Search Results (78)

Background/Objectives: Maternal dietary behaviors, including meal frequency patterns, may influence fetal growth. This study examined the associations between maternal meal frequency patterns during pregnancy—categorized as structured, moderately irregular, or highly irregular—and neonatal anthropometric outcomes, including weight, length, head, chest, and abdominal circumferences, and Apgar score. A secondary objective was to assess whether maternal education and household income modify these associations. Methods: This cross-sectional study included 1025 mother–newborn pairs from a socioeconomically diverse Romanian cohort. Maternal meal frequency patterns were classified based on self-reported weekly consumption. Neonatal anthropometric outcomes were obtained from medical records. Multivariable linear regression models, adjusted for maternal and neonatal characteristics, assessed the associations between meal frequency patterns and birth outcomes. Interaction terms evaluated effect modification by maternal education and income. Results: Structured maternal meal frequency patterns were associated with a slight but significant reduction in neonatal length compared to highly irregular patterns (β = −0.36 cm; 95% CI: −0.68 to −0.04; p = 0.02). A borderline inverse association with birth weight was also observed (β = −63.82 g; 95% CI: −128.87 to 1.23; p = 0.05). No significant differences were found for other anthropometric indicators or Apgar score. Maternal education modified the association between moderately irregular patterns and chest circumference (β = 0.15 cm; 95% CI: 0.04 to 0.25; p = 0.003), while household income modified the association with abdominal circumference (β = 0.14 cm; 95% CI: 0.02 to 0.26; p = 0.02). Conclusions: Maternal meal frequency patterns were modestly associated with neonatal length, while socioeconomic factors modified specific anthropometric outcomes. These findings highlight the importance of considering social context in prenatal nutritional recommendations. Full article

The study examines changes in household food security and identifies their key determinants in Zambia by comparing the pre-pandemic period to the COVID-19 pandemic period. Using nationally representative surveys from 2015 and 2021 and the coarsened exact matching (CEM) approach, 8650 households were matched for comparison. Two complementary food security measures are analysed using multinomial logit regression models: household expenditure share, representing economic vulnerability, and household dietary diversity score (HDDS), representing diet quality. The results show that household food expenditure share significantly increased from 53.8% to 61.4%, indicating increased economic vulnerability. Notably, household dietary diversity improved from 7.1 to 8.2 out of 12, indicating better dietary quality. Consistent determinants of food security—such as household size, education level, marital status, region, and employment—remained significant, but their protective effects weakened during the pandemic. Specifically, the protective effect of education declined, urban households became relatively more vulnerable, and wealthier households experienced minimal changes. The study recommends targeted interventions, including expanding social protection programmes for economically vulnerable households, supporting informal food markets, enhancing rural–urban food supply linkages, and promoting nutrition education to ensure diverse, affordable food access during crises. Full article

Background/Objectives: Despite ongoing national interventions, pockets of acute malnutrition persist in rural settings of South Africa, contributing to disproportionate rates of child morbidity and mortality. This study aimed to identify risk factors associated with acute malnutrition among under-five children attending primary healthcare facilities in Msinga, KwaZulu-Natal Province, with a specific focus on dietary diversity and selected infant and young child feeding indicators. Methods: A cross-sectional, facility-based study was conducted among 415 mother–child pairs attending five randomly selected PHC facilities in the Msinga sub-district. Participants were selected using a multistage sampling design from a sampling frame of 18,797 under-five children. Of the 551 mother–child pairs approached; the final analytic sample comprised 415 observations. Data were collected through structured interviews, anthropometric assessments, and dietary diversity scores (DDS). Data were analyzed using Stata 18, and Poisson regression was applied to identify risk factors. Results: The prevalence of acute malnutrition was 29% based on weight-for-height/length z-scores (WHZ/WLZ) and 27% based on mid–upper-arm circumference z-scores (MUACZ). Children aged ≥36 months had significantly higher prevalence of acute malnutrition (aPR = 1.62; 95% CI: 1.15–2.10). Children from households with five or more members had reduced risk (aPR = 0.66; 95% CI: 0.45–0.74), and those born full-term showed a strong protective association (aPR = 0.39; 95% CI: 0.23–0.64). Maternal age was associated with reduced risk, with children of mothers aged 25–34 years (aPR = 0.67; 95% CI: 0.48–0.93) and ≥35 years (aPR = 0.58; 95% CI: 0.35–0.84) experiencing significantly lower prevalence. Mixed feeding was significantly associated with reduced risk (aPR = 0.86; 95% CI: 0.55–1.17), while a DDS ≥4 was protective (aPR = 0.41; 95% CI: 0.04–0.84). Consumption of protein-rich foods was notably low, with only 21% consuming flesh foods and 10% consuming eggs. Conclusions: Acute malnutrition in under-five children was significantly associated with poor diet quality, older age, low household income, and mixed feeding practices. Protective factors included full-term pregnancy, larger households, older maternal age, and adequate dietary diversity, highlighting the importance of targeted, multisectoral interventions. Full article

Market-oriented agriculture functions as a critical mechanism by which rural farmers can alleviate poverty and enhance food security, and it is actively promoted in Côte d’Ivoire. However, household food security varies across commercialized farmers depending on context and region. This paper examines variations in food security between different market-oriented vegetable-farming households in rural northern Côte d’Ivoire. Using cross-sectional data from 200 vegetable farmers, this study employs an endogenous switching regression model to address potential selectivity bias. The results show that market-oriented farming is positively associated with higher food-consumption scores, greater dietary diversity, and increased caloric intake. Moreover, nonparticipants or semi-subsistence farmers are expected to achieve better food-security outcomes under market-oriented conditions. Key factors influencing the adoption of market-oriented farming include market proximity, access to extension services, and education level. This paper advocates for policies tailored to specific environments, such as rural smallholder farming communities, that support local markets and encourage entrepreneurship, especially among women and youth, and ensure the accessibility of improved inputs, thereby supporting market-oriented agriculture and enhancing food security. Full article

Irrigation plays a crucial role in enhancing food production, increasing land productivity, and improving the livelihoods of smallholder farmers in Sub-Saharan Africa (SSA). Solar pumps and water harvesting ponds have emerged as promising technologies for sustainable agriculture for smallholders in SSA and beyond. The socio-economic impacts of these systems are less studied in the existing literature. This study examined the agricultural productivity of solar pump and water harvesting irrigation technologies and their impacts on income and food security among smallholder farmers in the Central Rift Valley, Lake Hawassa, and Upper Awash sub-basin areas in Ethiopia. Data were collected from 161 farming households that were selected randomly from woredas where solar pump and water harvesting pond irrigation systems had been implemented. The sample size was determined using the power calculation method. Bio-physical observation and measurements were also conducted at field levels. The benefit–cost ratio (BCR) and net water value (NWV) from the use of solar pump and water harvesting pond irrigations were analyzed to assess the viability of these systems. The household food consumption score (HFCS) and household dietary diversity score (HDDS) were calculated to measure food security, while the revenue from crop production was used to measure crop income. An endogenous switching regression model was applied to address the endogeneity nature of the adoption of the irrigation technologies. The counterfactual analysis, specifically the Average Treatment Effect on the Treated (ATT), was used to evaluate the impacts of the irrigation technologies on income and food security. Results indicate that the ATT of crop income, HFCS, and HDDS are positive and statistically significant, illustrating the role of these irrigation systems in enhancing smallholder farmers’ welfare. Moreover, smallholder farmers’ solar pump irrigation systems were found to be economically viable for few crops, with a BCR greater than 1.0 and an NWV ranging from 0.21 to 1.53 USD/m³. It was also found that bundling agricultural technologies with solar pump irrigation systems leads to enhanced agricultural outputs and welfare. The sustainable adoption and scale-up of these irrigation systems demand addressing technical and financial constraints, as well as input and output market challenges. Full article

Agriculture, a cornerstone of Nepal’s economy, is dominated by smallholder farmers cultivating staple crops under resource and input constraints, leading to declining productivity amid rapid population growth and urban migration. This study explores the role of agricultural diversification in enhancing dietary diversity and improving smallholder livelihoods using panel data from the Nepal Household Risk and Vulnerability Survey (2016–2018). Analysis through the Simpson diversification index and food consumption scores reveals a strong positive correlation between agricultural diversification and dietary diversity. Key determinants include market access, irrigation systems (rainfed or canal-based), input availability (fertilizers and labor), and land type. Dry season crop diversification was positively associated with dietary diversity, while market access showed a significant negative impact on dietary diversity as distance increased. Upland areas exhibited higher potential for diversification, especially in the dry season, driven by improved access to inputs and irrigation. Policy recommendations highlight the need to enhance infrastructure in upland regions, improve market access, and ensure input availability, particularly fertilizers and labor, to support seasonal diversification. Such measures are essential for strengthening food security, nutritional diversity, and economic resilience among smallholder farmers in Nepal. Full article

The purpose of this paper is to explore the relationship between part-time farming and the nutrition and health of rural residents, test the possible effects through two potential pathways—income effect and time effect—and further analyze the family heterogeneity characteristic of downward intergenerational support. Using the ordered probit model and cross-sectional data from the China Rural Revitalization Comprehensive Survey (CRRS), which provide information on household income, health conditions, and nutritional caloric intake, this study estimates the relationship between part-time farming and the nutritional health of rural residents. The effects are decomposed into income (measured by dietary diversity scores and food consumption expenditures) and time effects (measured by excess caloric intake), with additional analysis on family heterogeneity concerning downward intergenerational support. Part-time farming positively correlates with rural residents’ nutritional health through two pathways: income effect (improved dietary diversity and increased food consumption) and time effect (negative impact of excessive caloric intake). Downward intergenerational support mitigates the negative time effect. This paper highlights the often-overlooked impact of part-time farming on rural nutrition and health, emphasizing non-linear effects and the significant role of downward intergenerational support, thus filling a gap in existing research. Full article

It is unknown how recurring flooding impacts household diet in Central Java. We aimed to assess how recurrent flooding influenced household food access over 22 years in Central Java by linking the Global Surface Water dataset (GSW) to the Indonesian Family Life Survey. We examined linear and nonlinear relationships and joint effects with indicators of adaptive capacity. We measured recurrent flooding as the fraction of district raster cells with episodic flooding from 1984–2015 using GSW. Food access outcomes were household food expenditure share (FES) and dietary diversity score (DDS). We fit generalized linear mixed models and random forest regression models. We detected joint effects with flooding and adaptive capacity. Wealth and access to credit were associated with improved FES and DDS. The effect of wealth on FES was stronger in households in more flood-affected districts, while access to credit was associated with reduced odds of DDS in more flood-affected districts. Flooding had more predictive importance for FES than for DDS. Access to credit, a factor that ordinarily improves food access, may not be effective in flood-prone areas. Wealthier households may be better able to adapt in terms of food access. Future research should incorporate land use data to understand how different locales are affected and further understand the complexity of these relationships. Full article

Malnutrition is a major concern in Madagascar. Eating a wide variety of nutritious food is necessary because Malagasy diets heavily rely on rice consumption. This study explored the barriers to dietary change towards diversification from the perspective of consumer behaviour. We analysed the impact of risk and time preferences on dietary diversity using economic experiments conducted with 539 rural lowland rice farmers in Central Highlands in Madagascar. The results showed that risk-averse or impatient individuals were more likely to have lower Household Dietary Diversity Score (HDDS), indicating poorer diet quality. Risk-averse people may not want to add different foods to meals as they perceive unfamiliar food as a ‘risk’; people who prefer immediate gratification may fail to invest in nutritious diets now to achieve better health in the future. Additionally, higher HDDS was observed among households with a female head who earned off-farm income and who had frequent market visits. These findings contribute to explaining the limited shift in nutritional transition in Madagascar and provide useful insights into nutritional policies promoting healthier food choices. Depending on the preferences, more focused support such as nutritional education, financial support, market development, and pre-commitment mechanisms could be provided to reward long-term nutritional benefits. Full article

This study explores how the Household Dietary Diversity Score (HDDS) and spatial visualization can inform food governance in Chile, focusing on socio-demographic and geographical determinants affecting food consumption patterns. A national household database (n = 4047), including households from 2019 (n = 3967; 98.02%) and 2020 (n = 80; 1.98%), provided by the “Family Support Program of Food Self-Sufficiency” (FSPFS) of the Ministry of Social Development and Family, was analyzed. The findings revealed that Chilean vulnerable households were led mostly by women (86.6%), with an age average of 55.9 ± 15.6 years old, versus 68.9 ± 12.9 years in the case of men. The intake frequency analysis showed that dairy, fruits, and vegetables were below the recommended values in at least half of the households, and that fats and sugars were above recommended levels. Regarding the HDDS (0–189), the national average was 91.4 ± 20.6 and was significantly influenced by the number of minors in the households, water access, food access issues, and residing in the Zona Sur. Finally, the spatial visualization showed that the Zona Central had higher consumption of fruits and vegetables, while the extreme zones Norte Grande and Zona Austral showed higher intakes of fats and sugars. These findings emphasize the importance of leveraging data insights like the HDDS and spatial visualization to enhance food security and inform food governance strategies. Full article

Food insecurity remains a pressing issue globally, exacerbated in regions like sub-Saharan Africa, where rural communities face significant challenges in accessing nutritious food. The Eastern Cape Province of South Africa is particularly vulnerable, with high levels of poverty and limited infrastructure contributing to food insecurity among its rural households. In response to these challenges, family food gardens have emerged as a promising strategy to enhance local food production, improve dietary diversity, and foster economic resilience within these communities. Despite the potential benefits of family food gardens, empirical evidence of their effectiveness in mitigating food insecurity at the household level in the Eastern Cape Province is scarce and remains limited. Understanding the factors that influence the success of these gardens, including socio-economic, environmental, and institutional determinants, is crucial for optimizing their impact and scalability. Hence, this study sought to comprehensively explore and investigate the role of family food gardens in improving food security within rural households in the Eastern Cape Province. It seeks to identify the determinants that contribute to the success of these gardens and their potential to alleviate food insecurity. The study made use of a descriptive research design, and the study utilized purposive sampling to gather data from 130 rural households via structured questionnaires. Data analyses incorporated in the study included the Household Dietary Diversity Score and logit regression model to explore the impacts and determinants of family food gardens on food security. The study findings underscore the significant positive contributions of family food gardens to rural communities. They serve as vital sources of fresh crops and vegetables, supplementing household nutrition and providing temporary employment. Constraints identified in the study include financial limitations, theft, water scarcity, inadequate fencing, and limited market access. The study insights highlight the fact that socio-economic and institutional factors such as age, gender, household income, and access to credit are critical influencers of family food garden success. These empirical results offer practical implications for policymakers, governmental agencies, and local communities seeking to promote sustainable agricultural practices and alleviate food insecurity. The research highlights how essential family food gardens are for improving food security among rural families in the Eastern Cape Province. The findings suggest that a joint effort is needed from the government, policymakers, NGOs, and local communities to overcome challenges and make the most of social and economic resources. By working together, these groups can enhance the role of family food gardens, making them a more effective solution for local food production and a stronger defence against food insecurity in the region. Full article

Dietary diversity is one of the fundamental factors of nutritional security and a proxy used to measure diet quality. The objective of this study was to investigate the relationship between village chicken availability and the dietary diversity of households along a rural–urban gradient. Face-to-face interviews were conducted using a structured questionnaire in rural (n = 100), peri-urban (n = 100), and urban (n = 100) areas of Pietermaritzburg uMgungundlovu District, KwaZulu-Natal, in South Africa. A positive relationship between distance from the city center and village chicken flock sizes (p < 0.001) was observed. Consumption of vegetables increased with an increase in distance from the city center (p < 0.01). A quadratic relationship was observed between distance from the city center and consumption of livestock-derived foods (LDFs) (p < 0.05). Consumption of LDFs increased with an increase in village chicken flock sizes (p < 0.05). Consumption of vegetables increased with an increase in village chicken flock sizes (p < 0.01). Food variety score (FVS) increased with an increase in distance from the city center (p < 0.05). Assessing the availability of village chickens across rural–urban gradients is a worthy opportunity to utilize to improve households’ dietary diversity and alleviate poverty. It can be concluded that expanding village flock sizes could enhance the dietary diversity of households. Full article

Rural residents in China are still at risk of malnutrition, and increasing dietary diversity is crucial to improving their health. This study empirically analyzed the impact of non-farm employment on the dietary diversity of rural left-behind family members based on the China Land Economy Survey (CLES) 2020–2021 panel data at the farm and village levels. Dietary diversity was measured using the dietary diversity score (DDS) and the Chinese Food Guide Pagoda Score (CFGPS). The empirical results show that non-farm employment significantly enhances the dietary diversity of rural left-behind household members, including animal food diversity and plant food diversity. This result verifies the altruism phenomenon of non-farm employment in family diet. Mechanism analysis shows that non-farm employment enhances the dietary diversity of rural left-behind family members by increasing the level of family income, Internet accessibility, and family education. Heterogeneity analysis shows that non-farm employment does not enhance the dietary diversity of rural empty nesters and even has a negative impact. This reminds us that the nutritional health of rural empty nesters needs attention in the context of rapid urbanization and aging. Full article

Coenzyme Q10 (CoQ10) is a food active component with blood-pressure-improving properties. However, the association between the variety and quantity of different sources of dietary CoQ10 and new-onset hypertension remains uncertain. We aimed to investigate the associations between the diversity and quantity of CoQ10 intake from eight major food sources and new-onset hypertension risk. A total of 11,489 participants were included. Dietary intake was evaluated via three consecutive 24 h recalls and household food inventory. The diversity score of CoQ10 sources was calculated by the sum of food groups consumed in the ideal range. Cox proportional hazard models were used for evaluating their associations with hypertension. Model performance was assessed by ROC analyses and 200-times ten-fold cross-validation. The relationships between CoQ10 and hypertension were U-shaped for meat, egg, vegetable, and fruit sources, inverse J-shaped for fish, and nut sources, and L-shaped for dairy products sources (all p-values < 0.001). A higher diversity score was associated with lower hypertension risk (HR (95% CI): 0.66 (0.64, 0.69)). The mean areas under the ROC curves for 6, 12 and 18 years were 0.81, 0.80 and 0.78, respectively. There is a negative correlation between the diversity of CoQ10 with moderate intake from different sources and new-onset hypertension. One diversity score based on CoQ10 was developed. Full article

Despite the robust literature base that has explored links between household crop diversity and children’s dietary diversity, evidence continues to yield mixed results regarding the efficacy of crop diversity in improving childhood dietary outcomes. Given the variance in the association between agrobiodiversity and dietary diversity, we identified wealth and distance to markets as potential factors that may impact these relationships. Through a series of Ordinary Least Square (OLS) regressions, this study examines the associations between crop diversity and dietary diversity among households at different levels of wealth in 10 sub-Saharan African countries. Drawing on the Integrated Public Use Microdata Series and Demographic and Health Surveys system, we find that the significance and direction of the association between crop diversity (as proxied using the Simpsons Diversity Index) and children’s dietary diversity (as measured using the Household Dietary Diversity Score) vary by wealth quintile across countries and households: in richer households, crop diversity has a negative effect on dietary diversity, and in poorer households, there is no significant effect. This study indicates the need to understand contextual factors that impact the relationship between agricultural diversity and dietary diversity to inform development policies. Full article