Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysis

Abstract Household food insecurity (HFI) has been related to adverse maternal‐child health outcomes and mental health worsening during pregnancy. Few studies evaluated the temporal association between HFI and anxiety and depressive symptoms in pregnant women, and this association remains not complet...

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Main Authors: Camila Biete, Amanda Biete, Erika S. O. Patriota, Vivian S. S. Gonçalves, Gabriela Buccini, Nathalia Pizato
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Maternal and Child Nutrition
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Online Access:https://doi.org/10.1111/mcn.13714
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author Camila Biete
Amanda Biete
Erika S. O. Patriota
Vivian S. S. Gonçalves
Gabriela Buccini
Nathalia Pizato
author_facet Camila Biete
Amanda Biete
Erika S. O. Patriota
Vivian S. S. Gonçalves
Gabriela Buccini
Nathalia Pizato
author_sort Camila Biete
collection DOAJ
description Abstract Household food insecurity (HFI) has been related to adverse maternal‐child health outcomes and mental health worsening during pregnancy. Few studies evaluated the temporal association between HFI and anxiety and depressive symptoms in pregnant women, and this association remains not completely understood. This study aimed to systematically review the association between HFI and symptoms of depression and anxiety in pregnant individuals. The systematic review protocol was registered in the International Prospective Register of Systematic Reviews (CRD42022373615). Systematic searches were conducted on 10 electronic databases and grey literature. Two researchers independently conducted the study selection, data extraction process, and the risk of bias assessment. Random‐effects meta‐analysis models were used, and I2 > 40% indicated high heterogeneity across studies. Eighteen articles were included for the systematic review, comprising n = 27,882, and a total of 18,987 pregnant individuals aged between 14 and 45 years were included in the meta‐analysis. The prevalence of HFI reported in studies ranged from 12.6% to 62.1% (n = 17). The prevalence of depressive and anxiety symptoms ranged from 18% to 49% (n = 11) and 23% to 34% (n = 2), respectively. HFI during pregnancy was associated with increased odds of experiencing symptoms of depression [(OR: 2.52; 95% CI: 2.11–3.02), I2 = 73.23%]. The quality of evidence was very low due to high heterogeneity. Our findings highlighted the association between HFI and depression symptoms during pregnancy. Findings from this study suggest the importance of assessing HFI and mental health during pregnancy.
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spelling doaj-art-ae2fad66d3ba4792a92988ed4090c4f02024-12-17T09:57:23ZengWileyMaternal and Child Nutrition1740-86951740-87092025-01-01211n/an/a10.1111/mcn.13714Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysisCamila Biete0Amanda Biete1Erika S. O. Patriota2Vivian S. S. Gonçalves3Gabriela Buccini4Nathalia Pizato5Graduate Program in Human Nutrition, Faculty of Health Sciences University of Brasilia Brasilia BrazilGraduate Program in Human Nutrition, Faculty of Health Sciences University of Brasilia Brasilia BrazilGraduate Program in Public Health, Faculty of Health Sciences University of Brasilia Brasilia BrazilGraduate Program in Public Health, Faculty of Health Sciences University of Brasilia Brasilia BrazilDepartment of Social and Behavioural Health, School of Public Health University of Nevada Las Vegas Las Vegas Nevada USAGraduate Program in Human Nutrition, Faculty of Health Sciences University of Brasilia Brasilia BrazilAbstract Household food insecurity (HFI) has been related to adverse maternal‐child health outcomes and mental health worsening during pregnancy. Few studies evaluated the temporal association between HFI and anxiety and depressive symptoms in pregnant women, and this association remains not completely understood. This study aimed to systematically review the association between HFI and symptoms of depression and anxiety in pregnant individuals. The systematic review protocol was registered in the International Prospective Register of Systematic Reviews (CRD42022373615). Systematic searches were conducted on 10 electronic databases and grey literature. Two researchers independently conducted the study selection, data extraction process, and the risk of bias assessment. Random‐effects meta‐analysis models were used, and I2 > 40% indicated high heterogeneity across studies. Eighteen articles were included for the systematic review, comprising n = 27,882, and a total of 18,987 pregnant individuals aged between 14 and 45 years were included in the meta‐analysis. The prevalence of HFI reported in studies ranged from 12.6% to 62.1% (n = 17). The prevalence of depressive and anxiety symptoms ranged from 18% to 49% (n = 11) and 23% to 34% (n = 2), respectively. HFI during pregnancy was associated with increased odds of experiencing symptoms of depression [(OR: 2.52; 95% CI: 2.11–3.02), I2 = 73.23%]. The quality of evidence was very low due to high heterogeneity. Our findings highlighted the association between HFI and depression symptoms during pregnancy. Findings from this study suggest the importance of assessing HFI and mental health during pregnancy.https://doi.org/10.1111/mcn.13714anxietydepressionhousehold food insecuritypregnancy
spellingShingle Camila Biete
Amanda Biete
Erika S. O. Patriota
Vivian S. S. Gonçalves
Gabriela Buccini
Nathalia Pizato
Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysis
Maternal and Child Nutrition
anxiety
depression
household food insecurity
pregnancy
title Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysis
title_full Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysis
title_fullStr Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysis
title_full_unstemmed Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysis
title_short Household food insecurity and symptoms of anxiety and depression during pregnancy: Systematic review and meta‐analysis
title_sort household food insecurity and symptoms of anxiety and depression during pregnancy systematic review and meta analysis
topic anxiety
depression
household food insecurity
pregnancy
url https://doi.org/10.1111/mcn.13714
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