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Household food insecurity and early childhood development: Systematic review and meta-analysis.
de Oliveira, Klébya Hellen Dantas; de Almeida, Géssica Mercia; Gubert, Muriel Bauermann; Moura, Amanda Souza; Spaniol, Ana Maria; Hernandez, Daphne C; Pérez-Escamilla, Rafael; Buccini, Gabriela.
Afiliação
  • de Oliveira KHD; Department of Nutrition, University of Brasília, Brasília, Brazil.
  • de Almeida GM; Department of Nutrition, University of Brasília, Brasília, Brazil.
  • Gubert MB; Department of Nutrition, University of Brasília, Brasília, Brazil.
  • Moura AS; Department of Nutrition, University of Brasília, Brasília, Brazil.
  • Spaniol AM; Department of Nutrition, University of Brasília, Brasília, Brazil.
  • Hernandez DC; Department of Research, Cizik School of Nursing, University of Texas Health Science Center, Houston, Texas.
  • Pérez-Escamilla R; Department of Social and Behavioral Sciences, Yale School Public Health, New Haven, Connecticut.
  • Buccini G; Department of Social and Behavioral Sciences, Yale School Public Health, New Haven, Connecticut.
Matern Child Nutr ; 16(3): e12967, 2020 07.
Article em En | MEDLINE | ID: mdl-32052571
Household food insecurity (HFI) is a powerful stressor negatively associated with early childhood development (ECD). However, no comprehensive review has examined the association of HFI and ECD. Therefore, this systematic review and meta-analysis investigated the association between HFI and ECD domains and subdomains in children under 5 years old. Peer-reviewed and grey literature were systematically searched in electronic databases with no year or language restrictions. Studies were eligible if they assessed the association between HFI and one or more ECD domains. Data were extracted using a standard predefined protocol. Meta-analysis was performed, and the heterogeneity across studies was explored. Nineteen studies were included in the systematic review and 14 in the meta-analysis. Of the studies, 15 were from high income countries (HICs) and four from low-middle income countries (LMICs). For developmental risk and the cognitive/math and cognitive/school readiness and reading subdomains, the only studies available were conducted in HICs. The meta-analysis showed that HFI was associated with developmental risk (OR 1.28; 95% CI [1.14, 1.45]), cognitive/vocabulary (OR 0.94; 95% CI [0.90, 0.98]), and cognitive/math (OR 0.84; 95% CI [0.73, 0.96]). HFI was marginally associated with cognitive/school readiness and reading (OR 0.91; 95% CI [0.82, 1.00]) and motor development (OR; 0.91, 95% CI [0.80, 1.04]). HFI was associated with poor ECD in children under 5 years old. Specifically, HFI was associated with developmental risk and poor math skills in studies conducted in HICs and with poor vocabulary skills in studies conducted in both HICs and LMICs. Prospective studies examining HFI and ECD are needed in LMICs.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deficiências do Desenvolvimento / Insegurança Alimentar Tipo de estudo: Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Limite: Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Matern Child Nutr Assunto da revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Deficiências do Desenvolvimento / Insegurança Alimentar Tipo de estudo: Observational_studies / Risk_factors_studies / Systematic_reviews Aspecto: Determinantes_sociais_saude Limite: Child, preschool / Female / Humans / Infant / Male Idioma: En Revista: Matern Child Nutr Assunto da revista: CIENCIAS DA NUTRICAO / PERINATOLOGIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido