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Status: Bibliographieeintrag

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Verfasst von:Waid, Jillian [VerfasserIn]   i
 Wendt, Amanda [VerfasserIn]   i
 Kader, Abdul [VerfasserIn]   i
 Sobhan, Shafinaz [VerfasserIn]   i
 Gabrysch, Sabine [VerfasserIn]   i
Titel:Impact of a homestead food production program on dietary diversity
Titelzusatz:seasonal and annual results from the cluster-randomized FAARM trial in Sylhet, Bangladesh
Verf.angabe:Jillian L. Waid, Amanda S. Wendt, Abdul Kader, Shafinaz Sobhan, Sabine Gabrysch
E-Jahr:2024
Jahr:January 2024
Umfang:11 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 30.07.2024 ; Online verfügbar: 21. Oktober 2023, Artikelversion: 10. Januar 2024
Titel Quelle:Enthalten in: The journal of nutrition
Ort Quelle:Amsterdam : Elsevier, 1928
Jahr Quelle:2024
Band/Heft Quelle:154(2024), 1 vom: Jan., Seite 191-201
ISSN Quelle:1541-6100
Abstract:Background - Rice-predominant diets are common in Bangladesh, leading to widespread nutritional deficiencies. The Food and Agricultural Approaches to Reducing Malnutrition (FAARM) cluster-randomized controlled trial in rural Sylhet, Bangladesh evaluated a homestead food production intervention implemented 2015-2018 through Helen Keller International, aiming to improve child growth. - Objectives - We estimated the intervention’s impact on women’s and children’s dietary diversity, a secondary trial objective. - Methods - We collected dietary diversity throughout the trial (March 2015 to June 2020) at multiple times each year using standard, United Nations-endorsed, self-reported measures for women (10-food group scale) and children (7-food group scale). We included 28,282 observations of 2701 women (out of 2705 enrolled) and 17,445 observations of their 3257 children (aged 6-37 mo) in 96 settlements, 48 of which received the intervention. We estimated the intervention’s impact on dietary diversity by year of intervention, overall periods following the start of the intervention, and seasonally, using multilevel regression with the control group as the counterfactual, controlling for seasonality, baseline dietary diversity, and clustering by settlement and repeated measures. - Results - At baseline, approximately one-third of women and children consumed a minimally diverse diet. Over the entire intervention and postintervention period, women’s and children’s odds of consuming a minimally diverse diet nearly doubled (odds ratio [OR] 1.8, P < 0.001, for both). This benefit was barely present in the first year, increased in the second, and peaked in the last intervention year (OR 2.4 for women, OR 2.5 for children, both P < 0.001) before settling at around double the odds in postintervention years (P < 0.001). Dietary improvement was observed throughout the year for both women and children with incremental increases in nearly all food groups. - Conclusions - The nutrition-sensitive agriculture intervention successfully increased dietary diversity in women and children, and these impacts persisted after the project closed, including during the early COVID 19 lockdown period. This trial was registered at clinicaltrials.gov as NCT02505711.
DOI:doi:10.1016/j.tjnut.2023.10.014
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.tjnut.2023.10.014
 Volltext: https://www.sciencedirect.com/science/article/pii/S0022316623726680
 DOI: https://doi.org/10.1016/j.tjnut.2023.10.014
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:gardening
 infant and young child feeding
 minimally diverse diet
 nutrition-sensitive agriculture
 seasonality
K10plus-PPN:1897052529
Verknüpfungen:→ Zeitschrift

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