Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya

Machakos and Makueni counties in Kenya are associated with historical land degradation, climate change, and food insecurity. Both counties lie in lower midland (LM) lower humidity to semiarid (LM4), and semiarid (LM5) agroecological zones (AEZ). We assessed food security, dietary diversity, and nutr...

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Main Authors: Zipporah N. Bukania, Moses Mwangi, Robert M. Karanja, Richard Mutisya, Yeri Kombe, Lydia U. Kaduka, Timothy Johns
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Nutrition and Metabolism
Online Access:http://dx.doi.org/10.1155/2014/907153
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author Zipporah N. Bukania
Moses Mwangi
Robert M. Karanja
Richard Mutisya
Yeri Kombe
Lydia U. Kaduka
Timothy Johns
author_facet Zipporah N. Bukania
Moses Mwangi
Robert M. Karanja
Richard Mutisya
Yeri Kombe
Lydia U. Kaduka
Timothy Johns
author_sort Zipporah N. Bukania
collection DOAJ
description Machakos and Makueni counties in Kenya are associated with historical land degradation, climate change, and food insecurity. Both counties lie in lower midland (LM) lower humidity to semiarid (LM4), and semiarid (LM5) agroecological zones (AEZ). We assessed food security, dietary diversity, and nutritional status of children and women. Materials and Methods. A total of 277 woman-child pairs aged 15–46 years and 6–36 months respectively, were recruited from farmer households. Food security and dietary diversity were assessed using standard tools. Weight and height, or length in children, were used for computation of nutritional status. Findings. No significant difference (P>0.05) was observed in food security and dietary diversity score (DDS) between LM4 and LM5. Stunting, wasting, and underweight levels among children in LM4 and LM5 were comparable as were BMI scores among women. However, significant associations (P=0.023) were found between severe food insecurity and nutritional status of children but not of their caregivers. Stunting was significantly higher in older children (>2 years) and among children whose caregivers were older. Conclusion. Differences in AEZ may not affect dietary diversity and nutritional status of farmer households. Consequently use of DDS may lead to underestimation of food insecurity in semiarid settings.
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institution Kabale University
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spelling doaj-art-ce5fcf786d544c2494c5f3d5e4c185652025-02-03T01:01:18ZengWileyJournal of Nutrition and Metabolism2090-07242090-07322014-01-01201410.1155/2014/907153907153Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern KenyaZipporah N. Bukania0Moses Mwangi1Robert M. Karanja2Richard Mutisya3Yeri Kombe4Lydia U. Kaduka5Timothy Johns6Centre for Public Health Research, Kenya Medical Research Institute, P.O. Box 20752, Nairobi 00200, KenyaCentre for Public Health Research, Kenya Medical Research Institute, P.O. Box 20752, Nairobi 00200, KenyaCentre for Biotechnology Research and Development, Kenya Medical Research Institute, P.O. Box 54840, Nairobi 00200, KenyaCentre for Public Health Research, Kenya Medical Research Institute, P.O. Box 20752, Nairobi 00200, KenyaCentre for Public Health Research, Kenya Medical Research Institute, P.O. Box 20752, Nairobi 00200, KenyaCentre for Public Health Research, Kenya Medical Research Institute, P.O. Box 20752, Nairobi 00200, KenyaSchool of Dietetics and Human Nutrition, McGill University, Sainte Anne de Bellevue, QC, H9X 3V9, CanadaMachakos and Makueni counties in Kenya are associated with historical land degradation, climate change, and food insecurity. Both counties lie in lower midland (LM) lower humidity to semiarid (LM4), and semiarid (LM5) agroecological zones (AEZ). We assessed food security, dietary diversity, and nutritional status of children and women. Materials and Methods. A total of 277 woman-child pairs aged 15–46 years and 6–36 months respectively, were recruited from farmer households. Food security and dietary diversity were assessed using standard tools. Weight and height, or length in children, were used for computation of nutritional status. Findings. No significant difference (P>0.05) was observed in food security and dietary diversity score (DDS) between LM4 and LM5. Stunting, wasting, and underweight levels among children in LM4 and LM5 were comparable as were BMI scores among women. However, significant associations (P=0.023) were found between severe food insecurity and nutritional status of children but not of their caregivers. Stunting was significantly higher in older children (>2 years) and among children whose caregivers were older. Conclusion. Differences in AEZ may not affect dietary diversity and nutritional status of farmer households. Consequently use of DDS may lead to underestimation of food insecurity in semiarid settings.http://dx.doi.org/10.1155/2014/907153
spellingShingle Zipporah N. Bukania
Moses Mwangi
Robert M. Karanja
Richard Mutisya
Yeri Kombe
Lydia U. Kaduka
Timothy Johns
Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya
Journal of Nutrition and Metabolism
title Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya
title_full Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya
title_fullStr Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya
title_full_unstemmed Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya
title_short Food Insecurity and Not Dietary Diversity Is a Predictor of Nutrition Status in Children within Semiarid Agro-Ecological Zones in Eastern Kenya
title_sort food insecurity and not dietary diversity is a predictor of nutrition status in children within semiarid agro ecological zones in eastern kenya
url http://dx.doi.org/10.1155/2014/907153
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