Cargando…

Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity

BACKGROUND: Inadequate food and water resources negatively affect child health and the efficiency of nutrition interventions. METHODS: We used data from the SHINE trial to investigate the associations of food insecurity (FI) and water insecurity (WI) on mothers’ implementation and maintenance of min...

Descripción completa

Detalles Bibliográficos
Autores principales: Koyratty, Nadia, Mbuya, Mduduzi N. N., Jones, Andrew D., Schuster, Roseanne C., Kordas, Katarzyna, Li, Chin-Shang, Tavengwa, Naume V., Majo, Florence D., Chasekwa, Bernard, Ntozini, Robert, Humphrey, Jean H., Smith, Laura E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673371/
https://www.ncbi.nlm.nih.gov/pubmed/36401302
http://dx.doi.org/10.1186/s40795-022-00622-8
_version_ 1784832929051967488
author Koyratty, Nadia
Mbuya, Mduduzi N. N.
Jones, Andrew D.
Schuster, Roseanne C.
Kordas, Katarzyna
Li, Chin-Shang
Tavengwa, Naume V.
Majo, Florence D.
Chasekwa, Bernard
Ntozini, Robert
Humphrey, Jean H.
Smith, Laura E.
author_facet Koyratty, Nadia
Mbuya, Mduduzi N. N.
Jones, Andrew D.
Schuster, Roseanne C.
Kordas, Katarzyna
Li, Chin-Shang
Tavengwa, Naume V.
Majo, Florence D.
Chasekwa, Bernard
Ntozini, Robert
Humphrey, Jean H.
Smith, Laura E.
author_sort Koyratty, Nadia
collection PubMed
description BACKGROUND: Inadequate food and water resources negatively affect child health and the efficiency of nutrition interventions. METHODS: We used data from the SHINE trial to investigate the associations of food insecurity (FI) and water insecurity (WI) on mothers’ implementation and maintenance of minimum infant dietary diversity (MIDD). We conducted factor analysis to identify and score dimensions of FI (poor access, household shocks, low availability & quality), and WI (poor access, poor quality and low reliability). MIDD implementation (n = 636) was adequate if infants aged 12 months (M12) ate ≥ four food groups. MIDD maintenance (n = 624) was categorized into four mutually exclusive groups: A (unmet MIDD at both M12 and M18), B (unmet MIDD at M12 only), C (unmet MIDD at M18 only), and D (met MIDD at both M12 and M18). We used multivariable-adjusted binary logistic and multinomial regressions to determine likelihood of MIDD implementation, and of belonging to MIDD maintenance groups A-C (poor maintenance groups), compared to group D, respectively. RESULTS: Low food availability & quality were negatively associated with implementation (OR = 0.81; 0.69, 0.97), and maintenance (OR(B) = 1.29; 1.07, 1.56). Poor water quality was positively associated with implementation (OR = 1.25; 1.08, 1.44), but inconsistently associated with maintenance, with higher odds of infants being in group C (OR = 1.39; 1.08, 1.79), and lower odds of being in group B (OR = 0.80; 0.66, 0.96). CONCLUSION: Food security should be prioritized for adequate implementation and maintenance of infant diets during complementary feeding. The inconsistent findings with water quality indicate the need for further research on WI and infant feeding. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40795-022-00622-8.
format Online
Article
Text
id pubmed-9673371
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-96733712022-11-19 Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity Koyratty, Nadia Mbuya, Mduduzi N. N. Jones, Andrew D. Schuster, Roseanne C. Kordas, Katarzyna Li, Chin-Shang Tavengwa, Naume V. Majo, Florence D. Chasekwa, Bernard Ntozini, Robert Humphrey, Jean H. Smith, Laura E. BMC Nutr Research BACKGROUND: Inadequate food and water resources negatively affect child health and the efficiency of nutrition interventions. METHODS: We used data from the SHINE trial to investigate the associations of food insecurity (FI) and water insecurity (WI) on mothers’ implementation and maintenance of minimum infant dietary diversity (MIDD). We conducted factor analysis to identify and score dimensions of FI (poor access, household shocks, low availability & quality), and WI (poor access, poor quality and low reliability). MIDD implementation (n = 636) was adequate if infants aged 12 months (M12) ate ≥ four food groups. MIDD maintenance (n = 624) was categorized into four mutually exclusive groups: A (unmet MIDD at both M12 and M18), B (unmet MIDD at M12 only), C (unmet MIDD at M18 only), and D (met MIDD at both M12 and M18). We used multivariable-adjusted binary logistic and multinomial regressions to determine likelihood of MIDD implementation, and of belonging to MIDD maintenance groups A-C (poor maintenance groups), compared to group D, respectively. RESULTS: Low food availability & quality were negatively associated with implementation (OR = 0.81; 0.69, 0.97), and maintenance (OR(B) = 1.29; 1.07, 1.56). Poor water quality was positively associated with implementation (OR = 1.25; 1.08, 1.44), but inconsistently associated with maintenance, with higher odds of infants being in group C (OR = 1.39; 1.08, 1.79), and lower odds of being in group B (OR = 0.80; 0.66, 0.96). CONCLUSION: Food security should be prioritized for adequate implementation and maintenance of infant diets during complementary feeding. The inconsistent findings with water quality indicate the need for further research on WI and infant feeding. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40795-022-00622-8. BioMed Central 2022-11-18 /pmc/articles/PMC9673371/ /pubmed/36401302 http://dx.doi.org/10.1186/s40795-022-00622-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Koyratty, Nadia
Mbuya, Mduduzi N. N.
Jones, Andrew D.
Schuster, Roseanne C.
Kordas, Katarzyna
Li, Chin-Shang
Tavengwa, Naume V.
Majo, Florence D.
Chasekwa, Bernard
Ntozini, Robert
Humphrey, Jean H.
Smith, Laura E.
Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity
title Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity
title_full Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity
title_fullStr Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity
title_full_unstemmed Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity
title_short Implementation and maintenance of infant dietary diversity in Zimbabwe: contribution of food and water insecurity
title_sort implementation and maintenance of infant dietary diversity in zimbabwe: contribution of food and water insecurity
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9673371/
https://www.ncbi.nlm.nih.gov/pubmed/36401302
http://dx.doi.org/10.1186/s40795-022-00622-8
work_keys_str_mv AT koyrattynadia implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT mbuyamduduzinn implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT jonesandrewd implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT schusterroseannec implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT kordaskatarzyna implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT lichinshang implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT tavengwanaumev implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT majoflorenced implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT chasekwabernard implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT ntozinirobert implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT humphreyjeanh implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity
AT smithlaurae implementationandmaintenanceofinfantdietarydiversityinzimbabwecontributionoffoodandwaterinsecurity