Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal
Background The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) indicator was validated as a proxy of micronutrient adequacy among nonpregnant women in low- and middle-income countries (LMICs). At that time, indeed, there was insufficient data to validate the indicator among pregnant...
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
| Publicado: |
Elsevier
2024
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| Materias: | |
| Acceso en línea: | https://hdl.handle.net/10568/138040 |
| _version_ | 1855530967624581120 |
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| author | Verger, Eric O. Eymard-Duvernay, Sabrina Bahya-Batinda, Dang Hanley-Cook, Giles T. Argaw, Alemayehu Becquey, Elodie Diop, Loty Gelli, Aulo Harris-Fry, Helen Kachwaha, Shivani Kim, Sunny S. Nguyen, Phuong Hong Saville, Naomi M. Tran, Lan Mai Zagré, Rock Romaric Landais, Edwige Savy, Mathilde Martin-Prevel, Yves Lachat, Carl |
| author_browse | Argaw, Alemayehu Bahya-Batinda, Dang Becquey, Elodie Diop, Loty Eymard-Duvernay, Sabrina Gelli, Aulo Hanley-Cook, Giles T. Harris-Fry, Helen Kachwaha, Shivani Kim, Sunny S. Lachat, Carl Landais, Edwige Martin-Prevel, Yves Nguyen, Phuong Hong Saville, Naomi M. Savy, Mathilde Tran, Lan Mai Verger, Eric O. Zagré, Rock Romaric |
| author_facet | Verger, Eric O. Eymard-Duvernay, Sabrina Bahya-Batinda, Dang Hanley-Cook, Giles T. Argaw, Alemayehu Becquey, Elodie Diop, Loty Gelli, Aulo Harris-Fry, Helen Kachwaha, Shivani Kim, Sunny S. Nguyen, Phuong Hong Saville, Naomi M. Tran, Lan Mai Zagré, Rock Romaric Landais, Edwige Savy, Mathilde Martin-Prevel, Yves Lachat, Carl |
| author_sort | Verger, Eric O. |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background
The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) indicator was validated as a proxy of micronutrient adequacy among nonpregnant women in low- and middle-income countries (LMICs). At that time, indeed, there was insufficient data to validate the indicator among pregnant women, who face higher micronutrient requirements.
Objective
This study aimed to validate a minimum food group consumption threshold, out of the 10 food groups used to construct MDD-W, to be used as a population-level indicator of higher micronutrient adequacy among pregnant women aged 15–49 y in LMICs.
Methods
We used secondary quantitative 24-h recall data from 6 surveys in 4 LMICs (Bangladesh, Burkina Faso, India, and Nepal, total n = 4909). We computed the 10-food group Women's Dietary Diversity Score (WDDS-10) and calculated the mean probability of adequacy (MPA) of 11 micronutrients. Linear regression models were fitted to assess the associations between WDDS-10 and MPA. Sensitivity, specificity, and proportion of individuals correctly classified were used to assess the performance of MDD-W in predicting an MPA of >0.60.
Results
In the pooled sample, median values (interquartile range) of WDDS-10 and MPA were 3 (1) and 0.20 (0.34), respectively, whereas the proportion of pregnant women with an MPA of >0.60 was 9.6%. The WDDS-10 was significantly positively associated with MPA in each survey. Although the acceptable food group consumption threshold varied between 4 and 6 food groups across surveys, the threshold of 5 showed the highest performance in the pooled sample with good sensitivity (62%), very good specificity (81%), and percentage of correctly classified individuals (79%).
Conclusions
The WDDS-10 is a good predictor of dietary micronutrient adequacy among pregnant women aged 15–49 y in LMICs. Moreover, the threshold of 5 or more food groups for the MDD-W indicator may be extended to all women of reproductive age, regardless of their physiologic status.
Corrigendum to ‘Defining a Dichotomous Indicator for Population-Level Assessment of Dietary Diversity Among Pregnant Adolescent Girls and Women: https://doi.org/10.1016/j.cdnut.2024.103766 |
| format | Journal Article |
| id | CGSpace138040 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Elsevier |
| publisherStr | Elsevier |
| record_format | dspace |
| spelling | CGSpace1380402025-12-02T10:59:51Z Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal Verger, Eric O. Eymard-Duvernay, Sabrina Bahya-Batinda, Dang Hanley-Cook, Giles T. Argaw, Alemayehu Becquey, Elodie Diop, Loty Gelli, Aulo Harris-Fry, Helen Kachwaha, Shivani Kim, Sunny S. Nguyen, Phuong Hong Saville, Naomi M. Tran, Lan Mai Zagré, Rock Romaric Landais, Edwige Savy, Mathilde Martin-Prevel, Yves Lachat, Carl dietary diversity pregnant adolescents pregnant women women trace elements Background The Minimum Dietary Diversity for Women of Reproductive Age (MDD-W) indicator was validated as a proxy of micronutrient adequacy among nonpregnant women in low- and middle-income countries (LMICs). At that time, indeed, there was insufficient data to validate the indicator among pregnant women, who face higher micronutrient requirements. Objective This study aimed to validate a minimum food group consumption threshold, out of the 10 food groups used to construct MDD-W, to be used as a population-level indicator of higher micronutrient adequacy among pregnant women aged 15–49 y in LMICs. Methods We used secondary quantitative 24-h recall data from 6 surveys in 4 LMICs (Bangladesh, Burkina Faso, India, and Nepal, total n = 4909). We computed the 10-food group Women's Dietary Diversity Score (WDDS-10) and calculated the mean probability of adequacy (MPA) of 11 micronutrients. Linear regression models were fitted to assess the associations between WDDS-10 and MPA. Sensitivity, specificity, and proportion of individuals correctly classified were used to assess the performance of MDD-W in predicting an MPA of >0.60. Results In the pooled sample, median values (interquartile range) of WDDS-10 and MPA were 3 (1) and 0.20 (0.34), respectively, whereas the proportion of pregnant women with an MPA of >0.60 was 9.6%. The WDDS-10 was significantly positively associated with MPA in each survey. Although the acceptable food group consumption threshold varied between 4 and 6 food groups across surveys, the threshold of 5 showed the highest performance in the pooled sample with good sensitivity (62%), very good specificity (81%), and percentage of correctly classified individuals (79%). Conclusions The WDDS-10 is a good predictor of dietary micronutrient adequacy among pregnant women aged 15–49 y in LMICs. Moreover, the threshold of 5 or more food groups for the MDD-W indicator may be extended to all women of reproductive age, regardless of their physiologic status. Corrigendum to ‘Defining a Dichotomous Indicator for Population-Level Assessment of Dietary Diversity Among Pregnant Adolescent Girls and Women: https://doi.org/10.1016/j.cdnut.2024.103766 2024-01 2024-01-18T16:25:53Z 2024-01-18T16:25:53Z Journal Article https://hdl.handle.net/10568/138040 en https://doi.org/10.1093/jn/nxaa360 https://doi.org/10.1093/jn/nxab131 https://doi.org/10.1093/jn/nxy045 Open Access Elsevier Verger, Eric O; Becquey, Elodie; Diop, Loty; Gelli, Aulo; Kim, Sunny S.; Nguyen, Phuong Hong; Zagré, Rock R.; et al. 2023. Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal. Current Developments in Nutrition 8(1): 102053. https://doi.org/10.1016/j.cdnut.2023.102053 |
| spellingShingle | dietary diversity pregnant adolescents pregnant women women trace elements Verger, Eric O. Eymard-Duvernay, Sabrina Bahya-Batinda, Dang Hanley-Cook, Giles T. Argaw, Alemayehu Becquey, Elodie Diop, Loty Gelli, Aulo Harris-Fry, Helen Kachwaha, Shivani Kim, Sunny S. Nguyen, Phuong Hong Saville, Naomi M. Tran, Lan Mai Zagré, Rock Romaric Landais, Edwige Savy, Mathilde Martin-Prevel, Yves Lachat, Carl Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal |
| title | Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal |
| title_full | Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal |
| title_fullStr | Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal |
| title_full_unstemmed | Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal |
| title_short | Defining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women: A secondary analysis of quantitative 24-h recalls from rural settings in Bangladesh, Burkina Faso, India, and Nepal |
| title_sort | defining a dichotomous indicator for population level assessment of dietary diversity among pregnant adolescent girls and women a secondary analysis of quantitative 24 h recalls from rural settings in bangladesh burkina faso india and nepal |
| topic | dietary diversity pregnant adolescents pregnant women women trace elements |
| url | https://hdl.handle.net/10568/138040 |
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