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How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review

Grace Hollinrake, Lowri Stevenson, Laura Wilkinson Orcid Logo, Sophia Komninou Orcid Logo, Amy Brown Orcid Logo

Maternal & Child Nutrition

Swansea University Authors: Grace Hollinrake, Lowri Stevenson, Laura Wilkinson Orcid Logo, Sophia Komninou Orcid Logo, Amy Brown Orcid Logo

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DOI (Published version): 10.1111/mcn.70082

Abstract

Complementary feeding, when infants are introduced to solid foods, is an important stage of learning new tastes, textures and eating behaviours. Austerity, post-BREXIT (in the UK) and the COVID-19 pandemic have created a cost-of-living crisis, exacerbating prevalence of food insecurity in high-incom...

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Published in: Maternal & Child Nutrition
ISSN: 1740-8695 1740-8709
Published: Wiley 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa69998
first_indexed 2025-07-18T08:41:08Z
last_indexed 2025-09-04T07:22:49Z
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A Systematic Scoping Review</title><swanseaauthors><author><sid>5604ef585e7cf0cf80f68c99ca7e5ed7</sid><firstname>Grace</firstname><surname>Hollinrake</surname><name>Grace Hollinrake</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>ec3a323cbd9c198f2e224521bc0325dc</sid><firstname>Lowri</firstname><surname>Stevenson</surname><name>Lowri Stevenson</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>07aeb47532af5a8421686d4f22f4a226</sid><ORCID>0000-0002-8093-0843</ORCID><firstname>Laura</firstname><surname>Wilkinson</surname><name>Laura Wilkinson</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>ae112e20f29a2a4b0acdfb3abb2ec6a9</sid><ORCID>0000-0002-3835-8302</ORCID><firstname>Sophia</firstname><surname>Komninou</surname><name>Sophia Komninou</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>37aea6965461cb0510473d109411a0c3</sid><ORCID>0000-0002-0438-0157</ORCID><firstname>Amy</firstname><surname>Brown</surname><name>Amy Brown</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2025-07-18</date><deptcode>HSOC</deptcode><abstract>Complementary feeding, when infants are introduced to solid foods, is an important stage of learning new tastes, textures and eating behaviours. Austerity, post-BREXIT (in the UK) and the COVID-19 pandemic have created a cost-of-living crisis, exacerbating prevalence of food insecurity in high-income countries. Understanding how this may impact upon parents' experience of complementary feeding is important. This systematic scoping review therefore examined how food insecurity impacts diet and feeding practices during the complementary feeding period for infants aged 6&#x2013;18 months. Four electronic databases were searched, identifying 5822 articles. 3293 titles and abstracts, from which 30 full texts were screened by two independent reviewers. The final review included five articles (two qualitative and three quantitative). Three articles were conducted in Australia, one in America, one in New Zealand with 1044 parent/child dyads in total. Strategies such as encouraging children to finish their food, avoiding foods that might not be accepted and reducing food variety were common. These strategies may ensure children are fed but may reduce elements of complementary feeding that we know are important such as exposing infants to wide varieties of tastes, textures and nutrients and adopting a responsive feeding style. The sparsity of evidence in this review, particularly for research based in the UK, highlights the need for further research in high-income countries to explore the impact of household food insecurity on complementary feeding. This will help to identify priorities for those working in policy and practice to support families with complementary feeding during the cost-of-living crisis and beyond.</abstract><type>Journal Article</type><journal>Maternal &amp;amp; Child Nutrition</journal><volume>0</volume><journalNumber/><paginationStart/><paginationEnd/><publisher>Wiley</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1740-8695</issnPrint><issnElectronic>1740-8709</issnElectronic><keywords>complementary feeding; household food insecurity; infant feeding; parents</keywords><publishedDay>20</publishedDay><publishedMonth>8</publishedMonth><publishedYear>2025</publishedYear><publishedDate>2025-08-20</publishedDate><doi>10.1111/mcn.70082</doi><url/><notes/><college>COLLEGE NANME</college><department>Health and Social Care School</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>HSOC</DepartmentCode><institution>Swansea University</institution><apcterm>SU Library paid the OA fee (TA Institutional Deal)</apcterm><funders>Swansea University</funders><projectreference/><lastEdited>2025-09-03T14:17:45.5447641</lastEdited><Created>2025-07-18T09:25:57.9841700</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>Grace</firstname><surname>Hollinrake</surname><order>1</order></author><author><firstname>Lowri</firstname><surname>Stevenson</surname><order>2</order></author><author><firstname>Laura</firstname><surname>Wilkinson</surname><orcid>0000-0002-8093-0843</orcid><order>3</order></author><author><firstname>Sophia</firstname><surname>Komninou</surname><orcid>0000-0002-3835-8302</orcid><order>4</order></author><author><firstname>Amy</firstname><surname>Brown</surname><orcid>0000-0002-0438-0157</orcid><order>5</order></author></authors><documents><document><filename>69998__35016__69f673c707b04ba9a81e8fac0256c3e5.pdf</filename><originalFilename>69998.VoR.pdf</originalFilename><uploaded>2025-09-03T14:15:46.0605224</uploaded><type>Output</type><contentLength>802624</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>&#xA9; 2025 The Author(s). 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spelling 2025-09-03T14:17:45.5447641 v2 69998 2025-07-18 How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review 5604ef585e7cf0cf80f68c99ca7e5ed7 Grace Hollinrake Grace Hollinrake true false ec3a323cbd9c198f2e224521bc0325dc Lowri Stevenson Lowri Stevenson true false 07aeb47532af5a8421686d4f22f4a226 0000-0002-8093-0843 Laura Wilkinson Laura Wilkinson true false ae112e20f29a2a4b0acdfb3abb2ec6a9 0000-0002-3835-8302 Sophia Komninou Sophia Komninou true false 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 2025-07-18 HSOC Complementary feeding, when infants are introduced to solid foods, is an important stage of learning new tastes, textures and eating behaviours. Austerity, post-BREXIT (in the UK) and the COVID-19 pandemic have created a cost-of-living crisis, exacerbating prevalence of food insecurity in high-income countries. Understanding how this may impact upon parents' experience of complementary feeding is important. This systematic scoping review therefore examined how food insecurity impacts diet and feeding practices during the complementary feeding period for infants aged 6–18 months. Four electronic databases were searched, identifying 5822 articles. 3293 titles and abstracts, from which 30 full texts were screened by two independent reviewers. The final review included five articles (two qualitative and three quantitative). Three articles were conducted in Australia, one in America, one in New Zealand with 1044 parent/child dyads in total. Strategies such as encouraging children to finish their food, avoiding foods that might not be accepted and reducing food variety were common. These strategies may ensure children are fed but may reduce elements of complementary feeding that we know are important such as exposing infants to wide varieties of tastes, textures and nutrients and adopting a responsive feeding style. The sparsity of evidence in this review, particularly for research based in the UK, highlights the need for further research in high-income countries to explore the impact of household food insecurity on complementary feeding. This will help to identify priorities for those working in policy and practice to support families with complementary feeding during the cost-of-living crisis and beyond. Journal Article Maternal &amp; Child Nutrition 0 Wiley 1740-8695 1740-8709 complementary feeding; household food insecurity; infant feeding; parents 20 8 2025 2025-08-20 10.1111/mcn.70082 COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University 2025-09-03T14:17:45.5447641 2025-07-18T09:25:57.9841700 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Grace Hollinrake 1 Lowri Stevenson 2 Laura Wilkinson 0000-0002-8093-0843 3 Sophia Komninou 0000-0002-3835-8302 4 Amy Brown 0000-0002-0438-0157 5 69998__35016__69f673c707b04ba9a81e8fac0256c3e5.pdf 69998.VoR.pdf 2025-09-03T14:15:46.0605224 Output 802624 application/pdf Version of Record true © 2025 The Author(s). This is an open access article under the terms of the Creative Commons Attribution License. true eng http://creativecommons.org/licenses/by/4.0/
title How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review
spellingShingle How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review
Grace Hollinrake
Lowri Stevenson
Laura Wilkinson
Sophia Komninou
Amy Brown
title_short How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review
title_full How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review
title_fullStr How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review
title_full_unstemmed How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review
title_sort How Does Household Food Insecurity Impact Complementary Feeding, in High Income Countries, in a Cost-of-Living Crisis? A Systematic Scoping Review
author_id_str_mv 5604ef585e7cf0cf80f68c99ca7e5ed7
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author_id_fullname_str_mv 5604ef585e7cf0cf80f68c99ca7e5ed7_***_Grace Hollinrake
ec3a323cbd9c198f2e224521bc0325dc_***_Lowri Stevenson
07aeb47532af5a8421686d4f22f4a226_***_Laura Wilkinson
ae112e20f29a2a4b0acdfb3abb2ec6a9_***_Sophia Komninou
37aea6965461cb0510473d109411a0c3_***_Amy Brown
author Grace Hollinrake
Lowri Stevenson
Laura Wilkinson
Sophia Komninou
Amy Brown
author2 Grace Hollinrake
Lowri Stevenson
Laura Wilkinson
Sophia Komninou
Amy Brown
format Journal article
container_title Maternal &amp; Child Nutrition
container_volume 0
publishDate 2025
institution Swansea University
issn 1740-8695
1740-8709
doi_str_mv 10.1111/mcn.70082
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
document_store_str 1
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description Complementary feeding, when infants are introduced to solid foods, is an important stage of learning new tastes, textures and eating behaviours. Austerity, post-BREXIT (in the UK) and the COVID-19 pandemic have created a cost-of-living crisis, exacerbating prevalence of food insecurity in high-income countries. Understanding how this may impact upon parents' experience of complementary feeding is important. This systematic scoping review therefore examined how food insecurity impacts diet and feeding practices during the complementary feeding period for infants aged 6–18 months. Four electronic databases were searched, identifying 5822 articles. 3293 titles and abstracts, from which 30 full texts were screened by two independent reviewers. The final review included five articles (two qualitative and three quantitative). Three articles were conducted in Australia, one in America, one in New Zealand with 1044 parent/child dyads in total. Strategies such as encouraging children to finish their food, avoiding foods that might not be accepted and reducing food variety were common. These strategies may ensure children are fed but may reduce elements of complementary feeding that we know are important such as exposing infants to wide varieties of tastes, textures and nutrients and adopting a responsive feeding style. The sparsity of evidence in this review, particularly for research based in the UK, highlights the need for further research in high-income countries to explore the impact of household food insecurity on complementary feeding. This will help to identify priorities for those working in policy and practice to support families with complementary feeding during the cost-of-living crisis and beyond.
published_date 2025-08-20T05:29:41Z
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