ArticleThe Journal of nutrition2016
Dietary Diversity Is Positively Associated with Deviation from Expected Height in Rural Nepal.
Article in The Journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Drivers of stunting reduction in Nepal: a country case study.The American journal of clinical nutrition · 2020Pooled it
- Feeding, caregiving practices, and developmental delay among children under five in lowland Nepal: a community-based cross-sectional survey.BMC public health · 2022Trial
- Trial
- Trial
- Determinants of Infant Growth in a Birth Cohort in the Nepal Plains.Maternal & child nutrition · 2025Article
- Nutritional Status and Health Challenges Among Schoolchildren in Nepal's Solukhumbu Valley.Children (Basel, Switzerland) · 2025Article
- Household food insecurity, dietary diversity with undernutrition among children younger than five years in Indian subcontinent-a narrative review.The Lancet regional health. Southeast Asia · 2024Review
- Children in All Policies (CAP) 2030 Citizen Science for Climate Change Resilience: a cross-sectional pilot study engaging adolescents to study climate hazards, biodiversity and nutrition in rural Nepal.Wellcome open research · 2023Article
- The role of food preferences in determining diet quality for Tanzanian consumers.Journal of development economics · 2022Article
- Parental depression and nutrition: findings from a cross-sectional household survey in Nepal.Public health nutrition · 2020Article
- Are Household Expenditures on Food Groups Associated with Children's Future Heights in Ethiopia, India, Peru, and Vietnam?International journal of environmental research and public health · 2020Article
- Factors associated with dietary diversity and length-for-age z-score in rural Ethiopian children aged 6-23 months: A novel approach to the analysis of baseline data from the Sustainable Undernutrition Reduction in Ethiopia evaluation.Maternal & child nutrition · 2020Article
- Consumption of rice, acceptability and sensory qualities of fortified rice amongst consumers of social safety net rice in Nepal.PloS one · 2019Article
- Seasonality of Consumption of Nonstaple Nutritious Foods among Young Children from Nepal's 3 Agroecological Zones.Current developments in nutrition · 2018Article
- Effectiveness of a stunting recovery program for children treated in a specialized center.Pediatric research · 2018Article
- Socioeconomic determinants of growth in a longitudinal study in Nepal.Maternal & child nutrition · 2018Article
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 4 countries.
Funding
Abstract
backgroundRecent research has highlighted the need for additional studies on the nutrition input required to stabilize growth.
objectiveOur objective was to examine the association between dietary diversity and conditional growth in children aged 0-89 mo.
methodsWe analyzed cohort data from 529 mothers and children living in a remote and food-insecure region in the mountains of Nepal. Children were aged 0-59 mo at baseline and were followed up after 9 and 29 mo. Conditional growth was calculated as the deviation from the expected height-for-age difference (HAD) trajectory based on previous measures of HAD and the pattern of growth in the population. Dietary diversity was assessed with the use of a count of the foods consumed from 7 food groups in the previous 7 d. The association between dietary diversity and conditional growth during the 2 follow-up periods (of 9 and 20 mo, respectively) was estimated with the use of ordinary least-squares regressions.
resultsPrevalence of stunting and absolute height deficits was very high and increased over the course of the study. At the last measurement (age range 29-89 mo), 76.5% were stunted and the mean ± SD HAD was -11.7 ± 4.6 cm. Dietary diversity was associated positively with conditional growth in the later (May 2012-December 2013) but not the earlier (July 2011-May 2012) growth period. Children's ages ranged from 0 to 59 mo in July 2011, 9 to 69 mo in May 2012, and 29 to 89 mo in December 2013. After adjustment, increasing the dietary diversity by one food group was associated with a 0.09 cm (95% CI: 0.00, 0.17 cm) increase in conditional growth in the second growth period.
conclusionsIncreasing dietary diversity for children reduces the risk of stunting and improves growth after growth faltering. Future efforts should be directed at enabling families in food-insecure areas to feed their children a more diverse diet.
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