Secondary Analysis Assesses Dietary Diversity Changes among Maya Guatemalan Women Post-Nutrition Interventions.

IF 1.8 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2024-11-01 Epub Date: 2024-10-01 DOI:10.1007/s10995-024-03994-4

Kathleen M Hoss-Cruz, Daniela Tanchez-Sandoval, Priscilla Brenes, A Daniela Gonzalez-Alvarez

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引用次数: 0

Abstract

Objectives: This study aimed to evaluate the change in the Dietary Diversity (DD) Index of Maya women of reproductive age living in rural areas of the Western Highlands of Guatemala after nutrition, health, and agroecology interventions.

Methods: This is a secondary analysis study on DD from two matched groups from three villages in the Lake Atitlan area in the department of Sololá. The first cohort was recruited in 2017 (sample of n = 77). The second cohort was recruited in 2020 (sample of n = 61). Both were followed until 2021. The program provided various resources for assistance for food production and home improvements (sessions from 2018 to 2022). Agroecology sessions were conducted in the test farm. Due to the COVID-19, adjustments were made to continue the education and training sessions.

Results: Both cohort samples had a statistically significant increase in participants who consumed at least 15 g from five groups of foods (2017: p = .00002; 2020: p = .045). There was a statistically significant increase in mean food groups consumed daily (2017: p < .00001; 2020: p = .005).

Conclusions for practice: Implementing interventions that include nutrition, health, and agroecology practices in the long term has demonstrated a statistically significant increase in the Dietary Diversity Index of Maya women in their reproductive years living in rural villages in the Western Highlands.

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二次分析评估玛雅危地马拉妇女在营养干预后的膳食多样性变化。

研究目的本研究旨在评估生活在危地马拉西部高原农村地区的玛雅育龄妇女在接受营养、健康和农业生态干预后膳食多样性指数（DD）的变化情况：这是一项对来自索洛拉省阿蒂特兰湖地区三个村庄的两个匹配群体的 DD 指数进行的二次分析研究。第一组于 2017 年招募（样本数 n = 77）。第二组于 2020 年招募（样本 n = 61）。对这两批人的跟踪调查一直持续到 2021 年。该计划为粮食生产和家庭改善提供了各种援助资源（2018 年至 2022 年的课程）。生态农业课程在试验农场进行。由于 COVID-19，对继续开展教育和培训课程进行了调整：两个队列样本中，从五组食物中摄入至少 15 克的参与者人数均有显著增加（2017 年：p = 0.00002；2020 年：p = 0.045）。每日摄入的平均食物组别在统计学上有明显增加（2017 年：p 实践结论：长期实施包括营养、健康和农业生态实践在内的干预措施表明，生活在西部高地农村村庄的玛雅育龄妇女的膳食多样性指数有了统计学意义上的显著提高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.