Ali Sié1, Charlemagne Tapsoba1, Clarisse Dah1, Lucienne Ouermi1, Pascal Zabre1, Till Bärnighausen2,3,4, Ahmed M Arzika5, Elodie Lebas6, Blake M Snyder6, Caitlin Moe1, Jeremy D Keenan6,7,8, Catherine E Oldenburg6,7,8. 1. Centre de Recherche en Santé de Nouna, Nouna, Burkina Faso. 2. Heidelberg Institute of Public Health, University of Heidelberg, Heidelberg, Germany. 3. Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA. 4. Africa Health Research Institute, KwaZulu-Natal, South Africa. 5. Carter Center, Niamey, Niger. 6. Francis I. Proctor Foundation, University of California, San Francisco, San Francisco, CA, USA. 7. Department of Ophthalmology, University of California, San Francisco, San Francisco, CA, USA. 8. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, USA.
Abstract
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.
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.
Authors: Thuy Doan; Ahmed M Arzika; Kathryn J Ray; Sun Y Cotter; Jessica Kim; Ramatou Maliki; Lina Zhong; Zhaoxia Zhou; Travis C Porco; Benjamin Vanderschelden; Jeremy D Keenan; Thomas M Lietman Journal: Clin Infect Dis Date: 2017-05-01 Impact factor: 9.079
Authors: Kristine Belesova; Antonio Gasparrini; Ali Sié; Rainer Sauerborn; Paul Wilkinson Journal: Environ Health Date: 2017-06-20 Impact factor: 5.984
Authors: Catherine E Oldenburg; Ali Sié; Boubacar Coulibaly; Lucienne Ouermi; Clarisse Dah; Charlemagne Tapsoba; Till Bärnighausen; Kathryn J Ray; Lina Zhong; Susie Cummings; Elodie Lebas; Thomas M Lietman; Jeremy D Keenan; Thuy Doan Journal: Open Forum Infect Dis Date: 2018-11-02 Impact factor: 3.835
Authors: Travis C Porco; John Hart; Ahmed M Arzika; Jerusha Weaver; Khumbo Kalua; Zakayo Mrango; Sun Y Cotter; Nicole E Stoller; Kieran S O'Brien; Dionna M Fry; Benjamin Vanderschelden; Catherine E Oldenburg; Sheila K West; Robin L Bailey; Jeremy D Keenan; Thomas M Lietman Journal: Clin Infect Dis Date: 2019-05-30 Impact factor: 9.079
Authors: Elena G Dennis; Ali Sie; Lucienne Ouermi; Clarisse Dah; Charlemagne Tapsoba; Pascal Zabre; Till Bärnighausen; Kieran S O'Brien; Elodie Lebas; Jeremy D Keenan; Catherine E Oldenburg Journal: BMJ Open Date: 2019-07-29 Impact factor: 2.692