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

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cg.authorship.typesCGIAR single centreen_US
cg.contributor.affiliationInternational Food Policy Research Instituteen_US
cg.contributor.crpAgriculture for Nutrition and Healthen_US
cg.contributor.donorBill & Melinda Gates Foundationen_US
cg.contributor.donorUnited Nationsen_US
cg.contributor.donorFood and Agriculture Organization of the United Nationsen_US
cg.creator.identifierAmy Margolies: 0000-0003-3194-5632en_US
cg.creator.identifierDeanna Olney: 0000-0002-2420-8565en_US
cg.creator.identifierNeha Kumar: 0000-0001-7982-3277en_US
cg.creator.identifierAra Go: 0000-0002-4521-848Xen_US
cg.creator.identifierHarold Alderman: 0000-0001-8019-6397en_US
cg.creator.identifierAulo Gelli: 0000-0003-4977-2549en_US
cg.identifier.doihttps://doi.org/10.7189/jogh.12.08001en_US
cg.identifier.projectIFPRI - Poverty, Health, and Nutrition Divisionen_US
cg.identifier.projectIFPRI - Strengthening the Economic Evaluation of Strategies for Nutritionen_US
cg.identifier.publicationRankAen_US
cg.isijournalISI Journalen_US
cg.issn2047-2986en_US
cg.journalJournal of Global Healthen_US
cg.reviewStatusPeer Reviewen_US
cg.volume12en_US
dc.contributor.authorMargolies, Amyen_US
dc.contributor.authorKemp, Christopher G.en_US
dc.contributor.authorChoo, Esther M.en_US
dc.contributor.authorLevin, Carol E.en_US
dc.contributor.authorOlney, Deanna K.en_US
dc.contributor.authorKumar, Nehaen_US
dc.contributor.authorGo, Araen_US
dc.contributor.authorAlderman, Harolden_US
dc.contributor.authorGelli, Auloen_US
dc.date.accessioned2024-04-12T13:37:44Zen_US
dc.date.available2024-04-12T13:37:44Zen_US
dc.identifier.urihttps://hdl.handle.net/10568/141348en_US
dc.titleNutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysisen_US
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_US
dcterms.accessRightsOpen Accessen_US
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_US
dcterms.issued2022-02-19en_US
dcterms.languageenen_US
dcterms.publisherInternational Global Health Societyen_US
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/8160en_US
dcterms.subjectinfantsen_US
dcterms.subjectnutrition-sensitive agricultureen_US
dcterms.subjectagricultureen_US
dcterms.subjectpreschool childrenen_US
dcterms.subjectnutrition educationen_US
dcterms.subjectmalnutritionen_US
dcterms.subjectchildrenen_US
dcterms.subjectdietary diversityen_US
dcterms.typeJournal Articleen_US

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