The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income Countries
Background: The response to the global call for more data on children’s and adolescents’ diets and nutrition is limited by the lack of straightforward practical indicators to track their diet quality. On the basis of a food group score compiled from 10 food groups (FGS-10), the minimum dietary diver...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
|
| Series: | Current Developments in Nutrition |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2475299124024429 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832590871589027840 |
|---|---|
| author | Loty Diop Aulo Gelli Lieven Huybregts Joanne E Arsenault Lilia Bliznashka Erick Boy Megan Deitchler Carl Lachat Mourad Moursi Angelica M Ochoa-Avilés Deanna K Olney Elodie Becquey |
| author_facet | Loty Diop Aulo Gelli Lieven Huybregts Joanne E Arsenault Lilia Bliznashka Erick Boy Megan Deitchler Carl Lachat Mourad Moursi Angelica M Ochoa-Avilés Deanna K Olney Elodie Becquey |
| author_sort | Loty Diop |
| collection | DOAJ |
| description | Background: The response to the global call for more data on children’s and adolescents’ diets and nutrition is limited by the lack of straightforward practical indicators to track their diet quality. On the basis of a food group score compiled from 10 food groups (FGS-10), the minimum dietary diversity for women, calculated as FGS-10 ≥ 5, is a validated proxy population indicator for better micronutrient intake adequacy for adult women in low- and middle-income countries (LMICs). Objectives: This study aims to validate FGS-10 and its related cutoffs against micronutrient intake adequacy in 4–15-y-old children/adolescents in LMICs. Methods: We conducted a secondary data analysis of 9 datasets of repeated 24-h recalls or weighed records including 11,524 children/adolescents aged 4–15 y, collected in 7 countries (Burkina Faso, Ghana, Ecuador, India, Malawi, Uganda, and Zambia) between 2007 and 2022. For each dataset and the pooled sample (meta-analysis), we assessed the association between FGS-10 and the mean probability of adequacy (MPA) of intake over 8 micronutrients (MPA-8), and the performance of several FGS-10 cutoffs in predicting acceptable (≥0.60) and good (≥0.80) levels of MPA-8. Robustness analyses used the 7 datasets with data on 11 micronutrients (MPA-11). Results: FGS-10 ranged from 3.0 to 4.8 across datasets, and the proportion of children/adolescents with acceptable MPA-8 ranged from 8.4% to 74%. Positive and significant associations between FGS-10 and MPA-8 were found in all datasets and the pooled sample. The optimal cutoff varied across datasets from FGS-10 ≥ 4 to FGS-10 ≥ 6. In the pooled sample, FGS-10 ≥ 5 had the highest performances in predicting acceptable and good levels of MPA-8. FGS-10 ≥ 5 was also the best proxy indicator for MPA-11 ≥ 0.80. Conclusions: The continuous FGS-10 and dichotomous FGS-10 ≥ 5 may be extended to 4–15-y-old children/adolescents in LMICs. In this population, FGS-10 ≥ 5 can be used as a proxy population indicator for good micronutrient adequacy of diets. |
| format | Article |
| id | doaj-art-2e95433cae9c4908ba77e077bc949cfe |
| institution | Kabale University |
| issn | 2475-2991 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Current Developments in Nutrition |
| spelling | doaj-art-2e95433cae9c4908ba77e077bc949cfe2025-01-23T05:27:29ZengElsevierCurrent Developments in Nutrition2475-29912025-01-0191104508The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income CountriesLoty Diop0Aulo Gelli1Lieven Huybregts2Joanne E Arsenault3Lilia Bliznashka4Erick Boy5Megan Deitchler6Carl Lachat7Mourad Moursi8Angelica M Ochoa-Avilés9Deanna K Olney10Elodie Becquey11International Food Policy Research Institute (IFPRI), Washington, DC, United States; Department of Food Technology, Safety and Health, Ghent University, Ghent, Belgium; Corresponding author.International Food Policy Research Institute (IFPRI), Washington, DC, United StatesInternational Food Policy Research Institute (IFPRI), Washington, DC, United States; Department of Food Technology, Safety and Health, Ghent University, Ghent, BelgiumIntake–Center for Dietary Assessment at FHI360, Washington, DC, United StatesInternational Food Policy Research Institute (IFPRI), Washington, DC, United StatesInternational Food Policy Research Institute (IFPRI), Washington, DC, United StatesIntake–Center for Dietary Assessment at FHI360, Washington, DC, United StatesDepartment of Food Technology, Safety and Health, Ghent University, Ghent, BelgiumIntake–Center for Dietary Assessment at FHI360, Washington, DC, United StatesDepartment of Bioscience, Universidad de Cuenca, Loja, Cuenca, EcuadorInternational Food Policy Research Institute (IFPRI), Washington, DC, United StatesInternational Food Policy Research Institute (IFPRI), Washington, DC, United StatesBackground: The response to the global call for more data on children’s and adolescents’ diets and nutrition is limited by the lack of straightforward practical indicators to track their diet quality. On the basis of a food group score compiled from 10 food groups (FGS-10), the minimum dietary diversity for women, calculated as FGS-10 ≥ 5, is a validated proxy population indicator for better micronutrient intake adequacy for adult women in low- and middle-income countries (LMICs). Objectives: This study aims to validate FGS-10 and its related cutoffs against micronutrient intake adequacy in 4–15-y-old children/adolescents in LMICs. Methods: We conducted a secondary data analysis of 9 datasets of repeated 24-h recalls or weighed records including 11,524 children/adolescents aged 4–15 y, collected in 7 countries (Burkina Faso, Ghana, Ecuador, India, Malawi, Uganda, and Zambia) between 2007 and 2022. For each dataset and the pooled sample (meta-analysis), we assessed the association between FGS-10 and the mean probability of adequacy (MPA) of intake over 8 micronutrients (MPA-8), and the performance of several FGS-10 cutoffs in predicting acceptable (≥0.60) and good (≥0.80) levels of MPA-8. Robustness analyses used the 7 datasets with data on 11 micronutrients (MPA-11). Results: FGS-10 ranged from 3.0 to 4.8 across datasets, and the proportion of children/adolescents with acceptable MPA-8 ranged from 8.4% to 74%. Positive and significant associations between FGS-10 and MPA-8 were found in all datasets and the pooled sample. The optimal cutoff varied across datasets from FGS-10 ≥ 4 to FGS-10 ≥ 6. In the pooled sample, FGS-10 ≥ 5 had the highest performances in predicting acceptable and good levels of MPA-8. FGS-10 ≥ 5 was also the best proxy indicator for MPA-11 ≥ 0.80. Conclusions: The continuous FGS-10 and dichotomous FGS-10 ≥ 5 may be extended to 4–15-y-old children/adolescents in LMICs. In this population, FGS-10 ≥ 5 can be used as a proxy population indicator for good micronutrient adequacy of diets.http://www.sciencedirect.com/science/article/pii/S2475299124024429usual intakeminimum dietary diversitymicronutrient intake adequacychildrenadolescentslow- and middle-income countries |
| spellingShingle | Loty Diop Aulo Gelli Lieven Huybregts Joanne E Arsenault Lilia Bliznashka Erick Boy Megan Deitchler Carl Lachat Mourad Moursi Angelica M Ochoa-Avilés Deanna K Olney Elodie Becquey The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income Countries Current Developments in Nutrition usual intake minimum dietary diversity micronutrient intake adequacy children adolescents low- and middle-income countries |
| title | The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income Countries |
| title_full | The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income Countries |
| title_fullStr | The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income Countries |
| title_full_unstemmed | The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income Countries |
| title_short | The Minimum Dietary Diversity For Women Indicator Can Be Extended To Children And Adolescents aged 4-15 Years As A Proxy Population Indicator For Good Micronutrient Adequacy Of Diets In Low- and Middle-Income Countries |
| title_sort | minimum dietary diversity for women indicator can be extended to children and adolescents aged 4 15 years as a proxy population indicator for good micronutrient adequacy of diets in low and middle income countries |
| topic | usual intake minimum dietary diversity micronutrient intake adequacy children adolescents low- and middle-income countries |
| url | http://www.sciencedirect.com/science/article/pii/S2475299124024429 |
| work_keys_str_mv | AT lotydiop theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT aulogelli theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT lievenhuybregts theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT joanneearsenault theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT liliabliznashka theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT erickboy theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT megandeitchler theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT carllachat theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT mouradmoursi theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT angelicamochoaaviles theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT deannakolney theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT elodiebecquey theminimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT lotydiop minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT aulogelli minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT lievenhuybregts minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT joanneearsenault minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT liliabliznashka minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT erickboy minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT megandeitchler minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT carllachat minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT mouradmoursi minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT angelicamochoaaviles minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT deannakolney minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries AT elodiebecquey minimumdietarydiversityforwomenindicatorcanbeextendedtochildrenandadolescentsaged415yearsasaproxypopulationindicatorforgoodmicronutrientadequacyofdietsinlowandmiddleincomecountries |