Home gardens focusing on the production of yellow and dark-green leafy vegetables increase the serum retinol concentrations of 2–5-y-old children in South Africa

Background: Production of yellow and dark-green leafy vegetables at the household level may provide economically deprived households with direct access to provitamin A-rich foods. Objective: The aim of the study was to determine whether the dietary intake of yellow and dark-green leafy vegetables an...

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Veröffentlicht in:The American journal of clinical nutrition 2002-11, Vol.76 (5), p.1048-1054
Hauptverfasser: Faber, Mieke, Phungula, Michael AS, Venter, Sonja L, Dhansay, Muhammad A, Benadé, AJ Spinnler
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container_end_page 1054
container_issue 5
container_start_page 1048
container_title The American journal of clinical nutrition
container_volume 76
creator Faber, Mieke
Phungula, Michael AS
Venter, Sonja L
Dhansay, Muhammad A
Benadé, AJ Spinnler
description Background: Production of yellow and dark-green leafy vegetables at the household level may provide economically deprived households with direct access to provitamin A-rich foods. Objective: The aim of the study was to determine whether the dietary intake of yellow and dark-green leafy vegetables and the serum retinol concentrations of children improve with a home-gardening program. Design: A home-gardening program was integrated with a community-based growth-monitoring system in a rural village. Cross-sectional data were collected at baseline and 20 mo after implementation of the program. The dietary intake, serum retinol concentrations, and growth of 2–5-y-old children and maternal knowledge regarding vitamin A were determined. A neighboring village served as a control village. Results: In the experimental village, 126 home gardens were established, representing approximately one-third of the households. Serum retinol concentrations in the experimental village increased significantly (P = 0.0078), whereas those in the control village decreased significantly (P = 0.0148). At follow-up, children from the experimental village consumed yellow and dark-green leafy vegetables more often and had significantly higher (P = 0.005) serum retinol concentrations (0.81 +/- 0.22 micromol/L; n = 110) than did children from the control village (0.73 +/- 0.19 micromol/L; n = 111). Maternal knowledge regarding vitamin A improved significantly in the experimental village (P = 0.001). Conclusion: A home-gardening program that was integrated with a primary health care activity, linked to nutrition education, and focused on the production of yellow and dark-green leafy vegetables significantly improved the vitamin A status of 2-5-y-old children in a rural village in South Africa.
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Objective: The aim of the study was to determine whether the dietary intake of yellow and dark-green leafy vegetables and the serum retinol concentrations of children improve with a home-gardening program. Design: A home-gardening program was integrated with a community-based growth-monitoring system in a rural village. Cross-sectional data were collected at baseline and 20 mo after implementation of the program. The dietary intake, serum retinol concentrations, and growth of 2–5-y-old children and maternal knowledge regarding vitamin A were determined. A neighboring village served as a control village. Results: In the experimental village, 126 home gardens were established, representing approximately one-third of the households. Serum retinol concentrations in the experimental village increased significantly (P = 0.0078), whereas those in the control village decreased significantly (P = 0.0148). At follow-up, children from the experimental village consumed yellow and dark-green leafy vegetables more often and had significantly higher (P = 0.005) serum retinol concentrations (0.81 +/- 0.22 micromol/L; n = 110) than did children from the control village (0.73 +/- 0.19 micromol/L; n = 111). Maternal knowledge regarding vitamin A improved significantly in the experimental village (P = 0.001). 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Objective: The aim of the study was to determine whether the dietary intake of yellow and dark-green leafy vegetables and the serum retinol concentrations of children improve with a home-gardening program. Design: A home-gardening program was integrated with a community-based growth-monitoring system in a rural village. Cross-sectional data were collected at baseline and 20 mo after implementation of the program. The dietary intake, serum retinol concentrations, and growth of 2–5-y-old children and maternal knowledge regarding vitamin A were determined. A neighboring village served as a control village. Results: In the experimental village, 126 home gardens were established, representing approximately one-third of the households. Serum retinol concentrations in the experimental village increased significantly (P = 0.0078), whereas those in the control village decreased significantly (P = 0.0148). At follow-up, children from the experimental village consumed yellow and dark-green leafy vegetables more often and had significantly higher (P = 0.005) serum retinol concentrations (0.81 +/- 0.22 micromol/L; n = 110) than did children from the control village (0.73 +/- 0.19 micromol/L; n = 111). Maternal knowledge regarding vitamin A improved significantly in the experimental village (P = 0.001). 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Objective: The aim of the study was to determine whether the dietary intake of yellow and dark-green leafy vegetables and the serum retinol concentrations of children improve with a home-gardening program. Design: A home-gardening program was integrated with a community-based growth-monitoring system in a rural village. Cross-sectional data were collected at baseline and 20 mo after implementation of the program. The dietary intake, serum retinol concentrations, and growth of 2–5-y-old children and maternal knowledge regarding vitamin A were determined. A neighboring village served as a control village. Results: In the experimental village, 126 home gardens were established, representing approximately one-third of the households. Serum retinol concentrations in the experimental village increased significantly (P = 0.0078), whereas those in the control village decreased significantly (P = 0.0148). At follow-up, children from the experimental village consumed yellow and dark-green leafy vegetables more often and had significantly higher (P = 0.005) serum retinol concentrations (0.81 +/- 0.22 micromol/L; n = 110) than did children from the control village (0.73 +/- 0.19 micromol/L; n = 111). Maternal knowledge regarding vitamin A improved significantly in the experimental village (P = 0.001). Conclusion: A home-gardening program that was integrated with a primary health care activity, linked to nutrition education, and focused on the production of yellow and dark-green leafy vegetables significantly improved the vitamin A status of 2-5-y-old children in a rural village in South Africa.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>12399277</pmid><doi>10.1093/ajcn/76.5.1048</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Agriculture
Biological and medical sciences
Caregivers
Child, Preschool
children
Children & youth
Cross-Sectional Studies
Diet
Female
foods
Gardens & gardening
green leafy vegetables
Health Knowledge, Attitudes, Practice
health services
Health Surveys
home gardens
households
Humans
Male
Medical sciences
Metabolic diseases
Mothers
nutrition education
Nutritional Status
Osmolar Concentration
Other nutritional diseases (malnutrition, nutritional and vitamin deficiencies...)
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rural Population
South Africa
Specific populations (family, woman, child, elderly...)
Tropical medicine
Vegetables
Vitamin A
Vitamin A - blood
title Home gardens focusing on the production of yellow and dark-green leafy vegetables increase the serum retinol concentrations of 2–5-y-old children in South Africa
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