Association between Diet Quality and Health Outcomes among Children in Rural Areas of Northwest China

Int J Environ Res Public Health. 2022 Jun 25;19(13):7803. doi: 10.3390/ijerph19137803.

Abstract

This study aims to examine the relationship between diet quality and health outcomes among children in rural remote areas of China. We draw on a cross-sectional dataset of 1216 children from two counties in the Gansu Province in Northwest China. Child health outcomes were assessed with both anthropometric measurements and reports by primary caregivers of the children. Child diet quality was assessed with the diet quality score (DQS) using information from a food frequency questionnaire (FFQ). Our data show the prevalence of stunting and underweight among sample children were 12% and 11%, respectively; 27% of children were reported by their caregivers as unhealthy, and 60% of children had at least one of the seventeen selected non-communicable diseases (NCDs) over the past 14 days. Overall, 780 (72%) children have at least one of the four above-mentioned health problems. Results from logistic regression models show that a higher DQS was significantly associated with a lower likelihood of being stunted and a higher likelihood of being reported healthy after adjusting for confounders. These findings imply that improving child diet quality might be an option when designing interventions to improve child health.

Keywords: children; diet quality; health outcomes; primary caregivers; rural remote areas.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Child
  • China / epidemiology
  • Cross-Sectional Studies
  • Diet*
  • Growth Disorders* / epidemiology
  • Humans
  • Infant
  • Outcome Assessment, Health Care
  • Prevalence
  • Rural Health
  • Rural Population

Grants and funding

This research was supported by the National Natural Science Foundation of China (grant numbers 71861147003, 71925009, and 72141014); China Postdoctoral Science Foundation (grant number 2021M690200); and the IFPRI Research Project (grant number 602174.002.001) funded by the World Food Program.