Dietary quality, food security and glycemic control among adults with diabetes

Author(s):  
Magda Shaheen ◽  
Lucy W. Kibe ◽  
Katrina M. Schrode
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Meredith T. Niles ◽  
Kristen Brassard Wirkkala ◽  
Emily H. Belarmino ◽  
Farryl Bertmann

Abstract Background Home food procurement (HFP) (i.e. gardening, fishing, foraging, hunting, backyard livestock and canning) have historically been important ways that people obtain food. Recently, some HFP activities have grown (e.g. gardening), while other activities (e.g. hunting) have become less common in the United States. Anecdotally, COVID-19 has sparked an increase in HFP evidenced by increased hunting licenses and shortages in seeds and canning supplies. HFP may have positive benefits for food security and diet quality, though research beyond gardening is especially limited in high-income countries. Methods We examine HFP activities since the COVID-19 pandemic began, and their relationship to food security and dietary quality using multivariable logit models and matching analysis with a statewide representative survey (n = 600) of residents of Vermont, United States. Results We find 29% of respondent households classified as food insecure since COVID-19, and higher prevalence of food insecurity among those experiencing a negative job change since COVID-19, households earning less than $50,000 annually, Hispanic and multi-race respondents. Nearly 35% of respondents engaged in HFP activities since the COVID-19 pandemic began; the majority of those gardened, and more than half pursued HFP activities more intensely than before the pandemic or for the first time. Food insecure households were more likely to pursue HFP more intensely, including more gardening, fishing, foraging, and hunting. Respondents who were food insecure, Black, Indigenous, People of Color, those with a negative job disruption, and larger households all had greater odds of increased intensity of HFP during the COVID-19 pandemic. HFP was significantly associated with eating greater amounts of fruits and vegetables; however, this effect was only significant for food secure households. Conclusion Overall, these results suggest that HFP activities have increased since the start of the COVID-19 pandemic, and may be an important safety net for food insecure households. However, HFP for food insecure households does not translate into the same higher fruit and vegetable intake as found among food secure HFP households, suggesting this population may be trying to maintain intake, or that they may have potential important resource or technical assistance needs. Long-term, HFP activities may have important food security and diet quality impacts, as well as conservation implications, which should be more thoroughly explored. Regardless, the increased interest and intensity of HFP demonstrates opportunities for educational and outreach efforts.


Author(s):  
Deborah Schlichting ◽  
Ladan Hashemi ◽  
Cameron Grant

Food security (FS) during infancy is associated with lifelong outcomes. New Zealand is a developed economy that reports poor childhood nutrition-related health statistics, particularly among minority children, yet has no measure of FS applicable to infancy. The objective was to develop an FS index for New Zealand infants and examine its association with demographic covariates and health outcomes. Within a large (n = 6853) nationally representative cohort, variables describing infant food consumption, breastfeeding, and maternal food-related coping methods were collected from mothers during late infancy. An FS index was derived using confirmatory factor analysis. Associations were assessed by logistic regressions and described using odds ratios (OR) and ≥95% confidence intervals (CI). Fifteen percent of the cohort was highly FS, 43% tenuously food insecure (FIS), and 16% highly food insecure (FIS). Infants from minority ethnic groups had lower odds of being food secure, as did those born to the youngest mothers, mothers who smoked, or those who lived in low-income households. FIS infants had higher odds of morbidity. Interventions to improve infant FS should focus on improving dietary quality, and should give particular consideration to minority infants. We identified that FIS shows wide ethnic and socioeconomic inequity, and is associated with poorer health. The most important driving factors of FIS included poor quality weaning diets, as well as poverty and its proxies. Any interventions to improve infant FS should focus on increasing fruit and vegetable consumption to recommended intake levels, and should give particular consideration to minority infants.


2020 ◽  
pp. 089011712096414
Author(s):  
Jonathan L. Blitstein ◽  
Danielle Lazar ◽  
Kathleen Gregory ◽  
Colleen McLoughlin ◽  
Linda Rosul ◽  
...  

Purpose: Examine a clinic-based approach to improve food security and glycemic control among patients with diabetes. Design: One-group repeated-measures design. Setting: Federally Qualified Health Centers in a large Midwest city. Sample: Of the 933 patients with diabetes who consented at baseline, 398 (42.66%) returned during the follow-up period for a visit that included Hemoglobin A1c (HbA1c) results. Intervention: Integrated social medicine approach that includes food insecurity screening, nutrition education, and assistance accessing food resources as a standard-of-care practice designed to minimize disruptions in how patients and providers experience medical care. Measures: HbA1c collected as part of a standard blood panel. Analysis: Repeated-measure, mixed-effect linear regression models. Results: There was a decrease in mean HbA1c (Δ = −0.22, P = 0.01) over the study period. The model examining change over time, glycemic control (GC), and food security status (F1, 352 = 5.80, P = 0.02) indicated that among participants with poor GC (33.12%), food secure (FS) participants exhibited significantly greater levels of improvement than food insecure (FI) participants (Δ = −0.55, P = 0.04). Among participants with good GC, changes in HbA1c were not significantly different between FS and FI participants (Δ = 0.23, P = 0.21). Conclusion: Providing nutrition education and food assistance improved HbA1c profiles among FS and FI participants, but FI participants may face social and structural challenges that require additional support from health care teams.


2022 ◽  
Vol 4 (2) ◽  
pp. 879-886
Author(s):  
Reza Diharja ◽  
Wike Handini ◽  
Sri Wiji Lestari ◽  
Nur Witdi Yanto

The COVID-19 pandemic is forcing humans to adapt and be more creative. The Women Farmers Forum (KWT) group in Pabuaran Mekar receives assistance for the success of the food security program in the form of P2L (Sustainable Food Courts). The purpose of the program is to ensure that the community receives quality food from its own environment to maintain and improve the nutrition of the surrounding community. The problems faced in KWT are watering plants that still rely on humans, which is carried out in the morning and afternoon. The manufacture of an automatic plant sprinkler control system reduces the role of humans because it is equipped with a timer program. Users need to know about how to use the system to make it more durable and it is given from a presentation that is aimed as training. The survey at the end of the presentation provided feedback that the activities carried out were very good with a score of 65% of respondents in terms of more than the presentation material, and 79% of respondents rated it very much in accordance with their benefits and expectations. More than 87.5% of the respondents scored an excellent overall quality of the activities.


2020 ◽  
pp. 1-11
Author(s):  
Yibin Liu ◽  
Nicole E. Desmond ◽  
Breanne N. Wright ◽  
Regan L. Bailey ◽  
Tianning Dong ◽  
...  

Abstract Food pantries provide free food to individuals at nutritional risk given lack of available foods. Frequent use of food pantries is associated with higher dietary quality; however, neither the nutrient contributions of food pantries to participant diets nor their relationship with household food security are known. This cross-sectional analysis used secondary data from rural food pantry participants, including sociodemographic characteristics, household food security and 24-h recalls. Mean intakes of selected food groups and nutrients from food pantries, supermarkets, other stores and restaurants, and other were compared by one-way ANCOVA. Interaction effects of household food security with food sources were evaluated by two-way ANCOVA. About 40 % of participants’ dietary intake came from food pantries. Mean intakes of fibre (P < 0·0001), Na (P < 0·0001), fruit (P < 0·0001), grains (P < 0·0001) and oils (P < 0·0001) were higher from food pantries compared with all other sources, as were Ca (P = 0·004), vitamin D (P < 0·0001) and K (P < 0·0001) from food pantries compared with two other sources. Percentage total energy intake (%TEI) from added sugars (P < 0·0001) and saturated fat (P < 0·0001) was higher from supermarkets than most other sources. Significant interaction effects were observed between food sources and household food security for vegetables (P = 0·01), Na (P = 0·01) and %TEI from saturated fat (P = 0·004), with food-insecure participants having significantly higher intakes from food pantries and/or supermarkets compared with all other sources. Future interventions may incorporate these findings by providing education on purchasing and preparing healthy meals on limited budgets, to complement foods received from pantries, and by reducing Na in pantry environments.


Foods ◽  
2021 ◽  
Vol 10 (6) ◽  
pp. 1298
Author(s):  
Ugochinyere J. Njoga ◽  
Emmanuel O. Njoga ◽  
Obichukwu C. Nwobi ◽  
Festus O. Abonyi ◽  
Henry O. Edeh ◽  
...  

The increase in the slaughter of pregnant cows (SPCs) for meat (except as may be approved by veterinarians on health grounds to salvage the animal) is unethical. SPCs for meat is also counterproductive, detrimental to food security, and may enhance zoonotic disease transmission. In this context, therefore, this current study examined slaughter conditions and the slaughtering of pregnant cows, and the implications for meat quality, food safety, and food security in Southeast Nigeria. The direct observational method was employed to examine the slaughterhouse activities, from when the cattle arrived at the lairage to the post-slaughter stage. A pre-tested and validated closed-ended-questionnaire was used to elicit information on causes of the SPCs and the method of disposal of eviscerated foetuses. Pregnancy status of cows slaughtered was determined by palpation followed by visual examination of the eviscerated and longitudinal incised uteri. The study lasted for six months during which 851 cows out of 1931 slaughtered cattle were surveyed. Assessment/decision-making protocol of slaughterhouse conditions, welfare conditions of slaughter-cattle, reasons for sale or slaughter of pregnant cows, distribution of pregnant cows slaughtered, method of disposal of eviscerated foetuses, and estimated economic losses of SPCs were delineated. Of the 851 cows examined, 17.4% (148/851) were pregnant while 43.2% (64/148) of the total foetuses recovered were in their third trimester. Major reasons adduced for SPCs by proportion of involved respondents were: ignorance of the animals’ pregnancy status (69.7%, 83/119), high demand for beef (61.3%, 73/119), preference for large-sized cattle (47.9%, 57/119), economic hardship (52.1%, 62/119) and diseases conditions (42.9%. 51/119). The conduct of SPCs for meat would not be profitable. This is because within six months, an estimated loss of about 44,000 kg of beef, equivalent to ₦ 70.1 million or $186,400 would be associated with SPCs and the consequential foetal wastages. If losses were to be replicated nationwide across slaughterhouses, 4.3 tons of beef estimated at ₦ 8.6 billion or $23 million would be wasted. Improving slaughter conditions and the welfare of slaughter-cattle in Nigerian slaughterhouses through advocacy, training of slaughterhouse workers, and strict implementation of laws promoting humane slaughter practices is imperative. Preventing SPCs for meat and inhumane slaughter practices at the slaughterhouse would enhance the welfare needs of slaughter cattle, grow the national herd size, and improve meat safety as well as food security.


2019 ◽  
Author(s):  
Azam Doustmohammadian ◽  
Nasrin Omidvar ◽  
Nastaran Keshavarz Mohammadi ◽  
Hassan Eini-Zinab ◽  
Maryam Amini ◽  
...  

Abstract Background: Increasing prevalence of overweight/obesity in children and adolescents over the past two decades has made it a public health concern. Knowledge, skills and critical decision making about food choices and dietary intake, known as food and nutrition literacy (FNLIT) could be one of the keys to improving the outcomes of future interventions in this area. This study aims to assess the relationship between FNLIT and dietary diversity and nutrient adequacy in school-age children in Iran.Methods: This cross-sectional study was undertaken on 803 Primary school students aged 10-12 years in Tehran, Iran. Socio-economic and household food security characteristics, as well as three 24-hour dietary recalls (two week-days and one weekend) were collected through interviewing students and their mothers/caregivers. FNLIT was measured by a self-administered locally designed and validated questionnaire. Number of servings from food groups and diet diversity score, as well as nutrient adequacy were calculated and compared with recommendations. The association between dietary quality factors and FNLIT were evaluated by logistic regression analysis. Results: Students with low FNLIT were less likely to meet daily recommended portion of vegetable (OR=2.83, 95% CI=1.12-7.17), meats (OR=2.37, 95% CI=1.01-5.55) and fruits (OR=2.42, 95% CI=1.38-4.25) (after adjusting for confounding factors, including demographics, Socioeconomics, physical activity, calorie intake and food security). Moreover, low FNLIT subscales were associated with higher odds of low diversity of fruits (OR=3.82, 95% CI=1.01-14.42), dairies (OR=19.5, 95% CI=2.09-182.38), and meats (OR=2.4, 95% CI=1.31-4.40). low FNLIT and its subscales were associated with odds of lower level of NAR of protein (OR=2.02, 95% CI=1.02-8.95), calcium (OR=2.2, 95% CI=1.16-4.49), and vitamin B3 (OR=3.65, 95% CI=1.05-12.69), as well as probability of lower level of MAR (OR=2.91, 95% CI=1.03-8.23, OR=3.12, 95% CI=1.38-7.05), and NAR of vitamin B9 (OR=2.98, 95% CI=1.04-8.51), and odds of lower level of NAR of vitamin B6 (OR=2.30, 95% CI=1.10-4.83). Conclusion: Improving FNLIT in children may help to improve their eating habits and dietary quality for the benefits of good health.


2020 ◽  
pp. 40-48
Author(s):  
Nikolay V. Tumalanov ◽  
Irina N. Urusova ◽  
Elena A. Antonovskaya

Changes that have taken place in recent years in production, sale, market circulation, quality of food consumption give relevance to the problem of assessing the society's food security, the country's food independence and forming a high – quality food market. For this reason the purpose of the study was to justify the need for changes in the principles and rules for assessing the country's food security. It is proposed that its definition took into account the quality of food, the volume of exports and imports, the indicator of the country's comparative advantage in external exchange. During the study, the reasons for veiling the food quality and its safety were revealed, non-objectivity of determining the state of food security was substantiated, the advantages of the new approach on more objective evaluation criteria are proved and basic indicators reflecting the qualitative advantages of the new methodology in assessing food security are proposed. The problem of food quality and its assessment exists and is worsening. The novelty achieved in the study process is the rationale for the need to take into account food quality indicators of all major types, calculate food security and independence, applying for this the proposed formula for indexing the comparative advantage. In today's economy, conditions have developed when it is necessary to assess the level of food security in the society more orderly and comprehensively. To do so, the criteria laid down by international organizations must be applied. High-quality food is noted to include not only organic products, but sparing mode products as well, that is products to produce which mineral fertilizers were used in compliance with all norms and rules. Producers must preserve and protect the environment. Many authors note that government structures should pay more attention to the formation and regulation of the high quality food market segment.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Terragni ◽  
C Arnold ◽  
S Henjum

Abstract Background Food insecurity has a high prevalence among asylum seekers living in Western countries. Previous studies suggest that food skills can protect against food insecurity. This study investigates the impact of food skills on food security and dietary diversity among refugees living in Norwegian reception centers. Methods The study has a cross-sectional research design. Eight asylum reception centers where selected and 205 asylum seekers (131 men and 74 women) were recruited through convenience sampling among the largest asylum seeking groups. We measured food skills by adopting questions from the Canadian Community Health Survey 2013 Rapid Response on Food Skills. Food skills were divided into cooking skills (ability to prepare meals) and shopping skills (ability to plan meals and budgeting). Food security was measured with the 10-item version of the Radimer/Cornell Hunger and Food Insecurity Scale. Dietary data was collected via a 24-hour recall, and the Food and Agriculture Organization of the United Nations (FAO) dietary diversity score was calculated to assess dietary quality. Data were analyzed with bivariate logistic analysis. Results Cooking skills and shopping skills contribute differently to food security and dietary diversity. Higher cooking skills were associated with higher dietary diversity but not with food security. Shopping skills were not associated with either food security or dietary diversity. Women had better cooking skills then men, but there were no gender differences in shopping skills. Married asylum seekers had better shopping skills than those who were not married. Conclusions Cooking skills have an impact on dietary diversity, initiatives promoting cooking skills should be encouraged. Further research is needed on what kind of purchasing skills can be useful for asylum seekers coping. Despite high food skills the level of food insecurity remained high. Initiatives addressing the multiple causes of food insecurity are needed. Key messages Food skills alone do not protect from food insecurity. Cooking skills are easier to transfer in a new food environment than shopping skills.


Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 965 ◽  
Author(s):  
Shinyoung Jun ◽  
Mary J. Zeh ◽  
Heather A. Eicher-Miller ◽  
Regan L. Bailey

Children’s food-security status has been described largely based on either the classification of food security in the household or among household children, but few studies have investigated the relationship between food security among household children and overall dietary quality. Our goal was to examine children’s dietary quality and micronutrient adequacy by food-security classification for the household and among household children. Data from 5540 children (2–17 years) from the National Health and Nutrition Examination Survey (NHANES) 2011–2014 were analyzed. Food-security status was assessed using the U.S. Household Food Security Survey Module and categorized into high, marginal, low, and very low food security for the households and among household children. Dietary quality and micronutrient adequacy were characterized by the Healthy Eating Index (HEI) 2015 and Mean Adequacy Ratio (MAR; based on total nutrient intakes from diet and dietary supplements), respectively. The HEI 2015 scores did not substantially vary by either food-security classification, but the MAR was greater in high compared to very low food security in households and among household children; a linear relationship was found only among household children. In general, very good agreement was observed between the classifications, but the strength of agreement differed by children’s age, race/Hispanic origin, and family income. In conclusion, micronutrient adequacy, but not dietary quality, significantly differed by food-security status. While the agreement between food security in the household and among household children is very good, classification of food security among household children may be more sensitive to detecting differences in exposure to nutrients.


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