Academy of Nutrition and Dietetics Nutrition Research Network: A Home Garden Intervention Improves Child Length-for-Age Z-Score and Household-Level Crop Count and Nutritional Functional Diversity in Rural Guatemala.

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Publisher: Elsevier Science Publishers
Document Type: Report
Length: 418 words

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Abstract Home gardens may help address childhood malnutrition in low- and middle-income countries. In this quasi-experimental pilot study, the Academy of Nutrition and Dietetics, in collaboration with Maya Health Alliance, evaluated the feasibility of augmenting a standard-of-care nutrition-specific package for Maya children with length-for-age z score [less than or equal to]-2 (stunting) in rural Guatemala with a nutrition-sensitive home garden intervention. Two agrarian municipalities in Guatemala were included. Families of 70 children with stunting from 1 municipality received the standard-of-care package (food supplementation, multiple micronutrient powders, monthly nutrition home visits, group nutrition classes). Families of 70 children with stunting from another municipality received the standard-of-care package plus a home garden intervention (garden materials, monthly agricultural home visits, agriculture classes). Maternal and child dietary diversity, household food insecurity, child growth, and agricultural indicators were collected at baseline and 6 months later and were analyzed using mixed linear and logistic regression models. Compared with the standard-of-care group, the garden intervention group had improved child (odds ratio [OR] 3.66, 95% CI 0.89-15.10, P = 0.07) and maternal dietary diversity (OR 2.31, 95% CI 0.80-6.65, P = 0.12) and decreased food insecurity (OR 0.38, 95% CI 0.11-1.35, P = 0.14); however, these effects were not statistically significant. Participation in gardens predicted a higher length-for-age z-score (change difference [CD] 0.22 SD, 95% CI 0.05-0.38, P = 0.009), greater crop species count (CD 2.97 crops, 95% CI 1.79-4.16, P * Address correspondence to: Elizabeth Yakes Jimenez, PhD, RDN, LD, 120 S. Riverside Plaza, Suite 2190, Chicago, IL 60606-6995. Article History: Received 16 December 2020; Accepted 1 April 2021 (footnote) Supplementary materials: The is available at www.jandonline.org(http://www.jandonline.org) (footnote) STATEMENT OF POTENTIAL CONFLICT OF INTEREST No potential conflict of interest was reported by the authors. (footnote) FUNDING/SUPPORT This study was supported by funding from the Academy of Nutrition and Dietetics Foundation. The Academy of Nutrition and Dietetics provided Nutrition Research Network staff support for technical assistance related to study design, implementation, and data analysis and interpretation, and mentoring of A. Guzmán-Abril and S. Alajajian. Funding to build the family gardens was provided by Rotary International. Byline: Andrea Guzmán-Abril, BS, LN, Stephen Alajajian, BS, RDN, Peter Rohloff, PhD, MD, Gabriela V. Proaño, MS, RDN, Jennifer Brewer, MA, RDN, Elizabeth Yakes Jimenez, PhD, RDN, LD [bjimenez@eatright.org] (*)

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Gale Document Number: GALE|A694141990