2019-P: Gender Influence on Body Habitus for an Underserved Population with Type 2 Diabetes and Food Insecurity

Background: Considering that food insecurity can be a precursor to health and nutrition problems, determining its associated factors seems necessary in any society. The purpose of this case-control study was to determine the food insecurity, c-reactive protein (CRP), and some socio-economic factors in type 2 diabetic patients. Methods: The present study was conducted on 200 people with type 2 diabetes mellitus (T2DM) and 200 healthy individuals within the age range of 30 to 59 years. Food security was assessed using the US Department of Agriculture Household Food Security questionnaire. Anthropometric index, physical activity, and biochemical factors were measured by questionnaire and blood test. Results: The prevalence of food insecurity was 71% within the diabetic patients, of which, 65.5% had food insecurity without hunger, 3.5% had food insecurity with moderate hunger, and 2% had food insecurity with severe hunger. In addition, 24.9% of the participants were healthy. The level of fasting blood glucose and inflammatory factors (CRP, WBC) were significantly higher in food insecure participants compared to the healthy individuals (P < 0.05). Multivariate logistic analysis showed that food insecurity, BMI > 25, occupational status, economic status, and education level were significantly correlated with T2DM (P < 0.001). Conclusion: As a result, health care providers should take measures to reduce the food insecurity in the community, specifically within T2DM patients. To this end, the individuals' economic status should be improved and the household food patterns should be modified.

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Addressing Food Insecurity and Overweight/Obesity in Hospitalized Low-Income Latino Patients

Creative Nursing ◽

10.1891/1078-4535.25.3.241 ◽

2019 ◽

Vol 25 (3) ◽

pp. 241-248

Author(s):

Trina Lorraine Gipson-Jones ◽

Bertha L. Davis ◽

Ché Matthew Harris

Keyword(s):

Public Health ◽

Type 2 Diabetes ◽

Food Insecurity ◽

Low Income ◽

Adverse Outcomes ◽

Hospital Utilization ◽

Health Concern ◽

Public Health Concern ◽

Disease Risks

Food insecurity (FI), the limited or unreliable availability of safe and nutritious food, is a pressing public health concern affecting millions of U.S. citizens. Unfortunately, FI tends to impact those who are most vulnerable (e.g., low-income minorities) and potentially increases obesity risks, diet-sensitive disease risks (e.g., hypertension and type 2 diabetes), and hospital utilization. Low-income Latino patients may be particularly sensitive to adverse outcomes based on unaddressed socioeconomic needs. Nurses are in a prime position to assess and address FI in these patients. Our article will discuss how nurses can be advocates in combating FI in Latino patients with overweight/obesity.

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Fitness, Body Habitus, and the Risk of Incident Type 2 Diabetes Mellitus in Korean Men

The American Journal of Cardiology ◽

10.1016/j.amjcard.2015.11.046 ◽

2016 ◽

Vol 117 (4) ◽

pp. 585-589 ◽

Cited By ~ 13

Author(s):

Sae Young Jae ◽

Barry A. Franklin ◽

Jina Choo ◽

Eun Sun Yoon ◽

Yoon-Ho Choi ◽

...

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Body Habitus ◽

Incident Type ◽

Incident Type 2 Diabetes

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Household Food Insecurity and Sleep Quality among Latinos with Type 2 Diabetes

The FASEB Journal ◽

10.1096/fasebj.29.1_supplement.585.21 ◽

2015 ◽

Vol 29 (S1) ◽

Author(s):

Angela Bermúdez‐Millán ◽

Rafael Pérez‐Escamilla ◽

Sofia Segura‐Pérez ◽

Grace Damio ◽

Jyoti Chhabra ◽

...

Keyword(s):

Type 2 Diabetes ◽

Sleep Quality ◽

Food Insecurity ◽

Household Food Insecurity ◽

Household Food

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

Medical Journal of the Islamic Republic of Iran ◽

10.14196/mjiri.31.138 ◽

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

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Inflammation and Stress Biomarkers Mediate the Association between Household Food Insecurity and Insulin Resistance among Latinos with Type 2 Diabetes

Journal of Nutrition ◽

10.1093/jn/nxz021 ◽

2019 ◽

Vol 149 (6) ◽

pp. 982-988 ◽

Cited By ~ 2

Author(s):

Angela Bermúdez-Millán ◽

Julie A Wagner ◽

Richard S Feinn ◽

Sofia Segura-Pérez ◽

Grace Damio ◽

...

Keyword(s):

Insulin Resistance ◽

Type 2 Diabetes ◽

Food Security ◽

Food Insecurity ◽

Indirect Effect ◽

Stress Hormones ◽

Household Food Insecurity ◽

Mediation Model ◽

Household Food

ABSTRACT Background Household food insecurity (HFI) is a stressor that is associated with type 2 diabetes (T2D). However, little is known about HFI and the insulin resistance (IR) underlying T2D, and the mechanisms involved. Objective We examined the cross-sectional association between HFI and IR among low-income Latinos with T2D and tested whether inflammation and stress hormones mediated this association. Methods HFI was measured with the 6-item US Household Food Security Survey module. IR was calculated from fasting plasma blood glucose and serum insulin. Inflammation was indicated by high-sensitivity C-reactive protein (hsCRP), and stress hormones included urinary cortisol, metanephrine, and normetanephrine. To test for an indirect effect of HFI on homeostasis model assessment of IR, a parallel multiple mediation model was run with biological markers that significantly differed between food security status—entered as mediators in the model. We used 95% bias-corrected bootstrap CIs, with 10,000 bootstrap samples, to assess the significance of the indirect effects. Results The 121 participants with T2D were primarily Puerto Rican (85.8%), aged mean = 60.7 y, and 74% were female. Eighty-two (68%) were classified as food insecure. Compared with food-secure individuals, food-insecure individuals had a significantly higher IR [mean difference (Δ) = 7.21, P = 0.001], insulin (Δ = 9.7, P = 0.019), glucose (Δ = 41, P < 0.001), hsCRP (Δ = 0.8, P = 0.008), cortisol (Δ = 21, P = 0.045), and total cholesterol (Δ = 29, P = 0.004). Groups did not differ on other lipids, metanephrine, normetanephrine, or A1c. The mediation model showed a significant direct effect of HFI on hsCRP (P = 0.020) and on cortisol (P = 0.011). There was a direct effect of cortisol (P = 0.013), hsCRP (P = 0.044), and HFI on IR (P = 0.015). The total combined indirect effect of HFI through cortisol and hsCRP indicated partial mediation. Conclusions Among Latinos with T2D, HFI is associated with IR partially through inflammation and stress hormones. Interventions to ameliorate HFI and mitigate its effects on inflammation, stress, and IR are warranted. This trial was registered at clinicaltrials.gov as NCT01578096.

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CV1 FOOD INSECURITY, PARTICIPATION OF DIABETES SELF-MANAGEMENT EDUCATION AND SUPPORT, AND PHYSICAL ACTIVITY AMONG MEDICARE BENEFICIRES WITH TYPE 2 DIABETES

Value in Health ◽

10.1016/j.jval.2020.04.027 ◽

2020 ◽

Vol 23 ◽

pp. S5

Author(s):

B.P. Ng ◽

K. Kim ◽

J. LaManna ◽

G.F. Tiu ◽

Y. Li

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Food Insecurity ◽

Management Education ◽

Self Management

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798-P: The Prevalence and Impact of Food Insecurity on Glycemic Control in Low-Income Latinos with Type 2 Diabetes

Diabetes ◽

10.2337/db19-798-p ◽

2019 ◽

Vol 68 (Supplement 1) ◽

pp. 798-P

Author(s):

INA CECILIA FLORES ◽

DENISSE CRISTINA PORRAS FIMBRES ◽

J. SONYA HAW ◽

ALEXANDRA MIGDAL ◽

BRITT ROTBERG ◽

...

Keyword(s):

Type 2 Diabetes ◽

Glycemic Control ◽

Food Insecurity ◽

Low Income

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The association of food insecurity with diabetes control and self-care in diabetes type 2 patients: A cross-sectional study

10.21203/rs.3.rs-81404/v1 ◽

2020 ◽

Author(s):

Marjan Mohammadi ◽

Seyyed Abolghasem Djazayeri ◽

Asal Ataie Jafari

Keyword(s):

Type 2 Diabetes ◽

Glycemic Control ◽

Food Insecurity ◽

Self Care ◽

Cross Sectional Study ◽

Diabetes Control ◽

Poor Glycemic Control ◽

Sectional Study ◽

Cross Sectional

Abstract Background Food insecurity can increase risks of health and nutritional problems, leading to difficulties in self-care and poor glycemic control in diabetic patients. This study assessed food insecurity and its association with diabetes control and self-care in type 2 diabetes patients. Methods In this cross sectional study, 148 adults with type 2 diabetes participated. Food insecurity and self-care were determined using the 18-item USDA household food security status questionnaire and self-care (SDSCA) questionnaire. Data were analyzed using logistic and linear regression tests (SPSS 20 software). Results Thirty-seven percent of the participants were food-insecure and significantly more likely than food-secure participants to have poor glycemic control (OR = 3.02; CI: 1.45–2.65). No significant association was found between food-insecurity and overall self-care score. Conclusion Food-insecurity was directly associated with poor glycemic control in type 2 diabetes patients. Since economic status was significantly better in the food-secure group, it can be postulated that financial problems will eventually lead to poor glycemic control. Policy strategies to increase access to diabetes-appropriate foods may reduce socioeconomic inequalities in glycemic control.

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