Maternal depression is associated with less dietary diversity among rural Nepali children

Maternal depression has been associated with adverse child growth and development; less is known about its relation to children's diet. In a cross-sectional study embedded at endline of a longitudinal community development intervention, mothers of 629 children (age 23–66 months) in rural Nepal respo...

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Autores principales: Miller, Laurie C., Neupane, Sumanta, Sparling, Thalia M., Shrestha, Merina, Joshi, Neena, Lohani, Mahendra, Thorne-Lyman, Andrew
Formato: Journal Article
Lenguaje:Inglés
Publicado: John Wiley & Sons 2021
Materias:
Acceso en línea:https://hdl.handle.net/10568/142786
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author Miller, Laurie C.
Neupane, Sumanta
Sparling, Thalia M.
Shrestha, Merina
Joshi, Neena
Lohani, Mahendra
Thorne-Lyman, Andrew
author_browse Joshi, Neena
Lohani, Mahendra
Miller, Laurie C.
Neupane, Sumanta
Shrestha, Merina
Sparling, Thalia M.
Thorne-Lyman, Andrew
author_facet Miller, Laurie C.
Neupane, Sumanta
Sparling, Thalia M.
Shrestha, Merina
Joshi, Neena
Lohani, Mahendra
Thorne-Lyman, Andrew
author_sort Miller, Laurie C.
collection Repository of Agricultural Research Outputs (CGSpace)
description Maternal depression has been associated with adverse child growth and development; less is known about its relation to children's diet. In a cross-sectional study embedded at endline of a longitudinal community development intervention, mothers of 629 children (age 23–66 months) in rural Nepal responded to household and children's diet questionnaires and were screened for depression. Child anthropometry and development (Ages and Stages Questionnaire) were assessed. Regression models examined children's diet, growth and development, adjusting for household, child and maternal characteristics. The prevalence of maternal depression was 21%. Maternal depression was associated with 11% lower likelihood that the child consumed one additional food group [Poisson regression, adjusted relative risk (aRR) 0.89, 95% confidence intervals (95% CI 0.81, 0.99), p = 0.024] and 13% lower likelihood that the child consumed one additional animal source food (ASF) [aRR 0.87, (95% CI 0.76, 1.01), p = 0.061] compared with children of nondepressed mothers. However, maternal depression was not associated with either child anthropometry or development: these outcomes were strongly associated with better home child-rearing quality. Stunting also related to child age and intervention group; child development related to mother's education and household wealth. This study suggests a correlation between maternal depression and child dietary diversity. This association could be due to unmeasured confounders, and therefore, further research is warranted. Understanding the relationship of depression to child outcomes—and the role of other potentially compensatory household factors—could help address some of the earliest, modifiable influences in a child's life and contribute to innovative approaches to improve child well-being.
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spelling CGSpace1427862024-10-25T08:04:56Z Maternal depression is associated with less dietary diversity among rural Nepali children Miller, Laurie C. Neupane, Sumanta Sparling, Thalia M. Shrestha, Merina Joshi, Neena Lohani, Mahendra Thorne-Lyman, Andrew child development mothers psychology children diet women dietary diversity child growth Maternal depression has been associated with adverse child growth and development; less is known about its relation to children's diet. In a cross-sectional study embedded at endline of a longitudinal community development intervention, mothers of 629 children (age 23–66 months) in rural Nepal responded to household and children's diet questionnaires and were screened for depression. Child anthropometry and development (Ages and Stages Questionnaire) were assessed. Regression models examined children's diet, growth and development, adjusting for household, child and maternal characteristics. The prevalence of maternal depression was 21%. Maternal depression was associated with 11% lower likelihood that the child consumed one additional food group [Poisson regression, adjusted relative risk (aRR) 0.89, 95% confidence intervals (95% CI 0.81, 0.99), p = 0.024] and 13% lower likelihood that the child consumed one additional animal source food (ASF) [aRR 0.87, (95% CI 0.76, 1.01), p = 0.061] compared with children of nondepressed mothers. However, maternal depression was not associated with either child anthropometry or development: these outcomes were strongly associated with better home child-rearing quality. Stunting also related to child age and intervention group; child development related to mother's education and household wealth. This study suggests a correlation between maternal depression and child dietary diversity. This association could be due to unmeasured confounders, and therefore, further research is warranted. Understanding the relationship of depression to child outcomes—and the role of other potentially compensatory household factors—could help address some of the earliest, modifiable influences in a child's life and contribute to innovative approaches to improve child well-being. 2021-09-30 2024-05-22T12:11:04Z 2024-05-22T12:11:04Z Journal Article https://hdl.handle.net/10568/142786 en Open Access John Wiley & Sons Miller, Laurie C.; Neupane, Sumanta; Sparling, Thalia M.; Shrestha, Merina; Joshi, Neena; Lohani, Mahendra; and Thorne‐Lyman, Andrew. 2021. Maternal depression is associated with less dietary diversity among rural Nepali children. Maternal and Child Nutrition 17(4): e13221. https://doi.org/10.1111/mcn.13221
spellingShingle child development
mothers
psychology
children
diet
women
dietary diversity
child growth
Miller, Laurie C.
Neupane, Sumanta
Sparling, Thalia M.
Shrestha, Merina
Joshi, Neena
Lohani, Mahendra
Thorne-Lyman, Andrew
Maternal depression is associated with less dietary diversity among rural Nepali children
title Maternal depression is associated with less dietary diversity among rural Nepali children
title_full Maternal depression is associated with less dietary diversity among rural Nepali children
title_fullStr Maternal depression is associated with less dietary diversity among rural Nepali children
title_full_unstemmed Maternal depression is associated with less dietary diversity among rural Nepali children
title_short Maternal depression is associated with less dietary diversity among rural Nepali children
title_sort maternal depression is associated with less dietary diversity among rural nepali children
topic child development
mothers
psychology
children
diet
women
dietary diversity
child growth
url https://hdl.handle.net/10568/142786
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