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Childhood nutrition and poverty

Published online by Cambridge University Press:  28 February 2007

Michael Nelson*
Affiliation:
Department of Nutrition and Dietetics, King's College London, 150 Stamford Street, London SE1 8WA, UK
*
*Corresponding author: Dr Michael Nelson, fax + 44 (0)20 7848 4185, email michael.nelson@kcl.ac.uk
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Abstract

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One in three children in Britain lives in poverty (households whose income was less than 50 % average earnings). Low income is associated with poor nutrition at all stages of life, from lower rates of breast-feeding to higher intakes of saturated fatty acids and lower intakes of antioxidant nutrients. Moreover, there is increasing evidence that poor nutrition in childhood is associated with both short-term and long-term adverse consequences such as poorer immune status, higher caries rates and poorer cognitive function and learning ability. These problems arise primarily because parents do not have enough money to spend on food, not because money is being spent unwisely. Policy options to improve the dietary health of poor children include: giving more money to the parents by increasing Income Support (social security) payments, providing food stamps or vouchers, and using food budget standards to inform the levels of income needed to purchase an adequate diet; feeding children directly at school (not only at lunchtime but also at breakfast or homework clubs), by providing free fruit at school, and by increasing entitlement to free food amongst children living in households with low incomes; improving access to a healthy and affordable diet by first identifying ‘food deserts’ and then considering with retailers and local planners how best to provide food in an economical and sustainable way. The value of using food budget standards is illustrated with data relating expenditure on food to growth in children from ‘at-risk’ families (on low income, overcrowded, headed by a lone parent or with four or more children under 16 years of age) living in a poor area in London. Lower levels of expenditure are strongly associated with poorer growth and health, independent of factors such as birth weight, mother’s height, or risk score. The present paper provides evidence that supports the need to review Government legislation in light of nutrition-related inequalities in the health of children.

Type
Symposium on ‘Growing up with good nutrition: a focus on the first two decades’
Copyright
Copyright © The Nutrition Society 2000

References

Acheson, D (editor) (1998) Independent Inquiry into Inequalities in Health. London: The Stationery Office.Google Scholar
Barker, DJ (1997) Maternal nutrition, fetal nutrition, and disease in later life. Nutrition 13, 807813.CrossRefGoogle ScholarPubMed
Burney, P (1995) The origins of obstructive airways disease. A role for diet? American Journal of Respiratory and Critical Care Medicine 151, 12921293.CrossRefGoogle ScholarPubMed
Cain, AW (1997) Pregnant mothers and their young children – the WIC Program, p. 356. In Nutrition Policy in Public Health [Bonner, F editor] New York: Springer Publishing.Google Scholar
Caroline, Walker Trust (1996) Nutritional Guidelines for School Meals. London: Caroline Walker Trust.Google Scholar
Citro, CC & Michael, RT (editors) (1995) Measuring Poverty: A New Approach, pp. 108116. Washington, DC: National Academy Press.Google Scholar
Dallison, J & Lobstein, T (1995) Poor Expectations. London: Maternity Alliance.Google Scholar
Dennehy, A, Smith, L & Harker, P (1997) Not To Be Ignored. Young People, Poverty and Health. London: Child Poverty Action Group.Google Scholar
Department of Health (1989) The Diets of British Schoolchildren. Report on Health and Social Subjects no. 36. London: H.M. Stationery Office.Google Scholar
Department of Health (1991) Dietary Reference Values for Food Energy and Nutrients for the United Kingdom. Report on Health and Social Subjects no. 41. London: H.M. Stationery Office.Google Scholar
Department of Health (1996) Low Income, Food, Nutrition and Health: Strategies for Improvement. A Report by the Low Income Project Team for the Nutrition Task Force. London: Department of Health.Google Scholar
Dobson, B, Beardsworth, A, Keil, T & Walker, R (1994) Diet, Choice and Poverty: Social, Cultural and Nutritional Aspects of Food Consumption among Low Income Families. London: Family Policy Studies Centre.Google Scholar
Dowler, E & Calvert, C (1995) Nutrition and Diet in Lone-parent Families in London. London: Family Policy Studies Centre.Google Scholar
Government Statistical Service (1996) Households Below Average Income: A Statistical Analysis 1979–1993/94. London: Department of Social Security.Google Scholar
Gregory, JR, Collins, DL, Davies, PSW, Hughes, JM & Clarke, PC (1995) National Diet and Nutrition Survey: Children Aged 11/2 to 41/2. London: H.M. Stationery Office.Google Scholar
Health Education Authority (1996a) Enjoy Healthy Eating. London: Health Education Authority.Google Scholar
Health Education Authority (1996b) Think About Drink. London: Health Education Authority.Google Scholar
Health Education Authority (1997) Enjoy Fruit and Veg (With Recipes). London: Health Education Authority.Google Scholar
James, WPT, Nelson, M, Ralph, A & Leather, S (1997) The contribution of nutrition to inequalities in health. British Medical Journal 314, 15451549.CrossRefGoogle ScholarPubMed
Lobstein, T (1999a) Are the EU's agriculture policies undermining public health? Prospects for Public Health Seminar. Brussels: EU ParliamentGoogle Scholar
Lobstein, T (1999b) Is fruit for charities being dumped illegally? Food Magazine 42,17.Google Scholar
Lucas, A, Morley, R, Cole, TJ, Lister, G & Leeson-Payne, C (1992) Breast milk and subsequent intelligence quotient in children born preterm. Lancet 339, 261264.CrossRefGoogle ScholarPubMed
McGlone, P, Dobson, B, Dowler, E & Nelson, M (1999) Food Projects and How They Work. York: Joseph Rowntree Foundation.Google Scholar
Martin, J & White, A (1988) Infant feeding 1985. London: H.M. Stationery Office.Google Scholar
Mills, A & Tyler, H (1992) Food and Nutrient Intakes of British Infants aged 6–12 months. London: H.M. Stationery Office.Google Scholar
Ministry of Agriculture, Fisheries and Food (1993) National Food Survey 1992. London: H.M. Stationery Office.Google Scholar
Ministry of Agriculture, Fisheries and Food (1994) National Food Survey 1993. London: H.M. Stationery Office.Google Scholar
Ministry of Agriculture, Fisheries and Food (1995) National Food Survey 1994. London: H.M. Stationery Office.Google Scholar
Ministry of Agriculture, Fisheries and Food (1996) National Food Survey 1995. London: H.M. Stationery Office.Google Scholar
Ministry of Agriculture, Fisheries and Food (1997) National Food Survey 1996. London: H.M. Stationery Office.Google Scholar
Ministry of Agriculture, Fisheries and Food (1998) National Food Survey 1997. London: The Stationery Office.Google Scholar
National, Food Alliance (1998) Food Poverty: What are the Policy Options ? London: National Food Alliance.Google Scholar
Nelson, M & Naismith, DJ (1979) The nutritional status of poor children living in London. Journal of Human Nutrition 33, 3345.Google Scholar
Nelson, M, Bakaliou, F & Trivedi, A (1994) Iron deficiency anaemia and physical performance in adolescent girls from different ethnic backgrounds. British Journal of Nutrition 72, 427433.CrossRefGoogle ScholarPubMed
Nelson, M, Dallison, J & Paterakis, S (1998) Low cost but acceptable food budget standards. In Low Cost but Acceptable: A Minimum Income Standard for the UK: Families with Young Children, pp. 1832 [Parker, H, editor]. Bristol: Policy Press.Google Scholar
Nelson, M (1999) Nutrition and health inequalities. In Inequalities in Health, pp. 118137 [Gordon, D, Shaw, M, Dorling, D and Davey Smith, G, editors]. Bristol: Policy Press.Google Scholar
Office, For National Statistics (1997) Family Spending 1992–1996. London: The Stationery Office.Google Scholar
Orshansky, M (1965) Counting the poor. Another look at the poverty profile. Social Security Bulletin 28, 329.Google Scholar
Parker, H (editor)(1998) Low Cost but Acceptable: A Minimum Income Standard for the UK: Families with Young Children. Bristol: Policy Press.Google Scholar
Riches, G (editor) (1997) First World Hunger. Basingstoke, Hants.: MacMillan Press.CrossRefGoogle Scholar
Ruxton, CH & Kirk, TR (1996) Relationships between social class, nutrient intake and dietary patterns in Edinburgh schoolchildren. International Journal of Food Science and Nutrition 47, 341349.CrossRefGoogle ScholarPubMed
School, Milk Campaign (1996) The Hunger Within. Stafford: School Milk Campaign.Google Scholar
Social, Exclusion Unit (1998) Bringing Britain Together: a national strategy for neighbourhood renewal. September 1998. http://www.open.gov.uk/co/seu/bbt.pdf.Google Scholar
Viet-Wilson, J (1998) Setting Adequacy Standards. Bristol: Policy Press.Google Scholar
Wenlock, RW, Disselduff, MM, Skinner, RK & Knight, I (1986) The Diets of British Schoolchildren, Preliminary Report of a Nutritional Analysis of a Nationwide Dietary Survey of British Schoolchildren. London: Department of Health and Social Security.Google Scholar
World, Health Organization (1990) Diet, Nutrition, and Prevention of Chronic Diseases. Report of a WHO Study Group. Technical Report Series no. 797. Geneva: WHO.Google Scholar