Temporal dietary diversity patterns are associated with linear growth but not ponderal growth in young children in rural Vietnam

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cg.authorship.typesCGIAR and advanced research instituteen
cg.contributor.affiliationEmory Universityen
cg.contributor.affiliationInternational Food Policy Research Instituteen
cg.contributor.donorNestlé foundationen
cg.contributor.donorMathile Institute for Advancement of Human Nutritionen
cg.contributor.donorMicronutrient Initiativeen
cg.contributor.donorCGIAR Trust Funden
cg.contributor.initiativeOne Health
cg.coverage.countryVietnam
cg.coverage.iso3166-alpha2VN
cg.coverage.regionAsia
cg.coverage.regionSouth-eastern Asia
cg.creator.identifierPhuong H Nguyen: 0000-0003-3418-1674
cg.howPublishedFormally Publisheden
cg.identifier.dataurlhttps://ars.els-cdn.com/content/image/1-s2.0-S0022316623724358-mmc1.docxen
cg.identifier.doihttps://doi.org/10.1016/j.tjnut.2023.06.030en
cg.identifier.projectIFPRI - Nutrition, Diets, and Health Unit
cg.identifier.projectIFPRI - Systems Transformation - Food and Nutrition Policy
cg.identifier.publicationRankA Plus
cg.isijournalISI Journalen
cg.issn0022-3166en
cg.issue10en
cg.journalJournal of Nutritionen
cg.reviewStatusPeer Reviewen
cg.subject.actionAreaResilient Agrifood Systems
cg.subject.impactAreaNutrition, health and food security
cg.subject.impactPlatformNutrition, Health and Food Security
cg.subject.sdgSDG 3 - Good health and well-beingen
cg.volume153en
dc.contributor.authorDuong, C.en
dc.contributor.authorYoung, M.F.en
dc.contributor.authorNguyen, Phuong Hongen
dc.contributor.authorTran, L.en
dc.contributor.authorPatel, S.en
dc.contributor.authorRamakrishnan, U.en
dc.date.accessioned2023-09-27T21:28:32Zen
dc.date.available2023-09-27T21:28:32Zen
dc.identifier.urihttps://hdl.handle.net/10568/132043
dc.titleTemporal dietary diversity patterns are associated with linear growth but not ponderal growth in young children in rural Vietnamen
dcterms.abstractBackground The first 2 y of life mark critical changes in children’s diet from milk-based food to diverse food rich in taste and texture, but few studies in low-resource settings have explored the changes in diet quality during this period. Objectives We examine temporal dietary diversity patterns between 6 and 25 mo of age and their associations with child growth outcomes in rural Vietnam. Methods We used data from a prospective cohort (PRECONCEPT) and included 781 children that had dietary diversity data for 4 age windows: 6–8, 11–13, 17–19, and 23–25 mo of age. The temporal dietary diversity patterns were constructed by tracking how minimum dietary diversity changed over the 4 age windows. Multivariate logistic and linear regressions were used to assess the associations of dietary patterns with stunting and wasting at the 23–25 mo window and with relative linear and ponderal growth between 6 and 25 mo, respectively. Results Two key aspects of diet quality (the introduction and the stability of diverse diet) were used to define 5 temporal dietary diversity patterns: timely-stable (30% of the sample), timely-unstable (27%), delayed-stable (16%), delayed-unstable (15%), and super-delayed (12%). Compared with timely-stable pattern (the most optimal pattern), timely-unstable and super-delayed patterns were associated with a higher risk of stunting (odds ratio [OR]: 1.78; 95% confidence interval [CI]: 1.05, 3.04 and OR: 1.98; 95% CI: 1.02, 3.80, respectively) and slower linear growth (β: −0.24; 95% CI: −0.43, −0.06 and β: −0.25; 95% CI: −0.49, −0.02, respectively). No associations were found for wasting and relative ponderal growth. Conclusions Delayed introduction of a diverse diet and failure to maintain a diverse diet are associated with slower linear growth but not ponderal growth in the first 2 y of age. This trial was registered at clinicaltrials.gov as NCT01665378.en
dcterms.accessRightsOpen Access
dcterms.audienceAcademicsen
dcterms.available2023-06-25
dcterms.bibliographicCitationDuong, C., Young, M.F., Phuong Hong Nguyen, Tran, L., Patel, S. and Ramakrishnan, U. 2023. Temporal dietary diversity patterns are associated with linear growth but not ponderal growth in young children in rural Vietnam. Journal of Nutrition 153(10): 3083–3091.en
dcterms.extent3083–3091en
dcterms.issued2023-10-10
dcterms.languageen
dcterms.licenseCC-BY-4.0
dcterms.publisherElsevieren
dcterms.replaceshttps://ebrary.ifpri.org/digital/collection/p15738coll5/id/8763en
dcterms.subjectchild growthen
dcterms.subjectdataen
dcterms.subjectdata analysisen
dcterms.subjectdieten
dcterms.subjectdietary diversityen
dcterms.subjectresearch methodsen
dcterms.typeJournal Article

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