PMID- 15867942 OWN - NLM STAT- MEDLINE DCOM- 20050920 LR - 20220321 IS - 0954-3007 (Print) IS - 0954-3007 (Linking) VI - 59 IP - 5 DP - 2005 May TI - Use of variety/diversity scores for diet quality measurement: relation with nutritional status of women in a rural area in Burkina Faso. PG - 703-16 AB - OBJECTIVES: To develop scores for food variety and diversity to assess the overall dietary quality in an African rural area; and to study their relationship with the nutritional status of women of childbearing age. DESIGN: Cross-sectional. SETTING: Sahelian rural area in the North-East Burkina Faso (West Africa). SUBJECTS: A total of 691 mothers with children below the age of 5 y, selected at random in 30 villages. METHODS: A qualitative recall of women's food consumption during the previous 24 h made it possible to calculate a food variety score (FVS = count of food items consumed) and a dietary diversity score (DDS = count of food groups, among 14 groups). These scores were then divided into terciles. Body mass index (BMI), mid-upper arm circumference (MUAC) and body fat percentage (BFP) were used to determine the women's nutritional status. RESULTS: The overall dietary quality was poor: mean FVS (s.d.) = 8.3 (2.9) food items; mean DDS = 5.1 (1.7) food groups. A clear relationship was shown between both FVS and DDS (in terciles) and most nutritional indices. Women with a FVS in the lowest tercile had a mean BMI of 20.1, while those in the highest tercile had a BMI of 20.9 (P = 0.009). Those in the lowest tercile of DDS had a 22.8% prevalence of underweight vs 9.8% in the highest tercile (P < 0.0001). The latter relationship remained significant even when the subjects' sociodemographic and economic characteristics were accounted for. CONCLUSION: Dietary scores measured at the individual level are good proxies for overall dietary quality of women living in a poor rural African area. These scores were also shown to be linked with the nutritional status of women. FINANCING: IRD financed the study with the assistance of UNICEF for the purchase of anthropometric equipment. The first author received a research allowance from the French Ministry of Research through the doctoral school 393 of Pierre and Marie Curie University (Paris VI). FAU - Savy, M AU - Savy M AD - Nutrition, Food, Societies Unit (WHO collaborating Centre for Nutrition), Institut de Recherche pour le Developpement (IRD), Ouagadougou, Burkina Faso savy@ird.bf FAU - Martin-Prevel, Y AU - Martin-Prevel Y FAU - Sawadogo, P AU - Sawadogo P FAU - Kameli, Y AU - Kameli Y FAU - Delpeuch, F AU - Delpeuch F LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Clin Nutr JT - European journal of clinical nutrition JID - 8804070 SB - IM MH - Adult MH - Anthropometry/methods MH - Arm/anatomy & histology MH - Body Composition/physiology MH - Body Mass Index MH - Burkina Faso MH - Cross-Sectional Studies MH - Diet/standards/*statistics & numerical data MH - Family Characteristics MH - Female MH - Humans MH - Nutrition Surveys MH - Nutritional Status/*physiology MH - Regression Analysis MH - Rural Population/*statistics & numerical data MH - Socioeconomic Factors EDAT- 2005/05/04 09:00 MHDA- 2005/09/21 09:00 CRDT- 2005/05/04 09:00 PHST- 2005/05/04 09:00 [pubmed] PHST- 2005/09/21 09:00 [medline] PHST- 2005/05/04 09:00 [entrez] AID - 1602135 [pii] AID - 10.1038/sj.ejcn.1602135 [doi] PST - ppublish SO - Eur J Clin Nutr. 2005 May;59(5):703-16. doi: 10.1038/sj.ejcn.1602135.