The association between dietary diversity and development among children under 24 months in rural Uganda:

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dc.contributor.authorKakwangire, Paul
dc.contributor.authorMoss, Cami
dc.contributor.authorMatovu, Nicholas
dc.contributor.authorAtukunda, Prudence
dc.contributor.authorWesterberg, C. Ane
dc.contributor.authorIversen, O Per
dc.contributor.authorMuhoozi, K. M. Grace
dc.date.accessioned2025-04-09T20:22:53Z
dc.date.available2025-04-09T20:22:53Z
dc.date.issued2021-03
dc.descriptionArticle
dc.description.abstractObjective: To assess the association between dietary diversity and development among children under 24 months in rural Uganda and to establish other factors that could be associated with development among these children. Design: A secondary data analysis of a cluster-randomised controlled maternal education trial (n 511) was conducted on a sub-sample of 385 children. We used adjusted ORs (AORs) to assess the associations of dietary diversity scores (DDS) and other baseline factors assessed at 6–8 months with child development domains (communication, fine motor, gross motor, personal–social and problem solving) at 20–24 months of age. Setting: Rural areas in Kabale and Kisoro districts of south-western Uganda. Participants: Children under 24 months. Results: After multivariable analysis, DDS at 6–8 months were positively associated with normal fine motor skills development at 20–24 months (AOR = 1•18; 95 % CI 1•01, 1•37; P = 0•02). No significant association was found between DDS and other development domains. Children who were not ill at 6–8 months had higher odds of developing normal communication (AOR = 1•73; 95 % CI 1•08, 2•77) and gross motor (AOR = 1•91; 95 % CI 1•09, 3•36) skills than sick children. Girls had lower odds of developing normal gross motor skills compared with boys (AOR = 0•58; 95 % CI 0•33, 0•98). Maternal/caregiver nutritional education intervention was positively associated with development of gross motor, fine motor and problem-solving skills (P-values < 0•05). Conclusions: We found an association between child DDS at 6–8 months and improvement in fine motor skills development at 20–24 months. Child illness status, maternal/caregiver nutritional education intervention and sex were other significant baseline predictors of child development at 20–24 months. Keywords: Children, Cluster randomised, Development, Dietary diversity, Maternal education, Rural, Uganda
dc.identifier.citationKakwangire, P., Moss, C., Matovu, N., Atukunda, P., Westerberg, A. C., Iversen, P. O., & Muhoozi, G. (2021). The association between dietary diversity and development among children under 24 months in rural Uganda: analysis of a cluster-randomised maternal education trial. Public Health Nutrition, 24(13), 4286-4296.
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/10437
dc.language.isoen
dc.publisherPublic Health Nutrition
dc.titleThe association between dietary diversity and development among children under 24 months in rural Uganda:
dc.title.alternativeanalysis of a cluster-randomised maternal education trial
dc.typeArticle
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