Relationship between food insecurity and malnutrition in schoolchildren from low- and middle-income countries - A
Diana Marcela Valenzuela-Guzmán1, Julián Esparza-Romero1
1Diabetes Research Unit. Centro de Investigación en Alimentación y Desarrollo A.C.
Insights
Food insecurity (FI) is linked to undernutrition in schoolchildren from low- and middle-income countries (LMIC). However, the association between FI and overweight/obesity in this population remains controversial.
Area of Science:
- Public Health
- Nutrition Science
- Global Health
Background:
- Food insecurity (FI) is a significant global challenge, particularly affecting vulnerable populations.
- Malnutrition, encompassing undernutrition and obesity, poses a critical threat to child development and well-being.
- Understanding the interplay between FI and nutritional status in schoolchildren from low- and middle-income countries (LMIC) is crucial for targeted interventions.
Purpose of the Study:
- To systematically review the existing literature on the relationship between food insecurity and malnutrition in schoolchildren from LMIC.
- To synthesize findings regarding undernutrition, overweight, and obesity in relation to FI within this demographic.
Main Methods:
- A comprehensive literature search was conducted across major databases (PubMed, MEDLINE, CENTRAL, LILACS, SCiELO) from March to April 2022.
- Search terms included "schoolchildren," "low- and middle-income countries," and "food insecurity," utilizing both text words and controlled vocabulary.
- Fifteen relevant studies were included in the final analysis.
Main Results:
- Food insecurity was consistently associated with lower height-for-age and a higher prevalence of undernutrition among schoolchildren in LMIC.
- The relationship between FI and overweight/obesity showed controversial results, with most studies indicating a lower risk of overweight and obesity in food-insecure children.
Conclusions:
- A clear link exists between food insecurity and undernutrition in LMIC schoolchildren.
- The impact of food insecurity on overweight and obesity requires further investigation due to conflicting evidence.
- Public health strategies must be context-specific and population-tailored to effectively address the nutritional consequences of food insecurity.
Introduction:
The objective of this review is to study the relationship between food insecurity (FI) and malnutrition in schoolchildren from low-and middle-income countries (LMIC). The review was conducted using the databases PubMed, MEDLINE, CENTRAL, LILACS and SCiELO during the months of March to April 2022 without language or publication date restrictions. The search strategy consisted of combinations of text words and controlled vocabulary (MeSH terms and DeCS) related to "schoolchildren", "low- and middle-income countries" and "food insecurity". Fifteen studies were included in this review. Studies assessing FI and undernutrition in LMIC schoolchildren have indicated that FI is associated with lower height-for-age and higher prevalence of undernutrition overall. Only two studies identified a positive risk association between FI and overweight and obesity, the remaining studies suggested that schoolchildren with FI have a lower risk of overweight and obesity than those without FI. The review suggests a link between FI and undernutrition in schoolchildren from LMIC, with controversial results on overweight and obesity. Comprehensive public health policies should consider contextual and population-specific factors in addressing FI's impact on nutritional status.
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