1. Seasonality and Day-to-Day Variability of Dietary Diversity: Longitudinal Study of Pregnant Women Enrolled in a Randomized Controlled Efficacy Trial in Rural Burkina Faso
- Author
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Giles T Hanley-Cook, Alemayehu Argaw, Brenda de Kok, Laeticia Celine Toe, Trenton Dailey-Chwalibóg, Moctar Ouédraogo, Patrick Kolsteren, Lieven Huybregts, and Carl Lachat
- Subjects
Agriculture and Food Sciences ,INDICATORS ,Rural Population ,NUTRITIONAL-STATUS ,NUTRIENT INTAKE ,dietary diversity ,Iron ,Medicine (miscellaneous) ,MICRONUTRIENT ADEQUACY ,Folic Acid ,Pregnancy ,Burkina Faso ,QUALITY ,Humans ,Longitudinal Studies ,Nutrition and Dietetics ,INTRAUTERINE GROWTH RESTRICTION ,seasonality ,SCORES ,ASSOCIATION ,list-based recall ,Diet ,balanced energy-protein supplements ,PRETERM DELIVERY ,HOUSEHOLD FOOD SECURITY ,food groups ,Female ,Pregnant Women ,pregnant women - Abstract
Background Panel data indicate that nonpregnant women's dietary diversity fluctuates across climatic seasons in low- and middle-income countries. The natural day-to-day variability in food group consumption during gestation is unknown. Objectives A longitudinal study was conducted among pregnant women enrolled in the Micronutriments pour la Sante de la Mere et de l'Enfant study 3 randomized controlled efficacy trial [i.e., daily fortified balanced energy-protein supplement and an iron-folic acid (IFA) tablet compared with an IFA tablet only] to investigate the number of 24-hour recalls required to estimate usual prenatal food group (FG) diversity and the seasonality of pregnant women's dietary diversity in Hounde, Burkina Faso. Methods FG consumption was assessed twice weekly by qualitative, list-based, 24-hour recalls among 1757 pregnant women (892 control, 865 intervention). The number of days needed to estimate a woman's usual prenatal 10-point FG diversity score was calculated using the within-subject coefficient of variation. Regression models, including truncated Fourier series, were fitted to assess seasonal variations in the FG diversity score and the probability of reaching Minimum Dietary Diversity for Women (MDD-W; i.e., >= 5 FGs). Results The monthly mean FG scores (
- Published
- 2022
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