DIETARY DIVERSITY AND ITS RELATIONSHIP WITH NUTRITIONAL STATUS AMONG ADOLESCENTS AND ADULTS IN RURAL INDIA
1Leveraging Agriculture for Nutrition in South Asia,M. S. Swaminathan Research Foundation,Tamil Nadu,India.
Journal of Biosocial Science
|October 3, 2017
Summary
Dietary diversity impacts nutritional status. A 24-hour recall (FS24hr) effectively measures this relationship in adults, correlating positively with nutrient adequacy and differentiating nutritional levels better than other indices.
Area of Science:
- Nutrition Science
- Public Health
- Dietary Assessment
Background:
- Dietary diversity is crucial for nutrient intake and overall nutritional status.
- Assessing dietary diversity is key to understanding nutritional outcomes in populations.
- Rural Indian populations often face challenges related to food security and nutritional adequacy.
Purpose of the Study:
- To evaluate three dietary diversity indices: 24-hour recall (FS24hr), Berry's index (DDI), and food scores (FSFFQ).
- To examine the relationship between these indices and the nutritional status of adolescents and adults in rural India.
- To determine the most effective measure for assessing dietary diversity in relation to nutritional outcomes.
Main Methods:
- Conducted a cross-sectional study in Wardha (Maharashtra) and Koraput (Odisha) in 2014.
- Collected 24-hour dietary recall data (FS24hr) and household food frequency data (DDI, FSFFQ).
- Assessed nutritional status using anthropometric indices and calculated Nutrient Adequacy Ratio (NAR) and Mean Adequacy Ratio (MAR).
Main Results:
- Cereal-dominated diets were prevalent; significant undernutrition (thinness, stunting) observed in adolescents and adults.
- FS24hr showed positive correlation with NAR for all nutrients; DDI and FSFFQ correlated with fewer nutrients.
- FS24hr demonstrated better differentiation of nutritional status (MAR) and showed a linear association with adult nutritional outcomes.
Conclusions:
- The 24-hour diet recall (FS24hr) is a reliable and effective measure for assessing dietary diversity and its association with nutritional status in adults.
- Dietary diversity indices have varying strengths in reflecting nutrient adequacy and overall nutritional status.
- Targeted interventions are needed to address undernutrition in rural adolescent and adult populations in India.
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