Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis
Background: Low-quality diets contribute to the burden of malnutrition and increase the risk of children not achieving their developmental potential. Nutrition-sensitive agriculture programs address the underlying determinants of malnutrition, though their contributions to improving diets do not fac...
| Autores principales: | , , , , , , , , |
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| Formato: | Journal Article |
| Lenguaje: | Inglés |
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International Global Health Society
2022
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| Acceso en línea: | https://hdl.handle.net/10568/141348 |
| _version_ | 1855520042587783168 |
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| author | Margolies, Amy Kemp, Christopher G. Choo, Esther M. Levin, Carol E. Olney, Deanna K. Kumar, Neha Go, Ara Alderman, Harold Gelli, Aulo |
| author_browse | Alderman, Harold Choo, Esther M. Gelli, Aulo Go, Ara Kemp, Christopher G. Kumar, Neha Levin, Carol E. Margolies, Amy Olney, Deanna K. |
| author_facet | Margolies, Amy Kemp, Christopher G. Choo, Esther M. Levin, Carol E. Olney, Deanna K. Kumar, Neha Go, Ara Alderman, Harold Gelli, Aulo |
| author_sort | Margolies, Amy |
| collection | Repository of Agricultural Research Outputs (CGSpace) |
| description | Background: Low-quality diets contribute to the burden of malnutrition and increase the risk of children not achieving their developmental potential. Nutrition-sensitive agriculture programs address the underlying determinants of malnutrition, though their contributions to improving diets do not factor into current nutrition impact modeling tools. Objective: To synthesize the evidence on the effectiveness of nutrition-sensitive agriculture programs in improving dietary diversity in young children (6-23.9 months and 6-60 months). Methods: A literature search was conducted for published trials through existing systematic reviews and individual database search of the ISI Web of Science. All dietary diversity measures in the studies selected to be in the analysis were extracted. Estimation of main pooled effects were conducted on outcomes of minimum diet diversity (MDD) and diet diversity score (DDS) using random-effects meta-regression models. We report pooled effect sizes as standardized mean differences (SMDs) or odds ratios (ORs). Results: Nutrition-sensitive agricultural interventions have a significant positive impact on the diet diversity scores of children aged 6-23.9 months (SMD = 0.22, 95% confidence interval (CI) = 0.09-0.36) and on the odds of reaching minimum diet diversity (OR = 1.45, 95% CI = 1.20, 1.76). Similar impacts are found when analyses are expanded to include studies for children aged 6-60 months (DDS SMD = 0.22, 95% CI = 0.12-0.32) (MDD OR = 1.64, 95% CI: = 1.38-1.94). Conclusion: Nutrition-sensitive agriculture interventions consistently have a positive impact on child dietary diversity. Incorporating this evidence in nutrition modeling tools can contribute to decision-making on the relative benefits of nutrition-sensitive interventions as compared with other maternal, newborn, child health and nutrition (MNCHN) interventions. |
| format | Journal Article |
| id | CGSpace141348 |
| institution | CGIAR Consortium |
| language | Inglés |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | International Global Health Society |
| publisherStr | International Global Health Society |
| record_format | dspace |
| spelling | CGSpace1413482025-10-26T13:02:06Z Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis Margolies, Amy Kemp, Christopher G. Choo, Esther M. Levin, Carol E. Olney, Deanna K. Kumar, Neha Go, Ara Alderman, Harold Gelli, Aulo infants nutrition-sensitive agriculture agriculture preschool children nutrition education malnutrition children dietary diversity Background: Low-quality diets contribute to the burden of malnutrition and increase the risk of children not achieving their developmental potential. Nutrition-sensitive agriculture programs address the underlying determinants of malnutrition, though their contributions to improving diets do not factor into current nutrition impact modeling tools. Objective: To synthesize the evidence on the effectiveness of nutrition-sensitive agriculture programs in improving dietary diversity in young children (6-23.9 months and 6-60 months). Methods: A literature search was conducted for published trials through existing systematic reviews and individual database search of the ISI Web of Science. All dietary diversity measures in the studies selected to be in the analysis were extracted. Estimation of main pooled effects were conducted on outcomes of minimum diet diversity (MDD) and diet diversity score (DDS) using random-effects meta-regression models. We report pooled effect sizes as standardized mean differences (SMDs) or odds ratios (ORs). Results: Nutrition-sensitive agricultural interventions have a significant positive impact on the diet diversity scores of children aged 6-23.9 months (SMD = 0.22, 95% confidence interval (CI) = 0.09-0.36) and on the odds of reaching minimum diet diversity (OR = 1.45, 95% CI = 1.20, 1.76). Similar impacts are found when analyses are expanded to include studies for children aged 6-60 months (DDS SMD = 0.22, 95% CI = 0.12-0.32) (MDD OR = 1.64, 95% CI: = 1.38-1.94). Conclusion: Nutrition-sensitive agriculture interventions consistently have a positive impact on child dietary diversity. Incorporating this evidence in nutrition modeling tools can contribute to decision-making on the relative benefits of nutrition-sensitive interventions as compared with other maternal, newborn, child health and nutrition (MNCHN) interventions. 2022-02-19 2024-04-12T13:37:44Z 2024-04-12T13:37:44Z Journal Article https://hdl.handle.net/10568/141348 en Open Access International Global Health Society Margolies, Amy; Kemp, Christopher G.; Choo, Esther M.; Levin, Carol E.; Olney, Deanna K.; Kumar, Neha; Go, Ara; Alderman, Harold; and Gelli, Aulo. 2022. Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis. Journal of Global Health 12: 08001. https://doi.org/10.7189/jogh.12.08001 |
| spellingShingle | infants nutrition-sensitive agriculture agriculture preschool children nutrition education malnutrition children dietary diversity Margolies, Amy Kemp, Christopher G. Choo, Esther M. Levin, Carol E. Olney, Deanna K. Kumar, Neha Go, Ara Alderman, Harold Gelli, Aulo Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis |
| title | Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis |
| title_full | Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis |
| title_fullStr | Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis |
| title_full_unstemmed | Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis |
| title_short | Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis |
| title_sort | nutrition sensitive agriculture programs increase dietary diversity in children under 5 years a review and meta analysis |
| topic | infants nutrition-sensitive agriculture agriculture preschool children nutrition education malnutrition children dietary diversity |
| url | https://hdl.handle.net/10568/141348 |
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