TY - JOUR
T1 - Low Fruit and Vegetable Consumption is Associated with Linear Growth Faltering among Children in Urban Bangladesh
AU - Parvin, Tahmina
AU - Endres, Kelly
AU - Hasan, M. Tasdik
AU - Uddin, Ismat Minhaj
AU - Bhuyian, Md Sazzadul Islam
AU - Zohura, Fatema
AU - Coglianese, Nicole
AU - Biswas, Shwapon Kumar
AU - Alam, Munirul
AU - Faruque, Abu S.G.
AU - Gittelsohn, Joel
AU - Perin, Jamie
AU - George, Christine Marie
N1 - Funding Information:
Financial support: This research was supported by a USAID grant awarded to the Johns Hopkins Bloomberg School of Public Health.
Publisher Copyright:
Copyright © 2022 by The American Society of Tropical Medicine and Hygiene.
PY - 2022/6
Y1 - 2022/6
N2 - The objective of this study was to examine the association between dietary diversity and child growth among children 6 to 23 months of age in urban slums of Bangladesh. This prospective cohort study enrolled 192 participants 6 to 23 months of age in Dhaka, Bangladesh. To collect dietary intake information for children 6 to 23 months of age, consumption of five or more of the following eight minimum dietary diversity food groups was recorded using 24-hour dietary recall by the child’s caregiver: 1) breast milk; 2) grains, roots, and tubers; 3) legumes and nuts; 4) dairy products; 5) flesh foods; 6) eggs; 7) vitamin A–rich fruits and vegetables; and 8) other fruits and vegetables. Height and weight were measured at baseline and at a 12-month follow-up. Fifty-five percent of children (106 of 192) consumed five or more of the eight minimum dietary diversity food groups during their first visit to assess dietary intake. Eighty-two percent of children (157 of 192) had a report of consuming an animal source of food (e.g., eggs, dairy, flesh foods) in the past 24 hours, 85% (164 of 192) consumed any source of protein (e.g., eggs, dairy, flesh foods, nuts, and legumes), and 65% of children (125 of 192) were reported to consume any fruits and vegetables. Child consumption of fruits and vegetables was positively associated with change in length-for-age z-scores from baseline to the 12-month follow-up (coefficient, 0.86; 95% CI, 0.03–1.68). Inadequate fruit and vegetable consumption was associated with linear growth faltering among the young children residing in urban Dhaka, Bangladesh. These findings demonstrate the need for effective interventions to increase fruit and vegetable consumption in this susceptible pediatric population.
AB - The objective of this study was to examine the association between dietary diversity and child growth among children 6 to 23 months of age in urban slums of Bangladesh. This prospective cohort study enrolled 192 participants 6 to 23 months of age in Dhaka, Bangladesh. To collect dietary intake information for children 6 to 23 months of age, consumption of five or more of the following eight minimum dietary diversity food groups was recorded using 24-hour dietary recall by the child’s caregiver: 1) breast milk; 2) grains, roots, and tubers; 3) legumes and nuts; 4) dairy products; 5) flesh foods; 6) eggs; 7) vitamin A–rich fruits and vegetables; and 8) other fruits and vegetables. Height and weight were measured at baseline and at a 12-month follow-up. Fifty-five percent of children (106 of 192) consumed five or more of the eight minimum dietary diversity food groups during their first visit to assess dietary intake. Eighty-two percent of children (157 of 192) had a report of consuming an animal source of food (e.g., eggs, dairy, flesh foods) in the past 24 hours, 85% (164 of 192) consumed any source of protein (e.g., eggs, dairy, flesh foods, nuts, and legumes), and 65% of children (125 of 192) were reported to consume any fruits and vegetables. Child consumption of fruits and vegetables was positively associated with change in length-for-age z-scores from baseline to the 12-month follow-up (coefficient, 0.86; 95% CI, 0.03–1.68). Inadequate fruit and vegetable consumption was associated with linear growth faltering among the young children residing in urban Dhaka, Bangladesh. These findings demonstrate the need for effective interventions to increase fruit and vegetable consumption in this susceptible pediatric population.
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U2 - 10.4269/ajtmh.21-1124
DO - 10.4269/ajtmh.21-1124
M3 - Article
C2 - 35576951
AN - SCOPUS:85148205635
SN - 0002-9637
VL - 106
SP - 1741
EP - 1746
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 6
ER -