Stunting is a key indicator of long-term nutritional status and health that reflects prenatal and postnatal growth. It is linked to adverse outcomes like increased mortality, delayed development, and lower economic productivity. For children ages 6-24 months, the minimum acceptable diet composite indicator considers both dietary diversity and meal frequency to best reflect dietary quality. For adults, both household food insecurity and women's dietary diversity may be useful indicators, with the latter providing information on micronutrient adequacy.
TESTING A READY-TO–USE–SUPPLEMENTARY-FOOD (RUSF) OF HIGHER PROTEIN QUALITY ON...Adetutu Sadiq
My Final Symposium Presentation for the Summer Research Program I was a part of at Washington University in St. Louis, MO.
I worked in Child malnutrition in Malawi.
Implementing NutriSTEP® in Ontario - Success Stories, Lessons Learned and Nex...Nutrition Resource Centre
This presentation will briefly cover what is nutrition screening and the ethical issues around screening for nutritional risk in young children.
In addition to this brief introduction, we will have a number of dietitians present the implementation and evaluation of NutriSTEP in their communities as well as in other communities using similar models. A brief summary of the provincial process evaluation results will be reviewed and then we will wrap up with some of the other activities and next steps in the NutriSTEP Program. We will conclude with a 20-30 minute discussion period for a Q&A Period.
The NutriSTEP questionnaire targets The child’s parent or primary caregiver—the person who is most knowledgeable about the child’s eating and other health habits.
It is a paper and pencil questionnaire with 17 questions covering the four constructs of nutrition risk for this age group. These are:
Physical growth and weight concerns
Food and fluid intake
Physical activity and screen time
Factors affecting food intake (food security; and the psychosocial feeding environment)
We would like to tell you about NutriSTEP®. This work has been led by dietitian researchers from the Sudbury & District Health Unit Public Health, Research, Education & Development (PHRED) program, NRC and the University of Guelph, Dr Heather Keller and Dr Janis Randall Simpson.
As of spring 2007, NutriSTEP® has been a program of the Nutrition Resource Centre of the Ontario Public Health Association.
NutriSTEP® is of interest to a number of programs and agencies that service young children and their families.
Jonathan Wells
POLICY SEMINAR
Virtual Event - The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition!
DEC 1, 2020 - 09:30 AM TO 11:15 AM EST
TESTING A READY-TO–USE–SUPPLEMENTARY-FOOD (RUSF) OF HIGHER PROTEIN QUALITY ON...Adetutu Sadiq
My Final Symposium Presentation for the Summer Research Program I was a part of at Washington University in St. Louis, MO.
I worked in Child malnutrition in Malawi.
Implementing NutriSTEP® in Ontario - Success Stories, Lessons Learned and Nex...Nutrition Resource Centre
This presentation will briefly cover what is nutrition screening and the ethical issues around screening for nutritional risk in young children.
In addition to this brief introduction, we will have a number of dietitians present the implementation and evaluation of NutriSTEP in their communities as well as in other communities using similar models. A brief summary of the provincial process evaluation results will be reviewed and then we will wrap up with some of the other activities and next steps in the NutriSTEP Program. We will conclude with a 20-30 minute discussion period for a Q&A Period.
The NutriSTEP questionnaire targets The child’s parent or primary caregiver—the person who is most knowledgeable about the child’s eating and other health habits.
It is a paper and pencil questionnaire with 17 questions covering the four constructs of nutrition risk for this age group. These are:
Physical growth and weight concerns
Food and fluid intake
Physical activity and screen time
Factors affecting food intake (food security; and the psychosocial feeding environment)
We would like to tell you about NutriSTEP®. This work has been led by dietitian researchers from the Sudbury & District Health Unit Public Health, Research, Education & Development (PHRED) program, NRC and the University of Guelph, Dr Heather Keller and Dr Janis Randall Simpson.
As of spring 2007, NutriSTEP® has been a program of the Nutrition Resource Centre of the Ontario Public Health Association.
NutriSTEP® is of interest to a number of programs and agencies that service young children and their families.
Jonathan Wells
POLICY SEMINAR
Virtual Event - The New Nutrition Reality: Time to Recognize and Tackle the Double Burden of Malnutrition!
DEC 1, 2020 - 09:30 AM TO 11:15 AM EST
Yeva Avakyan
POLICY SEMINAR
Addressing gender and social barriers to resilience: Measuring and leveraging household decision making for resilience
Co-Organized by IFPRI and Mercy Corps
JUN 27, 2018 - 09:30 AM TO 11:00 AM EDT
Factors Associated with Growth in the First 1,000 Days CHECKLEYCORE Group
CORE Group GHPC15
October 8, 2015
Concurrent Session: Factors Associated with Growth in the First 1,000 Days: Translating Evidence into Programs for Stunting, Wasting, and the Double Burden of Malnutrition
Early Childhood Risk and Obesity in Preschool-age Children via Salivary Testing UCLA CTSI
Principal Investigators: Francisco Ramos-Gomez (UCLA) and Robert Jones (University of Minnesota)
UCLA CTSI and University of Minnesota Cross-Institutional Award Projects
The overall goal of our study is to develop an integrated care plan that effectively addresses the shared risk factors of early childhood dental decay, early childhood cavities (ECC) and obesity. It encourages parents of disadvantaged and of minority backgrounds to adopt broad self-management goals and overall comprehensive health-promoting habits. There is a pressing need for community-based participatory early intervention approaches to prevent both early childhood dental decay and obesity at a younger age. Within the recent healthcare environment, oral health (dentistry) may play an important role within the whole community approach to obesity prevention as an entry point for discussing diet and nutrition early on. Some key reasons for the importance of oral health integration into obesity prevention is that children’s oral health diseases share key risk factors with early obesity. In our study, the Infant Oral health visit promotes dietary guidance early in childhood, and oral health promotion is done in a culturally manner, which we use to discuss other broad health-promoting habits. Our immediate goal utilizes a university and community-based team to improve the ability to predict future dental decay in children and integrate oral health risk assessment with broad health-promoting habits that may one day prevent obesity in the key early years of the child development.
Yeva Avakyan
POLICY SEMINAR
Addressing gender and social barriers to resilience: Measuring and leveraging household decision making for resilience
Co-Organized by IFPRI and Mercy Corps
JUN 27, 2018 - 09:30 AM TO 11:00 AM EDT
Factors Associated with Growth in the First 1,000 Days CHECKLEYCORE Group
CORE Group GHPC15
October 8, 2015
Concurrent Session: Factors Associated with Growth in the First 1,000 Days: Translating Evidence into Programs for Stunting, Wasting, and the Double Burden of Malnutrition
Early Childhood Risk and Obesity in Preschool-age Children via Salivary Testing UCLA CTSI
Principal Investigators: Francisco Ramos-Gomez (UCLA) and Robert Jones (University of Minnesota)
UCLA CTSI and University of Minnesota Cross-Institutional Award Projects
The overall goal of our study is to develop an integrated care plan that effectively addresses the shared risk factors of early childhood dental decay, early childhood cavities (ECC) and obesity. It encourages parents of disadvantaged and of minority backgrounds to adopt broad self-management goals and overall comprehensive health-promoting habits. There is a pressing need for community-based participatory early intervention approaches to prevent both early childhood dental decay and obesity at a younger age. Within the recent healthcare environment, oral health (dentistry) may play an important role within the whole community approach to obesity prevention as an entry point for discussing diet and nutrition early on. Some key reasons for the importance of oral health integration into obesity prevention is that children’s oral health diseases share key risk factors with early obesity. In our study, the Infant Oral health visit promotes dietary guidance early in childhood, and oral health promotion is done in a culturally manner, which we use to discuss other broad health-promoting habits. Our immediate goal utilizes a university and community-based team to improve the ability to predict future dental decay in children and integrate oral health risk assessment with broad health-promoting habits that may one day prevent obesity in the key early years of the child development.
Service providers who receive high nutrition risk referrals, particularly Registered Dietitians, need to be knowledgeable about general and clinical pediatric nutrition as well as counselling skills for working with families and children.
This is the first of five self-directed training modules available in PowerPoint presentations that have been developed and evaluated to respond to this need
Core disciplines in agriculture-nutrition-health research: NutritionILRI
Presented by Jody Harris, Paula Dominguez and Dominic Rowland at the Agriculture, Nutrition and Health (ANH) Academy Week, Addis Ababa, Ethiopia, 20-24 June 2016.
This is an undergraduate presentation on failure to thrive in Pediatrics. In this presentation I mentioned about Diagnosis, Etiology, Etiology, Diagnostic Evaluation and Management.
https://orcid.org/0000-0001-9306-2267
https://1drv.ms/p/s!Am9GQ5GMX-WyjmOfgcNpov4RewVL
Pamudith Karunaratne
Supplementary nutritional programmes in indiaDrBabu Meena
This presentation was made to describe the scarcity of food in the country and to teach about the steps taken by the government. This decribes about the various nutritional supplementation progammes in the India, their advantage and disadvantages.
The journey of low birth weight infant Khaled Saad
Previously known as ‘failure to thrive’ (FTT), also known as weight faltering
Infant or children whose current weight or rate of weight gain is significantly below that expected of similar children of the same age, sex and ethnicity
Can occur in both infants (< 1 year of age) and in children (> 1 year of age)
These set of slides were presented at the BEP Seminar "Targeting in Development Projects: Approaches, challenges, and lessons learned" held last Oct. 2, 2023 in Cairo, Egypt
Caitlin Welsh
POLICY SEMINAR
Food System Repercussions of the Russia-Ukraine War
2023 Borlaug Dialogue Breakout session
Co-organized by IFPRI and CGIAR
OCT 26, 2023 - 1:10 TO 2:10PM EDT
Joseph Glauber
POLICY SEMINAR
Food System Repercussions of the Russia-Ukraine War
2023 Borlaug Dialogue Breakout session
Co-organized by IFPRI and CGIAR
OCT 26, 2023 - 1:10 TO 2:10PM EDT
Antonina Broyaka
POLICY SEMINAR
Food System Repercussions of the Russia-Ukraine War
2023 Borlaug Dialogue Breakout session
Co-organized by IFPRI and CGIAR
OCT 26, 2023 - 1:10 TO 2:10PM EDT
Bofana, Jose. 2023. Mapping cropland extent over a complex landscape: An assessment of the best approaches across the Zambezi River basin. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
Mananze, Sosdito. 2023. Examples of remote sensing application in agriculture monitoring. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
Seoul National University (SNU). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. Component 4. Crop analytics for forecasting yields. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
International Food Policy Research Institute (IFPRI). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. PowerPoint presentation given during the Project Kickoff Meeting (virtual), January 12, 2023
International Food Policy Research Institute (IFPRI). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. Component 1. Stakeholder engagement for impacts. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
Centro de Estudos de Políticas e Programas Agroalimentares (CEPPAG). 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. Component 3. Digital collection of groundtruthing data. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
ITC/University of Twente. 2023. Statistics from Space: Next-Generation Agricultural Production Information for Enhanced Monitoring of Food Security in Mozambique. Component 2. Enhanced area sampling frames. PowerPoint presentation given during the Project Inception Workshop, VIP Grand Hotel, Maputo, Mozambique, April 20, 2023
Christina Justice
IFPRI-AMIS SEMINAR SERIES
A Look at Global Rice Markets: Export Restrictions, El Niño, and Price Controls
Co-organized by IFPRI and Agricultural Market Information System (AMIS)
OCT 18, 2023 - 9:00 TO 10:30AM EDT
Fousseini Traoré
IFPRI-AMIS SEMINAR SERIES
A Look at Global Rice Markets: Export Restrictions, El Niño, and Price Controls
Co-organized by IFPRI and Agricultural Market Information System (AMIS)
OCT 18, 2023 - 9:00 TO 10:30AM EDT
Abdullah Mamun and Joseph Glauber
IFPRI-AMIS SEMINAR SERIES
A Look at Global Rice Markets: Export Restrictions, El Niño, and Price Controls
Co-organized by IFPRI and Agricultural Market Information System (AMIS)
OCT 18, 2023 - 9:00 TO 10:30AM EDT
Shirley Mustafa
IFPRI-AMIS SEMINAR SERIES
A Look at Global Rice Markets: Export Restrictions, El Niño, and Price Controls
Co-organized by IFPRI and Agricultural Market Information System (AMIS)
OCT 18, 2023 - 9:00 TO 10:30AM EDT
Joseph Glauber
IFPRI-AMIS SEMINAR SERIES
A Look at Global Rice Markets: Export Restrictions, El Niño, and Price Controls
Co-organized by IFPRI and Agricultural Market Information System (AMIS)
OCT 18, 2023 - 9:00 TO 10:30AM EDT
Lead authors Jonathan Mockshell and Danielle Resnick presented these slides at the Virtual Book Launch of the Political Economy and Policy Analysis (PEPA) Sourcebook on October 10, 2023.
An output of the Myanmar Strategy Support Program, with USAID and Michigan State University. Presented by Paul Dorosh, Director, Development Strategy and Governance Unit, International Food Policy Research Institute and Nilar Aung, Research Specialist, Michigan State University.
Bedru Balana, Research Fellow, IFPRI, presented these slides at the AAAE2023 Conference, Durban, South Africa, 18-21 September 2023. The authors acknowledged the contributions of CGIAR Initiative on National Policies and Strategies, Google, the International Rescue Committee, IFPRI, and USAID.
Sara McHattie
IFPRI-AMIS SEMINAR SERIES
Facilitating Anticipatory Action with Improved Early Warning Guidance
Co-organized by IFPRI and Agricultural Market Information System (AMIS)
SEP 26, 2023 - 9:00 TO 10:30AM EDT
More from International Food Policy Research Institute (IFPRI) (20)
2023 Global Report on Food Crises: Joint Analysis for Better Decisions
Post2015 Nutrition Consultation Session4 Kay Dewey
1. Candidate indicators for measuring
progress at improving nutrition
Kathryn G. Dewey, PhD
Program in Community and International Nutrition
University of California, Davis
February 20, 2013
2. Anthropometric indicators (children)
• Stunting: HAZ < -2
– Reflects long-term linear growth, both prenatal and postnatal
– Moderately sensitive to nutrition interventions
– % stunted increases with age until ~24 mo, so indicator should be
measured on children 24+ mo (or age-adjusted, if includes 0-24 mo?)
• Wasting: WHZ < -2
– Reflects acute undernutrition
– Sensitive (in short-term) to nutrition interventions, but recidivism is
common
• Underweight: WAZ < -2
– Reflects combination of stunting and wasting, so is not as informative
– Rates decrease as overweight becomes more common, even if
stunting not reduced
• Overweight: WHZ > +2
– Good indicator of rising rates of child obesity
3. Stunting is a non-specific indicator of nutritional
status and overall health, including:
- Quantity and quality of dietary intake (mother & child)
- Pre- and post-natal exposure to infections
- Environmental insults (e.g. mycotoxins, household air
pollution)
- Caregiving
Stunting is linked to numerous adverse
outcomes:
• Increased child mortality
• Delayed development and less schooling
• Lower wages in adulthood
• Increased obstetrical risks (women)
4. How strong is the link between stunting
and child development/schooling?
• Attained schooling +0.5 y per 1 Z difference in HAZ at 2 y of age
in Brazil, Guatemala, India, Philippines (Victora et al. 2008)
• Higher cognitive scores at 5 years among Vietnamese children
who were taller at 1 y (+0.20-0.25 SD per 1 Z difference in HAZ)
(Young Lives Project 2009)
• Jamaican children stunted at 9-24 mo had cognitive deficits that
persisted at 17-18 y (Walker et al. 2005)
• Difference of 4 points in MDI at 18 mo between stunted vs. non-
stunted children in Tanzania (McDonald et al. 2013)
Heterogeneity in the strength of the association with stunting
Timing of stunting may play a role (e.g. pre- vs. postnatal)
5. Dietary candidate indicators
• Children under two: IYCF
indicators
• Adults
– Household food insecurity
– Measures of consumption
(energy intake?)
– Dietary diversity among
women of reproductive
age
6. Recommended core IYCF indicators
• Breastfeeding: a) Early initiation of breastfeeding; b) Exclusive breastfeeding
under 6 months; c) Continued breastfeeding at 1 year
• Introduction of solid, semi-solid or soft foods
• Minimum dietary diversity: Proportion of children 6-23 mo who
receive foods from 4 or more food groups (out of 7):
a) grains, roots, tubers, b) legumes, nuts, c) dairy, d) flesh foods, e) eggs, f)
vitamin A-rich fruits & vegs, g) other fruits & vegs
• Minimum meal frequency: Proportion of breastfed and non-breastfed
children 6-23 mo who receive solid, semi-solid, or soft foods (including milk
feeds for non-breastfed children) the minimum number of times or more
(BF: 2 times at 6-8 mo, 3 times at 9-23 mo; non-BF: 4 times 6-23 mo)
• Minimum acceptable diet: Proportion of children 6-23 mo who
receive a minimum acceptable diet
– Breastfed children who had at least minimum dietary diversity and
minimum meal frequency
– Non-breastfed children who received at least 2 milk feedings and had
minimum dietary diversity and minimum meal frequency
• Consumption of iron-rich or iron-fortified foods
8. Women’s dietary diversity & micronutrient
adequacy
(Arimond et al., Women’s Dietary Diversity Project, J Nutr. 2010)
“MPA” is probability of adequacy averages across 11 micronutrients
9. Dietary diversity as an indicator?
• Reflects dietary quality
• All food-based national dietary guidelines include this
dimension, usually via recommended food groups for
daily consumption
• DD indicators are robust: Across all studies and all DD
indicators, there are moderate to strong associations
with nutrient density and/or nutrient intakes
• However, DD indicators are imperfect: Indicator
performance (sensitivity, specificity, and best cut-offs)
vary by context and all indicators result in some
misclassification
• For children 6-23 mo, “minimum acceptable diet” may
be a better indicator because it can be used for
comparisons across time and between populations with
different rates of continued breastfeeding.
10. Summary - Anthropometric
• Consider stunting as key indicator rather than
underweight?
• Pros: better indicator of conditions that support
health and development; if weight is measured
can also track overweight
• Con: requires measuring height – technical &
resource challenges
• Also include adult & child overweight as
indicators?
11. Summary - Dietary
• Children (6-24 mo): consider minimum acceptable diet as key
indicator?
– Pros: raises attention to IYCF, dietary quality; lots of room for
improvement
– Cons: composite indicator requires several survey questions;
validation results better for dietary diversity than for meal
frequency
• Adults: consider two indicators?
– Household food insecurity
• Pros: marker of access to food; sensitive to economic
trends
• Cons: requires several survey questions; are cross-
population comparisons valid?
– Dietary diversity among women of reproductive age
• Pros: reflective of dietary quality; validation data available
• Cons: sensitivity, specificity and best cut-off values vary
across populations
Editor's Notes
IYCF Indicators document states:Consumption of any amount of food from each food group is sufficient to “count”, i.e., there is no minimum quantity, except if an item is only used as a condimentThe cut-off of at least 4 of the 7 food groups was selected because it is associated with better quality diets for both BF and non-BF children. Consumption of foods from at least 4 food groups would mean a high likelihood of consuming at least one ASF and at least one F/V that day, in addition to a staple food.Diversity scores for BF and non-BF children should not be directly compared, because breast milk is not “counted” in any of the food groups (because DD is meant to reflect the quality of the CF diet). Thus this indicator may show “better” results for children who are not BF than those who are BF in populations where formula and/or milk are commonly given to non-BF children.For the same reason, DD should not be used to compare populations that differ in prevalence of continued BF.The composite indicator (#7) can be used for comparisons across time and between populations with different rates of continued BF.
Moving on to results from the WDDPThis slide is for non-pregnant, non-lactating women and shows results for one of eight indicators we assessed. This shows a strong and quite consistent relationship between a simple indicator of food group diversity yesterday, and micronutrient adequacy yesterday.For this indicator, foods were grouped into 9 categories. Results were similar for more disaggregated indicators with 13 and 21 food groups. A 6-group indicator did not work as well. This 9-group indicator also excluded foods from “counting” if consumed in very small amounts (< 15 g ~=1 TBLSP); in general indicators excluding these small amounts worked better than indicators that allowed any amount to “count” in the score.Note that we have a “high outlier” on this slide. This reflects the impact of seasonality on results and specifically, the high outlier represents women in Mozambique during mango season. In Mozambique, women typically ate very few food groups but a substantial quantity of each group consumed. Most common foods were grains, legumes/nuts, mango, and other vegetables (largely tomato).You can also see that slopes are comparable, even if ranges of the indicators are very different across sites, meaning that micronutrient adequacy improved in roughly similar amount as scores increased Data points representing fewer than 10 observations are not represented
Bullets 1, 2: DD is only one dimension of DQ – however it is an important dimension as evidenced by the fact that all food-based…etc.