Imperial College London


Faculty of MedicineSchool of Public Health

Senior Teaching Fellow in Public Health



+44 (0)20 7594 3324s.hassounah Website




319Reynolds BuildingCharing Cross Campus





Publication Type

2 results found

Amati F, Hassounah S, Swaka A, 2019, The impact of Mediterranean dietary patterns during pregnancy on maternal and offspring health, Nutrients, Vol: 11, ISSN: 2072-6643

(1) Background: Pregnancy outcomes for both mother and child are affected by many environmental factors. The importance of pregnancy for 'early life programming' is well established and maternal nutrition is an important factor contributing to a favourable environment for developing offspring. We aim to assess whether following a Mediterranean Diet during pregnancy is beneficial for maternal and offspring outcomes; (2) Methods: a systematic review was performed using standardized reporting guidelines with the National Heart Lung and Blood Iinstitute quality assessment tool for selection and extraction; (3) Results: results show that being on a Mediterranean Diet during pregnancy is associated with favourable outcomes for both maternal and offspring health, particularly for gestational diabetes in mothers and congenital defects in offspring (4) Conclusions: Following a Mediterranean dietary pattern during gestation is beneficial for the health of both the mother and offspring. Pregnant women and those trying to conceive should be advised to follow a Mediterranean Diet to potentially decrease, for example, the likelihood of atopy (OR 0.55) in the offspring and Gestational Diabetes Mellitus in the mother (OR 0.73).

Journal article

Abou El Fadl R, Blair M, Hassounah S, 2016, Integrating maternal and children's oral health promotion into nursing and midwifery practice- a systematic review, PLoS ONE, Vol: 11, Pages: 1-15, ISSN: 1932-6203

BackgroundGlobally, oral diseases contribute to major disease problems and oral health disparities persistentlyexist amongst vulnerable population groups. Two contributory factors to these challengesare the shortage of dental practitioners and the characteristic separation betweenthe medical and dental professions. Nurses and midwives, in particular, are in a potentiallyexcellent position to assist in basic oral health services such as dental health education andintraoral screening. We aimed to assess the effectiveness of integrating promotion of oralhealth of young children and their mothers into nursing and midwifery practice.Methods and FindingsSeven electronic databases including CENTRAL, EMBASE, MEDLINE, GLOBAL HEALTH,CINHAL, Scopus, and Web of Science were systematically searched whereas conferenceproceedings and theses were retrieved via PROQUEST. Only randomized, non-randomizedtrials and observational studies on preventive oral health programs delivered by nurses ormidwives in healthcare settings or through home visits were included. Two investigatorsreviewed full-text articles independently to decide on eligibility for inclusion. Quality assessmentwas done using Cochrane tool for risk of bias for randomized trials and Downs andBlack assessment tool for all other studies. Out of 3162 retrieved records, twenty one trialson oral health interventions incorporated into standard nursing practice were reviewed.Eighteen programs reported significant positive outcomes including reduction in cariesexperience, better oral hygiene and dietary habits and increased rates of dental visitsamongst young children as reported by their caregivers.ConclusionsIncorporating oral health promotion into nursing practice is a promising initiative for reducingoral health disparities by contributing to a downward trend in caries experience andincreased access to dental care especially amongst the poor disadvantaged communities.

Journal article

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