Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age

Background: Dietary diversity is a key element of diet quality but diets of women of reproductive age (WRA; 15-49 y) in resource-poor settings are often deficient in a range of micronutrients. Previous work demonstrated relationships between simple food group diversity indicators (FGI) and micronutr...

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Main Authors: Martin Prével, Y., Arimond, M., Allemand, P., Wiesmann, D., Ballard, T.J., Deitchler, M., Dop, M.C., Kennedy, G., Lartey, A., Lee, W.T.K., Moursi, Mourad
Format: Journal Article
Language:Inglés
Published: Elsevier 2017
Subjects:
Online Access:https://hdl.handle.net/10568/90591
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author Martin Prével, Y.
Arimond, M.
Allemand, P.
Wiesmann, D.
Ballard, T.J.
Deitchler, M.
Dop, M.C.
Kennedy, G.
Lartey, A.
Lee, W.T.K.
Moursi, Mourad
author_browse Allemand, P.
Arimond, M.
Ballard, T.J.
Deitchler, M.
Dop, M.C.
Kennedy, G.
Lartey, A.
Lee, W.T.K.
Martin Prével, Y.
Moursi, Mourad
Wiesmann, D.
author_facet Martin Prével, Y.
Arimond, M.
Allemand, P.
Wiesmann, D.
Ballard, T.J.
Deitchler, M.
Dop, M.C.
Kennedy, G.
Lartey, A.
Lee, W.T.K.
Moursi, Mourad
author_sort Martin Prével, Y.
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Dietary diversity is a key element of diet quality but diets of women of reproductive age (WRA; 15-49 y) in resource-poor settings are often deficient in a range of micronutrients. Previous work demonstrated relationships between simple food group diversity indicators (FGI) and micronutrient adequacy among WRA. For operational and advocacy purposes, however, there is strong demand for a dichotomous indicator reflecting an acceptable level of dietary diversity. Objective: To develop a dichotomous indicator of dietary diversity among WRA. Methods: We performed a secondary analysis of 9 data sets containing quantitative dietary data from WRA in resource-poor settings (N total = 4,166). From the raw dietary data we calculated an individual "mean probability of adequacy" (MPA) across 11 micronutrients. Several candidate FGI were constructed. Indicator performance in predicting MPA > 0.60 was assessed within each data set using receiver-operating characteristics (ROC) analysis and sensitivity/specificity analysis at various FGI cut-offs. The analysis was performed separately for non-pregnant and non-lactating (NPNL) and for lactating women. Results: We identified 2 "best candidate" dichotomous indicators based on 9- or 10-point food group scores (FGI-9 and FGI-10) with a cut-off of 5 food groups or more. Both were significantly correlated to MPA in each site (P < 0.001). Areas under the curve (AUC) were moderate, ranging from 0.62 to 0.82 among NPNL women and from 0.56 to 0.90 among lactating women. Comparisons of results slightly favored FGI-10 for all women. Conclusions: When resource-intensive dietary methods are not feasible, a simple dichotomous indicator based on a cut-off of >5 of 10 defined food groups reflects "Minimum dietary diversity for women of reproductive age" (MDD-W). According to the conclusions of a consensus meeting of experts, this indicator is well suited for population-level assessment, advocacy, and maybe also for tracking of change in dietary diversity across time.
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spelling CGSpace905912025-11-12T05:40:53Z Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age Martin Prével, Y. Arimond, M. Allemand, P. Wiesmann, D. Ballard, T.J. Deitchler, M. Dop, M.C. Kennedy, G. Lartey, A. Lee, W.T.K. Moursi, Mourad epidemiology diet assessment nutrition developing countries diversification indicators Background: Dietary diversity is a key element of diet quality but diets of women of reproductive age (WRA; 15-49 y) in resource-poor settings are often deficient in a range of micronutrients. Previous work demonstrated relationships between simple food group diversity indicators (FGI) and micronutrient adequacy among WRA. For operational and advocacy purposes, however, there is strong demand for a dichotomous indicator reflecting an acceptable level of dietary diversity. Objective: To develop a dichotomous indicator of dietary diversity among WRA. Methods: We performed a secondary analysis of 9 data sets containing quantitative dietary data from WRA in resource-poor settings (N total = 4,166). From the raw dietary data we calculated an individual "mean probability of adequacy" (MPA) across 11 micronutrients. Several candidate FGI were constructed. Indicator performance in predicting MPA > 0.60 was assessed within each data set using receiver-operating characteristics (ROC) analysis and sensitivity/specificity analysis at various FGI cut-offs. The analysis was performed separately for non-pregnant and non-lactating (NPNL) and for lactating women. Results: We identified 2 "best candidate" dichotomous indicators based on 9- or 10-point food group scores (FGI-9 and FGI-10) with a cut-off of 5 food groups or more. Both were significantly correlated to MPA in each site (P < 0.001). Areas under the curve (AUC) were moderate, ranging from 0.62 to 0.82 among NPNL women and from 0.56 to 0.90 among lactating women. Comparisons of results slightly favored FGI-10 for all women. Conclusions: When resource-intensive dietary methods are not feasible, a simple dichotomous indicator based on a cut-off of >5 of 10 defined food groups reflects "Minimum dietary diversity for women of reproductive age" (MDD-W). According to the conclusions of a consensus meeting of experts, this indicator is well suited for population-level assessment, advocacy, and maybe also for tracking of change in dietary diversity across time. 2017-12 2018-01-26T11:28:59Z 2018-01-26T11:28:59Z Journal Article https://hdl.handle.net/10568/90591 en Open Access application/pdf Elsevier Martin-Prevel, Y.; Arimond, M.; Allemand, P.; Wiesmann, D.; Ballard, T.J.; Deitchler, M.; Dop, M.C.; Kennedy, G.; Lartey, A.; Lee, W.T.K.; Moursi, M. (2017) Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age. Current Developments in Nutrition 1(12) cdn.117.001701. ISSN: 2475-2991
spellingShingle epidemiology
diet
assessment
nutrition
developing countries
diversification
indicators
Martin Prével, Y.
Arimond, M.
Allemand, P.
Wiesmann, D.
Ballard, T.J.
Deitchler, M.
Dop, M.C.
Kennedy, G.
Lartey, A.
Lee, W.T.K.
Moursi, Mourad
Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age
title Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age
title_full Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age
title_fullStr Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age
title_full_unstemmed Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age
title_short Development of a dichotomous indicator for population-level assessment of the dietary diversity of women of reproductive age
title_sort development of a dichotomous indicator for population level assessment of the dietary diversity of women of reproductive age
topic epidemiology
diet
assessment
nutrition
developing countries
diversification
indicators
url https://hdl.handle.net/10568/90591
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