Dietary diversity and child development in the far west of Nepal

A cohort study

Andrew Thorne-Lyman, Merina Shrestha, Wafaie W. Fawzi, Monica Pasqualino, Tor A. Strand, Ingrid Kvestad, Mari Hysing, Neena Joshi, Mahendra Lohani, Laurie C. Miller

Research output: Contribution to journalArticle

Abstract

Poverty adversely affects child development through multiple pathways in low-and middle-income countries. Relationships between diet and child development are poorly understood. In this study, we aimed to explore these associations in a longitudinal cohort of 305 children in rural Nepal (baseline mean age 14 months), evaluating dietary diversity and the consumption of specific food groups at three timepoints over 1.5 years. Child development was assessed using the Ages and Stages questionnaire-version 3 (ASQ-3). Associations between the number of days that children consumed minimum dietary diversity (MDD) (≥4/8 items) and specific food groups over time (range 0–3) and total and subscale ASQ scores at age 23–38 months were estimated using multiple linear and logistic regression, dichotomizing scores at the lowest quartile. After adjusting for confounders, each additional day of consuming MDD was associated with a 35% reduction in the odds of low total ASQ score [OR 0.65, 95% CI (0.46, 0.92)]. The consumption of animal source foods [OR 0.64, (0.46, 0.89)], and vegetables/fruits [OR 0.60, (0.41, 0.90), but not processed foods [OR 0.99, (0.62, 1.59)] was associated with lower odds of low total development. Vegetables, fruits and animal source foods may be important for child development in this setting.

Original languageEnglish (US)
Article number1799
JournalNutrients
Volume11
Issue number8
DOIs
StatePublished - Aug 1 2019

Fingerprint

child development
Nepal
Child Development
cohort studies
Cohort Studies
Food
animal-based foods
food groups
Vegetables
vegetables
Fruit
fruits
processed foods
poverty
Poverty
income
questionnaires
Linear Models
Logistic Models
Diet

Keywords

  • Animal source food
  • Child development
  • Dairy
  • Dietary diversity
  • Fruit
  • Growth
  • Milk
  • Processed foods
  • Stunting
  • Vegetable

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

Cite this

Thorne-Lyman, A., Shrestha, M., Fawzi, W. W., Pasqualino, M., Strand, T. A., Kvestad, I., ... Miller, L. C. (2019). Dietary diversity and child development in the far west of Nepal: A cohort study. Nutrients, 11(8), [1799]. https://doi.org/10.3390/nu11081799

Dietary diversity and child development in the far west of Nepal : A cohort study. / Thorne-Lyman, Andrew; Shrestha, Merina; Fawzi, Wafaie W.; Pasqualino, Monica; Strand, Tor A.; Kvestad, Ingrid; Hysing, Mari; Joshi, Neena; Lohani, Mahendra; Miller, Laurie C.

In: Nutrients, Vol. 11, No. 8, 1799, 01.08.2019.

Research output: Contribution to journalArticle

Thorne-Lyman, A, Shrestha, M, Fawzi, WW, Pasqualino, M, Strand, TA, Kvestad, I, Hysing, M, Joshi, N, Lohani, M & Miller, LC 2019, 'Dietary diversity and child development in the far west of Nepal: A cohort study', Nutrients, vol. 11, no. 8, 1799. https://doi.org/10.3390/nu11081799
Thorne-Lyman A, Shrestha M, Fawzi WW, Pasqualino M, Strand TA, Kvestad I et al. Dietary diversity and child development in the far west of Nepal: A cohort study. Nutrients. 2019 Aug 1;11(8). 1799. https://doi.org/10.3390/nu11081799
Thorne-Lyman, Andrew ; Shrestha, Merina ; Fawzi, Wafaie W. ; Pasqualino, Monica ; Strand, Tor A. ; Kvestad, Ingrid ; Hysing, Mari ; Joshi, Neena ; Lohani, Mahendra ; Miller, Laurie C. / Dietary diversity and child development in the far west of Nepal : A cohort study. In: Nutrients. 2019 ; Vol. 11, No. 8.
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