Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis

cg.authorship.typesCGIAR single centreen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.crpAgriculture for Nutrition and Health
cg.contributor.donorBill & Melinda Gates Foundationen
cg.contributor.donorUnited Nationsen
cg.contributor.donorFood and Agriculture Organization of the United Nationsen
cg.creator.identifierAmy Margolies: 0000-0003-3194-5632
cg.creator.identifierDeanna Olney: 0000-0002-2420-8565
cg.creator.identifierNeha Kumar: 0000-0001-7982-3277
cg.creator.identifierAra Go: 0000-0002-4521-848X
cg.creator.identifierHarold Alderman: 0000-0001-8019-6397
cg.creator.identifierAulo Gelli: 0000-0003-4977-2549
cg.identifier.doihttps://doi.org/10.7189/jogh.12.08001en
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Division
cg.identifier.projectIFPRI - Strengthening the Economic Evaluation of Strategies for Nutrition
cg.identifier.publicationRankA
cg.isijournalISI Journalen
cg.issn2047-2986en
cg.journalJournal of Global Healthen
cg.reviewStatusPeer Reviewen
cg.volume12en
dc.contributor.authorMargolies, Amyen
dc.contributor.authorKemp, Christopher G.en
dc.contributor.authorChoo, Esther M.en
dc.contributor.authorLevin, Carol E.en
dc.contributor.authorOlney, Deanna K.en
dc.contributor.authorKumar, Nehaen
dc.contributor.authorGo, Araen
dc.contributor.authorAlderman, Harolden
dc.contributor.authorGelli, Auloen
dc.date.accessioned2024-04-12T13:37:44Zen
dc.date.available2024-04-12T13:37:44Zen
dc.identifier.urihttps://hdl.handle.net/10568/141348
dc.titleNutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysisen
dcterms.abstractBackground: Low-quality diets contribute to the burden of malnutrition and increase the risk of children not achieving their developmental potential. Nutrition-sensitive agriculture programs address the underlying determinants of malnutrition, though their contributions to improving diets do not factor into current nutrition impact modeling tools. Objective: To synthesize the evidence on the effectiveness of nutrition-sensitive agriculture programs in improving dietary diversity in young children (6-23.9 months and 6-60 months). Methods: A literature search was conducted for published trials through existing systematic reviews and individual database search of the ISI Web of Science. All dietary diversity measures in the studies selected to be in the analysis were extracted. Estimation of main pooled effects were conducted on outcomes of minimum diet diversity (MDD) and diet diversity score (DDS) using random-effects meta-regression models. We report pooled effect sizes as standardized mean differences (SMDs) or odds ratios (ORs). Results: Nutrition-sensitive agricultural interventions have a significant positive impact on the diet diversity scores of children aged 6-23.9 months (SMD = 0.22, 95% confidence interval (CI) = 0.09-0.36) and on the odds of reaching minimum diet diversity (OR = 1.45, 95% CI = 1.20, 1.76). Similar impacts are found when analyses are expanded to include studies for children aged 6-60 months (DDS SMD = 0.22, 95% CI = 0.12-0.32) (MDD OR = 1.64, 95% CI: = 1.38-1.94). Conclusion: Nutrition-sensitive agriculture interventions consistently have a positive impact on child dietary diversity. Incorporating this evidence in nutrition modeling tools can contribute to decision-making on the relative benefits of nutrition-sensitive interventions as compared with other maternal, newborn, child health and nutrition (MNCHN) interventions.en
dcterms.accessRightsOpen Access
dcterms.bibliographicCitationMargolies, Amy; Kemp, Christopher G.; Choo, Esther M.; Levin, Carol E.; Olney, Deanna K.; Kumar, Neha; Go, Ara; Alderman, Harold; and Gelli, Aulo. 2022. Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis. Journal of Global Health 12: 08001. https://doi.org/10.7189/jogh.12.08001en
dcterms.issued2022-02-19
dcterms.languageen
dcterms.publisherInternational Global Health Societyen
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/8160en
dcterms.subjectinfantsen
dcterms.subjectnutrition-sensitive agricultureen
dcterms.subjectagricultureen
dcterms.subjectpreschool childrenen
dcterms.subjectnutrition educationen
dcterms.subjectmalnutritionen
dcterms.subjectchildrenen
dcterms.subjectdietary diversityen
dcterms.typeJournal Article

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