Diet quality over time is associated with better development in rural Nepali children

Developmental delays affect between 150 and 200 million children <5 years of age worldwide. Outside of diet supplement studies, relatively little is known about the relationships between diet quality and developmental status in resource‐poor settings. We examined associations between different as...

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Main Authors: Miller, Laurie C., Neupane, Sumanta, Joshi, Neena, Shrestha, Merina, Neupane, Shailes, Lohani, Mahendra, Thorne-Lyman, Andrew L.
Format: Journal Article
Language:Inglés
Published: John Wiley & Sons 2020
Subjects:
Online Access:https://hdl.handle.net/10568/142793
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author Miller, Laurie C.
Neupane, Sumanta
Joshi, Neena
Shrestha, Merina
Neupane, Shailes
Lohani, Mahendra
Thorne-Lyman, Andrew L.
author_browse Joshi, Neena
Lohani, Mahendra
Miller, Laurie C.
Neupane, Shailes
Neupane, Sumanta
Shrestha, Merina
Thorne-Lyman, Andrew L.
author_facet Miller, Laurie C.
Neupane, Sumanta
Joshi, Neena
Shrestha, Merina
Neupane, Shailes
Lohani, Mahendra
Thorne-Lyman, Andrew L.
author_sort Miller, Laurie C.
collection Repository of Agricultural Research Outputs (CGSpace)
description Developmental delays affect between 150 and 200 million children <5 years of age worldwide. Outside of diet supplement studies, relatively little is known about the relationships between diet quality and developmental status in resource‐poor settings. We examined associations between different aspects of dietary quality (dietary diversity score [DDS] and animal‐source food [ASF] consumption) and child development (assessed using the Ages and Stages Questionnaire‐3 [ASQ‐3]) among children whose families were enrolled in a community development intervention trial (implemented by Heifer Nepal) in western Nepal. Two sets of analyses were performed: (a) cross‐sectional Sample (N = 629) seen at the endline survey and (b) longitudinal sample (N = 269) with complete dietary records (six surveys over 48 months). In both samples, child development was significantly related to household wealth, maternal education, and especially home environmental quality. In the cross‐sectional sample, greater consumption of eggs (adjusted odds ratio [aOR] 0.80, p = .04) or dairy products (aOR 0.95, p = .05) over the previous 7 days significantly reduced odds of low total ASQ score, by logistic regression analysis. In the longitudinal sample, only egg consumption and cumulative DDS and ASF scores were associated with significantly reduced odds of low total ASQ score (aORs 0.59–0.89). In adjusted linear regression analysis, both cumulative DDS (β [CI]: 1.92 [0.4, 3.5]) and ASF scores (2.46 [0.3, 4.7]) were significantly associated with greater continuous total child development. Programmes targeting child development must address home environmental quality as well as long‐term diet quality.
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spelling CGSpace1427932025-02-24T06:45:52Z Diet quality over time is associated with better development in rural Nepali children Miller, Laurie C. Neupane, Sumanta Joshi, Neena Shrestha, Merina Neupane, Shailes Lohani, Mahendra Thorne-Lyman, Andrew L. child nutrition child development health child health malnutrition nutrition children diet Developmental delays affect between 150 and 200 million children <5 years of age worldwide. Outside of diet supplement studies, relatively little is known about the relationships between diet quality and developmental status in resource‐poor settings. We examined associations between different aspects of dietary quality (dietary diversity score [DDS] and animal‐source food [ASF] consumption) and child development (assessed using the Ages and Stages Questionnaire‐3 [ASQ‐3]) among children whose families were enrolled in a community development intervention trial (implemented by Heifer Nepal) in western Nepal. Two sets of analyses were performed: (a) cross‐sectional Sample (N = 629) seen at the endline survey and (b) longitudinal sample (N = 269) with complete dietary records (six surveys over 48 months). In both samples, child development was significantly related to household wealth, maternal education, and especially home environmental quality. In the cross‐sectional sample, greater consumption of eggs (adjusted odds ratio [aOR] 0.80, p = .04) or dairy products (aOR 0.95, p = .05) over the previous 7 days significantly reduced odds of low total ASQ score, by logistic regression analysis. In the longitudinal sample, only egg consumption and cumulative DDS and ASF scores were associated with significantly reduced odds of low total ASQ score (aORs 0.59–0.89). In adjusted linear regression analysis, both cumulative DDS (β [CI]: 1.92 [0.4, 3.5]) and ASF scores (2.46 [0.3, 4.7]) were significantly associated with greater continuous total child development. Programmes targeting child development must address home environmental quality as well as long‐term diet quality. 2020-03-01 2024-05-22T12:11:04Z 2024-05-22T12:11:04Z Journal Article https://hdl.handle.net/10568/142793 en https://doi.org/10.1017/S136898001900260X Open Access John Wiley & Sons Miller, Laurie C.; Neupane, Sumanta; Joshi, Neena; Shrestha, Merina; Neupane, Shailes; Lohani, Mahendra; and Thorne‐Lyman, Andrew L. 2020. Diet quality over time is associated with better development in rural Nepali children. Maternal and Child Nutrition 16(3): e12964. https://doi.org/10.1111/mcn.12964
spellingShingle child nutrition
child development
health
child health
malnutrition
nutrition
children
diet
Miller, Laurie C.
Neupane, Sumanta
Joshi, Neena
Shrestha, Merina
Neupane, Shailes
Lohani, Mahendra
Thorne-Lyman, Andrew L.
Diet quality over time is associated with better development in rural Nepali children
title Diet quality over time is associated with better development in rural Nepali children
title_full Diet quality over time is associated with better development in rural Nepali children
title_fullStr Diet quality over time is associated with better development in rural Nepali children
title_full_unstemmed Diet quality over time is associated with better development in rural Nepali children
title_short Diet quality over time is associated with better development in rural Nepali children
title_sort diet quality over time is associated with better development in rural nepali children
topic child nutrition
child development
health
child health
malnutrition
nutrition
children
diet
url https://hdl.handle.net/10568/142793
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