Trial reportJournal of health, population, and nutrition2026
Associations between dietary patterns and adequate intake of climate-sensitive micronutrients among young children living in Siaya County, Kenya: Findings from the ALIMUS study baseline data.
Trial report in Journal of health, population, and nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundClimate change impacts food security in sub-Saharan Africa due to harvest losses and micronutrient reductions in staple foods. We aimed at identifying dietary patterns and their associations with climate-sensitive micronutrients (iron, zinc, selenium, vitamin A) among young children in rural Kenya.
methodsWe analyzed baseline data (N = 626; age range: 6-23 months, male sex: 54%) of a cluster-randomized controlled trial for nutrition interventions in Siaya county. Nutrient adequacy ratios (NARs) were calculated from semi-quantitative food frequency data. Dietary patterns were derived from food groups by Principal Component Analysis. In multiple-adjusted logistic regression models, we calculated odds ratios (OR) and 95% confidence intervals (CIs) for the associations between dietary patterns and climate-sensitive micronutrients.
resultsThe proportions of micronutrient inadequacy (NAR < 80%) were 85% for iron, 63% for zinc, 31% for Vitamin A, and 11% for selenium. Pattern 1 explained 12.7% of the variation in food intake and was inversely associated with iron inadequacy (OR: 0.20; 95% CI: 0.11, 0.37) and zinc inadequacy (OR: 0.57; 95% CI: 0.38, 0.86). Pattern 2 explained 8.0% and was positively associated with iron inadequacy (OR: 1.54; 95% CI: 1.10, 2.16). Pattern 3 explained 6.4% and showed higher odds of zinc inadequacy (OR: 1.87; 95% CI: 1.43, 2.44) and selenium inadequacy (OR: 1.95; 95% CI: 1.25, 3.06) in the fully adjusted models.
conclusionsThe intakes of iron, zinc, and vitamin A remain inadequate among young children in Siaya county. Pattern 1, but not the modernized diets (patterns 2 and 3), appears to support adequate intake of climate-sensitive micronutrients. Nutrition-specific and nutrition-sensitive programs are recommended to strengthen micronutrient adequacy in this region.
trial registrationGerman Clinical Trials Register (DRKS) DRKS00019076.
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