Low dietary diversity is a predictor of child stunting in rural Bangladesh

J. H. Rah, N. Akhter, Richard David Semba, S. D. Pee, Martin Bloem, Ashley Campbell, R. Moench-Pfanner, K. Sun, J. Badham, K. Kraemer

Research output: Contribution to journalArticle

Abstract

Background/Objectives: Dietary diversity is associated with overall quality and nutrient adequacy of the diet in low-income countries. We determined the association between dietary diversity and stunting among children aged 6-59 months in rural Bangladesh.Subjects/Methods: In total, 165 111 under-fives who participated in the National Surveillance Project in 2003-2005 were included in the analysis. Dietary diversity score (DDS) was constructed through the summation of the number of days each of the nine food groups was consumed in the previous week. The association between stunting and DDS was determined adjusting for confounders using logistic regression models. All analyses were performed separately for children aged 6-11, 12-23 and 24-59 months. Results: One-half of the children were stunted. In multivariate analyses, compared with low DDS, high dietary diversity was associated with a 15, 26 and 31% reduced odds of being stunted among children aged 6-11, 12-23 and 24-59 months, respectively, after adjusting for all potential confounders (odds ratio (OR)0.85, 95% confidence interval (CI): 0.76-0.94; OR0.74, 95% CI: 0.69-0.79; OR0.69, 95% CI: 0.66-0.73). In all groups, children who were still breastfed were more likely to have limited diversity (OR1.88, 95% CI: 1.32-2.67; OR1.71, 95% CI: 1.52-1.92; OR1.15, 95% CI: 1.11-1.19). Those having diarrhea in the past week and coming from families with low socioeconomic status were more likely to have decreased diversity (P

Original languageEnglish (US)
Pages (from-to)1393-1398
Number of pages6
JournalEuropean Journal of Clinical Nutrition
Volume64
Issue number12
DOIs
StatePublished - Dec 2010

Fingerprint

Growth Disorders
Bangladesh
Confidence Intervals
Logistic Models
Food
Social Class
Diarrhea
Multivariate Analysis
Odds Ratio
Diet

Keywords

  • Bangladesh
  • complementary food
  • dietary diversity
  • nutritional status
  • stunting
  • under-five

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Low dietary diversity is a predictor of child stunting in rural Bangladesh. / Rah, J. H.; Akhter, N.; Semba, Richard David; Pee, S. D.; Bloem, Martin; Campbell, Ashley; Moench-Pfanner, R.; Sun, K.; Badham, J.; Kraemer, K.

In: European Journal of Clinical Nutrition, Vol. 64, No. 12, 12.2010, p. 1393-1398.

Research output: Contribution to journalArticle

Rah, JH, Akhter, N, Semba, RD, Pee, SD, Bloem, M, Campbell, A, Moench-Pfanner, R, Sun, K, Badham, J & Kraemer, K 2010, 'Low dietary diversity is a predictor of child stunting in rural Bangladesh', European Journal of Clinical Nutrition, vol. 64, no. 12, pp. 1393-1398. https://doi.org/10.1038/ejcn.2010.171
Rah, J. H. ; Akhter, N. ; Semba, Richard David ; Pee, S. D. ; Bloem, Martin ; Campbell, Ashley ; Moench-Pfanner, R. ; Sun, K. ; Badham, J. ; Kraemer, K. / Low dietary diversity is a predictor of child stunting in rural Bangladesh. In: European Journal of Clinical Nutrition. 2010 ; Vol. 64, No. 12. pp. 1393-1398.
@article{c09632128d1540d484b75a634d3a0c28,
title = "Low dietary diversity is a predictor of child stunting in rural Bangladesh",
abstract = "Background/Objectives: Dietary diversity is associated with overall quality and nutrient adequacy of the diet in low-income countries. We determined the association between dietary diversity and stunting among children aged 6-59 months in rural Bangladesh.Subjects/Methods: In total, 165 111 under-fives who participated in the National Surveillance Project in 2003-2005 were included in the analysis. Dietary diversity score (DDS) was constructed through the summation of the number of days each of the nine food groups was consumed in the previous week. The association between stunting and DDS was determined adjusting for confounders using logistic regression models. All analyses were performed separately for children aged 6-11, 12-23 and 24-59 months. Results: One-half of the children were stunted. In multivariate analyses, compared with low DDS, high dietary diversity was associated with a 15, 26 and 31{\%} reduced odds of being stunted among children aged 6-11, 12-23 and 24-59 months, respectively, after adjusting for all potential confounders (odds ratio (OR)0.85, 95{\%} confidence interval (CI): 0.76-0.94; OR0.74, 95{\%} CI: 0.69-0.79; OR0.69, 95{\%} CI: 0.66-0.73). In all groups, children who were still breastfed were more likely to have limited diversity (OR1.88, 95{\%} CI: 1.32-2.67; OR1.71, 95{\%} CI: 1.52-1.92; OR1.15, 95{\%} CI: 1.11-1.19). Those having diarrhea in the past week and coming from families with low socioeconomic status were more likely to have decreased diversity (P",
keywords = "Bangladesh, complementary food, dietary diversity, nutritional status, stunting, under-five",
author = "Rah, {J. H.} and N. Akhter and Semba, {Richard David} and Pee, {S. D.} and Martin Bloem and Ashley Campbell and R. Moench-Pfanner and K. Sun and J. Badham and K. Kraemer",
year = "2010",
month = "12",
doi = "10.1038/ejcn.2010.171",
language = "English (US)",
volume = "64",
pages = "1393--1398",
journal = "European Journal of Clinical Nutrition",
issn = "0954-3007",
publisher = "Nature Publishing Group",
number = "12",

}

TY - JOUR

T1 - Low dietary diversity is a predictor of child stunting in rural Bangladesh

AU - Rah, J. H.

AU - Akhter, N.

AU - Semba, Richard David

AU - Pee, S. D.

AU - Bloem, Martin

AU - Campbell, Ashley

AU - Moench-Pfanner, R.

AU - Sun, K.

AU - Badham, J.

AU - Kraemer, K.

PY - 2010/12

Y1 - 2010/12

N2 - Background/Objectives: Dietary diversity is associated with overall quality and nutrient adequacy of the diet in low-income countries. We determined the association between dietary diversity and stunting among children aged 6-59 months in rural Bangladesh.Subjects/Methods: In total, 165 111 under-fives who participated in the National Surveillance Project in 2003-2005 were included in the analysis. Dietary diversity score (DDS) was constructed through the summation of the number of days each of the nine food groups was consumed in the previous week. The association between stunting and DDS was determined adjusting for confounders using logistic regression models. All analyses were performed separately for children aged 6-11, 12-23 and 24-59 months. Results: One-half of the children were stunted. In multivariate analyses, compared with low DDS, high dietary diversity was associated with a 15, 26 and 31% reduced odds of being stunted among children aged 6-11, 12-23 and 24-59 months, respectively, after adjusting for all potential confounders (odds ratio (OR)0.85, 95% confidence interval (CI): 0.76-0.94; OR0.74, 95% CI: 0.69-0.79; OR0.69, 95% CI: 0.66-0.73). In all groups, children who were still breastfed were more likely to have limited diversity (OR1.88, 95% CI: 1.32-2.67; OR1.71, 95% CI: 1.52-1.92; OR1.15, 95% CI: 1.11-1.19). Those having diarrhea in the past week and coming from families with low socioeconomic status were more likely to have decreased diversity (P

AB - Background/Objectives: Dietary diversity is associated with overall quality and nutrient adequacy of the diet in low-income countries. We determined the association between dietary diversity and stunting among children aged 6-59 months in rural Bangladesh.Subjects/Methods: In total, 165 111 under-fives who participated in the National Surveillance Project in 2003-2005 were included in the analysis. Dietary diversity score (DDS) was constructed through the summation of the number of days each of the nine food groups was consumed in the previous week. The association between stunting and DDS was determined adjusting for confounders using logistic regression models. All analyses were performed separately for children aged 6-11, 12-23 and 24-59 months. Results: One-half of the children were stunted. In multivariate analyses, compared with low DDS, high dietary diversity was associated with a 15, 26 and 31% reduced odds of being stunted among children aged 6-11, 12-23 and 24-59 months, respectively, after adjusting for all potential confounders (odds ratio (OR)0.85, 95% confidence interval (CI): 0.76-0.94; OR0.74, 95% CI: 0.69-0.79; OR0.69, 95% CI: 0.66-0.73). In all groups, children who were still breastfed were more likely to have limited diversity (OR1.88, 95% CI: 1.32-2.67; OR1.71, 95% CI: 1.52-1.92; OR1.15, 95% CI: 1.11-1.19). Those having diarrhea in the past week and coming from families with low socioeconomic status were more likely to have decreased diversity (P

KW - Bangladesh

KW - complementary food

KW - dietary diversity

KW - nutritional status

KW - stunting

KW - under-five

UR - http://www.scopus.com/inward/record.url?scp=78649741150&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78649741150&partnerID=8YFLogxK

U2 - 10.1038/ejcn.2010.171

DO - 10.1038/ejcn.2010.171

M3 - Article

VL - 64

SP - 1393

EP - 1398

JO - European Journal of Clinical Nutrition

JF - European Journal of Clinical Nutrition

SN - 0954-3007

IS - 12

ER -