Author Country Age group Dietary diversity approach (indicator) Main findings
Onyango et al. [16] Kenya 12-36 mo. No. of foods 1) Diversity associated with HAZ, WAZ, WHZ, TS and MUAC;
2) Diversity >5 more important for HAZ among non-BF children (difference between diversity groups: 0.9 HAZ among non-BF, vs. 0.2 among BF
Arimond and Ruel [3] Ethiopia DHS data 12-36 mo. 1) 24-h food group diversity: 8 groups: grains, roots/tubers, milk, vitamin A-rich fruits/vegetables, other fruits/vegetables, meat/poultry/fish/cheese/ eggs/yogurt, legumes, fats/oils
2) 7-day food group diversity: (same as above except grains combined with roots/tubers (n=7)
1) Both 24-hour and 7-day food group diversity strongly associated with HAZ, controlling for child, maternal and household socioeconomic factors.
2) Differences in adjusted mean HAZ between lowest and highest tercile of 24-hour diversity: 0.65 Z-scores 7-day diversity: 0.67 Z-scores
Allen et al. [18] Mexico 18-30 mo. 8 food groups:
5 plant groups :
tortillas, legumes, vegetables, fruits, other 3 animal groups: dairy, eggs, meat
1) Positive correlation between % energy from animal foods and HAZ. Also correlation between % energy from dairy and HAZ.
2) Negative correlation between % energy from plant foods (tortillas in particular) and HAZ
Taren and Chen [19] China 12-47 mo. Food group scale (0-7): rice, egg, vegetables, fruits, soybeans, meat, other Significant difference of 0.20 HAZ between children who consumed < 3 groups and rest of sample
Marquis et al. [20] Peru 12-15 mo. 1) 27 foods and beverages consumed more than twice/wk.
2) 5 animal food groups: cow milk, meat, organ meats, eggs, fish
1) Association between no. animal foods and length not significant as main effect.
2) Interactions: a).animal foods associated with length in children with low overall diversity; b) BF associated with length in children with low intakes of animal foods.
Tarini et al. [21] Niger 24-48 mo. Diversity score (DS): 11 food groups over 3 days (see above for details) Association DS and growth not significant (low correlations, significant only for WHZ in one round)
Hatløy et al. [22] Mali 6-59 mo. 1) Household level FVS
2) DDS (same as above: Hatløy, Torheim, and Oshaug (1998)
In urban areas: lower FVS or DDS has twice risk of stunted or underweight; rural areas: no association (controlling for SES)
Table 4: Summary of Studies That Assessed Dietary Diversity And Child Nutritional Status.