Singal Kusum, Douglas Flora, Mackie Phil, Paranjothy Shantini, Brazzelli Miriam
Aberdeen Centre for Evaluation, Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
School of Nursing, Midwifery and Paramedic Practice, Robert Gordon University, Aberdeen, UK.
Nutrire. 2025;50(1):37. doi: 10.1186/s41110-025-00343-5. Epub 2025 May 22.
Infant food insecurity (IFI) is a critical and often overlooked issue in high-income countries. This scoping review aims to identify and summarise interventions that reduce food insecurity or improve nutrition amongst families with infants in these regions.
We searched the major electronic databases and websites of relevant UK and international organisations from 2010 to 2023 to identify reports written in English assessing food insecurity affecting infants (aged 0 to 2 years). The findings were presented in tables and summarised narratively.
Out of 6194 records identified, 104 studies were screened, with only two studies meeting the inclusion criteria. Both studies were conducted in the USA. The KIND (Keeping Infants Nourished and Developing) intervention improved preventive care for food-insecure families, increasing lead level test completion rates and well-infant visits, but it did not affect weight-for-length at 9 months. The GWCC (Group Well-Child Care) intervention aimed at promoting responsive feeding amongst low-income caregivers but showed no significant impact on infant growth in the first year. However, caregiver interviews revealed important feeding-related themes.
Evidence on interventions addressing infant food insecurity is limited, with none found in the UK. The KIND and GWCC interventions showed mixed outcomes, improving some aspects of care but not significantly affecting infant growth metrics. These findings highlight the need for further research to develop more effective strategies to address the nutritional needs of vulnerable infants in high-income countries.
The online version contains supplementary material available at 10.1186/s41110-025-00343-5.
婴儿粮食不安全（IFI）在高收入国家是一个关键且常被忽视的问题。本综述旨在识别并总结在这些地区减少有婴儿家庭的粮食不安全或改善其营养状况的干预措施。
我们检索了2010年至2023年英国及国际相关组织的主要电子数据库和网站，以查找用英文撰写的评估影响婴儿（0至2岁）粮食不安全状况的报告。研究结果以表格形式呈现并进行叙述性总结。
在识别出的6194条记录中，筛选了104项研究，仅有两项研究符合纳入标准。这两项研究均在美国进行。“保障婴儿营养与发育”（KIND）干预措施改善了粮食不安全家庭的预防性保健，提高了铅水平检测完成率和婴儿健康检查就诊率，但对9个月时的身长体重比没有影响。“群体儿童健康护理”（GWCC）干预措施旨在促进低收入照料者的响应式喂养，但对婴儿第一年的生长没有显著影响。然而，照料者访谈揭示了与喂养相关的重要主题。
关于解决婴儿粮食不安全问题的干预措施的证据有限，在英国未发现相关证据。KIND和GWCC干预措施的结果好坏参半，改善了护理的某些方面，但对婴儿生长指标没有显著影响。这些发现凸显了开展进一步研究以制定更有效策略来满足高收入国家弱势婴儿营养需求的必要性。
在线版本包含可在10.1186/s41110-025-00343-5获取的补充材料。
