Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis

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dc.creatorMargolies, Amy
dc.creatorKemp, Christopher G.
dc.creatorChoo, Esther M.
dc.creatorLevin, Carol E.
dc.creatorOlney, Deanna K.
dc.creatorKumar, Neha
dc.creatorGo, Ara
dc.creatorAlderman, Harold
dc.creatorGelli, Aulo
dc.date2022-02-19
dc.date2024-04-12T13:37:44Z
dc.date2024-04-12T13:37:44Z
dc.date.accessioned2026-06-27T15:07:20Z
dc.descriptionBackground: Low-quality diets contribute to the burden of malnutrition and increase the risk of children not achieving their developmental potential. Nutrition-sensitive agriculture programs address the underlying determinants of malnutrition, though their contributions to improving diets do not factor into current nutrition impact modeling tools. Objective: To synthesize the evidence on the effectiveness of nutrition-sensitive agriculture programs in improving dietary diversity in young children (6-23.9 months and 6-60 months). Methods: A literature search was conducted for published trials through existing systematic reviews and individual database search of the ISI Web of Science. All dietary diversity measures in the studies selected to be in the analysis were extracted. Estimation of main pooled effects were conducted on outcomes of minimum diet diversity (MDD) and diet diversity score (DDS) using random-effects meta-regression models. We report pooled effect sizes as standardized mean differences (SMDs) or odds ratios (ORs). Results: Nutrition-sensitive agricultural interventions have a significant positive impact on the diet diversity scores of children aged 6-23.9 months (SMD = 0.22, 95% confidence interval (CI) = 0.09-0.36) and on the odds of reaching minimum diet diversity (OR = 1.45, 95% CI = 1.20, 1.76). Similar impacts are found when analyses are expanded to include studies for children aged 6-60 months (DDS SMD = 0.22, 95% CI = 0.12-0.32) (MDD OR = 1.64, 95% CI: = 1.38-1.94). Conclusion: Nutrition-sensitive agriculture interventions consistently have a positive impact on child dietary diversity. Incorporating this evidence in nutrition modeling tools can contribute to decision-making on the relative benefits of nutrition-sensitive interventions as compared with other maternal, newborn, child health and nutrition (MNCHN) interventions.
dc.identifierhttps://hdl.handle.net/10568/141348
dc.identifier.urihttp://hdl.handle.net/123456789/95182
dc.languageen
dc.publisherInternational Global Health Society
dc.rightsOpen Access
dc.sourceMargolies, Amy; Kemp, Christopher G.; Choo, Esther M.; Levin, Carol E.; Olney, Deanna K.; Kumar, Neha; Go, Ara; Alderman, Harold; and Gelli, Aulo. 2022. Nutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis. Journal of Global Health 12: 08001. https://doi.org/10.7189/jogh.12.08001
dc.subjectinfants
dc.subjectnutrition-sensitive agriculture
dc.subjectagriculture
dc.subjectpreschool children
dc.subjectnutrition education
dc.subjectmalnutrition
dc.subjectchildren
dc.subjectdietary diversity
dc.titleNutrition-sensitive agriculture programs increase dietary diversity in children under 5 years: A review and meta-analysis
dc.typeJournal Article

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Instituto Internacional de Investigación sobre Políticas Alimentarias (IFPRI)