Micronutrient-rich food consumption, intra-household food allocation and child stunting in rural Nigeria.

Objective: Children from rural households are often deprived of adequate micronutrient intakes either from food or supplementation. The present study examines: (i) the determinants of households' micronutrient-rich food consumption; and (ii) the combined effect of vitamin A supplementation and micro...

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Publicado en:Public Health Nutrition Vol. 22; no. 3; pp. 444 - 455
Autores principales: Fadare, Olusegun, Mavrotas, George, Akerele, Dare, Oyeyemi, Motunrayo
Formato: research Journal Article
Publicado: Cambridge University Press Mar2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2019
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      pub: Cambridge University Press
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        10.1017/S1368980018003075
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        atl: Micronutrient-rich food consumption, intra-household food allocation and child stunting in rural Nigeria.
      aug:
        au:
          Fadare, Olusegun
          Mavrotas, George
          Akerele, Dare
          Oyeyemi, Motunrayo
        affil: International Food Policy Research Institute, 1201 Eye Street NW, Washington, DC 20005-3915, USA
      sug:
        subj:
          Dietary Supplements
          Rural Population
          Diet Statistics and Numerical Data
          Growth Disorders Diet Therapy
          Vitamin A Administration and Dosage
          Child, Preschool
          Cross Sectional Studies
          Human
          Infant
          Nigeria
          Male
          Female
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Child, Preschool: 2-5 years
          Infant: 1-23 months
          Male
          Female
      ab: Objective: Children from rural households are often deprived of adequate micronutrient intakes either from food or supplementation. The present study examines: (i) the determinants of households' micronutrient-rich food consumption; and (ii) the combined effect of vitamin A supplementation and micronutrient-rich food consumption on child stunting in households with different food allocation patterns.Design: Cross-sectional study. Households' micronutrient-rich food consumption frequency and vitamin A supplementation were used as a proxy measure for child micronutrient intakes. Intra-household food allocation patterns were assessed from caregivers' perception of the disparity in food distribution within the household. Descriptive statistics and logistic regression were employed in analysing the study's objectives.Setting: Rural communities in Kwara State, Nigeria.ParticipantsIncluded 419 children aged 6-59 months and 413 households.Results: Owning small livestock and a refrigerator, knowledge of micronutrient-rich foods and higher parental education had strong associations with households' micronutrient-rich food consumption. Children from households that consumed micronutrient-rich foods and received more diverse diets were less likely to experience stunting. The combined effect of micronutrient-rich food consumption and vitamin A supplementation was stronger on the likelihood of stunting reduction than the separate effect of each.Conclusions: Assets ownership, human capital and knowledge of micronutrient-rich foods improve consumption of micronutrient-rich foods among the study population. Micronutrient supplementation to children with poor access to micronutrient-rich foods may not substantially enhance child growth unless reinforced through consumption of micronutrient-rich foods. Fruit and vegetable gardening, livestock holdings and nutrition education to parents should be integral parts of community nutrition programming.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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