Rural Ecuadorians are experiencing a double burden of malnutrition, characterized by simultaneous nutrient inadequacies and excesses, alongside the social and environmental consequences of unsustainable agriculture. Agriculture can support farmer nutrition by providing income for market purchases and through the consumption of foods from own production. However, the nutritional contributions of these food acquisition strategies vary by context. We surveyed smallholder women farmers (n = 90) in Imbabura province to assess the dietary contributions of foods obtained through market purchase, own production, and social economy among farmers participating in agroecology—a sustainable farming movement—and neighboring reference farmers. We found that foods from farmers’ own production and the social economy were relatively nutrient-rich, while market foods were calorie-rich. Consumption of foods from own production was associated with better nutrient adequacy and moderation, whereas market food consumption was associated with a worse performance on both. Food acquisition patterns differed between farmer groups: agroecological farmers obtained 44%, 32%, and 23% of their calories from conventional markets, own production, and the social economy, respectively, while reference neighbors obtained 69%, 17%, and 13%, respectively. Our findings suggest that, in this region, farmer nutrition is better supported through the consumption of their own production than through market purchases, and sustainable farming initiatives such as agroecology may be leveraged for healthy diets.
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