1810Tufts University, Boston, MA, USA.
International Food Policy Research Institute, New Delhi, India.
Food Nutr Bull. 2021 Mar;42(1):36-54. doi: 10.1177/0379572120987976.
The "second 1000 days" is a period of rapid brain growth which consolidates developmental foundations and establishes school readiness. Understanding the relation between household characteristics, child diet, and child development remains incomplete, especially in resource-poor settings where >250 million children risk not achieving their full developmental potential. Child developmental performance was assessed (Ages & Stages Questionnaire [ASQ]) at ages 2 and 5 years in a cohort of Nepali children (n = 207) whose families participated in a nutrition/livestock management+community development intervention trial. Relationships between child developmental performance and mother's education, family wealth, child diet (animal source food [ASF] consumption, dietary diversity score [DDS]), school attendance, and intervention group were examined by adjusted linear regressions. These relationships varied at the 2 ages. At age 2 years, ASQ scores related positively to "Full Package Intervention" and negatively to "Partial Package Intervention" membership. At age 5 years, intervention group did not relate to ASQ scores. Mother's education did not relate to developmental findings for 2-year-olds. Mother's education, wealth, and school attendance positively predicted ASQ scores for these same children as 5-year-olds. Animal source food consumption was related to child development more strongly at age 5 than at 2 years. DDS had a less pronounced relationship to development than ASF consumption at both ages. Over this time span bracketing the second 1000 days, household characteristics and child diet related differentially to developmental performance depending on child age. Better understanding of the timing and mechanisms of these relationships is needed to effectively design interventions targeting improved child development in resource-poor settings.
“第二个 1000 天”是大脑快速生长的时期,它巩固了发育基础,为入学做好准备。家庭特征、儿童饮食与儿童发育之间的关系仍不完全清楚,特别是在资源匮乏的环境中,超过 2.5 亿儿童可能无法充分发挥其发展潜力。本研究在尼泊尔儿童队列中评估了儿童发育表现(年龄与阶段问卷 [ASQ]),该队列中儿童的家庭参与了一项营养/牲畜管理+社区发展干预试验(n=207)。通过调整线性回归,研究了儿童发育表现与母亲教育、家庭财富、儿童饮食(动物源食品 [ASF] 消费、饮食多样性评分 [DDS])、入学率和干预组之间的关系。这些关系在两个年龄阶段有所不同。在 2 岁时,ASQ 评分与“完整套餐干预”呈正相关,与“部分套餐干预”呈负相关。在 5 岁时,干预组与 ASQ 评分无关。母亲的教育与 2 岁儿童的发育结果无关。母亲的教育、财富和入学率与这些 5 岁儿童的 ASQ 评分呈正相关。与 2 岁时相比,5 岁时 ASF 消费与儿童发育的关系更为密切。在这两个年龄阶段,DDS 与 ASF 消费相比,与发育的关系不太明显。在这横跨第二个 1000 天的时间跨度内,家庭特征和儿童饮食与发育表现的关系因儿童年龄而异。需要更好地了解这些关系的时间和机制,以便有效地设计干预措施,在资源匮乏的环境中提高儿童的发育水平。