Household food security, dietary patterns and nutritional status of young children in a Nigerian community: Situation of post-COVID-19 lockdown

The emergence of the novel Coronavirus in late 2019 led to disruptions in the food, economic and health systems. There are projections that the pandemic will worsen hunger and malnutrition in families with young children and women of reproductive age in Low- and Middle-Income Countries (LMICs). Therefore, this study investigated household food security status, dietary patterns and nutritional status of children in a Nigerian community during the COVID-19 pandemic. A total sample of 200 mother-child pairs was selected from a Nigerian community using a multi-stage sampling technique. A semi-structured interviewer-administered questionnaire, which had four sections, was used for data collection. A food security survey questionnaire was used to assess household food security, and a food frequency questionnaire was used to capture child food patterns. Dietary diversity was assessed using 24-hour dietary recall, and nutritional status was measured using anthropometric parameters. Data were analysed using descriptive and inferential statistics. The level of significance was set at p<0.05. Almost half (48.5%) of the mothers were aged between 24 and 35 years, with a mean age of 31.63 +6.3 years. The majority of the children (69%) were between 24 and 60 months-old, with a mean age of 29.80 +15.48 months. Most participants (73.7%) were food insecure. Cereals, roots and tubers (79.5%), and sugar and junk (61.4 %) were the most frequently consumed food groups by children, while dairy products (15.8 %), vegetables (18.1%), and fruits (19.3 %) were the least frequently consumed. The majority had a low dietary diversity score (61.4%), and the prevalence of stunting, wasting and underweight was 41.3%, 27.2% and 3.3%, respectively. There was a statistically significant (p=0.013) relationship between maternal age and child dietary diversity. This study reveals that most households with mothers and children 6-59 months-old were food insecure. More than half of the children had low dietary diversity, and the consequences of poor diet quality are becoming evident as wasting and stunting are high. Therefore, an urgent public health intervention is needed to improve food security in vulnerable households.