M'Kaibi Florence K, Steyn Nelia P, Ochola Sophie, Du Plessis Lisanne
Kenya Technical Teachers College, Nairobi, Kenya.
Division of Human Nutrition, Department of Human Biology, University of Cape Town, Anzio Road, Cape Town, South Africa.
BMC Public Health. 2015 Apr 25;15:422. doi: 10.1186/s12889-015-1755-9.
Kenya has a high prevalence of underweight and stunting in children. It is believed that both agricultural biodiversity and seasonal rainfall influences household food security and dietary intake. In the present study we aimed to study the effects of agricultural biodiversity and seasonal rains on dietary adequacy and household food security of preschool Kenyan children, and to identify significant relationships between these variables.
Two cross-sectional studies were undertaken in resource-poor households in rural Kenya approximately 6 months apart. Interviews were done with mothers/caregivers to collect data from randomly selected households (N = 525). A repeated 24-hour recall was used to calculate dietary intake in each phase while household food security was measured using the Household Food Insecurity Access Scale (HFIAS). A nutrient adequacy ratio (NAR) was calculated for each nutrient as the percent of the nutrient meeting the recommended nutrient intake (RNI) for that nutrient. A mean adequacy ratio (MAR) was calculated as the mean of the NARs. Agricultural biodiversity was calculated for each household by counting the number of different crops and animals eaten either from domestic sources or from the wild.
Dietary intake was low with the majority of households not meeting the RNIs for many nutrients. However intake of energy (p < 0.001), protein (p < 0.01), iron (p < 0.01), zinc (p < 0.05), calcium (p < 0.05), and folate (p < 0.01) improved significantly from the dry to the rainy season. Household food security also increased significantly (p < 0.001) from the dry (13.1 SD 6.91) to the rainy season (10.9 SD 7.42). Agricultural biodiversity was low with a total of 26 items; 23 domesticated and 3 from the natural habitat. Agricultural biodiversity was positively and significantly related to all NARs (Spearman, p < 0.05) and MAR (Spearman, p < 0.001) indicating a significant positive relationship between agricultural biodiversity of the household with dietary adequacy of the child's diet.
Important significant relationships were found in this study: between agricultural biodiversity and dietary adequacy; between agricultural biodiversity and household food security and between dietary adequacy and household food security. Furthermore, the effect of seasonality on household food security and nutrient intake was illustrated.
肯尼亚儿童体重不足和发育迟缓的患病率很高。人们认为,农业生物多样性和季节性降雨都会影响家庭粮食安全和饮食摄入。在本研究中,我们旨在探讨农业生物多样性和季节性降雨对肯尼亚学龄前儿童饮食充足性和家庭粮食安全的影响,并确定这些变量之间的显著关系。
在肯尼亚农村资源匮乏的家庭中进行了两项横断面研究,间隔约6个月。对母亲/照顾者进行访谈,以从随机选择的家庭(N = 525)中收集数据。使用重复的24小时回忆法计算每个阶段的饮食摄入量,同时使用家庭粮食不安全获取量表(HFIAS)测量家庭粮食安全状况。计算每种营养素的营养充足率(NAR),即该营养素达到推荐营养素摄入量(RNI)的百分比。计算平均充足率(MAR),即NAR的平均值。通过计算食用的来自家庭来源或野生的不同作物和动物的数量,来计算每个家庭的农业生物多样性。
饮食摄入量较低,大多数家庭的多种营养素摄入量未达到RNI。然而,从旱季到雨季,能量(p < 0.001)、蛋白质(p < 0.01)、铁(p < 0.01)、锌(p < 0.05)、钙(p < 0.05)和叶酸(p < 0.01)的摄入量显著改善。家庭粮食安全也从旱季(13.1标准差6.91)到雨季(10.9标准差7.42)显著增加(p < 0.001)。农业生物多样性较低,共有26种;23种是驯化的,3种来自自然栖息地。农业生物多样性与所有NAR(斯皮尔曼,p < 0.05)和MAR(斯皮尔曼,p < 0.001)呈正相关且具有显著相关性,表明家庭农业生物多样性与儿童饮食的饮食充足性之间存在显著的正相关关系。
本研究发现了重要的显著关系:农业生物多样性与饮食充足性之间;农业生物多样性与家庭粮食安全之间;以及饮食充足性与家庭粮食安全之间。此外,还说明了季节性对家庭粮食安全和营养摄入的影响。