Relationship between food insecurity and nutritional status of Brazilian children under the age of five

Santos, Leonardo Pozza; Gigante, Denise Petrucci

doi:10.1590/s1415-790x2013000400018

Cited by 11 publications

(8 citation statements)

References 23 publications

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“…Food insecurity was measured over the 30-day period prior to the baseline assessment which happened at the beginning of the lean season. These findings suggest that children in households experiencing food insecurity before the lean season are at higher risk of poor weight gain which could result in malnutrition and lead to serious consequences for their physical and cognitive development 16. These results are consistent with previous literature, which shows a negative association between higher food insecurity and lower dietary diversity with a child’s nutritional status 3 9.…”

Section: Discussionsupporting

confidence: 91%

Short-term weight gain among preschool children in rural Burkina Faso: a secondary analysis of a randomised controlled trial

et al. 2019

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ObjectivesNutrition has profound effects on children’s health outcomes and is linked to weight gain and cognitive development. We used data from a randomised controlled trial to evaluate the prospective associations between dietary, socioeconomic and demographic factors and short-term weight gain during the lean season in a rural area of Burkina Faso.DesignProspective cohort data arising from a randomised controlled trial of the effect of antibiotic distribution on child growth and intestinal microbial diversity.SettingTwo rural communities in Nouna District, Burkina Faso.Participants246 children aged 6–59 months living in the study communities were enrolled in the study.Primary and secondary outcome measuresAnthropometric measurements, including weight and height, were obtained at baseline and 1 month.ResultsOf 246 children, the median weight for wasted children at baseline (weight-for-height z-score <−2) was 9.7 kg (IQR 8.65–10.8) and the weight of non-wasted children was 12.8 kg (IQR 10.9–14.75). Food insecurity was significantly associated with decreased weight gain velocity (mean difference −0.03 g/kg/day, 95% CI −0.06 to −0.006, p=0.04).ConclusionExperiences of household food insecurity before the beginning of the lean season were associated with decreased weight gain in children in rural Burkina Faso during the lean season, although the mean difference was small. Understanding the relationship between timing of food insecurity and anthropometric outcomes may help to develop policies and health programme that address both of these issues.Trial registration numberNCT03187834.

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Section: Discussionsupporting

confidence: 91%

Short-term weight gain among preschool children in rural Burkina Faso: a secondary analysis of a randomised controlled trial

et al. 2019

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“…During food insecure seasons, families give priority to children and feed them first before the other household members. Previous evidence strongly supports the inverse association of child growth, food insecurity and household dietary diversity [ 12 , 13 , 32 , 35 , 38 – 40 ].…”

Section: Discussionmentioning

confidence: 69%

Seasonality and determinants of child growth velocity and growth deficit in rural southwest Ethiopia

et al. 2018

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BackgroundEthiopia faces cyclic food insecurity that alternates between pre- and post- harvest seasons. Whether seasonal variation in access to food is associated with child growth has not been assessed empirically. Understanding seasonality of child growth velocity and growth deficit helps to improve efforts to track population interventions against malnutrition. The aim of this study was assess child growth velocity, growth deficit, and their determinants in rural southwest Ethiopia.MethodData were obtained from four rounds of a longitudinal household survey conducted in ten districts in Oromiya Region and Southern Nations, Nationality and Peoples Region of Ethiopia, in which 1200 households were selected using multi-stage cluster sampling. Households with a child under 5 years were included in the present analyses (round 1 n = 579, round 2 n = 674, round 3 n = 674 and round 4 n = 680). The hierarchical nature of the data was taken into account during the statistical analyses by fitting a linear mixed effects model. A restricted maximum likelihood estimation method was employed in the analyses.ResultCompared to the post-harvest season, a higher length and weight velocity were observed in pre-harvest season with an average difference of 6.4 cm/year and 0.6 kg/year compared to the post-harvest season. The mean height of children in post-harvest seasons was 5.7 cm below the WHO median reference height. The mean height of children increased an additional 3.3 cm [95% CI (2.94, 3.73)] per year in pre-harvest season compared to the post-harvest season. Similarly, the mean weight of children increased 1.0 kg [95% CI (0.91, 1.11)] per year more in the pre-harvest season compared to the post-harvest season. Children who had a low dietary diversity and were born during the lean season in both seasons had a higher linear growth deficit. Being member of a highly food insecure household was negatively associated with higher weight gain. Having experienced no illness during the previous 2 weeks was positively associated with linear growth and weight gain.ConclusionChild growth velocities and child growth deficits were higher in the pre-harvest season and post- harvest season respectively. Low dietary diversity and being part of a highly food insecure household were significantly risk factors for decreased linear growth and weight gain respectively.

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“…While there are substantial evidences indicating that household food security is among the key determinants of nutritional status of children [ 34 ], and food security may be a necessary prerequisite for good nutrition outcomes, it is insufficient by its own [ 35 ]. The influence of food security in the nutritional status of children can be affected by other determinants such as mother knowledge on child nutrition and health care practices, maternal nutritional status, intrahousehold food allocation and utilization practices and access to health services and healthy environmental conditions.…”

Section: Discussionmentioning

confidence: 99%

Stunting Is Associated with Food Diversity while Wasting with Food Insecurity among Underfive Children in East and West Gojjam Zones of Amhara Region, Ethiopia

2015

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BackgroundFood insecurity has detrimental effects in protecting child undernutrition.This study sought to determine the level of child undernutrition and its association with food insecurity.MethodsA community based comparative cross-sectional study design involving multistage sampling technique was implemented from 24th of May to 20th of July 2013. Using two population proportion formula, a total of 4110 randomly selected households were included in the study. Availability of the productive safety net programme was used for grouping the study areas. A multiple linear regression model was used to assess the association between food insecurity and child malnutrition. Clustering effects of localities were controlled during analysis.ResultsStunting (37.5%), underweight (22.0%) and wasting (17.1%) were observed in East Gojjam zone, while 38.3% stunting, 22.5% underweight, and 18.6% wasting for the West Gojjam zone. Food insecurity was significantly associated with wasting (β = - 0.108, P < 0.05).Food diversity and number of meals the child ate per day significantly associated with stunting (β = 0.039, P < 0.01) and underweight (β = 0.035, P < 0.05) respectively. Residential area was the significant predictor of all indices.ConclusionThe magnitude of child undernutrition was found to be very high in the study areas. Food insecurity was the significant determinant of wasting. Food diversity and number of meals the child ate per day were the significant determinants of stunting and underweight respectively. Child nutrition intervention strategies should take into account food security, dietary diversity, and carefully specified with regard to residential locations. Addressing food insecurity is of paramount importance.

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Relationship between food insecurity and nutritional status of Brazilian children under the age of five

Abstract: The regression analysis showed that children living with some level of food insecurity have worse rates of height-for-age, even controlling for demographic and socioeconomic factors.

Cited by 11 publications

References 23 publications

Short-term weight gain among preschool children in rural Burkina Faso: a secondary analysis of a randomised controlled trial

Short-term weight gain among preschool children in rural Burkina Faso: a secondary analysis of a randomised controlled trial

Seasonality and determinants of child growth velocity and growth deficit in rural southwest Ethiopia

Stunting Is Associated with Food Diversity while Wasting with Food Insecurity among Underfive Children in East and West Gojjam Zones of Amhara Region, Ethiopia

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