{"id":51155,"date":"2021-10-18T13:26:24","date_gmt":"2021-10-18T12:26:24","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=51155"},"modified":"2021-10-18T13:26:38","modified_gmt":"2021-10-18T12:26:38","slug":"food-insecurity-is-toxic-for-our-children-and-a-threat-to-the-future-of-the-next-generation","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/10\/18\/food-insecurity-is-toxic-for-our-children-and-a-threat-to-the-future-of-the-next-generation\/","title":{"rendered":"Food insecurity is toxic for our children and a threat to the future of our next generation"},"content":{"rendered":"<p><em><span style=\"font-weight: 400\">Russell Viner, professor of child and adolescent health at UCL, writes an open letter to Parliamentarians calling for support on the implementation of National Food Strategy recommendations on children\u2019s food insecurity<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400\">Levels of food insecurity among households with children were already high before the pandemic <\/span><span style=\"font-weight: 400\">and have increased substantially since March 2020.<\/span><span style=\"font-weight: 400\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">14.6% of households with children have experienced food insecurity in the past six months\u20142.5 million children live in these households. These <a href=\"https:\/\/public.flourish.studio\/story\/956541\/\">levels are 27% higher than before covid-19<\/a>.<\/span><span style=\"font-weight: 400\">\u00a0 \u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Food insecurity in the past month in households with children (11.0%) <a href=\"https:\/\/public.flourish.studio\/story\/956541\/\">has been almost twice as high<\/a> as households without children (5.8%).<\/span><\/p>\n<p><span style=\"font-weight: 400\">The case for action is clear. Food insecurity is a complex mix of malnutrition and stress. You will know the central importance of nutrition during childhood for development of all organs, particularly the brain. Poor childhood nutrition leads to poor physical and mental health in childhood, but also worse adult health, poorer cognitive development, and lower later productivity and wellbeing. Stress during childhood is also toxic to the developing organism, leading to higher adult ill health and poorer wellbeing. There is increasing evidence that this combination harms children right now <\/span><span style=\"font-weight: 400\">and harms the adults they will become.<\/span><\/p>\n<p><span style=\"font-weight: 400\">A <a href=\"https:\/\/njl-admin.nihr.ac.uk\/document\/download\/2021589\">recent NIHR review<\/a> found that food-insecure children had poorer physical health across a wide range of indicators, from greater levels of asthma and dental caries, to higher levels of hospitalisations, as well as lower wellbeing and quality of life and higher levels of homelessness and substance use.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Particularly worrying is evidence from a <a href=\"https:\/\/acamh.onlinelibrary.wiley.com\/doi\/10.1002\/jcv2.12021\">large recent survey<\/a> of English school-children during lockdown, which showed that those who experienced food poverty were more likely to report deteriorating wellbeing during lockdown and had three times the risks of having depression or anxiety.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Inequalities are widened by food insecurity. The data are clear that food insecurity is more common among <\/span><span style=\"font-weight: 400\">children living in poverty. Food insecurity in childhood is part of the way that the social determinants of health get \u201c<\/span><span style=\"font-weight: 400\">under our skin\u201d<\/span> <span style=\"font-weight: 400\">in early life, create and widen health inequalities, <\/span><span style=\"font-weight: 400\">and determine our health across our lifespan.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The healthcare costs that food insecurity brings are significant <\/span><span style=\"font-weight: 400\">and risk being a larger burden on the public purse for the next 50 years. <a href=\"https:\/\/www.cmaj.ca\/content\/cmaj\/early\/2015\/08\/10\/cmaj.150234.full.pdf\">Data from Canada<\/a> show that compared with total annual health care costs in food-secure households, adjusted annual costs were 32% higher in households with moderate food insecurity and 76% higher in households with severe food insecurity: <\/span><span style=\"font-weight: 400\">These costs are in excess of costs related to obesity, which is of course related to food insecurity.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The recommendations in the National Food Strategy represent an evidence-based way forward. Three recommendations are key to reduce food insecurity amongst children.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The <\/span><i><span style=\"font-weight: 400\">Healthy Start scheme<\/span><\/i><span style=\"font-weight: 400\"> targets the youngest children.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400\"><i><span style=\"font-weight: 400\">Free School Meals<\/span><\/i><span style=\"font-weight: 400\"> and the <\/span><i><span style=\"font-weight: 400\">Holiday Activities and Food Programme<\/span><\/i><span style=\"font-weight: 400\"> together ensure that children at risk of food insecurity have access to at least one high quality meal a day, both in and out of the school term.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Each of these is achievable, effective, able to be rapidly deployed and represent good value for money.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Food insecurity is toxic for our children and a threat to the future of the next generation and our prosperity as a country.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">I urge you to put your support behind adopting these recommendations and asking the Government to prioritise children\u2019s health and wellbeing in the upcoming Spending Review.<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Russell Viner<\/strong> is professor of child and adolescent health at UCL. He was President of the Royal College of Paediatrics and Child Health from 2018-2021 and a member of SAGE during the covid-19 pandemic.\u00a0<\/span><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: none declared.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Russell Viner, professor of child and adolescent health at UCL, writes an open letter to Parliamentarians calling for support on the implementation of National Food Strategy recommendations on children\u2019s food [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/10\/18\/food-insecurity-is-toxic-for-our-children-and-a-threat-to-the-future-of-the-next-generation\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":51156,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-51155","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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