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dc.contributor.authorMoucheraud, Corrinaen_US
dc.contributor.authorChandyo, Ram K.en_US
dc.contributor.authorHenjum, Sigrunen_US
dc.contributor.authorStrand, Tor A.en_US
dc.contributor.authorUlak, Manjesworien_US
dc.contributor.authorFawzi, Wafaie W.en_US
dc.contributor.authorLocks, Lindsey M.en_US
dc.contributor.authorShrestha, Prakash S.en_US
dc.contributor.authorWebb, Patricken_US
dc.contributor.authorThorne-Lyman, Andrew L.en_US
dc.date.accessioned2018-12-13T15:25:45Z
dc.date.available2018-12-13T15:25:45Z
dc.identifier.citationCorrina Moucheraud, Ram K Chandyo, Sigrun Henjum, Tor A Strand, Manjeswori Ulak, Wafaie W Fawzi, Lindsey M Locks, Prakash S Shrestha, Patrick Webb, Andrew L Thorne-Lyman. "Engagement in agriculture protects against food insecurity and malnutrition in peri-urban Nepal" Current Developments in Nutrition, https://doi.org/10.1093/cdn/nzy078
dc.identifier.issn2475-2991
dc.identifier.urihttps://hdl.handle.net/2144/32931
dc.description.abstractBACKGROUND: Urbanization is occurring rapidly in many low- and middle-income countries, which may affect households’ livelihoods, diet, and food security and nutritional outcomes. OBJECTIVE: The main objective of our study was to explore whether agricultural activity amongst a peri-urban population in Nepal was associated with better or worse food household security, household and maternal dietary diversity, and nutritional outcomes for children and women. METHODS: A cross-sectional survey administered to 344 mother-child pairs in Bhaktapur district, Nepal, including data on household agricultural practices, livestock ownership, food security, dietary diversity and expenditures, anthropometric measurements of children (aged 5–6 years old), maternal body mass index (BMI), and maternal anemia. Multivariable adjusted and unadjusted odds ratios (AOR and OR respectively) were calculated using logistic regression. RESULTS: Our findings suggest that in this sample, cultivation of land was associated with a lower odds of child stunting (AOR 0.55, 95% CI 0.33,0.93) and household food insecurity (AOR 0.33, 95% CI 0.18, 0.63), but not low (or high) maternal BMI or anemia. Livestock ownership (mostly chickens) was associated with lower of food insecurity (AOR 0.34, 95% CI 0.16, 0.73) but not with nutrition outcomes. Women in farming households were significantly more likely to eat green leafy vegetables than women in non-farming households, and children living in households that grew vegetables had a lower odds of stunting than children in households that cultivated land but did not grow vegetables (AOR 0.49, 95% CI 0.25, 0.98). CONCLUSIONS: Our study suggests that households involved in cultivation of land in peri-urban Bhaktapur had lower odds of children's stunting and of food insecurity than non-cultivating households – and that vegetable consumption is higher among those households. Given Nepal's rapid urbanization rate, more attention is needed to the potential role of peri-urban agriculture in shaping diets and nutrition.en_US
dc.description.sponsorshipFunding was provided by the USAID Feed the Future Security Innovation Lab for Nutrition - Asia [award number AIDOAA-l-10-00005] through a sub-contract to the Harvard T.H. Chan School of Public Health and the Johns Hopkins Bloomberg School of Public Health from the Friedman School of Nutrition Science and Policy, Tufts University; and by the GC Rieber Foundation.en_US
dc.description.urihttps://academic.oup.com/cdn/advance-article/doi/10.1093/cdn/nzy078/5154906
dc.languageen
dc.publisherOxford University Press (OUP)en_US
dc.relation.ispartofCurrent Developments in Nutrition
dc.rights© 2018 American Society for Nutrition. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com.en_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectUrban agricultureen_US
dc.subjectNepalen_US
dc.subjectNutritionen_US
dc.subjectFood securityen_US
dc.subjectDietary diversityen_US
dc.subjectDieten_US
dc.titleEngagement in agriculture protects against food insecurity and malnutrition in peri-urban Nepalen_US
dc.typeArticleen_US
dc.description.versionAccepted manuscripten_US
dc.identifier.doi10.1093/cdn/nzy078
pubs.elements-sourcecrossrefen_US
pubs.notesEmbargo: No embargoen_US
pubs.organisational-groupBoston Universityen_US
pubs.organisational-groupBoston University, College of Health & Rehabilitation Sciences: Sargent Collegeen_US
pubs.organisational-groupBoston University, College of Health & Rehabilitation Sciences: Sargent College, Health Sciencesen_US
pubs.publication-statusPublished onlineen_US
dc.date.online2018-11-01
dc.identifier.orcid0000-0002-0019-9545 (Locks, Lindsey M)


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© 2018 American Society for Nutrition.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com.
Except where otherwise noted, this item's license is described as © 2018 American Society for Nutrition. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com.