Savy Mathilde, Martin-Prével Yves, Sawadogo Paul W., Kameli Yves, Delpeuch Francis. (2005). Use of variety/diversity scores for diet quality measurement : relation with nutritionnal status of women in a rural area in Burkina Faso. European Journal of Clinical Nutrition, 59, 703-716. ISSN 0954-3007.
Titre du document
Use of variety/diversity scores for diet quality measurement : relation with nutritionnal status of women in a rural area in Burkina Faso
Savy Mathilde, Martin-Prével Yves, Sawadogo Paul W., Kameli Yves, Delpeuch Francis
Source
European Journal of Clinical Nutrition, 2005,
59, 703-716 ISSN 0954-3007
Objectives: To develop scores for food variety and diversity to assess the overall dietary quality in an African rural area; and to study their relationship with the nutritional status of women of childbearing age. Design: Cross-sectional. Setting: Sahelian rural area in the North-East Burkina Faso ( West Africa). Subjects: A total of 691 mothers with children below the age of 5 y, selected at random in 30 villages. Methods: A qualitative recall of women's food consumption during the previous 24 h made it possible to calculate a food variety score ( FVS = count of food items consumed) and a dietary diversity score (DDS = count of food groups, among 14 groups). These scores were then divided into terciles. Body mass index (BMI), mid-upper arm circumference (MUAC) and body fat percentage (BFP) were used to determine the women's nutritional status. Results: The overall dietary quality was poor: mean FVS (s.d.) = 8.3 (2.9) food items; mean DDS = 5.1 (1.7) food groups. A clear relationship was shown between both FVS and DDS ( in terciles) and most nutritional indices. Women with a FVS in the lowest tercile had a mean BMI of 20.1, while those in the highest tercile had a BMI of 20.9 ( P = 0.009). Those in the lowest tercile of DDS had a 22.8% prevalence of underweight vs 9.8% in the highest tercile (P<0.0001). The latter relationship remained significant even when the subjects' sociodemographic and economic characteristics were accounted for. Conclusion: Dietary scores measured at the individual level are good proxies for overall dietary quality of women living in a poor rural African area. These scores were also shown to be linked with the nutritional status of women.
Plan de classement
Enquêtes nutritionnelles et surveillance nutritionnelles [054EPINUT02]
