Maternal food insecurity increases the risk of low birth weight babies: Systematic review and meta-analysis
Ariane Ribeiro de Freitas Rocha1, Núbia de Souza de Morais1, Francilene Maria Azevedo1
1Department of Nutrition and Health, Federal University of Viçosa, Viçosa, Brazil.
Insights
Maternal food insecurity significantly increases the risk of low birth weight (LBW) in infants. This systematic review highlights the urgent need for policies ensuring pregnant women
Area of Science:
- Public Health
- Maternal-Child Health
- Nutritional Epidemiology
Background:
- Maternal food insecurity is a growing concern impacting infant health outcomes.
- Low birth weight (LBW) is a critical indicator of neonatal health and future development.
Approach:
- A systematic review and meta-analysis were conducted following PRISMA guidelines.
- Searches were performed across major databases (Scopus, PubMed, Cochrane, LILACS, Google Scholar) from October 2022 to September 2023.
- Included studies underwent rigorous quality and risk of bias assessment.
Key Points:
- Twelve studies met the inclusion criteria.
- Mothers experiencing food insecurity had a 3.09 times higher risk of delivering LBW infants compared to food-secure mothers.
- This association underscores the detrimental effects of food insecurity on fetal growth.
Conclusions:
- Prenatal care and monitoring of pregnant women's nutritional status are crucial.
- Public policies must prioritize food security to improve maternal and infant nutritional outcomes.
- Addressing food insecurity is essential for preventing LBW and promoting healthier pregnancies.
Aim:
To ascertain whether maternal food insecurity was associated with low birth weight of their babies.
Methods:
Systematic review conducted following the items of the Preferred Reporting Items for Systematic Reviews-PRISMA, and recorded in PROSPERO. The descriptors food security, low birth weight and infant low birth weight were combined in the electronic databases: Scopus, PubMed, Cochrane Library, Latin American and Caribbean Health Sciences Literature and Google Scholar, independently by two researchers, between October 2022 and September 2023. The meta-analysis of the association between food insecurity and low birth weight was conducted. The included studies underwent quality and risk of bias assessment.
Results:
The initial search resulted in 631 records, 12 of which met the inclusion criteria and were selected for this study. Mothers experiencing food insecurity presented 3.09 more risk of having low birth weight babies when compared to those in food security situations.
Conclusion:
Evaluating and monitoring the food and nutritional situation of pregnant women is necessary, with emphasis on the importance of prenatal care, to direct public policies that ensure food security and strengthen adequate nutritional conditions for pregnant women and their babies.
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