Evidence map›Paper›PMID 42086300›Full record

Trial reportBMJ global health2026

Nutrition-sensitive agriculture programme impacts women's mental health via food security in rural Bangladesh.

Thalia M Sparling, Cesar Cornejo, Claudia Offner, Axel Mayer, Jillian L Waid, Suneetha Kadiyala, Sabine Gabrysch

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02505711 (Reducing Young Child Undernutrition Through an Integrated Agricultural Project With Women's Groups), which is not on this map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 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.

NCT02505711 nacompletednot on this map

Reducing Young Child Undernutrition Through an Integrated Agricultural Project With Women's Groups: A Cluster-randomized Trial in Rural Bangladesh

TypeinterventionalSponsorSabine GabryschRan2015 to 2021Enrolled2,705ConditionsMalnutritionArmsHomestead Food Production program
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Thalia M SparlingLondon School of Hygiene & Tropical Medicine, London, UK thalia.sparling@lshtm.ac.uk.ORCID 0000-0002-8071-3232
Cesar CornejoLondon School of Hygiene & Tropical Medicine, London, UK.ORCID 0009-0006-1042-8838
Claudia OffnerLondon School of Hygiene & Tropical Medicine, London, UK.
Axel MayerDepartment of Psychological Methods and Evaluation, Bielefeld University, Bielefeld, Germany.ORCID 0000-0001-9716-878X
Jillian L WaidMember of the Leibniz Association, Potsdam Institute for Climate Impact Research (PIK), e. V., Potsdam, Germany.
Suneetha KadiyalaLondon School of Hygiene & Tropical Medicine, London, UK.
Sabine GabryschMember of the Leibniz Association, Potsdam Institute for Climate Impact Research (PIK), e. V., Potsdam, Germany.

Funding

Gates Foundation INV-002962 / OPP1211308
6 · The paper itself

Abstract

introductionFood insecurity and malnutrition, as well as poor mental health, negatively impact millions of people worldwide and can reinforce each other, compounded by gender inequity. Nutrition-sensitive agriculture interventions have the potential to improve these simultaneously. We analysed the impact of a homestead food production (HFP) programme on women's mental health, including pathways through food insecurity, women's empowerment and dietary diversity.

methodsThe Food and Agricultural Approaches to Malnutrition cluster-randomised trial allocated 96 settlements in northeastern Bangladesh 1:1 to a HFP programme, implemented 2015-2018, and control. Data were collected at baseline in 2015, at endline in 2019/20 and continuously through a surveillance system. Depressive symptoms were assessed using the Edinburgh Postpartum Depression Scale (EPDS). We quantified the intervention's impact on depressive symptoms at endline, analysing data from 2513 women using multilevel regression. We also examined whether that effect was mediated by household food security, women's empowerment and women's dietary diversity, using sequential mediation analysis with cluster-bootstrapped standard errors, adjusting for baseline covariates.

resultsAt baseline, 39% of households were severely food insecure and 69% of women did not have minimally diverse diets. At endline, 38% of women in the control and 32% in the intervention arm screened positive for depressive symptoms (EPDS≥12). The intervention reduced the odds of depressive symptoms by 23% (OR 0.77, p=0.03). There was no evidence that the combined pathway reduced depression (OR 0.95, p=0.24). When decomposed, food security was responsible for one-third of the total effect (OR 0.92, p=0.01). Most of the intervention effect on depression was through other pathways (OR 0.81, p=0.08).

conclusionsOn average, intervention participants had better mental health 1 year after the programme ended, with some of the effect mediated by increased food security. There are likely other pathways through which nutrition-sensitive agriculture can improve mental health, such as social protection and income, which may act synergistically. TRIAL REGISTRATION NUMBER: NCT02505711.

Indexed as

AgricultureFood SecurityFood SupplyMental HealthRural PopulationWomen's HealthAdultBangladeshDepressionFemaleFood InsecurityHumansMalnutritionYoung AdultGlobal HealthInterdisciplinary ResearchMental Health & PsychiatryNutritionPublic Health

Identifiers

PMID42086300
PMCPMC13150902

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Registered trials

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.