Abstract

It is widely anticipated that climate change will negatively affect both food security and diet diversity. Diet diversity is especially critical for children as it correlates with macro and micronutrient intake important for child development. Despite these anticipated links, little empirical evidence has demonstrated a relationship between diet diversity and climate change, especially across large datasets spanning multiple global regions and with more recent climate data. Here we use survey data from 19 countries and more than 107 000 children, coupled with 30 years of precipitation and temperature data, to explore the relationship of climate to child diet diversity while controlling for other agroecological, geographic, and socioeconomic factors. We find that higher long-term temperatures are associated with decreases in overall child diet diversity, while higher rainfall in the previous year, compared to the long-term average rainfall, is associated with greater diet diversity. Examining six regions (Asia, Central America, North Africa, South America, Southeast Africa, and West Africa) individually, we find that five have significant reductions in diet diversity associated with higher temperatures while three have significant increases in diet diversity associated with higher precipitation. In West Africa, increasing rainfall appears to counterbalance the effect of rising temperature impacts on diet diversity. In some regions, the statistical effect of climate on diet diversity is comparable to, or greater than, other common development efforts including those focused on education, improved water and toilets, and poverty reduction. These results suggest that warming temperatures and increasing rainfall variability could have profound short- and long-term impacts on child diet diversity, potentially undermining widespread development interventions aimed at improving food security.

Highlights

  • Introduction an us cri Childhood malnutrition and undernourishment can lead to a number of health outcomes, which can negatively impact children’s life trajectories [1]

  • Though childhood malnutrition has decreased over the past several decades globally, there has been an increase in global undernourishment since 2015, in part associated with climate and extreme events [9]

  • It is critical that as the evidence for action increases, scaling up of any adaptation interventions come with additional resources and support to ensure that programs that expand can achieve the same health and nutrition outcomes as their original focus [63]. In this large-scale, multi-country analysis, we demonstrate the relationship between climate on child diet diversity outcomes, including temperature, which has not been previously widely recognized

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Summary

Introduction

Childhood malnutrition and undernourishment can lead to a number of health outcomes, which can negatively impact children’s life trajectories [1]. The majority of childhood malnutrition occurs in low and middle income countries in children under the age of five [2]. Diet diversity is demonstrated to be a good indicator of micronutrient intake, a lack of which indicates malnutrition [3] including obesity [4]. Poor diet diversity is associated with undernourishment outcomes including stunting and wasting in children [3, 5,6,7,8]. Though childhood malnutrition has decreased over the past several decades globally, there has been an increase in global undernourishment since 2015, in part associated with climate and extreme events [9]. While there is an abundance of research exploring the relationship of agroecological, geographic, socioeconomic, and demographic factors to child malnutrition [10, 11], the evidence linking climate and child malnutrition is limited, especially across multiple geographic scales [12, 13]

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