Biete Camila, Biete Amanda, Patriota Erika S O, Gonçalves Vivian S S, Buccini Gabriela, Pizato Nathalia
Graduate Program in Human Nutrition, Faculty of Health Sciences, University of Brasilia, Brasilia, Brazil.
Graduate Program in Public Health, Faculty of Health Sciences, University of Brasilia, Brasilia, Brazil.
Matern Child Nutr. 2025 Jan;21(1):e13714. doi: 10.1111/mcn.13714. Epub 2024 Sep 12.
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 I > 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), I = 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.
家庭粮食不安全（HFI）与不良的母婴健康结局以及孕期心理健康恶化有关。很少有研究评估HFI与孕妇焦虑和抑郁症状之间的时间关联，而且这种关联仍未完全明确。本研究旨在系统评价HFI与孕妇抑郁和焦虑症状之间的关联。该系统评价方案已在国际前瞻性系统评价注册库（CRD42022373615）中注册。对10个电子数据库和灰色文献进行了系统检索。两名研究人员独立进行研究筛选、数据提取过程以及偏倚风险评估。使用随机效应荟萃分析模型，I>40%表明各研究间存在高度异质性。纳入18篇文章进行系统评价，共27882例，荟萃分析共纳入18987例年龄在14至45岁之间的孕妇。各研究报告的HFI患病率在12.6%至62.1%之间（n=17）。抑郁和焦虑症状的患病率分别在18%至49%之间（n=11）和23%至34%之间（n=2）。孕期HFI与出现抑郁症状的几率增加相关[比值比（OR）：2.52；95%置信区间（CI）：2.11 - 3.02]，I=73.23%。由于异质性高，证据质量非常低。我们的研究结果突出了孕期HFI与抑郁症状之间的关联。本研究结果表明在孕期评估HFI和心理健康的重要性。
