Dietary diversity and social determinants of nutrition among late adolescent girls in rural Pakistan

The conditions in which adolescent girls mature shape their health, development and nutrition. Nutrient requirements increase to support growth during adolescence, but gaps between consumption and requirements exist in low‐ and middle‐income countries. We aimed to identify and quantify the relations...

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Vydáno v:Maternal and child nutrition Ročník 18; číslo 1; s. e13265 - n/a
Hlavní autoři: Baxter, Jo‐Anna B., Wasan, Yaqub, Islam, Muhammad, Cousens, Simon, Soofi, Sajid B., Ahmed, Imran, Sellen, Daniel W., Bhutta, Zulfiqar A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: England John Wiley & Sons, Inc 01.01.2022
John Wiley and Sons Inc
Wiley
Témata:
Adolescent girls
Adolescents
Anemia
Causal models
Child development
Consumption
Diet
Diversification
Education
Empowerment
Females
Food
Food consumption
food intake
Girls
Healthy food
Households
Low income groups
malnutrition
micronutrients
Nutrient requirements
Nutrition
Nutrition education
Nutrition research
Nutritional status
Original
Pakistan
Poverty
Purchasing power
social determinants of health
Social factors
Socioeconomic factors
Teenagers
Variables
Vitamin deficiency
Wealth
Women
Pakistan
malnutrition
social determinants of health
Pakistan
micronutrients
diet
adolescent girls
food intake
ISSN:1740-8695, 1740-8709, 1740-8709
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Shrnutí:The conditions in which adolescent girls mature shape their health, development and nutrition. Nutrient requirements increase to support growth during adolescence, but gaps between consumption and requirements exist in low‐ and middle‐income countries. We aimed to identify and quantify the relationship between dietary intake and diverse social determinants of nutrition (SDN) among a subset of adolescent girls 15–18.9 years (n = 390) enrolled within the Matiari emPowerment and Preconception Supplementation (MaPPS) Trial. The primary outcome, dietary diversity score (DDS), was derived by applying the Minimum Dietary Diversity for Women 10‐item scale to 24‐h dietary recall data collected three times per participant. To examine the associations between the SDN‐related explanatory variables and DDS, we generated a hierarchical, causal model using mixed effects linear regression to account for the cluster‐randomized trial design. Using all data, diets lacked diversity (DDS mean ± SD: 3.35 ± 1.03 [range: 1–7; n = 1170]), and the minimum cut‐off for dietary diversity was infrequently achieved (13.5%; 95% CI: 11.6–15.6%). Consumption of starches was reported in all recalls, but micronutrient‐rich food consumption was less common. Of the SDN considered, wealth quintile had the strongest association with DDS (P < 0.0001). The diets of the sampled Pakistani adolescent girls were insufficient to meet micronutrient requirements. Poverty was the most important predictor of a diet lacking in diversity, indicating limited purchasing power or access to nutritious foods. Dietary diversification and nutrition education strategies alone are unlikely to lead to improved diets without steps to tackle this barrier, for example, through fortification of staple foods and provision of supplements.
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ISSN:1740-8695
1740-8709
1740-8709
DOI:10.1111/mcn.13265