ArticlePloS one2018
Dietary diversity determinants and contribution of fish to maternal and under-five nutritional status in Zambia.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Measuring dietary intake in low-and middle-income countries: a systematic review of the methods and tools for estimating fish and seafood intake.Nutrition reviews · 2024Pooled it
- Fish and Fish-Based Products for Nutrition and Health in the First 1000 Days: A Systematic Review of the Evidence from Low and Middle-Income Countries.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- Relationship between Fish Consumption and Undernutrition among Young Indian Children.Current developments in nutrition · 2026Article
- Environmental change, aquatic conditions, and household food security: Evidence from Lake Malawi.Population and environment · 2025Article
- Household dietary diversity and associated factors in rural and peri-urban areas of Mbale District, Eastern Uganda.BMC public health · 2025Article
- Processing of fish products in Zambia for sustainable food systems and nutritious food for the first 1,000 days of life.Frontiers in nutrition · 2025Article
- Dietary diversity and associated factors among households and children in internally displaced person camps in Southern Somalia: A cross-sectional study.Maternal & child nutrition · 2024Article
- Dietary Diversity and Nutritional Status Among Rwandan Women Engaged in Agriculture: A Cross-Sectional Study.Public health challenges · 2024Article
- Monitoring and evaluation of childhood stunting reduction program based on fish supplement product in North Sumatera, Indonesia.Scientific reports · 2024Article
- Article
- HIARA study protocol: impacts of artificial coral reef development on fisheries, human livelihoods and health in southwestern Madagascar.Frontiers in public health · 2024Article
- Contribution of fish to food and nutrition security in Southern Africa: challenges and opportunities in fish production.Frontiers in nutrition · 2024Review
- Labour migration and food security in rural Mozambique: Do agricultural investment, asset building and local employment matter?Journal of international development · 2023Article
- Nutritional value of the marine fish in Bangladesh and their potential to address malnutrition: A review.Heliyon · 2023Review
- Household Dietary Diversity among Households with and without Children with Disabilities in Three Low-Income Communities in Lusaka, Zambia.International journal of environmental research and public health · 2023Article
- Minimum dietary diversity and consumption of ultra-processed foods among Brazilian children 6-23 months of age.Cadernos de saude publica · 2023Article
- The processing, preparation, and cooking practices of small fish among poor Ghanaian households: An exploratory qualitative study.Maritime studies : MAST · 2023Article
- Impact of Drinking Water Source and Sanitation Facility on Malnutrition Prevalence in Children under Three: A Gender-Disaggregated Analysis Using PDHS 2017-18.Children (Basel, Switzerland) · 2022Article
- More Than Fish-Framing Aquatic Animals within Sustainable Food Systems.Foods (Basel, Switzerland) · 2022Article
- The Role of Aquaculture and Capture Fisheries in Meeting Food and Nutrition Security: Testing a Nutrition-Sensitive Pond Polyculture Intervention in Rural Zambia.Foods (Basel, Switzerland) · 2022Article
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Authors and funding
5 authors.
Funding
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Abstract
backgroundThis study examines socio-economic determinants of food consumption patterns amongst women of reproductive age and children aged 6-59 months from urban poor settlements of Lusaka and their implications for nutritional status. Particular emphasis was placed on the role of fish in their diets and nutritional status.
methodsA cross-sectional survey design was applied, in which 714 mother-child dyads, with children aged 6-59 months were enrolled. A three-stage randomized cluster sampling approach was applied.
resultsThe mean dietary diversity score among children aged 6-23 and 24-59 months was 2.98 (±1.27) and 3.478 (±1.07), respectively. In children aged 6-23 months, there was a significant difference in their nutritional status, based on fish consumption (χ2 = 10.979, df = 2, p = 0.004). Children from poorer households consumed mostly small fish (Kapenta). The quantity of fish consumed by children was significantly associated with stunting in both age groups, odds ratio = 0.947 (95% CI: 0.896, 1.000) for children aged 6-23 months and odds ratio = 1.038 (95% CI: 1.006, 1.072) for children aged 24-59 months old. Other significant risk factors for stunting in children aged 6-23 months were the child's age, mother's body mass index, access to treated water and child morbidity. Child's age, mother's educational level and wealth status were determinants of dietary diversity in children aged 6-59 months as shown by the Poisson regression.
conclusionNutritional status of children aged 6-23 months is associated with fish consumption, with children consuming fish less likely to be stunted. Small fish (Kapenta) is an animal-source food that is particularly important in the diet of children in urban poor households in Zambia and contributes to better nutritional outcomes. As all small fish stem from capture fisheries, sustainable one health environmental integration, monitoring and management strategies are desirable.
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