scholarly journals Household food insecurity and dietary intake in Korea: results from the 2012 Korea National Health and Nutrition Examination Survey

2015 ◽  
Vol 18 (18) ◽  
pp. 3317-3325 ◽  
Author(s):  
Hyun Ja Kim ◽  
Kyungwon Oh

AbstractObjectiveTo examine the prevalence of household food insecurity and compare dietary intake by food security status in a representative Korean population.DesignCross-sectional. Food security status of households was classified using an eighteen-item food security questionnaire. The nutrition survey comprised questions on dietary habits, a 24 h dietary recall and a semi-quantitative FFQ.SettingThe 2012 Korea National Health and Nutrition Examination Survey.SubjectsA total of 3007 households completed the food security questionnaire. Family members within each household aged ≥1 year (n 7118) participated in the nutrition survey.ResultsResults from the 2012 survey indicated that 88·7 % of Korean households showed food security. The remaining 11·3 % (9·3 % for food insecurity without hunger and 2·0 % for food insecurity with hunger) were in food-insecure households. The prevalence of household food insecurity was 13·2 % in households with children and 10·3 % in households without children. Mean daily intakes of energy, fat and carbohydrates were not significantly different between food-secure and food-insecure adults. In contrast, mean daily intakes of protein, crude fibre, vitamins and minerals as well as weekly consumption frequencies of vegetables, seaweeds, fruits, fruit juice, nuts, and milk and milk products were significantly lower in food-insecure adults compared with food-secure adults.ConclusionsThe study demonstrated that food insecurity is associated with reduced intakes of healthy foods and nutrients essential for health and growth in a representative Korean population.

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1517 ◽  
Author(s):  
Cindy W. Leung ◽  
Megan S. Zhou

Household food insecurity has been associated with adverse health outcomes; however, the mechanisms underlying these associations are not well-defined. Using data from 5005 adults from the 2007–2010 National Health and Nutrition Examination Surveys (NHANES), we examined associations between household food insecurity and cumulative biological risk, a measure of the body’s physiological response to chronic stress. Household food security was assessed using the 18-item Household Food Security Survey Module. Marginal food security refers to 1–2 positive responses, and food insecurity refers to ≥3 positive responses. The cumulative biological risk scores were calculated based on the distributions of ten biomarkers from the cardiovascular, metabolic, and immune systems. Elevated biological risk was defined as a risk score of ≥3. Multivariable regression models were used to examine associations between food security and cumulative biological risk scores, adjusting for sociodemographic characteristics. After multivariable adjustment, food insecurity was associated with a 0.14-unit higher cumulative biological risk score (95% CI 0.05–0.22, p-trend = 0.003) and higher odds of elevated biological risk (OR 1.20, 95% CI 1.05–1.37, p-trend = 0.003). These associations differed by gender. Among women, food insecurity was associated with 0.30-unit higher cumulative biological risk score (95% CI 0.14–0.45, p-trend = 0.0004) and higher odds of elevated biological risk (OR 1.61, 95% CI 1.29–2.00, p-trend < 0.0001). These associations were not observed in men. Women experiencing food insecurity demonstrated elevated levels of biological risk. These findings support the hypothesis that food insecurity may be associated with women’s chronic health outcomes through the pathway of chronic stress. Further research is needed to understand why these associations were not observed in men.


2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Zinat Mortazavi ◽  
Ahmad Reza Dorosty ◽  
Mohammad Reza Eshraghian ◽  
Mohtasham Ghaffari ◽  
Alireza Ansari-Moghaddam ◽  
...  

Background.Today, more than one billion people globally suffer from poverty and food insecurity. This study aimed to determine the severity of and factors related to household food insecurity in Zahedan, Southeastern Iran.Methods.This cross-sectional study was conducted on a total of 2,160 households between November 2014 and December 2015. Demographic and socioeconomic data were collected through interviewing the household mothers. Household food security status was assessed through the USDA 18-item questionnaire. The data were analyzed using chi-square test, one-way ANOVA, and logistic regression model.Results.Total food insecurity in the households investigated was 58.8%. There were significant associations (P<0.001) between household food insecurity status and the socioeconomic status of the households, ethnicity, education, age, and employment status of the head of the household and the mother of the household.Discussion.The results showed that more than half of the households examined suffer from food insecurity. Interventions to improve the food security status of people should be designed and implemented to improve people’s knowledge, skills, and attitudes related to healthy eating and food preparation. People’s access to healthy foods and knowledge of how to select healthy foods (especially on a limited budget) should also be improved.


2021 ◽  
pp. 1-21
Author(s):  
Aarohee P. Fulay ◽  
Kelsey A. Vercammen ◽  
Alyssa J. Moran ◽  
Eric B. Rimm ◽  
Cindy W. Leung

Abstract Objective: Household food insecurity is associated with cardiovascular disease (CVD) risk factors in low-income adults, but research on these associations among adolescents is inconsistent. This study investigates whether household and child food insecurity is associated with CVD risk factors in lower-income adolescents. Design: Cross-sectional. Multivariable linear regression assessed the association between household and child food security and CVD risk factors. Household and child food security was measured using the United States Food Security Survey Module. The analyses were adjusted for adolescent’s age, sex, race/ethnicity, smoking status, physical activity, and sedentary time, as well as household income and the head-of-household’s education and marital status. Setting: United States. Participants: The sample was comprised of 2876 adolescents, aged 12-17 years, with household incomes at or below 300% federal poverty line from the National Health and Nutrition Examination Survey (NHANES) cycles 2007-2016. Results: The weighted prevalence of household food insecurity in the analytic sample was 33.4% and the weighted prevalence of child food insecurity was 17.4%. After multivariable adjustment, there were no significant associations between household and child food insecurity and BMI-for-age Z-score, systolic and diastolic blood pressure, HDL cholesterol, total cholesterol, fasting triglycerides, fasting LDL cholesterol, and fasting plasma glucose. Conclusions: Despite observed associations in adults, household food insecurity was not associated with CVD risk factors in a national sample of lower-income adolescents. Child food insecurity was also not associated with CVD risk factors. More research should be conducted to confirm these associations.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 135-135
Author(s):  
Soghra Jarvandi ◽  
Kristen Johnson ◽  
Karen Franck

Abstract Objectives Rural residents are more likely to experience food insecurity and the related risks for obesity than urban residents. The objective of this study was to explore the association between dietary intake and food insecurity in a sample of residents of a rural county in Tennessee. Methods We used data from an obesity prevention program in a rural county in Tennessee. Adults were recruited to complete a survey, via telephone or online, about lifestyle behaviors. Dietary data were collected using the 26-item National Cancer Institute (NCI) food frequency questionnaire (FFQ). Household food security was assessed using the USDA six-item Short Form Food Security Survey Module. Respondents were classified as ‘food secure’ or ‘food insecure’. We used multiple regression models to assess the association between dietary intake (dependent variable) and food security (independent variable) in men and women separately. Models were controlled for age, race, and body mass index. Results Data from 448 surveys were included in the analysis. The respondents’ mean ± SD age was 55 ± 18 years, 60% were female, and 66% were White. Overall, the average daily intake was less than 2 cups equivalents for vegetables (1.54 ± 0.43), less than 1 cup equivalents for fruits (0.92 ± 0.40), and more than 15 teaspoons equivalents for added sugars (16.06 ± 6.36). In multiple regression models, household food insecurity was associated with lower intake of vegetables both in men (mean ± SE, secure vs. insecure 1.76 ± 0.05 vs. 1.57 ± 0.07, P = 0.02) and in women (1.42 ± 0.03 vs. 1.30 ± 0.04, P = 0.01). Household food insecurity was associated with higher intake of added sugars in women (16.74 ± 0.56 vs. 14.87 ± 0.43, P = 0.009), but not in men. Conclusions Food insecurity was a predictor of lower intake of fruits and vegetables among men and women, and higher intake of added sugars among women. These findings highlight the need to address food insecurity in rural areas by improving access to nutritious food. Funding Sources Centers for Disease Control and Prevent (CDC).


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 105-105
Author(s):  
Angela Bermudez-Millan ◽  
Richard Feinn ◽  
Chelsey Hahn ◽  
Shanjida Arbie Jui ◽  
S. Megan D. Berthold ◽  
...  

Abstract Objectives We tested whether participation in the Supplemental Nutrition Assistance Program (SNAP) moderated the relation between household food security status and HbA1c, the gold standard measure of glycemic control, among Cambodian Americans with depression enrolled in a diabetes prevention trial. Methods Participants had elevated risk factors for type 2 diabetes and elevated depressive symptoms; recruits were excluded for extant diabetes. Community health workers assessed household food security status and SNAP participation via in-person interview. HbA1c levels from venous blood samples were ascertained using direct enzymatic assay. Results Among respondents (n = 189), 19% were food insecure, 41% received SNAP benefits, and mean HbA1c = 5.5%. There was a significant interaction between SNAP and food insecurity. HbA1c was highest among participants without SNAP who were food insecure. Simple effects analysis revealed a significant difference within the no SNAP group [Mean (SD) HbA1c: Secure = 5.38 (0.38), Insecure = 5.78 (0.36)] and no difference within the SNAP group [Secure = 5.61(0.44), Insecure = 5.61(0.55)]. Differences remained significant after controlling for demographic, socioeconomic, and clinical indicators. Conclusions SNAP may protect against the deleterious association between household food insecurity and elevated HbA1c. Funding Sources R01-DK103663 to Dr. Julie Wagner.


2009 ◽  
Vol 12 (10) ◽  
pp. 1855-1861 ◽  
Author(s):  
Francis A Tayie ◽  
Claire A Zizza

AbstractObjectiveThe present study examined the associations between adult food insecurity (FI) and percentage body fat (%BF) and BMI, stratified by height (HT).Design, setting and subjects%BF, HT and BMI of 2117 men and 1909 women in the National Health and Nutrition Examination Survey 1999–2002 were analysed in relation to adult food security status using multiple regression procedures.ResultsCompared with the fully food-secure, men’s %BF, BMI and HT were lower as FI intensified. Marginal food security among women was associated with 1·3 cm shorter HT, P = 0·016. Marginal food security among women who were below median HT was associated with about 2·0 kg/m2 higher BMI, P = 0·042. %BF was not associated with FI among women.ConclusionsFI is associated with shorter HT and lower %BF and BMI in men. Women’s HT should be considered in the reported associations between FI and higher BMI.


Author(s):  
W.H. Oldewage-Theron ◽  
B.A.Z. Abu

Objectives: To determine household food insecurity and dietary diversity (DD) among seniors in Lubbock, Texas and examine the relationships between food security status and DD. Design: Cross-sectional study design. Setting: Lubbock, Texas. Participants: 200 seniors (≥ 50 years) randomly selected from seven senior centers and Meals on Wheels. Measurements: Socio-demographic and economic questionnaire, the validated Household Food Insecurity Access Scale (HFIAS) for food security and coping strategies, the validated DD scale for measuring the minimum DD for women (MDD-W), and weight and height measurements. P<0.05 considered significant was used for all statistical analyses. Results: The majority of the respondents (59.8%) were categorized as food secure. No significant relationships were observed between DD and HFIAS. The linear regression analysis carried out on the socio-demographic predictors of food security showed that age, household income and money spent on food per month were predictors of food security (R2= 0.233; p<0.000; SEE=4.462). The number of people in the household was the only predictor for DD score (R2= 0.028; p<0.000; SEE=1.929). Conclusions: This study showed a serious problem of household food insecurity among seniors in Lubbock, Texas affecting 40% of seniors. The results provide some of the first insights into seniors’ food security status and DD. No relationship could be established between food security status and DD in this study. Only household size was a predictor for DD in this study and further research is needed to determine quantity of dietary intakes and factors influencing the dietary patterns.


Author(s):  
Jong Eun Park ◽  
So Young Kim ◽  
Se Hee Kim ◽  
Eun Ju Jeoung ◽  
Jong Hyock Park

Although the high rate of food insecurity among people with disabilities and their households has emerged as an important concern in public health and nutrition policy, the available data on these issues are still too limited to fully understand this phenomenon. This study aimed to compare the prevalence of food insecurity between households with and without persons with disabilities and to explore which sociodemographic and disability characteristics are associated with household food insecurity among households with members with disabilities. The data of 2690 households with and without members with disabilities from the 2013 Korea National Health and Nutrition Examination Survey were analyzed. Household food insecurity was more prevalent among households including persons with disabilities than among those without such members. The likelihood of experiencing food insecurity was especially high in households having a female head with a disability (odds ratio (OR) = 1.98); working-age adults with disabilities (OR = 1.70); members with disabilities who were not economically active (OR = 1.53); and members with mental disabilities (OR = 2.81), disabilities involving internal organs (OR = 4.38), or severe (grades 1–3) disabilities (OR = 1.73). The findings indicate that the disability status and sociodemographic characteristics of disabled family members are closely associated with household food security status.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 106-106
Author(s):  
Hemanta Bhandari ◽  
Per Ole Iversen ◽  
Heidi Fjeld

Abstract Objectives Little is known about the nutritional status of elderly in Nepal, in particular among indigenous communities in high altitude areas. The main objective of this study was therefore to determine the nutritional status of elderly and their household food security status on the Nepal-China border. Methods The study was conducted in Mugu Karmarong rural municipality, as part of Mugu district that habitats mostly indigenous Tibetan-speaking communities. We used a descriptive cross-sectional design and a total of 128 participants were identified using purposive sampling. Anthropometry and the Mini Nutritional Assessment Short Form (MNA-SF) were used to determine nutritional status and the Household Food Insecurity Access Scale (HFIAS) was used to categorize households according to a food insecurity scale. Results The mean (range) age of participants was 69 (60–84) years. The majority (81%) of the 128 participants had no any education, they were mostly (86%) Buddhist and 72% were married. Based on the MNA-SF scores, 30.5% had a normal nutritional status, 40.6% were at risk for malnutrition while 28.9% were malnourished. In somewhat contrast, our BMI measurements (using the cut-off values from a national survey) suggested that the majority (79.7%) had BMI values within the normal reference range. Based on the HFIAS, only 30.4% of the households were scored as food secure whereas 29% of the households belonged to the severe food insecurity category followed by 26% being moderately food insecure and 11% being mildly food insecure. Our findings revealed that type of the household, use of iodized salt, seasonal migration and household food security status, were all significantly associated with nutritional status of the elderly. Those living in severely food insecure households were 3.2 times more likely to be malnourished than those from food secured households while those living in moderately insecure household was 1.8 times more at risk of malnutrition than those from food secure households. Conclusions We found that about 2/3 of the elderly were either at risk of malnutrition or were malnourished. Only 1/3 of the surveyed households were food secure. Hence, there are alarming risks of malnutrition and food insecurity among elderly in this remote, mountainous region. Funding Sources This study was partly sponsored by the University of Oslo.


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