@article{fdi:010088898,
  title = {{D}efining a dichotomous indicator for population-level assessment of dietary diversity among pregnant adolescent girls and women : a secondary analysis of quantitative 24-h recalls from rural settings in {B}angladesh, {B}urkina {F}aso, {I}ndia, and {N}epal},
  author = {{V}erger, {E}ric and {E}ymard-{D}uvernay, {S}abrina and {B}ahya-batinda, {D}ang and {H}anley-{C}ook, {G}. {T}. and {A}rgaw, {A}. and {B}ecquey, {E}. and {D}iop, {L}. and {G}elli, {A}. and {H}arris-{F}ry, {H}. and {K}achwaha, {S}. and {K}im, {S}. {S}. and {N}guyen, {P}. {H}. and {S}aville, {N}. {M}. and {T}ran, {L}. {M}. and {Z}agr{\'e}, {R}. {R}. and {L}andais, {E}dwige and {S}avy, {M}athilde and {M}artin-{P}r{\'e}vel, {Y}ves and {L}achat, {C}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}he {M}inimum {D}ietary {D}iversity for {W}omen of {R}eproductive {A}ge ({MDD}-{W}) indicator was validated as a proxy of micro-nutrient adequacy among nonpregnant women in low-and middle-income countries ({LMIC}s). {A}t that time, indeed, there was insufficient data to validate the indicator among pregnant women, who face higher micronutrient requirements.{O}bjective: {T}his study aimed to validate a minimum food group consumption threshold, out of the 10 food groups used to construct {MDD}-{W}, to be used as a population-level indicator of higher micronutrient adequacy among pregnant women aged 15-49 y in {LMIC}s.{M}ethods: {W}e used secondary quantitative 24-h recall data from 6 surveys in 4 {LMIC}s ({B}angladesh, {B}urkina {F}aso, {I}ndia, and {N}epal, total n 1/4 4909). {W}e computed the 10-food group {W}omen's {D}ietary {D}iversity {S}core ({WDDS}-10) and calculated the mean probability of adequacy ({MPA}) of 11 micronutrients. {L}inear regression models were fitted to assess the associations between {WDDS}-10 and {MPA}. {S}ensitivity, specificity, and proportion of individuals correctly classified were used to assess the performance of {MDD}-{W} in predicting an {MPA} of >0.60.{R}esults: {I}n the pooled sample, median values (interquartile range) of {WDDS}-10 and {MPA} were 3 (1) and 0.20 (0.34), respectively, whereas the proportion of pregnant women with an {MPA} of >0.60 was 9.6%. {T}he {WDDS}-10 was significantly positively associated with {MPA} in each survey. {A}lthough the acceptable food group consumption threshold varied between 4 and 6 food groups across surveys, the threshold of 5 showed the highest performance in the pooled sample with good sensitivity (62%), very good specificity (81%), and percentage of correctly classified individuals (79%).{C}onclusions: {T}he {WDDS}-10 is a good predictor of dietary micronutrient adequacy among pregnant women aged 15-49 y in {LMIC}s. {M}oreover, the threshold of 5 or more food groups for the {MDD}-{W} indicator may be extended to all women of reproductive age, regardless of their physiologic status.},
  keywords = {dietary diversity ; indicator ; micronutrient adequacy ; minimum dietary ; diversity for women ; pregnant ; resource-poor settings ; {BANGLADESH} ; {BURKINA} {FASO} ; {INDE} ; {NEPAL}},
  booktitle = {},
  journal = {{C}urrent {D}evelopments in {N}utrition},
  volume = {8},
  numero = {1},
  pages = {102053 [11 ]},
  ISSN = {2475-2991},
  year = {2024},
  DOI = {10.1016/j.cdnut.2023.102053},
  URL = {https://www.documentation.ird.fr/hor/fdi:010088898},
}