Journal Articles

What Does It Cost to Improve Household Diets in Nepal? Using the Cost of the Diet Method to Model Lowest Cost Dietary Changes

Published: September 2016 Authors: Erin Biehl, Rolf Klemm, Swetha Manohar, Patrick Webb, Devendra Gauchan, Keith West Journal: Food & Nutrition Bulletin
In Nepal, limited availability and affordability of nutritious foods contribute to malnutrition. To identify nutrient deficiencies in commonly consumed diets and model lowest cost changes that could improve diet quality in 3 agroecological zones of Nepal. The modeled lowest cost diet commonly eaten in 3 Nepalese communities lacks key nutrients. Policies and interventions that increase market availability and consumption of vitamin B12- and calcium-rich fish and dark green leafy vegetables could improve local diets, particularly in the mountains and hills.

The association between food insecurity and depressive symptoms severity among pregnant women differs by social support category: a cross-sectional study

Published: August 2016 Authors: Barnabas Natamba, Jane Achan, Rebecca Stoltzfus, Sera Young Journal: Maternal & Child Nutrition
Abstract Common mental disorders, such as depression and anxiety, affect approximately 16% of pregnant women in low- and middle-income countries. Food insecurity (FI) has been shown to be associated with depressive symptoms. It has also been suggested that the association between FI and depressive symptoms is moderated by social support (SS); however, there is limited evidence of these associations among pregnant women living in low-income and middle-income countries. We studied the association between FI and depressive symptoms severity and assessed whether such an association varied...

Fostering reflective trust between mothers and community health nurses to improve the effectiveness of health and nutrition efforts: An ethnographic study in Ghana, West Africa

Published: June 2016 Authors: Nana Ackatia-Armah, Nii Antiaye Addy, Shibani Ghosh, Laurette Dube Journal: Social Science & Medicine
As the global health agenda shifts from the Millennium Development Goals (MDGs) to Sustainable Development Goals (SDGs), the need for effective preventive health efforts has gained prominence, particularly in low-income regions with poor health and nutrition outcomes. To address needs in communities with limited access to health services and personnel, it is important to develop strategies that can improve the effectiveness of nurses as they interact with the populations they serve. We contribute to informing such strategies by explaining how mothers’ “reflective trust” in community...

Child dietary quality in rural Nepal: Effectiveness of a community-level development intervention

Published: May 2016 Authors: Amelia F Darrouzet- Nardi, Laurie C Miller, Shubh Mahato, Mahendra Lohani, Beatrice L Rogers Journal: Food Policy
Nutrition-sensitive agricultural interventions have the potential to improve child dietary quality in rural households, as evidenced by a growing body of work which concurrently measures agricultural and nutrition indicators. Our objective was to investigate whether children in rural farming communities of Nepal participating in a community-level, nutrition-sensitive development intervention had improved dietary quality compared with children living in non-participating matched rural communities. Six rural communities of Nepal where livelihoods were predominantly agricultural were selected to participate in the phased implementation of a community-level development intervention...

Protein Quality in the First Thousand Days of Life

Published: May 2016 Author: Shibani Ghosh Journal: Food and Nutrition Bulletin
The aim of this article is to provide an overview of the role of protein quality within the first 1000 days of life. The article outlines the importance of protein quality in pregnancy and early growth and examines the potential of high-quality protein in prevention of stunting and treatment of severe and moderate acute malnutrition. The article also provides a summary of the recent changes in protein quality evaluation and the development of a new index, the Digestibility Corrected Amino Acid Score, examining the opportunities...

Vitamin Status among Breastfed Infants in Bhaktapur, Nepal

Published: March 2016 Authors: Manjeswori Ulak, Ram Chandyo, Oivind Midttun, Prakash Shrestha, Lauren Graybill, Tor Strand Journal: Nutrients
Vitamin deficiencies are known to be common among infants residing in low- and middle-income countries but relatively few studies have assessed several biochemical parameters simultaneously. The objective of the study was to describe the status of vitamins (A, D, E, B6, B12 and folate) in breastfed infants. We measured the plasma concentrations of trans retinol, 25 hydroxy vitamin D, α-tocopherol, pyridoxal 5′-phosphate, cobalamin, folate, methylmalonic acid, homocysteine, hemoglobin and C-reactive protein from 467 randomly selected infants. One in five (22%) was deficient in at least...

Sustaining healthy diets: The role of capture fisheries and aquaculture for improving nutrition in the post-2015 era

Published: February 2016 Authors: Shakuntala Haraksingh Thilsted, Andrew Thorne-Lyman, Patrick Webb, Jessica Rose Bogard, Rohana Subasinghe, Michael John Phillips, Edward Hugh Allison Journal: Food Policy
Fish production and trade contribute significantly to global agricultural output. Fish production in 2012 exceeded 158 million metrictons, while the value of international fish trade amounted to USD129 billion. An increasingly large share of fish entering global markets derives from aquaculture (the farming of aquatic animals and plants); the world’s fastest growing food production sector for more than four decades.  Much of fish produced and traded within low-income countries derives from capture fisheries (non-fed fish harvested from undomesticated ecosystems). These two production systems have important complementary roles in meeting rising demand for...

Head Growth of undernourished children in rural Nepal: Association with demographics, health, and diet

Published: January 2016 Authors: Laurie Miller, Neena Joshi, Beatrice Rodgers, Jeffrey Griffiths, Shubh Mahato, Padma Singh, Patrick Webb Journal: Pediatrics and International Child Health
Background: Brain development in early childhood is a key determinant of later cognition, social achievement and educational success. Head circumference (HC) measurements are a simple method to assess brain growth, yet reports of these measurements are uncommon in nutritional surveys of undernourished children. To cite this article: Laurie C. Miller, Neena Joshi, Mahendra Lohani, Rupa Singh, Nisha Bhatta, Beatrice Rogers, Jeffrey K. Griffiths, Shibani Ghosh, Shubh Mahato, Padma Singh & Patrick Webb (2016): Head growth of undernourished children in rural Nepal: Association with demographics, health...

The prevalence of anemia and iron deficiency is more common in breastfed infants than their mothers in Bhaktapur, Nepal

Published: December 2015 Authors: R.K. Chandyo, Sigrun Henjum, P. Shrestha, L. Locks, Wafie Fawzi, Tor Strand Journal: European Journal of Clinical Nutrition
Iron deficiency anemia is a widespread public health problem, particularly in low- and middle-income countries. Maternal iron status around and during pregnancy may influence infant iron status. We examined multiple biomarkers to determine the prevalence of iron deficiency and anemia among breastfed infants and explored its relationship with maternal and infant characteristics in Bhaktapur, Nepal.