Association between diet quality and risk of stunting among school-aged children in Schistosoma mansoni endemic area of western Kenya: a cross-sectional study.

IF 3.6 Q1 TROPICAL MEDICINE Tropical Medicine and Health Pub Date : 2024-01-17 DOI:10.1186/s41182-023-00566-0
Madoka Kishino, Azumi Hida, Evans A Chadeka, Manabu Inoue, Mayuko Osada-Oka, Sohkichi Matsumoto, Sammy M Njenga, Shinjiro Hamano, Sachiyo Nagi
{"title":"Association between diet quality and risk of stunting among school-aged children in Schistosoma mansoni endemic area of western Kenya: a cross-sectional study.","authors":"Madoka Kishino, Azumi Hida, Evans A Chadeka, Manabu Inoue, Mayuko Osada-Oka, Sohkichi Matsumoto, Sammy M Njenga, Shinjiro Hamano, Sachiyo Nagi","doi":"10.1186/s41182-023-00566-0","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Healthy eating habits are essential for improving nutritional status and strengthening immunity against infectious diseases. This study examined the relationship between diet quality and stunting in school-aged children in an infectious disease-endemic area of western Kenya.</p><p><strong>Methods: </strong>This cross-sectional study included 260 school-aged children (age 9-17 years) enrolled in primary schools in Mbita Sub-county, western Kenya. The nutritional status was assessed using anthropometric measurements. Dietary intake was measured using food frequency questionnaires and evaluated using the Food Pyramid (FP) score, which indicates adherence to the Kenyan food-based dietary guideline. Information on the children's age, sex, maternal education, and household wealth index was collected using a household-based questionnaire. Infections with the predominant parasites, such as Schistosoma (S.) mansoni, were detected via microscopy. The trend associations of the FP score with food group intake were examined to characterize the dietary intake of this population. Logistic regression analysis was performed to investigate the relationship between stunting and FP score tertiles, adjusted for sociodemographic and economic indicators and parasitic infection status.</p><p><strong>Results: </strong>Among the studied schoolchildren, 15.0% exhibited stunting, while 76.2% were infected with S. mansoni. The mean FP score was 25.6 out of 50 points. A higher FP score was characterized by a high intake of roots and tubers, dairy products, pulses, and fruits and a low intake of cereals and animal-source foods. The analysis revealed a trend: a lower risk of stunting was evident in groups with elevated FP scores (p for trend = 0.065). However, these trend associations were observable among subjects with either negative or light S. mansoni infection (p for trend = 0.016).</p><p><strong>Conclusions: </strong>A higher quality diet, as evaluated by FP scores, was associated with a low risk of stunting among school-aged children. Notably, this association seemed to weaken in the presence of a high burden of S. mansoni infection. It highlights the importance of enhancing dietary quality through the promotion of diverse nutrient-dense foods alongside effective S. mansoni infection control for improved growth. This study contributes fundamental knowledge for understanding the diet-malnutrition relationship in areas endemic for S. mansoni infection.</p>","PeriodicalId":23311,"journal":{"name":"Tropical Medicine and Health","volume":null,"pages":null},"PeriodicalIF":3.6000,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10792916/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Tropical Medicine and Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1186/s41182-023-00566-0","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"TROPICAL MEDICINE","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Healthy eating habits are essential for improving nutritional status and strengthening immunity against infectious diseases. This study examined the relationship between diet quality and stunting in school-aged children in an infectious disease-endemic area of western Kenya.

Methods: This cross-sectional study included 260 school-aged children (age 9-17 years) enrolled in primary schools in Mbita Sub-county, western Kenya. The nutritional status was assessed using anthropometric measurements. Dietary intake was measured using food frequency questionnaires and evaluated using the Food Pyramid (FP) score, which indicates adherence to the Kenyan food-based dietary guideline. Information on the children's age, sex, maternal education, and household wealth index was collected using a household-based questionnaire. Infections with the predominant parasites, such as Schistosoma (S.) mansoni, were detected via microscopy. The trend associations of the FP score with food group intake were examined to characterize the dietary intake of this population. Logistic regression analysis was performed to investigate the relationship between stunting and FP score tertiles, adjusted for sociodemographic and economic indicators and parasitic infection status.

Results: Among the studied schoolchildren, 15.0% exhibited stunting, while 76.2% were infected with S. mansoni. The mean FP score was 25.6 out of 50 points. A higher FP score was characterized by a high intake of roots and tubers, dairy products, pulses, and fruits and a low intake of cereals and animal-source foods. The analysis revealed a trend: a lower risk of stunting was evident in groups with elevated FP scores (p for trend = 0.065). However, these trend associations were observable among subjects with either negative or light S. mansoni infection (p for trend = 0.016).

Conclusions: A higher quality diet, as evaluated by FP scores, was associated with a low risk of stunting among school-aged children. Notably, this association seemed to weaken in the presence of a high burden of S. mansoni infection. It highlights the importance of enhancing dietary quality through the promotion of diverse nutrient-dense foods alongside effective S. mansoni infection control for improved growth. This study contributes fundamental knowledge for understanding the diet-malnutrition relationship in areas endemic for S. mansoni infection.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
肯尼亚西部曼氏血吸虫流行地区学龄儿童的饮食质量与发育迟缓风险之间的关系:一项横断面研究。
背景:健康的饮食习惯对于改善营养状况和增强抵抗传染病的能力至关重要。本研究探讨了肯尼亚西部传染病流行地区学龄儿童的饮食质量与发育迟缓之间的关系:这项横断面研究包括肯尼亚西部 Mbita 县小学的 260 名学龄儿童(9-17 岁)。营养状况通过人体测量进行评估。膳食摄入量通过食物频率问卷进行测量,并使用食物金字塔(FP)评分进行评估,该评分表明儿童是否遵守肯尼亚基于食物的膳食指南。通过家庭问卷调查收集了儿童的年龄、性别、母亲教育程度和家庭财富指数等信息。通过显微镜检测主要寄生虫的感染情况,如曼氏血吸虫(S. mansoni)。研究了FP评分与食物组摄入量的趋势关联,以了解该人群的膳食摄入特点。在对社会人口学和经济指标以及寄生虫感染状况进行调整后,进行了逻辑回归分析,以研究发育迟缓与FP分级之间的关系:在所研究的学童中,15.0%表现出发育迟缓,76.2%感染了曼森氏杆菌。FP 平均分为 25.6 分(满分 50 分)。FP得分越高,说明根茎类、奶制品、豆类和水果的摄入量越高,而谷物和动物源性食物的摄入量越低。分析显示了一种趋势:FP 分数较高的群体发育迟缓的风险较低(趋势 p = 0.065)。然而,在曼氏沙门氏菌阴性或轻度感染的受试者中也能观察到这些趋势关联(趋势 p = 0.016):结论:根据 FP 评分评估的优质饮食与学龄儿童发育迟缓的低风险相关。值得注意的是,在曼氏沙门氏菌感染率较高的情况下,这种关联似乎会减弱。该研究强调了在有效控制曼氏沙门氏菌感染的同时,通过推广营养丰富的多样化食物来提高膳食质量以改善生长状况的重要性。这项研究为了解曼氏沙门氏菌感染流行地区的膳食与营养不良之间的关系提供了基础知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Tropical Medicine and Health
Tropical Medicine and Health TROPICAL MEDICINE-
CiteScore
7.00
自引率
2.20%
发文量
90
审稿时长
11 weeks
期刊最新文献
Trends and inequalities in the use of deworming medication during pregnancy in Sierra Leone, 2008-2019. Comments on: prevalence and risk factors for tuberculosis and HIV coinfections in Kenyan prison inmates. Comment on: Fetal femur length and risk of diabetes in adolescence: a prospective cohort study. Reply to: Comment on: Fetal femur length and risk of diabetes in adolescence: a prospective cohort study. Assessment of gestational diabetes mellitus knowledge, attitudes, and practices and associated factors among pregnant women at a district hospital in Coastal Kenya.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1