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BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2020

01-12-2020 | Research article

Household food insecurity associated with gestacional and neonatal outcomes: a systematic review

Authors: Ana Lucia Pires Augusto, Aléxia Vieira de Abreu Rodrigues, Talita Barbosa Domingos, Rosana Salles-Costa

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

Food insecurity (FI) occurs when people lack secure access to sufficient amounts of safe and nutritious food. FI has been associated with negative effects on human health, including during the prenatal and neonatal periods. The objective of this study is to evaluate the consequences of FI for pregnant women’s and newborns’ health.

Methods

A literature search was performed with three independent researchers based on the PRISMA guidelines; the search covered the period of November 2008 to July 2019 and was conducted in the following databases: the US National Library of Medicine at the National Institutes of Health (PubMed), Latin American and Caribbean Health Sciences (LILACS), Cochrane Library, Web of Science, Embase, Scopus and OpenGrey. The terms and descriptors were defined by consulting the Medical Subject Headings (MeSH) and Health Sciences Descriptors (DeCS) platforms and mainly included “food security”, “food insecurity”, “pregnancy” and “newborn”. The studies were selected through a title and abstract review and then a reading of the full text. The quality of the studies and the risk of bias were analysed based on the criteria defined in the “Joanna Briggs Institute Reviewers’ Manual” and by Guyatt and colleagues for interventional studies. The population, study design, FI measurement instruments, FI proportions, outcomes, confounders and results were extracted from the 37 studies that were selected according to the eligibility and quality criteria.

Results

FI ​​proportions ranged from 5.2 to 87%. Most studies were conducted with African populations (42.2%) and applied globally used scales to assess FI (56.7%); 27% of the studies adapted scales. There were wide variations in the instruments used to estimate FI. The main outcomes related to FI included stress, anxiety and depression during pregnancy, followed by dietary quality and dietary diversity. Associations of FI with birth defects, neonatal mortality and the early introduction of animal milk to the infant’s diet were also observed.

Conclusions

It is necessary to pay attention to the diversity of FI measurement instruments before FI results are compared. FI can be a risk factor for depression and stress during pregnancy, as well as for neonatal mortality, newborn health problems and breastfeeding interruption.

Trial registration

This systematic review was registered on PROSPERO (CRD42018109478).
Appendix
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Literature
1.
Food and Agriculture Organization of the United States (FAO)/World Health Organization (WHO). The state of food security and nutrition in the world. Building climate resilience for food security and nutrition. Rome: FAO; 2018.
2.
Food and Agriculture Organization of the United States (FAO)/World Health Organization (WHO). The state of food insecurity in the world. Economic crises – impacts and lessons learned. Rome: FAO; 2009.
3.
Struble MB, Aomari LL. Position of the American dietetic association: addressing world hunger, malnutrition, and food insecurity. J Am Diet Assoc. 2003;103:1046–57.PubMedCrossRef
4.
5.
Ivers LC, Cullen KA. Food insecurity: special considerations for women. Am J ClinNutr. 2011;94(suppl):1740S–4S.
6.
Yang TC, Sahota P, Pickett KE, Bryant M. Association of food security status with overweight and dietary intake: exploration of white British and Pakistani-origin families in the born in Bradford cohort. Nutr J. 2018;17:48.PubMedPubMedCentralCrossRef
7.
Food and Agriculture Organization of the United States (FAO)/World Health Organization (WHO). The state of food security and nutrition in the world. Safeguardingagainsteconomicslowdownsanddownturns. Rome: FAO; 2019.
8.
Laraia BA, Siega-Riz AM, Gundersen C, Dole N. Psychosocial factors and socioeconomic indicators are associated with household food insecurity among pregnant women. J Nutr. 2006;136:177–82.PubMedCrossRef
9.
Laraia BA, Siega-Riz AM, Gundersen C, Dole N. Household food insecurity is associated with self-reported pregravid weight status, gestational weight gain, and pregnancy complications. J Am Diet Assoc. 2010;110:692–70.PubMedPubMedCentralCrossRef
10.
Brunst KJ, Wright RO, DiGioia K, Enlow MB, et al. Racial/ethnic and sociodemographic factors associated withmicronutrient intakes and inadequacies among pregnant womenin an urban US population. Public Health Nutr. 2014;17:1960–70.PubMedCrossRef
11.
Borders AEB, Wolfe K, Qadir S, Kim K-Y, et al. Racial/ethnic differences in self-reported and biologic measures of chronic stress in pregnancy. J Perinatol. 2015;35:580–4.PubMedPubMedCentralCrossRef
12.
Nnakwe NE. The Prevalence of Food Insecurity Among Pregnant Women in a Community-based Intervention Program. FASEB J. 2017;1(1):online.
13.
Carmichael SL, Yang W, Herring A, Abrams B, Shaw GM. Maternal food insecurity is associated with increased risk of certain birth defects. J Nutr. 2007;137:2087–92.PubMedCrossRef
14.
Gamba R, Leung CW, Guendelman S, Lahiff M, et al. Household food insecurity is not associated with overall diet quality among pregnant women in NHANES 1999–2008. Matern Child Health J. 2016;20:2348–56.PubMedCrossRef
15.
Chowdhury MRK, Khan MMH, Islam R, Perera NKP, et al. Low maternal education and socio-economic status were associated with household food insecurity in children under five with diarrhoea in Bangladesh. ActaPædiatrica. 2016;105:555–61.
16.
Bronte-Tinkew J, Zaslow M, Capps R, Horowitz A, et al. Food insecurity works through depression, parenting, and infant feeding to influence overweight and health in toddlers. J Nutr. 2007;137:2160–5.PubMedCrossRef
17.
Zaslow M, Bronte-Tinkew J, Capps R, Horowitz A, et al. Food security during infancy: implications for attachment and mental proficiency in toddlerhood. Matern Child Health J. 2009;13:66–80.PubMedCrossRef
18.
19.
Perez-Escamilla R, Vianna RPT. Food Insecurity and the Behavioral and Intellectual Development of Children: A Review of the Evidence. J Appl Res Children: Informing Pol Children Risk. 2012; http://​digitalcommons.​library.​tmc.​edu/​childrenatrisk/​vol3/​iss1/​9.​ Acessed 15 Aug 2019.
20.
Visser J, McLachlan MH, Maayan N, et al. Community-based supplementary feeding for food insecure, vulnerable and malnourished populations - an overview of systematic reviews. Cochrane Database Syst Rev. 2018;9:11.
21.
The Joanna Briggs Institute. The Joanna Briggs Institute Reviewers’ Manual 2015 Methodology for JBI scoping reviews. 2015 http://​wwwjoannabriggso​rg Acessed 29 Aug 2019.
22.
Guyatt G, et al. Rating quality of evidence and strength of recommendation GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. Br Med J. 2008;336:924–6.CrossRef
23.
Rothman KJ. Epidemiology: an introduction. 2nd ed, Oxford; 2012.
24.
Campbell AA, de Pee S, Sun K, Kraemer K, et al. Relationship of household food insecurity to neonatal, infant and under-five child mortality among families in rural Indonesia. Food Nutr Bull. 2009;30:112–9.PubMedCrossRef
25.
Hanselman B, Ambikapathi R, Mduma E, Svensen E, et al. Associations of land, cattle and food security with infant feeding practices among a rural population living in Manyara. Tanzania BMC Public Health. 2018;18:159.PubMedCrossRef
26.
Castillo Chávez AM, Torres RM, González VHH. Association between food insecurity and perinatal risk factors with hearing problems in preterm birth. Nutr Hosp. 2019;36:267–74.PubMed
27.
Dolatian M, Sharifi N, Mahmoodi Z. Relationship of socioeconomic status, psychosocial factors and food insecurity with preterm labor: A longitudinal study. Int J Reprod BioMed. 2018;16:563–70.CrossRefPubMedPubMedCentral
28.
Gizaw B, Gebremedhin S. Factors associated with low birthweight in North Shewa zone, Central Ethiopia: case-control study. Italian J Pediatrics. 2018;44:76.CrossRef
29.
Rose-Jacobs R, Trevino-Talbot M, Lloyd-Travaglini C, et al. Could prenatal food insecurity influence neonatal abstinence syndrome severity? Addiction. 2018;114:337–43.PubMedCrossRef
30.
Ayyub H, Khizran MS, Salam F. Association of antenatal depression and household food insecurity among pregnant women: a crosssectional study from slums of Lahore. J Ayub Med yub Med Coll Abbottabad. 2018;30:366–71.
31.
Na M, Mehra S, Christian P, Ali H, et al. Maternal dietary diversity decreases with household food insecurity in rural Bangladesh: a longitudinal analysis. J Nutr. 2016;146:2109–16.PubMedCrossRef
32.
Lebso M, Anato A, Loha E. Prevalence of anemia and associated factors among pregnant women in Southern Ethiopia: A community based cross-sectional study. PLoS ONE. 2017; 10.​1371.
33.
Heyningen T, Honikman S, Myer L, Onah MN, et al. Prevalence and predictors of anxiety disorders amongst low income pregnant women in urban South Africa: a cross sectional study. Arch WomensMent Health. 2017;20:765–75.CrossRef
34.
35.
Onah MN, Field S, Heyningen T, et al. Predictors of alcohol and other drug use among pregnant women in a peri-urban south African setting. Int J Ment Health Syst. 2016;10:38.PubMedPubMedCentralCrossRef
36.
Tsai AC, Tomlinson M, Comulada WS, Rotheram-Borus MJ. Food insufficiency, depression, and the modifying role of social support: evidence from a population-based, prospective cohort of pregnant women in peri-urban South Africa. SocSci Med. 2016;151:69–77.CrossRef
37.
de Oliveira ACM, Barros AMR, Ferreira RC. Risk factors associated among anemia in pregnancy women of network public health of a capital of Brazil northeastern. RevBrasGinecol Obstet. 2015;37:505–11.
38.
Natamba BK, Mehta S, Achan J, Stoltzfus RJ, et al. The association between food insecurity and depressive symptoms severity among pregnant women differs on social support category: a cross-sectional study. Maternal Child Nutrition. 2017. https://​doi.​org/​10.​1111/​mcn.​12351.
39.
40.
Natamba BK, Kilama H, Arbach A, Achan J, et al. Reliability and validity of an individually focused food insecurity access scale for assessing inadequate access to food among pregnant Ugandan women of mixed HIV status. Public Health Nutr. 2015;18:2895–905.PubMedCrossRef
41.
Gebremedhin S, Enquselassie F, Umeta M. Prevalence of prenatal zinc deficiency and its association with socio-demographic, dietary and health care related factors in rural Sidama, Southern Ethiopia: a cross-sectional study. BMC Public Health. 2011;11:898.PubMedPubMedCentralCrossRef
42.
Sidebottom AC, Hellerstedt WL, Harrison PA, Hennrikus D. An examination of prenatal and postpartum depressive symptoms among women served by urban community health centers. Arch Womens Ment Health. 2014;17:27–40.PubMedCrossRef
43.
Webb-Girard A, Cherobon A, Mbugua S, Kamau-Mbuthia E. Food insecurity is associated with attitudes towards exclusive breastfeeding among women in urban Kenya. Maternal andChildNutrition. 2012;8:199–214.
44.
Garman EC, Schneider M, Lund C. Perinatal depressive symptoms amonglow-income South African women at risk of depression: trajectories and predictors. BMC Pregnancy Childbirth. 2019;19:202–13.PubMedPubMedCentralCrossRef
45.
Laraia B, Vinikoor-Imler LC, Siega-Riz AM. Food insecurity during pregnancy leads to stress, disordered eating, and greater postpartum weight among overweight women. Obesity. 2015;23:1303–131.PubMedCrossRef
46.
Eaton LA, Pitpitan EV, Kalichman SC, Sikkema KJ, et al. Food insecurity and alcohol use among pregnant women at alcohol serving establishments in South Africa. Prev Sci. 2014;15:309–17.PubMedPubMedCentralCrossRef
47.
Bartelink IH, Savic RM, Mwesigwa J, Achan J, et al. Pharmacokinetics of lopinavir/ritonavir and efavirenz in food insecure HIV-infected pregnant and breastfeeding women in Tororo, Uganda. J ClinPharmacol. 2014;54:121–32.
48.
Laraia B, Epel E, Siega-Riz AM. Food insecurity with past experience of restrained eating is a recipe for increased gestational weight gain. Appetite. 2013;65:178–84.PubMedPubMedCentralCrossRef
49.
Moafi F, Kazemi F, Siboni FS, Alimoradi Z. The relationship between food security and quality of life among pregnant women. BMC Pregnancy Childbirth. 2018;18:319.PubMedPubMedCentralCrossRef
50.
Panigassi G, Segall-corrêa AM, Marin-Leon L, Pérez-Escamilla R, et al. Food insecurity as an indicator of inequity:analysis of a population survey. Cad SaudePública. 2008;24:2376–84.
51.
Jones AD, Ngure FM, Pelto G, Young SL. What are we assessing when we measure food security? A compendium and review of current metrics. Adv. Nutr. 2013;4:481–505.
52.
Cook JT, Frank DA, Berkowitz C, Black MM, et al. Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr. 2004;134:1432–8.PubMedCrossRef
53.
Hromi-Fiedler A, Bermúdez-Millán A, Segura-Pérez S, Pérez-Escamilla R, et al. Household food insecurity is associated with depressive symptoms among low-income pregnant Latinas. Matern Child Nutr. 2011;7:421–30.PubMedCrossRef
54.
Nunnery DL, Labban JD, Dharod JM. Interrelationship between food security status, home availability of variety of fruits and vegetables and their dietary intake among low-income pregnant women. Public Health Nutr. 2017;21:807–15.PubMedCrossRef
55.
Hoseini KS, Kazemil F, Alimoradi Z, et al. Association between household food security and pregnancy. Social Health Behav. 2018;1:26–30.
56.
Marques ES, Reichenheim ME, Moraes CL, Antunes MML, Salles-Costa R, et al. Household food insecurity: a systematic review of the measuring instruments used in epidemiological studies. Public Health Nutr. 2014;18:877–92.PubMedCrossRef
57.
Melgar-Quinonez HR, Zubieta AC, MkNelly B, Nteziyaremye A, et al. Household food insecurity and food expenditure in Bolivia, Burkina Faso, and the Philippines. J Nutr. 2006;136:1431S–7S.PubMedCrossRef
58.
Murray L, Dunne MP, Vo TV, Anh PNT, et al. Postnatal depressive symptoms amongst women in Central Vietnam: a cross-sectional study investigating prevalence and associations with social, cultural and infant factors. BMC Pregnancy Childbirth. 2015;15:234.PubMedPubMedCentralCrossRef
59.
Pérez-Escamilla R, Segall-Corrêa AM. Food insecurity measurement and indicators. Rev Nutrs Camp. 2008;21:15s–26s.CrossRef
60.
Woldetensay YK, Belachew T, Biesalski HK, et al. The role of nutrition, intimate partner violence and social support in prenatal depressive symptoms in rural Ethiopia: community based birth cohort study. BMC Pregnancy Childbirth. 2018;18:374.PubMedPubMedCentralCrossRef
61.
Jebena MG, Taha M, Nakajima M, Lemieux A, et al. Household food insecurity and mental distress among pregnant women in southwestern Ethiopia: a cross sectional study design. BMC Pregnancy Childbirth. 2015;15:250.PubMedPubMedCentralCrossRef
62.
Cole-Lewis HJ, Kershaw TS, Earnshaw VA, Yonkers KA, et al. Pregnancy-specific stress, preterm birth, and gestational age among high-risk young women. Health Psychol. 2014;33:1033–45.PubMedPubMedCentralCrossRef
63.
Kang Y, Hurley KM, Ruel-Bergeron J, et al. Household food insecurity is associated with low dietary diversity among pregnant and lactating women in rural Malawi. Public Health Nutr. 2018:1–9.
64.
Coussons-Read ME, Lobel M, Carey JC, Kreither MO, et al. The occurrence of preterm delivery is linked to pregnancy-specific distress and elevated inflammatory markers across gestation. Brain Behavior Immunity. 2012;26:650–9.CrossRef
Metadata
Title
Household food insecurity associated with gestacional and neonatal outcomes: a systematic review
Authors
Ana Lucia Pires Augusto
Aléxia Vieira de Abreu Rodrigues
Talita Barbosa Domingos
Rosana Salles-Costa
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-02917-9

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