Relationship of homestead food production with night blindness among children below 5 years of age in Bangladesh

Ashley A. Campbell, N. Akhter, K. Sun, S. De Pee, K. Kraemer, R. Moench-Pfanner, J.H. Rah, J. Badham, M.W. Bloem, R.D. Semba

Research output: Contribution to journalArticlepeer-review

Abstract

Objective
To examine the relationship between homestead food production and night blindness among pre-school children in rural Bangladesh in the presence of a national vitamin A supplementation programme.

Design
A cross-sectional study.

Setting
A population-based sample of six rural divisions of Bangladesh assessed in the Bangladesh Nutrition Surveillance Project 2001–2005.

Subjects
A total of 158 898 children aged 12–59 months.

Results
The prevalence rates of night blindness in children among those who did and did not receive vitamin A capsules in the last 6 months were 0·07 % and 0·13 %, respectively. Given the known effect of vitamin A supplementation on night blindness, the analysis was stratified by children's receipt of vitamin A capsules in the last 6 months. Among children who did not receive vitamin A capsules in the last 6 months, the lack of a home garden was associated with increased odds of night blindness (OR = 3·16, 95 % CI 1·76, 5·68; P = 0·0001). Among children who received vitamin A capsules in the last 6 months, the lack of a home garden was not associated with night blindness (OR = 1·28, 95 % CI 0·71, 2·31; P = 0·4).

Conclusions
Homestead food production confers a protective effect against night blindness among pre-school children who missed vitamin A supplementation in rural Bangladesh.

Original languageEnglish
Pages (from-to)1627 - 1631
JournalPublic Health Nutrition
Volume14
Issue number9
DOIs
Publication statusPublished - 4 May 2011

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