Food insecurity during pregnancy in high-income countries, and maternal weight and diet: A systematic review and meta-analysis.
Obes Rev
; 25(7): e13753, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-38693587
ABSTRACT
Food insecurity is a well-established obesity driver. Less is known about food insecurity during pregnancy. This review (PROSPEROCRD42022311669) aimed to explore associations between food insecurity, maternal obesity, gestational weight gain (GWG), and nutrition. Searches included seven databases, gray literature, references, citations, and contacting authors. Observational studies reporting data from January 1st, 2008 to 21 November 2023 in high-income countries were included. Duplicate screening, data extraction, and quality assessments were performed. Random effects meta-analysis estimated odds ratios (OR), mean difference (MD), and 95% confidence intervals (CI). Narrative synthesis was conducted when data could not be pooled. Database searches identified 22,272 results; 20 studies were included (n = 19 North America, n = 1 Europe; n = 32,803 women). Food insecurity significantly increased obesity (OR 1.53 95%CI 1.39, 1.66), but not underweight (OR 1.12 95%CI 0.89, 1.34) or overweight (OR 1.18 95%CI 0.90, 1.46). Food insecurity significantly reduced GWG (MD -0.42 kg 95%CI -0.62, -0.22) and increased inadequate GWG (OR 1.16 95%CI 1.05, 1.28), but not excessive GWG (OR 1.04 95%CI 0.96, 1.13). Diet outcomes were inconsistent, with some evidence of reduced vitamin E and diet quality and increased red/processed meat consumption. Further studies outside of North America are needed to inform practice and policy to support maternal health.
Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Países Desarrollados
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Dieta
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Inseguridad Alimentaria
Límite:
Female
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Humans
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Pregnancy
Idioma:
En
Revista:
Obes Rev
Asunto de la revista:
METABOLISMO
Año:
2024
Tipo del documento:
Article
País de afiliación:
Reino Unido