Hurley Kiya L, Jolly Kate, Brown Heather, Scott Steph, Akhter Zainab, Dyer Eleanor, Nguyen Giang, Lake Amelia A, Möller-Christensen Christine, Flint Nicola, Baker Angela, Brennan-Tovey Kerry, Dickie Sonya, Gibson Emma, Jackson Catherine, Loopstra Rachel, Nagra Harbir, Rankin Judith, Williams Dianne, Wiseman Alice, Heslehurst Nicola
Department of Applied Health Sciences, University of Birmingham, Birmingham, West Midlands, United Kingdom.
Public Health Research for Health (PHRESH) Consortium, West Midlands, United Kingdom.
PLoS One. 2025 May 7;20(5):e0321638. doi: 10.1371/journal.pone.0321638. eCollection 2025.
There are several known risks relating to poor nutrition during pregnancy, including the development of complications and poor birth outcomes. While food insecurity is associated with poorer nutrition, data on the prevalence and severity of food insecurity in pregnancy in the UK is lacking. This study aims to explore the prevalence, experiences and health impact of food insecurity in pregnancy in England to develop strategic recommendations for intervention strategies.
Food, Pregnancy & Me is an observational, multi-method study. Questionnaires exploring diet quality, food security, mental health, and other health behaviours will be distributed to all women and pregnant people in their third trimester in two NHS Trusts in England (North East and West Midlands). Returned questionnaires (n=605) will be linked to routine maternal and birth outcome data and pseudo-anonymised. We will estimate the prevalence of food insecurity in pregnancy in these locations, associations with diet quality, maternal mental health, and pregnancy outcomes (e.g., pre-term birth, pre-eclampsia, gestational diabetes). Qualitative interviews (n=40) with participants identified as having experienced food insecurity will explore their lived experience, support received, and recommendations for additional support needs. Through a series of co-production workshops with local and national system shapers and experts by lived experience, we will use the data gathered to produce strategic recommendations for intervention with pregnant women and people facing food insecurity. We will then explore the potential costs and benefits of implementing the proposed recommendations.
Ethical approval was obtained from Newcastle and North Tyneside 1 NHS Research Ethics Committee (24/NE/0027). Findings will be disseminated to key national and local system shapers and policy makers, advocacy groups, and the public through reports, presentations, the media and open access publications.
ISRCTN16655955.
孕期营养不良存在多种已知风险，包括出现并发症和不良分娩结局。虽然粮食不安全与较差的营养状况相关，但英国缺乏关于孕期粮食不安全的患病率和严重程度的数据。本研究旨在探讨英格兰孕期粮食不安全的患病率、经历及对健康的影响，以便为干预策略制定战略性建议。
“食物、孕期与我”是一项观察性的多方法研究。将向英格兰两个国民保健服务信托基金（东北和西米德兰兹）中所有处于孕晚期的妇女和孕妇发放探索饮食质量、粮食安全、心理健康及其他健康行为的问卷。回收的问卷（n = 605）将与常规孕产妇和分娩结局数据相链接并进行伪匿名处理。我们将估计这些地区孕期粮食不安全的患病率，以及与饮食质量、孕产妇心理健康和妊娠结局（如早产、先兆子痫、妊娠期糖尿病）的关联。对被确定经历过粮食不安全的参与者进行定性访谈（n = 40），以探究他们的生活经历、获得的支持以及对额外支持需求的建议。通过与地方和国家系统塑造者以及有实际生活经验的专家举办一系列联合制作研讨会，我们将利用收集到的数据为干预孕妇和面临粮食不安全的人群制定战略性建议。然后，我们将探讨实施拟议建议的潜在成本和收益。
已获得纽卡斯尔和北泰恩赛德1国民保健服务研究伦理委员会的伦理批准（24/NE/0027）。研究结果将通过报告、演讲、媒体和开放获取出版物传播给主要的国家和地方系统塑造者、政策制定者、倡导团体及公众。
ISRCTN16655955。
