Association between food assistance program participation and overweight

OBJECTIVE The objective of this study was to investigate the association between food assistance program participation and overweight/obesity according to poverty level. METHODS A cross-sectional analysis of data from 46,217 non-pregnant and non-lactating women in Lima, Peru was conducted; these data were obtained from nationally representative surveys from the years 2003, 2004, 2006, and 2008-2010. The dependent variable was overweight/obesity, and the independent variable was food assistance program participation. Poisson regression was used to stratify the data by family socioeconomic level, area of residence (Lima versus the rest of the country; urban versus rural), and survey year (2003-2006 versus 2008-2010). The models were adjusted for age, education level, urbanization, and survey year. RESULTS Food assistance program participation was associated with an increased risk of overweight/obesity in women living in homes without poverty indicators [prevalence ratio (PR) = 1.29; 95% confidence interval (CI) 1.06;1.57]. When stratified by area of residence, similar associations were observed for women living in Lima and urban areas; no associations were found between food assistance program participation and overweight/obesity among women living outside of Lima or in rural areas, regardless of the poverty status. CONCLUSIONS Food assistance program participation was associated with overweight/obesity in non-poor women. Additional studies are required in countries facing both aspects of malnutrition.

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The nutrition transition in Mexico 1988–2016: the role of wealth in the social patterning of obesity by education

Public Health Nutrition ◽

10.1017/s1368980018001167 ◽

2018 ◽

Vol 21 (13) ◽

pp. 2394-2401 ◽

Cited By ~ 8

Author(s):

Carolina Pérez-Ferrer ◽

Anne McMunn ◽

Paola Zaninotto ◽

Eric J Brunner

Keyword(s):

Rural Areas ◽

Urban Areas ◽

Prevalence Ratio ◽

Household Wealth ◽

Education Level ◽

Obesity Prevalence ◽

Cross Sectional ◽

The Social ◽

Lower Education ◽

Urban And Rural Areas

AbstractObjectiveThe present study investigates whether the reversal of the social gradient in obesity, defined as a cross-over to higher obesity prevalence among groups with lower education level, has occurred among men and women in urban and rural areas of Mexico.DesignCross-sectional series of nationally representative surveys (1988, 1999, 2006, 2012 and 2016). The association between education and obesity was investigated over the period 1988–2016. Effect modification of the education–obesity association by household wealth was tested.SettingMexico.SubjectsWomen (n 54 816) and men (n 20 589) aged 20–49 years.ResultsIn both urban and rural areas, the association between education and obesity in women varied by level of household wealth in the earlier surveys (1988, 1999 and 2006; interaction P<0·001). In urban areas in 1988, one level lower education was associated (prevalence ratio; 95 % CI) with 45 % higher obesity prevalence among the richest women (1·45; 1·24, 1·69), whereas among the poorest the same education difference was protective (0·84; 0·72, 0·99). In the latest surveys (2012, 2016), higher education was protective across all wealth groups. Among men, education level was not associated with obesity in urban areas; there was a direct association in rural areas. Wealth did not modify the association between education and obesity.ConclusionThe reversal of the educational gradient in obesity among women occurred once a threshold level of household wealth was reached. Among men, there was no evidence of a reversal of the gradient. Policies must not lose sight of the populations most vulnerable to the obesogenic environment.

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Supplemental Nutrition Assistance Program-Education Improves Food Security Independent of Food Assistance and Program Characteristics

Nutrients ◽

10.3390/nu12092636 ◽

2020 ◽

Vol 12 (9) ◽

pp. 2636

Author(s):

Heather A. Eicher-Miller ◽

Rebecca L. Rivera ◽

Hanxi Sun ◽

Yumin Zhang ◽

Melissa K. Maulding ◽

...

Keyword(s):

Food Security ◽

Food Assistance ◽

Household Food Security ◽

Program Participation ◽

Assistance Program ◽

Program Delivery ◽

Linear Regression Modeling ◽

Nutrition Assistance ◽

Over Time ◽

Food Assistance Program

The purpose of this project was to determine whether consistent food assistance program participation or changes in participation over time mediated or moderated the effect of federal nutrition education through the Supplemental Nutrition Assistance Program-Education (SNAP-Ed) on food security and determine the associations of SNAP-Ed program delivery characteristics with change in food security. This secondary analysis used data from a randomized controlled trial from September 2013 through April 2015. SNAP-Ed-eligible participants (n = 328; ≥18 years) in households with children were recruited from 39 counties in Indiana, USA. The dependent variable was one year change in household food security score measured using the United States Household Food Security Survey Module. Assessment of mediation used Barron-Kenny analysis and moderation used interactions of food assistance program use and changes over time with treatment group in general linear regression modeling. Program delivery characteristics were investigated using mixed linear regression modeling. Results showed that neither consistent participation nor changes in food assistance program participation over time mediated nor moderated the effect of SNAP-Ed on food security and neither were SNAP-Ed program delivery characteristics associated with change in food security over the one year study period. SNAP-Ed directly improved food security among SNAP-Ed-eligible Indiana households with children regardless of food assistance program participation and changes over time or varying program delivery characteristics.

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Food Assistance Program Participation and Health Care Utilization in Low‐income Homebound Older Georgians

The FASEB Journal ◽

10.1096/fasebj.29.1_supplement.585.9 ◽

2015 ◽

Vol 29 (S1) ◽

Author(s):

Vibha Bhargava ◽

Jung Sun Lee

Keyword(s):

Health Care ◽

Health Care Utilization ◽

Low Income ◽

Food Assistance ◽

Care Utilization ◽

Program Participation ◽

Assistance Program ◽

Food Assistance Program

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Consumption of sugar-sweetened beverages and its association with overweight among young children from China

Public Health Nutrition ◽

10.1017/s1368980016001373 ◽

2016 ◽

Vol 19 (13) ◽

pp. 2336-2346 ◽

Cited By ~ 15

Author(s):

Pan Yu ◽

Yun Chen ◽

Ai Zhao ◽

Ying Bai ◽

Yingdong Zheng ◽

...

Keyword(s):

Weight Gain ◽

Young Children ◽

Rural Areas ◽

Urban Areas ◽

Positive Association ◽

Cross Sectional Study ◽

Study Data ◽

Healthy Children ◽

Cross Sectional ◽

Increased Risk

AbstractObjectiveTo fully understand the sugar-sweetened beverage (SSB) consumption status among Chinese young children and to explore its association with weight gain.DesignIn this cross-sectional study, data on sociodemographic characteristics, SSB intake and weight/height were collected by means of face-to-face interviews. The intake of SSB among young Chinese children in relation to their age, different characteristics and types of SSB consumed is described, and the association between SSB intake and BMI-for-age Z-score and overweight is explored.SettingSeven large cities and two villages in China.SubjectsNine hundred and forty-six healthy children, aged 3–7 years.ResultsThe proportion of SSB intake among Chinese young children was 80·5 %; 3·4 % were daily consumers, 34·0 % (31·4 %) consumed at least once per week (month). The per capita and per consumer SSB intake was 63·1 9 (sd 100·8) and 78·4 (sd 106·9) ml/d. Children from rural areas consumed twice, or even triple, the amount of SSB as those from urban areas (P<0·001) and great disparities existed between the types of SSB consumed by urban and rural children. An association was found between increased SSB intake and higher BMI-for-age Z-score (P<0·05) after adjusting for potential confounders; there was also an association between SSB intake and increased risk of being overweight or obese.ConclusionsThe consumption status of SSB in Chinese young children is of concern. There was a positive association between SSB intake and weight gain. Measures should be taken to improve the present situation of SSB consumption among Chinese young children.

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