Título:	Association between household food insecurity and stunting in children aged 0−59 months : systematic review and meta‐analysis of cohort studies
Autor(es):	Patriota, Érika Soares de Oliveira Abrantes, Lívia Carvalho Sette Figueiredo, Ana Claudia Morais Godoy Pizato, Nathalia Marcolini Pelucio Buccini, Gabriela dos Santos Gonçalves, Vivian Siqueira Santos
ORCID:	https://orcid.org/0000-0002-1767-1607 https://orcid.org/0000-0002-6944-1504 https://orcid.org/0000-0003-2842-9848 https://orcid.org/0000-0001-5858-7076 https://orcid.org/0000-0001-6008-0987 https://orcid.org/0000-0001-6893-8263
Afiliação do autor:	University of Brasília, Faculty of Health Sciences, Graduate Program in Public Health Federal University of Viçosa, Department of Nutrition and Health, Graduate Program in Nutrition Science Federal District Health State Department, Epidemiology Surveillance, Brasília, Federal District, Brazil University of Brasília, Faculty of Health Sciences, Graduate Program in Human Nutrition University of Nevada, Department of Social and Behavioral Health, Las Vegas, USA University of Brasília, Faculty of Health Sciences, Graduate Program in Public Health
Assunto:	Segurança alimentar e nutricional Crianças Bebês Crescimento humano
Data de publicação:	9-Jan-2024
Editora:	Wiley & Sons Ltd.
Referência:	PATRIOTA, Érika Soares de Oliveira et al. Association between household food insecurity and stunting in children aged 0−59 months: systematic review and meta‐analysis of cohort studies. Maternal & Child Nutrition, [S. l.], e13609, 2023. DOI: https://doi.org/10.1111/mcn.13609. Disponível em: https://onlinelibrary.wiley.com/doi/10.1111/mcn.13609.
Abstract:	Household food insecurity (HFI) during childhood is associated with poor dietary diversity and malnutrition, placing children's growth at risk. Children with growth disorders, such as stunting, are more likely to have poor cognition and educational performance, lower economic status, and an increased risk of nutrition-related chronic diseases in adulthood. Our study aimed to systematically review and conduct a meta-analysis of cohort studies investigating the association between HFI and stunting in children aged 0−59 months. Peer-reviewed and grey literature were systematically searched in electronic databases with no language or date restrictions. Two reviewers independently assessed the studies for pre-established eligibility criteria. Data were extracted using a standard protocol. Random-effects meta-analysis models were used, and I2 > 40% indicated high heterogeneity across studies. We used the Grading of Recommendations Assessment, Development, and Evaluation system to assess the quality of the evidence. Nine cohort studies comprising 46,300 children were included. Approximately 80% (n = 7) of the studies found a positive association between HFI and stunting. Pooled odds ratio was 1.00 (95% confidence interval [CI]: 0.87−1.14; I2: 76.14%). The pooled hazard ratio between moderate and severe HFI and stunting was 1.02 (95% CI: 0.84−1.22; I2: 85.96%). Due to high heterogeneity, the quality of evidence was very low. Individual studies showed an association between HFI and stunting in children aged 0–59 months; however, this association was not sustained in the pooled analysis, possibly because of high heterogeneity across studies.
Unidade Acadêmica:	Faculdade de Ciências da Saúde (FS) Departamento de Nutrição (FS NUT)
Programa de pós-graduação:	Programa de Pós-Graduação em Nutrição Humana
Licença:	This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
DOI:	https://doi.org/10.1111/mcn.13609
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