{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:28:15Z","timestamp":1785403695379,"version":"3.56.0"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"unspecified","delay-in-days":155,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2026]]},"abstract":"Abstract<\/jats:title>\n \n Objective:<\/jats:title>\n Few studies have examined whether infant dietary diversity is prospectively associated with malnutrition risk in young children. We sought to assess whether dietary diversity and animal-source food (ASF) consumption were associated with malnutrition and body composition among children younger than 2 years at high risk of malnutrition.<\/jats:p>\n <\/jats:sec>\n \n Design:<\/jats:title>\n Longitudinal cohort of HIV-exposed uninfected (HEU) or HIV-unexposed children with repeated measures of weight, length, circumferences and skinfold thicknesses from age 9 to 23 months from which WHO z-scores were calculated. FFQ assessed infants\u2019 dietary diversity, flesh foods and egg intake. Cox proportional hazards were used to examine whether minimum dietary diversity (MDD, dietary diversity scores \u2265 5) and consumption of ASF were associated with malnutrition, defined as z-score < \u22122.<\/jats:p>\n <\/jats:sec>\n \n Setting:<\/jats:title>\n Western Kenya<\/jats:p>\n <\/jats:sec>\n \n Participants:<\/jats:title>\n \n Infants (\n n<\/jats:italic>\n 232; 48 % female; 49 % HEU; growth z-scores above \u22122 at 9 months).\n <\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n At 9 months, 42 % of infants met MDD, and mean z-scores were above \u22121\n sd<\/jats:sc>\n . Meeting MDD at 9 months was associated with a lower risk of stunting from 9 to 23 months (HR 0\u00b751; 95 % CI: 0\u00b733, 0\u00b780) but not wasting or underweight. MDD at 9 months was associated with 86 % (95 % CI 0\u00b711, 0\u00b751) lower risk of low subscapular skinfolds; similar trends were observed for flesh foods.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions:<\/jats:title>\n In a cohort of Kenyan infants, MDD at 9 months was associated with reduced risk of stunting through the second year of life. Flesh food intake was associated with lower risk of low trunk adiposity. Improving dietary diversity during infancy may protect against early-life stunting.<\/jats:p>\n <\/jats:sec>","DOI":"10.1017\/s1368980026102912","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T05:24:31Z","timestamp":1780637071000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Higher infant dietary diversity is associated with a reduced risk of stunting in the second year among a longitudinal cohort of HIV-unexposed and HIV-exposed but uninfected Kenyan children"],"prefix":"10.1017","volume":"29","author":[{"given":"Saralyn","family":"Foster","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shalean","family":"Collins","sequence":"additional","affiliation":[{"name":"Tulane University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Powers","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Rickman","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Miller","sequence":"additional","affiliation":[{"name":"The University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maricianah","family":"Onono","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Wekesa","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela","family":"Abrego","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anahi","family":"Ramos-Gonzalez","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayleen","family":"Whitley","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madilyn","family":"Bradley","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1763-1218","authenticated-orcid":false,"given":"Sera L.","family":"Young","sequence":"additional","affiliation":[{"name":"Northwestern University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9574-6109","authenticated-orcid":false,"given":"Elizabeth M.","family":"Widen","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00hj54h04","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,6,5]]},"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980026102912","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T09:29:04Z","timestamp":1783675744000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980026102912\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026]]}},"alternative-id":["S1368980026102912"],"URL":"https:\/\/doi.org\/10.1017\/s1368980026102912","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e143"}}