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Theme III. Nutrition and Health

Theme III. Nutrition and Health. Eating is an agricultural act: On the Edge of Understanding Nutrition-Sensitive Agriculture. Peter R. Berti. Agriculture – Sensitive Nutrition.

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Theme III. Nutrition and Health

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  1. Theme III. Nutrition and Health Eating is an agricultural act: On the Edge of Understanding Nutrition-Sensitive Agriculture Peter R. Berti

  2. Agriculture – SensitiveNutrition

  3. … investing broadly in five types of capital, especially human capital, increases the prospects for nutrition improvement. • Our analysis … was often hampered by the projects using study designs that were not suitable to assess this relationship. • The agriculture–nutrition link must be studied in a large variety of projects and settings, in order to build a body of knowledge

  4. [positive] nutrition outcomes when they involve diverse and complementary processes… • Future programs should be carefully monitored and rigorously evaluated to ensure that performance can be continually tracked and improved.

  5. … we concluded that the absence of … significant impact of agricultural interventions on children’s nutritional status should not be attributed to the inefficacy of these interventions. Rather it is the lack of[statistical] power of the studies.

  6. Food and Nutrition Bulletin (2014) 35:126-132

  7. Food and Nutrition Bulletin (2013) 34:369-377

  8. Agriculture for improved nutrition: The current researchlandscape Researchtheme N studies 80 70 60 50 40 30 20 10 0 Ag production of nutritious foods Value chains Ag-based development • Policy / methodology • Multisectoral Aflatoxin Turner et al. Food and Nutrition Bulletin (2013) 34:369-377

  9. Agriculture for improved nutrition: The current research landscape: Populations of interest N studies 100 80 60 40 20 0 Children Women Other Turner et al. Food and Nutrition Bulletin (2013) 34:369-377

  10. What we know What we don’t know, but need to know What we don’t know, but it doesn’t matter

  11. What we know: • For agriculture interventions to have a positive impact on nutrition of the participating households they should invest in multiple areas of the farmers’ lives, including, but not limited to, nutrition education. • Home gardening with focus on vitamin A rich crops can improve vitamin A status • Animal husbandry focused projects can lead to increases in ASF consumption

  12. What we don’t know, but need to know: • What are the characteristics of self-replicating (or, at least, scalable) nutrition-sensitive agriculture? • How do nutrition-sensitive agriculture interventions impact women’s work loads?

  13. What we don’t know, but it doesn’t matter: • What are the nutrient-specific benefits of various types of nutrition-sensitive agriculture interventions?

  14. We have a lot to learn… how can we work together? • The key issue in nutrition: • is NOT “nutrition”, but behaviour change • The relationship between biodiversity and dietary diversity can be a mutually interesting starting point • Dietary diversity and ultra-processing

  15. Dietary Diversity – more diverse=better • Grains, roots or tubers • Vitamin A-rich plant foods • Other fruits or vegetables • Meat, poultry, fish, seafood • Eggs • Pulses/legumes/nuts • Milk and milk products • Oils/fats

  16. Monteiro C (2010) The big issue is ultra-processing. [Commentary] World Nutrition:16: 237- 269

  17. PotatoWhgrain bread Wonder bread MilkSw. Yogurt CheezWhiz Olive oilButterVegLard

  18. I had no idea that working across disciplines [….]was this painful, but it might be worth it Lesson 1: ‘Interdisciplinarity’ is tough Lesson 2: Beware geeks bearing gifts. What kinds of people do you want in the room? … the ability to empathise is probably more essential than being top of the field.

  19. Peter R. Berti NutritionAdvisor/Deputy Director pberti@healthbridge.ca www.healthbridge.ca

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