Variation in Child Stunting and Association with Maternal and Child Dietary Intakes in Rural Kenya: A One-Year Prospective Study

Objectives: Few studies have examined maternal dietary intakes in relation to children’s malnutrition status. We examined variations in children stunting status and their association with maternal and child dietary intakes. Methods: This one-year prospective study (conducted from November 2021 to December 2022) consisted of up to four surveys carried out in rural Kenya. It included 135 pairs of children aged 12–59 months and their non-pregnant mothers, all of whom had received nutrition guidance during the study. Dietary intakes were assessed in four non-consecutive 24 h dietary recalls during the first two surveys. Anthropometric measurements were taken at most four times, and variations in children stunting status (not-stunted, recovered-from-stunting, or persistent/worsened stunting) were assessed. Maternal and child dietary intakes, based on variations in stunting status, were compared using one-way analysis of covariance adjusted for socio-demographic variables. Results: Of the 135 children studied, 40 (29.6%) were stunted at baseline, whereas 85, 20, and 30 had no stunting, recovered from stunting, or had persistent/worsened stunting. Children with persistent/worsened stunting had a significantly lower energy intake than other children; however, maternal energy intake did not differ by children’s stunting status. Milk intake was significantly lower among children with persistent/worsening stunting than other children. A similar difference based on variations in stunting was also observed for maternal milk intake. Conclusions for Practice: The mothers of rural Kenyan children who had recovered from stunting consumed the most milk, while the mothers of children with persistent/worsening consumed the least milk. Further research is needed to confirm the factors behind the observed intake differences.