scholarly journals Household Food Insecurity is Associated with Higher Adiposity among US Schoolchildren Ages 10–15 Years: The Healthy Communities Study

2019 ◽  
Vol 149 (9) ◽  
pp. 1642-1650 ◽  
Author(s):  
Lauren E Au ◽  
Sonya M Zhu ◽  
Lilly A Nhan ◽  
Kaela R Plank ◽  
Edward A Frongillo ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Food Insecurity ◽  
Weight Status ◽  
The United States ◽  
Household Food Insecurity ◽  
Older Children ◽  
Healthy Communities ◽  
Household Food ◽  
Race Ethnicity ◽  
The Relationship

ABSTRACT Background Limited research exists on the relationship between food insecurity and children's adiposity and diet and how it varies by demographic characteristics in the United States. Objective The aim of this study was to assess the relationship between household food insecurity and child adiposity-related outcomes, measured as BMI (kg/m2) z score (BMI-z), weight status, and waist circumference, and diet outcomes, and examined if the associations differ by age, sex, and race/ethnicity. Methods Data collected in 2013–2015 from 5138 US schoolchildren ages 4–15 y from 130 communities in the cross-sectional Healthy Communities Study were analyzed. Household food insecurity was self-reported using a validated 2-item screener. Dietary intake was assessed using the 26-item National Cancer Institute's Dietary Screener Questionnaire, and dietary behaviors were assessed using a household survey. Data were analyzed using multilevel statistical models, including tests for interaction by age, sex, and race/ethnicity. Results Children from food-insecure households had higher BMI-z (β: 0.14; 95% CI: 0.06, 0.21), waist circumference (β: 0.91 cm; 95% CI: 0.18, 1.63), odds of being overweight or obese (OR: 1.17; 95% CI: 1.02, 1.34), consumed more sugar from sugar-sweetened beverages (β: 1.44 g/d; 95% CI: 0.35, 2.54), and less frequently ate breakfast (β: −0.28 d/wk; 95% CI: −0.39, −0.17) and dinner with family (β: −0.22 d/wk; 95% CI: −0.37, −0.06) compared to children from food-secure households. When examined by age groups (4–9 and 10–15 y), significant relationships were observed only for older children. There were no significant interactions by sex or race/ethnicity. Conclusions Household food insecurity was associated with higher child adiposity-related outcomes and several nutrition behaviors, particularly among older children, 10–15 y old.

scholarly journals Household Food Insecurity Is Associated with Higher Adiposity Among U.S. Schoolchildren Ages 10–15 Years (OR02-05-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Lauren Au ◽  
Sonya Zhu ◽  
Lorrene Ritchie ◽  
Lilly Nhan ◽  
Barbara Laraia ◽  
...  
Keyword(s):  
Waist Circumference ◽  
Dietary Intake ◽  
Food Insecurity ◽  
Positive Association ◽  
Household Food Insecurity ◽  
Z Score ◽  
Significant Positive Association ◽  
Cross Sectional ◽  
Household Food ◽  
Race Ethnicity

Abstract Objectives This study assesses the relationship between household food insecurity and adiposity, measured as BMI-for-age z-score (BMI-z), overweight/obesity, and waist circumference, as well as dietary intake and diet-related behaviors in US children. Methods A total of 5138 US schoolchildren ages 4–15 years from 130 communities in the cross-sectional Healthy Communities Study were included in this analysis. Household food insecurity was self-reported using a validated 2-item screener. Dietary intake was assessed using National Cancer Institute's (NCI) Dietary Screener Questionnaire (DSQ), a 26-item food frequency questionnaire, and dietary behaviors were assessed during a household survey. Data were analyzed using multilevel statistical models, including interaction tests for age, sex, and race/ethnicity. Results Food insecure children had a BMI z-score of 0.14 higher (95% CI: 0.06, 0.21) and a waist circumference of 0.91 cm higher (95% CI: 0.18, 1.63) than food secure children. Food insecure children have 1.17 times the odds of being overweight/obesity compared with food secure children (95% CI: 1.02, 1.34). There was no significant interaction by sex or race/ethnicity. Food insecure children consumed more sugar from sugar sweetened beverages (0.36 tsp/day; 95% CI: 0.09, 0.63), and ate breakfast (−0.28 days/week; 95% CI: −0.39, −0.17) and together with family (−0.22 days/week; 95% CI: −0.37, −0.06) less frequently compared to food secure children. Conclusions The present study found a significant, positive association between household food insecurity and child adiposity for children ages 10–15 years, as well as for several dietary intake and diet-related behaviors. This research helps disentangle the complex picture of food insecurity as a contributor to childhood obesity and poorer dietary outcomes in diverse populations. Funding Sources Research was supported by the National Heart, Lung, and Blood Institute of the National Institutes of Health under award number K01HL131630. The authors would also like to acknowledge the Global Food Initiative at the University of California Office of the President for their support of this project.

Household Food Insecurity and Canadian Aboriginal Women’s: Self-efficacy in Food Preparation

2012 ◽  
Vol 73 (3) ◽  
pp. 134-140 ◽  
Author(s):  
Genevieve Mercille ◽  
Olivier Receveur ◽  
Louise Potvin
Keyword(s):  
Food Insecurity ◽  
Self Efficacy ◽  
Weight Status ◽  
The United States ◽  
Healthy Food ◽  
Household Composition ◽  
Food Preparation ◽  
Household Food Insecurity ◽  
Cross Sectional Survey ◽  
Household Food

Purpose: Determinants of self-efficacy related to food preparation using store-bought food were examined in women belonging to the Atikamekw Nation. Also examined was whether self-efficacy was associated with household food insecurity. Methods: A cross-sectional survey was conducted with 107 women responsible for household food supplies. Two selfefficacy scores were calculated, one for healthy food preparation and one for food preparation in general. Household food insecurity was measured with an adapted version of the United States Food Security Core Module. The other variables were household composition, income sources, food supplies, tobacco use, participants’ health status, and lifestyle and sociodemographic characteristics. Multiple linear regression was used to analyze associations between self-efficacy and household food insecurity in 99 participants. Results: Severe household food insecurity was associated with significantly lower healthy food preparation scores in Atikamekw women. Other associated variables were food supplies, marital status, alcohol consumption, weight status, and understanding of the native language. Conclusions: Application of the concept of self-efficacy contributes to a better understanding of the factors influencing food preparation in Atikamekw women. In this study, self-efficacy in healthy food preparation was linked to food insecurity and obesity, particularly in the most serious cases. Efforts to improve diet will require not only behavioural interventions, but public policies.

scholarly journals The relationship between diet quality and the severity of household food insecurity in Canada

2021 ◽  
pp. 1-39
Author(s):  
Joy Hutchinson ◽  
Valerie Tarasuk
Keyword(s):  
Food Insecurity ◽  
Diet Quality ◽  
Vegetable Intake ◽  
Fruit And Vegetable Intake ◽  
Household Food Insecurity ◽  
Processed Foods ◽  
Older Children ◽  
Household Food ◽  
Adults And Children ◽  
The Relationship

Abstract Objective: To examine the relationship between the dietary quality of Canadian children and adults and household food insecurity status. Design: Dietary intake was assessed with one 24-h recall. Households were classified as food secure or marginally, moderately or severely food insecure based on their responses to the Household Food Security Survey Module. We applied multivariable analyses of variance to determine whether % energy from ultra-processed foods, fruit and vegetable intake, Healthy Eating Index (HEI) scores, macronutrient composition, and micronutrient intakes per 1000 kcal differed by food insecurity status after accounting for income, education and region. Analyses were run separately for children 1-8 years and 9-18 years and men and women 19-64 years of age. Setting: 10 provinces in Canada Participants: Respondents to the 2015 Canadian Community Health Survey-Nutrition, aged 1-64 years, with complete food insecurity data and non-zero energy intakes. N=15909 Results: Among adults and children, % energy from ultra-processed foods was strongly related to severity of food insecurity, but no significant trend was observed for fruit and vegetable intake or HEI score. Carbohydrate, total sugar, fat, and saturated fat intake/1000 kcal did not differ by food insecurity status, but there was a significant negative trend in protein/1000 kcal among older children, a positive trend in sodium/1000 kcal among younger children, and inverse associations between food insecurity severity and several micronutrients/1000 kcal among adults and older children. Conclusions: With more severe household food insecurity, ultra-processed food consumption was higher and diet quality was generally lower among both adults and children.

scholarly journals Household Food Insecurity and Children’s Physical Activity and Sedentary Behavior in the United States: The Healthy Communities Study

2021 ◽  
pp. 1-20
Author(s):  
Sophia M. Navarro ◽  
Marisa M. Tsai ◽  
Lorrene D. Ritchie ◽  
Edward A. Frongillo ◽  
Barbara A. Laraia ◽  
...  
Keyword(s):  
Physical Activity ◽  
Food Insecurity ◽  
The United States ◽  
Household Food Security ◽  
Household Food Insecurity ◽  
Sedentary Behaviors ◽  
Healthy Communities ◽  
Household Food ◽  
The Us ◽  
Children’S Physical Activity

Abstract Objective: To examine associations between household food insecurity and children’s physical activity and sedentary behaviors. Design: Secondary analysis was conducted on the Healthy Communities Study, an observational study from 2013-2015. Household food insecurity was assessed by two items from the US Department of Agriculture’s 18-item US Household Food Security Survey Module. Physical activity was measured using the 7-day Physical Activity Behavior Recall instrument. Data were analyzed using multilevel statistical modeling. Setting: 130 communities in the US. Participants: 5,138 US children ages 4-15 years. Results: No associations were found for the relationship between household food insecurity and child physical activity. A significant interaction between household food insecurity and child sex for sedentary behaviors was observed (P=0.03). Conclusions: Additional research capturing a more detailed assessment of children’s experiences of food insecurity in relation to physical activity is warranted. Future studies may consider adopting qualitative study designs or utilizing food insecurity measures that specifically target child-level food insecurity. Subsequent research may also seek to further explore sub-group analyses by sex.

scholarly journals The Relation Between Household Food Insecurity and Children's Height in Canada and the United States: A Scoping Review

2019 ◽  
Vol 10 (6) ◽  
pp. 1126-1137
Author(s):  
Andrée-Anne Fafard St-Germain ◽  
Arjumand Siddiqi
Keyword(s):  
United States ◽  
Food Insecurity ◽  
Well Being ◽  
The United States ◽  
High Income ◽  
Household Food Insecurity ◽  
Household Food ◽  
Optimal Linear ◽  
High Risk Populations ◽  
Families With Children

ABSTRACT Household food insecurity is a determinant of health and marker of material deprivation. Although research has shown that food insecurity is associated with numerous adverse health, developmental and nutritional outcomes among children in high-income countries, little is known about its impact on children's height, an important marker of nutritional status and physical development. We reviewed evidence on the relation between experience-based measures of food insecurity and the height of children aged 0–18 y in Canada and the United States. The search, conducted in Embase, Medline, CINAHL, ProQuest, Web of Science, and EconLit from the inception of the databases to October 2017, identified 811 records that were screened for relevance. A total of 8 peer-reviewed studies, 2 from Canada and 6 from the United States, met the inclusion criteria and were summarized. Five studies found no association between food insecurity and children's height. One study found that having taller children in the household predicted more severe food insecurity, whereas 2 studies found that more severe experiences of food insecurity were associated with shorter height among children from ethnic minority populations. These results suggest that household food insecurity may not be associated with height inequalities among children in Canada and the United States, except perhaps in certain high-risk populations. However, the few studies identified for review provide insufficient evidence to determine whether food insecurity is or is not associated with children's height in these countries. Given the importance of optimal linear growth for current and future well-being, it is critical to understand how different modifiable environmental circumstances relate to children's height to help establish priorities for intervention. Families with children are disproportionately affected by food insecurity, and more research explicitly designed to examine the association between household food insecurity and children's height in high-income countries is needed.

scholarly journals Is household food insecurity a determinant of weight status in patients with type 2 diabetes in rural areas?

2017 ◽  
Vol 31 (1) ◽  
pp. 908-914
Author(s):  
Ali Gholami ◽  
Farhad Moradpour ◽  
Maryam Khazaee-Pool ◽  
Zahra Moosavi Jahromi ◽  
Mohammad Reza Vafa ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Food Insecurity ◽  
Rural Areas ◽  
Weight Status ◽  
Household Food Insecurity ◽  
Household Food

Household Debt and Children’s Risk of Food Insecurity

2019 ◽  
Author(s):  
Mackenzie Brewer
Keyword(s):  
Food Insecurity ◽  
Panel Study ◽  
The United States ◽  
Household Food Insecurity ◽  
Lower Income ◽  
Medical Debt ◽  
Household Food ◽  
Unsecured Debt ◽  
Households With Children ◽  
Medical Bills

AbstractIn the United States, almost one in six households with children cannot access adequate food for a healthy and active lifestyle. Although food insecurity disproportionately affects lower-income households, it remains unclear why some lower-income families are more vulnerable to food insecurity than others. Household unsecured debt, such as debt incurred from credit cards and medical bills, may be an unexplored financial constraint associated with food insecurity. Using data from the 2014 Child Development Supplement (CDS) of the Panel Study of Income Dynamics (PSID), I assess whether unsecured debt, by amount and type of debt, is associated with food insecurity among lower-income households with children (N=1,319). Results indicate that medical debt increases odds of household food insecurity even after accounting for key sociodemographic and economic risk factors, while no relationship exists between other forms of unsecured debt and food insecurity. Moreover, although liquid assets decrease the risk of household food insecurity and attenuate the harmful effects associated with unpaid medical bills, few households have enough liquid assets to mitigate the risks associated with medical debt. Efforts to prevent medical debt may be essential for eliminating food insecurity among lower-income households with children.

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