Household food insecurity associations with pregnancy hypertension, diabetes mellitus and infant birth anthropometric measures: a cross-sectional study of Iranian mothers

Hojaji, Elham; Aghajani, Mobina; Zavoshy, Roza; Noroozi, Mostafa; Jahanihashemi, Hassan; Ezzeddin, Neda

doi:10.1080/10641955.2021.1874010

Cited by 9 publications

(7 citation statements)

References 31 publications

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“…The findings from this study are consistent with results in the literature, where variables such as age, BMI, income, marital status, and household insecurity have been found to be significant factors. 16,18,21 However, unlike this research, that used a nationally representative dataset for the United States, previous studies have focused on either local U.S. populations 16 or populations from different countries such as Malaysia, 18 Iran, 19 and Canada. 21 Results from this research suggest a statistically significant relationship between household food insecurity and an increasing risk of developing GDM, but the relationship is only significant for Hispanic women.…”

Section: Discussionmentioning

confidence: 99%

“…A few authors have assessed the relationship between food insecurity and GDM. [16][17][18][19][20] The focus of these papers is how household food insecurity affects the development of GDM and other pregnancy complications. While not all of them found a significant association, 17 most of the studies found that food insecurity was a risk factor of GDM as well as of other adverse effects during pregnancy.…”

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confidence: 99%

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Testing Race Differences in Risk of Gestational Diabetes Mellitus Associated with Household Food Insecurity (Using NHANES 2007–2018)

Gonzalez-Canas,

Ding,

Simpson

et al. 2023

Am J Perinatol

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Objective This study aimed to estimate the association of household food insecurity with gestational diabetes mellitus (GDM) risk by race and ethnic group. Study Design The study was a secondary analysis from the National Health and Nutrition Examination Survey from 2007 to 2018. A survey-weighted logistic regression model was constructed with self-reported GDM as the response. The primary independent variable was a four-level food security indicator, defined as the inability to obtain food in a socially acceptable way due to the lack of financial resources and controlled for several established risk factors. Analyses were stratified by race (White and Black) and ethnicity (Hispanic) to provide insight into how gestational diabetes risk differs by subpopulation. Results Results indicated that family history of diabetes is a risk factor across all races (adjusted odds ratio [aOR]: 4.22–16.26), while household food insecurity is a significant risk factor for only Hispanic women living with a partner (aOR: 8.50 for very low food security). Conclusion In the United States, Hispanic women's GDM risk may be uniquely impacted by food insecurity. Key Points

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Testing Race Differences in Risk of Gestational Diabetes Mellitus Associated with Household Food Insecurity (Using NHANES 2007–2018)

Gonzalez-Canas,

Ding,

Simpson

et al. 2023

Am J Perinatol

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“…4 Inadequate nutrition during pregnancy has been linked to a higher risk of inadequate foetal development, [5][6][7] low birth weight, 4 infant mortality 4 and birth defects. 8 Women experiencing suboptimal nutrition due to food insecurity may be at an increased risk of adverse pregnancy health outcomes, 4 including inadequate and excess gestational weight gain, 4,9 gestational diabetes mellitus 10 and preterm delivery. 11 As food insecurity during pregnancy can lead to a decrease in maternal nutritional status and inadequate serum nutrient levels, 8 ensuring appropriate identification and management of food insecurity during pregnancy is critical to support both short-and long-term maternal and child health.…”

Section: Introductionmentioning

confidence: 99%

Antenatal healthcare providers' knowledge, attitudes and practices regarding food insecurity in pregnancy: A qualitative investigation based at a specialist antenatal hospital in Melbourne, Australia

Dickson,

McKay,

Zinga

et al. 2023

J Human Nutrition Diet

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BackgroundFood insecurity exists when accessibility and availability of nutritious food is restricted, increasing the risk of adverse health outcomes. Pregnant women are especially vulnerable to food insecurity, which is concerning as optimal nutrition to support both their own health and the health and growth of their unborn child is critical. Antenatal healthcare providers (AHPs) are central to provision of pregnancy care. We aimed to assess AHPs' knowledge, attitudes and management of food insecurity.MethodsSemi‐structured interviews were conducted face‐to‐face, via telephone or online via Webex with 16 AHPs at the Royal Women's Hospital located in Melbourne, Australia. Interviews were thematically analysed according to Charmaz's constructivist grounded theory approach to ascertain AHPs' knowledge, attitudes and practices regarding food insecurity during pregnancy.ResultsAHPs had limited knowledge and awareness of food insecurity in pregnancy. Lack of experience in managing food insecurity and time constraints limit their capacity to support and deliver care to food‐insecure women. There was a reported lack of structure and clarity surrounding referral pathways for effective management of food insecurity during pregnancy, as well as a lack of clarity regarding practitioner responsibility in managing this issue.ConclusionsCurrent assessment and management of food insecurity during pregnancy in the antenatal setting is suboptimal. Professional development strategies targeted to AHPs are urgently needed to assist optimal care of women who are food insecure during pregnancy to assist with supporting best maternal and child health.

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“…In rural spheres of low-and middle-income countries (LMICs), including Bangladesh, women are more susceptible to the adverse consequence of household food insecurity (HFI) as they have the smallest share of the meal [2,4]. Women of reproductive age, especially in pregnancy and lactation, are of particular concern because nutritional demands increase in these periods [5], and food insecurity in this population group may also affect the offspring's growth and development [6][7][8][9][10]. Furthermore, the COVID-19 pandemic has placed reproductive-aged women at remarkably magnified risk of acute food insecurity and its health-related sequelae, including psychological distress and acute undernutrition [11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Association of Household Food Insecurity with Nutritional Status and Mental Health of Pregnant Women in Rural Bangladesh

et al. 2021

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Food insecurity may affect women’s health; however, pertinent research is scant among pregnant women. This study investigated the association of household food insecurity (HFI) with the nutritional status and mental health of 672 early-gestation (5–16 weeks) pregnant women with a singleton fetus, who participated in the screening activity of a community-based trial (NCT04868669) in Matlab, Bangladesh. Height (cm), weight (kg), body mass index (kg/m2), mid-upper arm circumference (MUAC) (cm), depression, anxiety, and stress were the outcomes studied. HFI was assessed using the Household Food Insecurity Access Scale. Women’s depression, anxiety, and stress were assessed using the Depression, Anxiety, and Stress Scales-21. Propensity score matching based weighted multivariable linear and logistic regression were used to evaluate the independent association of HFI with the outcomes. In adjusted models, pregnant women from food-insecure households in rural Matlab were on average 2.0 cm shorter (β = −2.0, 95% CI: −3.3, −0.7), 2.0 kg lighter (β = −2.0, 95% CI: −3.4, −0.7), and had 0.6 cm lower MUAC (β = −0.6, 95% CI: −1.1, −0.1) than their food-secure counterparts. HFI was associated with higher odds of depression (OR = 3.3, 95% CI: 1.8, 5.9), anxiety (OR = 6.1, 95% CI: 3.7, 10.0), and stress (OR = 4.8, 95% CI: 1.6, 14.2) among the women. Public health measures should focus on ensuring proper nutrition during the critical growth periods of life, pregnancy, and external environmental shocks, to mitigate the adverse effects of HFI on women’s health.

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Household food insecurity associations with pregnancy hypertension, diabetes mellitus and infant birth anthropometric measures: a cross-sectional study of Iranian mothers

Cited by 9 publications

References 31 publications

Testing Race Differences in Risk of Gestational Diabetes Mellitus Associated with Household Food Insecurity (Using NHANES 2007–2018)

Testing Race Differences in Risk of Gestational Diabetes Mellitus Associated with Household Food Insecurity (Using NHANES 2007–2018)

Antenatal healthcare providers' knowledge, attitudes and practices regarding food insecurity in pregnancy: A qualitative investigation based at a specialist antenatal hospital in Melbourne, Australia

Association of Household Food Insecurity with Nutritional Status and Mental Health of Pregnant Women in Rural Bangladesh

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