Chhavi Tiwari

Chhavi Tiwari

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Current Organizations / Institutes

The organizations/institutes from the scholar's latest article

Previous Organizations / Institutes

The organizations / institutes from the scholar's other articles in the past ten years


Chhavi Tiwari has a total of 58 co-authors. Here are the top co-authors by number of shared publications:


Latest Publications

  • Open Access

    Brain Foods: A Narrative Review of Food Items and Their Impact on Cognition over the Life Course

    by Chante Hardaway, Chhavi Tiwari, Atia Bonna, Adegbola Adesogan, Sarah Lindley McKune

    Background/Objectives: Cognitive function is fundamental to daily life, and nutrition is a key modifiable determinant of brain health across the lifespan. While plant-based “brain foods” have been emphasized, the contributions of animal-sourced foods (ASF) to neurodevelopment and cognitive performance remain underexplored. This review synthesizes current evidence on the effects of both plant- and animal-derived foods on cognitive outcomes from early development through older adulthood. Methods: A narrative review was conducted focusing on eight major categories of brain-supportive foods—dairy, eggs, seafood, lean meat, berries, leafy green vegetables, nuts, and whole grains. Evidence was evaluated across life stages, considering nutrient bioavailability, dietary patterns, and the interplay between structural, socioeconomic, and environmental factors that influence access to these foods. Results: Nutrient-dense foods, including ASF and plant-based sources, support cognitive outcomes across the life course. In early childhood, eggs, meat, and nuts were linked to improved neurodevelopment and reductions in developmental delays, while evidence for seafood and dairy was more mixed. During adolescence and adulthood, berries, walnuts, vegetables, and whole grains were associated with improvements in executive function, verbal reasoning, and mood, with adequate bioavailable protein from ASF remaining important. Among older adults, higher intake of leafy greens, nuts, berries, and moderate seafood consumption correlated with slower cognitive decline and improved memory. Findings were limited by heterogeneous study designs, dietary assessments, and underrepresentation of adolescents and populations in low- and middle-income countries. Conclusions: Both animal-sourced and plant-based brain foods uniquely support cognitive development, maintenance, and resilience. While nutritional needs vary across the life course, strong evidence supporting distinct food-based dietary recommendations for cognitive outcomes at different ages, particularly adolescents, remains limited. Current findings suggest stage-specific associations, particularly during early development, but more longitudinal and experimental research is needed. Expanding rigorous, inclusive research will be critical for informing nutrition policies that support lifelong cognitive health.

  • Open Access

    Nonstandard work schedules and parental mental health: the moderating influences of social support and gender in France

    by Anne Lambert, Chhavi Tiwari, Capucine Rauch

    As most OECD countries transition toward a 24/7 economy, a growing share of the workforce engages in nonstandard work schedules outside the regular 9 am to 5 pm, Monday to Friday schedule (Gracia e...

  • Investigating the Effect of Integrated Nutrition and Agricultural Training on Egg Production and Child Egg Consumption: A Secondary Analysis from the Un Oeuf Trial

    by Oluwatomiipe Adesogan, Chhavi Tiwari, Arie Havelaar, Saskia Hendrickx, Diwakar Vyas, Heather Stark, Aissata Wereme N’DIaye, Yacouba Zare, Sarah Lindley McKune

  • Open Access

    DEUX OEUFs: Cracking the potential of eggs to improve child growth and development: A randomized controlled trial (RCT) study protocol

    by Chhavi Tiwari, Daniel Acosta, Eric Matsiko, Apolline Kampire, Aloys Nsabimana, Heather Stark, Juan Andrade Laborde, Yang Yang, Etienne Nsereko, Kathryn Reider, et al.

    Background The first thousand days post-conception are crucial for potential interventions to improve early child growth and development. Adequate nutrition during pregnancy plays a pivotal role in both maternal and child health. Recent studies indicate that the consumption of animal-source foods (ASF) such as eggs during childhood may have a positive effect on child growth and development. However, limited evidence exists for the impact of egg supplementation during pregnancy on maternal and child nutrition. The Deux Oeufs study aims to test the effect of a maternal nutritional intervention of two eggs per day during pregnancy on birth outcomes and infant growth. Methods Deux Oeufs is a randomized controlled trial (RCT) and will aim to enroll and randomize 956 pregnant women from Nyagatare district in Rwanda into one of two study arms: a treatment group (T1) or a control group (T2). Women in the treatment arm will consume a supplement of two eggs per day starting from enrollment during the first trimester of pregnancy until childbirth. The study staff will directly observe the consumption of eggs daily. Women in the control arm will continue their usual diet. All enrolled participants will receive standard care prenatal care, as outlined by the Government of Rwanda (GoR), a mobile phone, health insurance (if not already covered), and modest compensation for participation. All participants who are not already receiving Shisha Kibondo (a fortified flour supplement provided by GoR) as part of their standard care will receive the same amount (6kg/month) from the study, regardless of treatment arm. The primary outcome is child length-for-age z-score (LAZ) at birth. Secondary outcomes include maternal health indicators (during and after pregnancy) and child growth and early development measures both in-utero, during the second and third trimester, and after birth, at 6 weeks and six months of age. Women will be enrolled on a rolling basis starting from May 2024. Discussion Deux Oeufs is the first RCT to test the effects of directly observed daily maternal egg consumption during pregnancy on child nutrition outcomes. Findings from the study will provide evidence on the potential for prenatal ASF supplementation to improve child growth and development and consequently inform policy decisions. Trial registration The trial is also registered at clincaltrials.gov with registration number NCT06405360 on May 03, 2024. Here is the link to the registry: https://clinicaltrials.gov/study/NCT06405360?cond=NCT06405360&rank=1

  • Open Access

    Livestock ownership, ASF consumption and child nutrition in Rwanda: a multilevel mixed effect approach

    by Gulchiroy S. Mirzajonova, Chhavi Tiwari, Fevi Rose Paro, Karin Rashid, Daniel Acosta, Ibsa A. Ahmed, Sarah L. McKune

    Livestock-derived animal source foods (ASF) provide macro and micronutrients required for child growth and development, yet are under-consumed in many parts of the world where undernutrition persists. Using a modified conceptual framework of the social determinants of health, this study investigates the interrelationship between livestock ownership, ASF consumption, and child undernutrition (wasting, stunting, and underweight) in Rwanda. Using Demographic and Health Survey (DHS) data from 3438 children aged 6–59 months and employing a multilevel mixed effects model, we investigate these interrelationships nationally, then focus on the Eastern Province and Nyagatare district, an area of high livestock production. Findings reveal that livestock ownership is significantly negatively associated with stunting (\(-0.056, p=0.048\)) and underweight \((-0.047, p=0.003\)); no significant association was found with wasting. No direct relationship between ASF consumption and child undernutrition was identified at the national level, though children who consumed ASF and lived in households with livestock were 6% (\(-0.063, p=0.048\)) less likely to be stunted and 3.6% (\(-0.036, p=0.047)\) less likely to be underweight. The effect of livestock ownership was particularly pronounced in Nyagatare district, where children in households with livestock were 35% (\(-0.355, p=0.032\)) less likely to be stunted than children in households without livestock. The study also found important associations with other social determinants of health, including maternal education and economic status, among others. Findings underscore the important role of livestock ownership in Rwanda and the need for a multi-disciplinary approach in leveraging increased ASF consumption to improve child nutrition outcomes.


  • Open Access

    Improving Nutrition Security in Low- and Middle-Income Countries and the Role of Animal-Source Foods

    by Fevi Rose Paro, Roselyn Davour, Daniel Acosta, Karah Mechlowitz, Chhavi Tiwari, Sarah L. McKune

    Nutrition security is challenging in regions where resources are limited and food production is naturally constrained. In low- and middle-income countries (LMICs), undernutrition is high for many reasons, including lack of nutritional diversity and low high-quality protein content. Interest in the role of animal-source food (ASF) in reducing nutrition insecurity is increasing, as evidence from LMICs suggests that consumption of ASF is strongly associated with reduction in stunting, improved diet quality, and overall nutrition, particularly in early stages of life. We review the strengths and limitations of ASF consumption in terms of accessibility, safety, and nutritional benefits compared to non-ASF sources. We present a critical discussion on existing barriers to ASF consumption and its future directions in LMICs. Understanding the role of ASF in improving nutrition security in LMICs is crucial to optimizing public health, designing appropriate interventions, and implementing effective policy in resource-poor settings.


  • Open Access

    Effect of egg consumption on early childhood development: evidence from Un Oeuf study

    by Helen Ernyey, Chhavi Tiwari, Heather Stark, Emma Hunniford, Aissata Wereme N’dIaye, Yacouba Zare, Anteneh Omer, Sarah Lindley McKune

    Objective: Recent studies have shown that inclusion of eggs in young children’s diet can help meet nutritional requirements associated with cognitive development. This study aims to investigate the effect of egg consumption on early childhood development using Ages and Stages Questionnaire-3 in Burkina Faso. Design: The study presented here uses data collected during a follow-up of the Un Oeuf-a three-arm clustered randomised controlled trial (RCT), conducted roughly 4 months after the end of the RCT. Setting: This research was conducted in eighteen rural villages within the Kaya Department of the Sanmatenga Province in Burkina Faso. Participants: Participants of this study include a total of 244 children aged between 18 and 33 months, with seventy-eight children in the full intervention group, eighty-three in the partial group, and eighty-three in the control group. Results: Results show that children with consistent egg consumption (in all months) had a lower odd of falling below the cut-off scores in gross motor ( ${\rm{OR}} = {\rm 0\!\cdot\!13},{\it P} = \rm{0\!\cdot\!02}$ ) and personal social skills ( ${\rm{OR}} = 0\!\cdot\!34,{\it P} =0 \!\cdot\!05$ ). And a dose–response was established; for each additional egg/week, a 1·9 % increase in scores for problem-solving skills was observed. Conclusions: Findings from this study contribute to a growing body of evidence that increasing egg consumption among children in low- and middle-income countries (LMIC) can improve growth and development. The study highlights the need for additional research in LMIC to better understand the multifactorial relationship between diet and childhood development.


  • Working Hours and Fertility: The Impact of Nonstandard Work Schedules on Childbearing in France

    by Anne Lambert, Mariona Segú, Chhavi Tiwari

    The relationship between nonstandard work schedules (NSWS) and fertility assumes prominence in developed countries that have witnessed a concerning decline in fertility and an increase in NSWS. Our study investigates the effect of different types of NSWS on women’s fertility in France. We use the Conditions de Travail (CT) panel dataset covering 4178 women of childbearing age in 2013, 2016, and 2019. Using fixed effect models, we find that working a nonstandard schedule decreases the propensity of a woman to have a new child. In addition, the result is primarily attributable to the first child compared to the second child. When assessing the different types of NSWS, we find that the negative effect of NSWS is stronger for the night schedule than the weekend, evening, and morning work. Finally, the implications of these findings are discussed related to work-life policies.


  • Productivity growth convergence across Indian states: a spatial dynamic panel analysis

    by Chhavi Tiwari, Sankalpa Bhattacharjee, Pradeepta Sethi, Debkumar Chakrabarti

    The study re-examines convergence among Indian states by estimating their total factor productivity (TFP) for the period 1990/91–2018/19. The novelty of the study is the decomposition of TFP change into efficiency change and technological change using the Malmquist index in a spatial dependence framework to test convergence. Findings reveal that, on average, productivity increased at an aggregate level for the entire period on account of the impressive growth of technological innovation. However, technological growth convergence could not lead to productivity growth convergence in the second sub-period because of no convergence in efficiency growth. Alongside, while we witness significant spatial spillovers in both technology and efficiency, convergence was observed only with respect to technology growth in the second sub-period. The congruence of technological convergence and significant spatial spillovers indicates that while states may be converging in technology, they do not do so independently but display movements similar to their regional neighbours.

  • Open Access

    Reproductive Burden and Its Impact on Female Labor Market Outcomes in India: Evidence from Longitudinal Analyses

    by Chhavi Tiwari, Srinivas Goli, Anu Rammohan

    We use nationally representative data from two waves of the Indian Human Development Survey to examine the role of inter-temporal changes in fertility behavior in influencing female labor market outcomes. Our multivariate regression estimates show that an increase in the number of children reduces labor force participation and earnings. We further investigated the impact of fertility changes on transitions from the labor market. The results show that women who had more than three children in both rounds of the survey had a 3.5% points higher probability of exiting from the labor market than their counterparts with two or fewer children net of other socio-demographic factors. Disaggregated analyses by caste, economic, educational status, and region show that the probability of dropping out of the labor market due to fertility changes varies by region and is greater for non-poor and primary to secondary schooling women and those from socially disadvantaged castes than poor, non-educated, and socially advantageous women.