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Unhealthy snack food and beverage consumption is associated with lower dietary adequacy and length-for-age z-Scores among 12–23-month-olds in Kathmandu Valley, Nepal

The Journal of Nutrition Jul 21, 2019

Pries AM, et al. - Through a cross-sectional survey performed in a representative sample of 745 primary caregivers of children aged 12–23 months, the researchers evaluated the correlation of high unhealthy snack foods and beverages (USFBs) intake, compared with low intake, with nutrient consumptions, dietary adequacy, iron status, and growth in young children in Kathmandu Valley, Nepal. On average, among the highest tertile of consumers, USFBs provided 46.9% of total energy intakes (TEIs) in comparison with 5.2% of TEI among the lowest. High-USFB consumers had lower nutrient consumptions and a bigger proportion was at risk of inadequate intakes for 8 nutrients, in contrast with low-USFB consumers. With this association partly mediated through dietary adequacy, mean length-for-age z-scores was nearly 0.3 SD lower among high-USFB consumers vs low consumers. No correlations were discovered with stunting prevalence or iron status. A low prevalence of overweight/obesity was noted. Hence, high USFB consumption in young children was connected to inadequate micronutrient consumptions, which can contribute to poor growth outcomes, in this low- and middle-income country (LMIC) context. Furthermore, for policies and programs intending to safeguard child nutrition, discussing the progressed availability of USFBs in LMIC food systems should be a superiority.
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