Evidence map›Paper›PMID 32618231›Full record

ArticlePublic health nutrition2021

Associations of dietary diversity with anaemia and iron status among 5- to 12-year-old schoolchildren in South Africa.

Marina Visser, Tertia Van Zyl, Susanna M Hanekom, Jeannine Baumgartner, Marinka van der Hoeven, Christine Taljaard-Krugell, Cornelius M Smuts, Mieke Faber

Abstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Nutrient-dense foods and diverse diets are important for ensuring adequate nutrition across the life course.Proceedings of the National Academy of Sciences of the United States of America · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marina VisserCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.ORCID 0000-0002-6173-0651
Tertia Van ZylCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.
Susanna M HanekomCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.
Jeannine BaumgartnerCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.ORCID 0000-0002-9107-4181
Marinka van der HoevenCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.
Christine Taljaard-KrugellCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.
Cornelius M SmutsCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.
Mieke FaberCentre of Excellence for Nutrition (CEN), North-West University, Potchefstroom2520, South Africa.ORCID 0000-0002-8878-254X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the associations of dietary diversity with anaemia and iron status among primary school-aged children in South Africa.

designAn analysis was conducted with pooled individual data from the baseline surveys from three previously conducted independent intervention studies. Two different dietary diversity scores (DDS) were calculated based on data from 1-day (1-d) and 3-day (3-d) dietary recall periods, respectively. Logistic regression analysis was performed to examine the associations of dietary diversity with anaemia and iron status.

settingKwaZulu-Natal and North West provinces, South Africa.

participantsChildren (n 578) 5- to 12-year-old.

resultsA DDS ≤ 4 was associated with higher odds of being anaemic (1-d P = 0·001; 3-d P = 0·006) and being iron deficient (ID) (3-d P < 0·001). For both recall periods, consumption of 'vegetables and fruits other than vitamin A-rich' and 'animal-source foods (ASF)' was associated with lower odds of being anaemic (both P = 0·002), and 'organ meats' with lower odds of being ID (1-d P = 0·045; 3-d P < 0·001). Consumption of 'meat, chicken and fish' was associated with lower odds of being anaemic (P = 0·045), and 'vegetables and fruits other than vitamin A-rich', 'legumes, nuts and seeds' and 'ASF' with lower odds of being ID for the 3-d recall period only (P = 0·038, P = 0·020 and P = 0·003, respectively).

conclusionIn order to improve anaemia and iron status among primary school-aged children, dietary diversification, with emphasis on consumption of vegetables, fruits and ASF (including organ meats), should be promoted.

Indexed as

AnemiaAnemia, Iron-DeficiencyAnimalsChildChild, PreschoolCross-Sectional StudiesDietHumansIronIron, DietarySouth AfricaVegetablesIronIron, DietaryAnaemiaDietary diversityIron deficiencySchool-aged childrenSouth Africa

Identifiers

PMID32618231
PMCPMC10195556

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.