Cargando…

Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China

Poor child feeding and childhood malnutrition are major public health problems in rural central and western China, with little evidence about their environmental determinants. This study aimed to investigate whether household water access is associated with dietary diversity and nutritional outcomes...

Descripción completa

Detalles Bibliográficos
Autores principales: Gao, Yaqing, Sheng, Jie, Mi, Xiaoyi, Zhou, Mo, Zou, Siyu, Zhou, Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840283/
https://www.ncbi.nlm.nih.gov/pubmed/35276816
http://dx.doi.org/10.3390/nu14030458
_version_ 1784650581999091712
author Gao, Yaqing
Sheng, Jie
Mi, Xiaoyi
Zhou, Mo
Zou, Siyu
Zhou, Hong
author_facet Gao, Yaqing
Sheng, Jie
Mi, Xiaoyi
Zhou, Mo
Zou, Siyu
Zhou, Hong
author_sort Gao, Yaqing
collection PubMed
description Poor child feeding and childhood malnutrition are major public health problems in rural central and western China, with little evidence about their environmental determinants. This study aimed to investigate whether household water access is associated with dietary diversity and nutritional outcomes. We analyzed the cross-sectional data of 3727 children aged 6 to 59 months in rural central and western China, applying multivariate linear and logistic models to estimate the effect of water access on children’s anthropometric indices, hemoglobin, and dietary diversity. We found that unimproved water access was linked to a lower likelihood of achieving dietary diversity (OR = 0.65, 95% CI 0.44 to 0.98, p = 0.039); lower height-for-age z-score (β = −0.34, 95% CI −0.49 to −0.19, p < 0.001) and hemoglobin concentration (β = −2.78, 95% CI −5.16 to −0.41, p = 0.022); higher odds of stunting (OR = 1.50, 95% CI 1.01 to 2.25, p = 0.047) and anemia (OR = 1.34, 95% CI 1.02 to 1.77, p = 0.037). The associations between water access and nutritional outcomes were not explained by dietary diversity and were stronger in children who did not receive iron supplementation. These findings provide evidence for designing water-based nutritional interventions in China.
format Online
Article
Text
id pubmed-8840283
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-88402832022-02-13 Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China Gao, Yaqing Sheng, Jie Mi, Xiaoyi Zhou, Mo Zou, Siyu Zhou, Hong Nutrients Article Poor child feeding and childhood malnutrition are major public health problems in rural central and western China, with little evidence about their environmental determinants. This study aimed to investigate whether household water access is associated with dietary diversity and nutritional outcomes. We analyzed the cross-sectional data of 3727 children aged 6 to 59 months in rural central and western China, applying multivariate linear and logistic models to estimate the effect of water access on children’s anthropometric indices, hemoglobin, and dietary diversity. We found that unimproved water access was linked to a lower likelihood of achieving dietary diversity (OR = 0.65, 95% CI 0.44 to 0.98, p = 0.039); lower height-for-age z-score (β = −0.34, 95% CI −0.49 to −0.19, p < 0.001) and hemoglobin concentration (β = −2.78, 95% CI −5.16 to −0.41, p = 0.022); higher odds of stunting (OR = 1.50, 95% CI 1.01 to 2.25, p = 0.047) and anemia (OR = 1.34, 95% CI 1.02 to 1.77, p = 0.037). The associations between water access and nutritional outcomes were not explained by dietary diversity and were stronger in children who did not receive iron supplementation. These findings provide evidence for designing water-based nutritional interventions in China. MDPI 2022-01-20 /pmc/articles/PMC8840283/ /pubmed/35276816 http://dx.doi.org/10.3390/nu14030458 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gao, Yaqing
Sheng, Jie
Mi, Xiaoyi
Zhou, Mo
Zou, Siyu
Zhou, Hong
Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China
title Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China
title_full Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China
title_fullStr Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China
title_full_unstemmed Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China
title_short Household Water Access, Dietary Diversity and Nutritional Status among Preschoolers in Poor, Rural Areas of Central and Western China
title_sort household water access, dietary diversity and nutritional status among preschoolers in poor, rural areas of central and western china
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840283/
https://www.ncbi.nlm.nih.gov/pubmed/35276816
http://dx.doi.org/10.3390/nu14030458
work_keys_str_mv AT gaoyaqing householdwateraccessdietarydiversityandnutritionalstatusamongpreschoolersinpoorruralareasofcentralandwesternchina
AT shengjie householdwateraccessdietarydiversityandnutritionalstatusamongpreschoolersinpoorruralareasofcentralandwesternchina
AT mixiaoyi householdwateraccessdietarydiversityandnutritionalstatusamongpreschoolersinpoorruralareasofcentralandwesternchina
AT zhoumo householdwateraccessdietarydiversityandnutritionalstatusamongpreschoolersinpoorruralareasofcentralandwesternchina
AT zousiyu householdwateraccessdietarydiversityandnutritionalstatusamongpreschoolersinpoorruralareasofcentralandwesternchina
AT zhouhong householdwateraccessdietarydiversityandnutritionalstatusamongpreschoolersinpoorruralareasofcentralandwesternchina