderate and severe food insecure households consume higher amounts of cereals and cereal products, rice, and vegetables. Moderate and severe food insecure households have higher consumption of total carbohydrates but have significantly lower average intake of vitamin A, riboflavin, niacin, and total fat related to food stable households. Moreover, the results of the multiple logistic regression revealed that food insecure households have a higher likelihood to be deficient in energy, protein, calcium, vitamin A, thiamin, riboflavin, niacin, and vitamin C intakes, but except for iron ( p value <0.05). Indeed, household food insecurity was associated with the higher consumption of calorie-dense food among Filipino households. This explains a lower nutrient quality and a higher likelihood of inadequacy of nutrients among moderate and severe food insecure households.

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Adequate vitamin A rich food consumption and associated factors among lactating mothers visiting child immunization and post-natal clinic at health institutions in Gondar Town, Northwest Ethiopia

PLoS ONE ◽

10.1371/journal.pone.0239308 ◽

2020 ◽

Vol 15 (9) ◽

pp. e0239308

Author(s):

Addisalem Damtie Aserese ◽

Azeb Atenafu ◽

Mekonnen Sisay ◽

Muluken Bekele Sorrie ◽

Birhanu Wubale Yirdaw ◽

...

Keyword(s):

Vitamin A ◽

Food Consumption ◽

Associated Factors ◽

Northwest Ethiopia ◽

Child Immunization ◽

Rich Food ◽

Lactating Mothers ◽

Gondar Town ◽

Health Institutions

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Vitamin A coverage among under five children: A critical appraisal of Vitamin A supplementation program in India

PsycEXTRA Dataset ◽

10.1037/e583132013-026 ◽

2012 ◽

Author(s):

Dechenla Tshering Bhutia ◽

Saskia de Pee ◽

Prisca A. C. Zwanikken

Keyword(s):

Vitamin A ◽

Critical Appraisal ◽

Vitamin A Supplementation ◽

Under Five ◽

Under Five Children

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Benefits of postpartum vitamin A supplementation

Jornal de Pediatria ◽

10.2223/jped.2188 ◽

2012 ◽

Vol 88 (2) ◽

Author(s):

Saskia de Pee

Keyword(s):

Vitamin A ◽

Vitamin A Supplementation

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Impact of Maternal Daily Oral Low-Dose Vitamin A Supplementation on the Mother–Infant Pair: A Randomised Placebo-Controlled Trial in China

Nutrients ◽

10.3390/nu13072370 ◽

2021 ◽

Vol 13 (7) ◽

pp. 2370

Author(s):

Ye Ding ◽

Ping Hu ◽

Yue Yang ◽

Fangping Xu ◽

Fang Li ◽

...

Keyword(s):

Health Status ◽

Breast Milk ◽

Vitamin A ◽

Low Dose ◽

Maternal Serum ◽

Control Group ◽

Vitamin A Supplementation ◽

Maternal Vitamin ◽

Vitamin A Status ◽

Lactating Mothers

Background: The nutritional status of vitamin A in lactating mothers and infants is still not optimistic. Due to the dietary habits and dietary restrictions of postpartum customs in China, vitamin A supplementation has been advocated as a potential strategy to improve vitamin A status of lactating mothers with inadequate dietary vitamin A intake. Existing clinical trials are limited to single or double high-dose maternal administrations. However, in China, vitamin A supplements are readily available in the form of daily oral low-dose supplements, and the effect of these is unknown. This study aimed to evaluate the effects of daily oral low-dose vitamin A supplementation on the retinol levels in the serum and breast milk of lactating mothers and the health status of infants in China. Methods: Lactating mothers who met the inclusion criteria and planned to continue exclusive breastfeeding were randomly assigned to receive either daily oral vitamin A and D drops (one soft capsule of 1800 IU vitamin A and 600 IU vitamin D2), or a matching placebo for 2 months. Before and after the intervention, dietary intake was investigated by instant photography, and the retinol concentration in maternal serum and breast milk was determined by ultra-high performance liquid chromatography-tandem mass spectrometry. During the trial, the health status of infants was diagnosed by a paediatrician or reported by lactating mothers. A total of 245 participants completed the study, with 117 in the supplementation group and 128 in the control group. Results: After the 2-month intervention, maternal serum retinol concentrations increased in the supplementation group with no change in the control group. Although breast milk retinol concentrations decreased significantly in both groups, the decrease in the supplementation group was significantly lower than that in the control group. However, maternal vitamin A supplementation was not associated with a lower risk of infant febrile illness, respiratory tract infection, diarrhoea, and eczema. Conclusions: Daily oral low-dose vitamin A supplementation is helpful in improving maternal vitamin A status, despite having no effect on infant health status through breast milk.

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