Skip to main content Accessibility help
×
×
Home

Household food insecurity, nutritional status and morbidity in Brazilian children

  • Muriel Bauermann Gubert (a1) (a2), Ana Maria Spaniol (a3), Gisele Ane Bortolini (a3) and Rafael Pérez-Escamilla (a2)
Abstract
Objective

To identify the association of household food insecurity (HFI) with anthropometric status, the risk of vitamin A deficiency and anaemia, morbidities such as cough and fever, and hospitalizations for diarrhoea and pneumonia in children under 5 years old.

Design

Cross-sectional study using data from the 2006 Brazilian Demographic and Health Survey. HFI was measured with the Brazilian Food Insecurity Measurement Scale (EBIA). Vitamin A deficiency and anaemia were assessed in blood samples. Child morbidities were reported by the child’s mother and included cough, fever, and hospitalizations for diarrhoea and pneumonia. Regression results were expressed as unadjusted and adjusted OR and corresponding 95 % CI for severe food insecurity, with statistical significance set at P<0·05.

Setting

Nationally representative survey.

Subjects

Children (n 4064) under 5 years old.

Results

There was no association between HFI and vitamin A deficiency, pneumonia, wasting or overweight. The prevalence of cough, fever, hospitalization for diarrhoea and stunting were associated with degree of HFI severity. There was a significant association of morbidities and stunting with severe food insecurity (v. food secure). After controlling for confounders, the association between severe food insecurity (v. food secure/rest of food insecurity categories) and the prevalence of common morbidities remained strong, showing that severely food-insecure children had a greater likelihood of experiencing cough (adjusted OR=1·79) and of being hospitalized for diarrhoea (adjusted OR=2·55).

Conclusions

Severe HFI was associated with cough and severe diarrhoea among Brazilian children.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Household food insecurity, nutritional status and morbidity in Brazilian children
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Household food insecurity, nutritional status and morbidity in Brazilian children
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Household food insecurity, nutritional status and morbidity in Brazilian children
      Available formats
      ×
Copyright
Corresponding author
* Corresponding author: Email murielgubert@gmail.com
References
Hide All
1. United Nations World Food Programme (2015) Food security analysis. http://www.wfp.org/food-security (accessed September 2015).
2. Food and Agriculture Organization of the United Nations (2015) The State of Food Insecurity in the World. Meeting the 2015 International Hunger Targets: Taking Stock of Uneven Progress. Rome: FAO.
3. Brasil, Ministério da Saúde (2009) Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher – DHS 2006: Dimensões do Processo Reprodutivo e da Saúde da Criança. Brasília: MS.
4. Addo, AA, Marquis, GS, Lartey, AA et al. (2011) Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women. Matern Child Nutr 7, 8091.
5. Stuff, JE, Casey, PH, Szeto, KL et al. (2004) Household food insecurity is associated with adult health status. J Nutr 134, 23302335.
6. Saha, KK, Frongillo, EA, Alam, DS et al. (2008) Household food security is associated with infant feeding practices in rural Bangladesh. J Nutr 138, 13831390.
7. Monteiro, F, Schmidt, ST, Costa, IB et al. (2014) Bolsa Família: insegurança alimentar e nutricional de crianças menores de cinco anos. Cienc Saude Colet 19, 13471358.
8. Cook, JT, Frank, DA, Berkowitz, C et al. (2004) Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr 134, 14321438.
9. Skalicky, A, Meyers, AF, Adams, WG et al. (2006) Child food insecurity and iron deficiency anaemia in low-income infants and toddlers in the United States. Matern Child Health J 10, 11771185.
10. Ohemeng, A, Marquis, GS & Lartey, A (2015) Household food insecurity is associated with respiratory infections among 6- to 11-month old infants in rural Ghana. Pediatr Infect Dis J 34, 821825.
11. Perez-Escamilla, R & Vianna, RPT (2012) Food insecurity and the behavioral and intellectual development of children: a review of the evidence. J Appl Res Child 3, 1.
12. Perez-Escamilla, R (2013) Food insecurity in children: impact on physical, psychoemotional and social development. In Modern Nutrition in Health and Disease, 11th ed., pp. 10061015 [CA Ross, B Caballero, RJ Cousins et al., editors]. Baltimore, MD: Lippincott Williams & Wilkins.
13. Brasil, Ministério da Saude (2012) Rede Intergerencial de Informações para a Saúde (RIPSA) Indicadores e Dados Básicos para a Saúde. http://tabnet.datasus.gov.br/cgi/idb2012/matriz.htm#mort (accessed May 2015).
14. Morais, DC, Dutra, LV, Franceschini, SCC et al. (2014) Food insecurity and anthropometric, dietary and social indicators in Brazilian studies: a systematic review. Cienc Saude Colet 19, 14751488.
15. Ghattas, H (2014) Food Security and Nutrition in the Context of the Nutrition Transition. Technical Paper. Beirut: American University of Beirut; available at http://www.fao.org/economic/ess/essfs/voices/en/
16. Rosas, LG, Harley, K, Fernald, LC et al. (2009) Dietary associations of household food insecurity among children of Mexican descent: results of a binational study. J Am Diet Assoc 109, 20012009.
17. World Health Organization (2001) Iron Deficiency Anaemia: Assessment, Prevention, and Control: A Guide for Programme Managers. Geneva: WHO.
18. World Health Organization (1996) Indicators for Assessing Vitamin A Deficiency and Their Application in Monitoring and Evaluating Intervention Programmes. Geneva: WHO.
19. World Health Organization (2006) WHO Child Growth Standards based on length/height, weight and age. Acta Paediatr Suppl 450, 7685.
20. Brasil, Instituto Brasileiro de Geografia e Estatística (2014) Pesquisa Nacional por Amostra de Domicílios – PNAD. Segurança Alimentar 2013. Rio de Janeiro: IBGE.
21. Gubert, MB, Benício, MHD, & Santos, LMP (2010) Estimativas de insegurança alimentar grave nos municípios brasileiros. Cad Saude Publica 26, 15951605.
22. Garrett, JL & Ruel, MT (2003) Stunted Child–Overweight Mother Pairs: An Emergency Policy Concern? FCND Discussion Paper no. 148. Washington, DC: International Food Policy Research Institute.
23. Hackett, M, Melgar-Quiñone, H & Álvarez, MC (2009) Household food insecurity associated with stunting and underweight among preschool children in Antioquia, Colombia. Rev Panam Salud Publica 25, 506510.
24. Saaka, M & Osman, SM (2013) Does household food insecurity affect the nutritional status of preschool children aged 6–36 months? Int J Popul Res 2013, 304169.
25. Casey, PH, Szeto, K, Lensing, S et al. (2001) Children in food-insufficient, low-income families: prevalence, health, and nutrition status. Arch Pediatr Adolesc Med 155, 508514.
26. Casey, PH, Simpson, PM, Gossett, JM et al. (2006) The association of child and household food insecurity with childhood overweight status. Pediatrics 118, e1406e1413.
27. Eisenmann, JC, Gundersen, C, Lohman, BJ et al. (2011) Is food insecurity related to overweight and obesity in children and adolescents? A summary of studies, 1995–2009. Obes Rev 12, 7383.
28. Franklin, B, Jones, A, Love, D et al. (2012) Exploring mediators of food insecurity and obesity: a review of recent literature. J Community Health 37, 253264.
29. Kac, G & Pérez-Escamilla, R (2013) Nutrition transition and obesity prevention through the life-course. Int J Obes Suppl 3, S6S8.
30. Isanaka, S, Mora-Plazas, M, Lopez-Arana, S et al. (2007) Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogotá, Colombia. J Nutr 137, 27472755.
31. Shamah-Levy, T, Mundo-Rosas, V & Rivera-Dommarco, JA (2014) Magnitude of food insecurity in Mexico: its relationship with nutritional status and socioeconomic factors. Salud Publica Mex 56, Suppl. 1, S79S85.
32. Kaiser, LL, Melgar-Quinonez, H, Townsend, MS et al. (2003) Food insecurity and food supplies in Latino households with young children. J Nutr Educ Behav 35, 148153.
33. Perez-Escamilla, R, Segall-Correa, AM, Kurdian Maranha, L et al. (2004) An adapted version of the US Department of Agriculture food insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. J Nutr 134, 19231928.
34. Drewnowski, A & Specter, SE (2004) Poverty and obesity: the role of energy density and energy costs. Am J Clin Nutr 79, 616.
35. Drewnowski, A, Monsivais, P, Maillot, M et al. (2007) Low-energy-density diets are associated with higher diet quality and higher diet costs in French adults. J Am Diet Assoc 107, 10281032.
36. Sharkey, JR, Nalty, C, Johnson, CM et al. (2012) Children’s very low food security is associated with increased dietary intakes in energy, fat, and added sugar among Mexican-origin children (6–11 y) in Texas border Colonias. BMC Pediatrics 12, 16.
37. Girard, AW, Self, JL, McAuliffe, C et al. (2012) The effects of household food production strategies on the health and nutrition outcomes of women and young children: a systematic review. Paediatr Perinat Epidemiol 26, Suppl. 1, 205222.
38. Rodrigues, LPF & Roncada, MJ (2010) Nutrition education in the official programs for preventing vitamin A deficiency in Brazil. Rev Nutr 23, 297305.
39. Park, K, Kersey, M, Geppert, J et al. (2009) Household food insecurity is a risk factor for iron-deficiency anaemia in a multi-ethnic, low-income sample of infants and toddlers. Public Health Nutr 12, 21202128.
40. Cook, JT, Frank, DA, Levenson, SM et al. (2006) Child food insecurity increases risks posed by household food insecurity to young children’s health. J Nutr 136, 10731076.
41. Cook, JT, Frank, DA, Casey, PH et al. (2008) A brief indicator of household energy security: associations with food security, child health, and child development in US infants and toddlers. Pediatrics 122, 867875.
42. Nord, M (2009) Food Insecurity in Households with Children: Prevalence, Severity, and Household Characteristics. Economic Information Bulletin no. EIB-56. Washington, DC: US Department of Agriculture, Economic Research Service.
43. Reis, M (2012) Food insecurity and the relationship between household income and children’s health and nutrition in Brazil. Health Econ 21, 405427.
44. Black, RE, Allen, LH, Bhutta, ZA et al. (2008) Maternal and Child Nutrition 1: Maternal and child undernutrition: global and regional exposures and health consequences. Lancet 371, 243260.
45. Pérez-Escamilla, R (2012) Can experience-based household food security scales help improve food security governance? Glob Food Sec 1, 120125.
46. Monteiro, CA, Benicio, AMH, Konno, SC et al. (2009) Causes for the decline in child undernutrition in Brazil, 1996–2007. Rev Saude Publica 43, 3543.
47. Segall-Corrêa, AM & Marin-León, L (2009) A Segurança Alimentar no Brasil: Proposição e Usos da Escala Brasileira de Medida da Insegurança Alimentar (EBIA) de 2003 a 2009. Seg Aliment Nutr Campinas 16, issue 2, 119.
48. Segall-Corrêa, AM, Marin-León, L, Melgar-Quiñonez, H et al. (2014) Refinement of the Brazilian Household Food Insecurity Measurement Scale: recommendation for a 14-item EBIA. Rev Nutr 27, 241251.
49. Rousham, EK, Northrop-Clewes, CA & Lunn, PG (1998) Maternal reports of child illness and the biochemical status of the child: the use of morbidity interviews in rural Bangladesh. Br J Nutr 80, 451456.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Public Health Nutrition
  • ISSN: 1368-9800
  • EISSN: 1475-2727
  • URL: /core/journals/public-health-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed