Food Insecurity and Obesity in New York City Primary Care Clinics

Karnik, Arati; Foster, Byron A.; Mayer, Victoria; Pratomo, Vanessa; McKee, Diane; Maher, Stacia; Campos, Giselle; Anderson, Matthew

doi:10.1097/mlr.0b013e31820fb967

Cited by 25 publications

(12 citation statements)

References 5 publications

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“…Another study showed that when food insecurity was controlled for, BMI was lower in adults who were enrolled in SNAP >6 months compared to those enrolled for <6 months [48], implying that adequate SNAP benefits may lower the risk of obesity. Additionally, a study in New York City showed that food insecure women not receiving food assistance had higher BMIs as compared to those who were food insecure and receiving food assistance [49]. The Institute of Medicine has recently released a report summarizing the debate in the literature on SNAP benefits and obesity and coming out in support of food assistance programs to address food insecurity [8].…”

Section: Discussionmentioning

confidence: 99%

Food Insecurity with Hunger Is Associated with Obesity among HIV-Infected and at Risk Women in Bronx, NY

et al. 2014

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BackgroundFood insecurity, insufficient quality and quantity of nutritionally adequate food, affects millions of people in the United States (US) yearly, with over 18 million Americans reporting hunger. Food insecurity is associated with obesity in the general population. Due to the increasing prevalence of obesity and risk factors for cardiovascular disease among HIV-infected women, we sought to determine the relationship between food insecurity and obesity in this cohort of urban, HIV-infected and –uninfected but at risk women.MethodsUsing a cross-sectional design, we collected data on food insecurity, body mass index and demographic and clinical data from 231 HIV-infected and 119 HIV-negative women enrolled in Bronx site of the Women’s Interagency HIV Study (WIHS). We used multivariate logistic regression to identify factors associated with obesity.ResultsFood insecurity was highly prevalent, with almost one third of women (110/350, 31%) reporting food insecurity over the previous six months and over 13% of women reported food insecurity with hunger. Over half the women were obese with a Body Mass Index (BMI) of ≥30. In multivariate analyses, women who were food insecure with hunger had higher odds of obesity (Adjusted odds ratio [aOR] = 2.56, 95% Confidence Interval [CI] = 1.27, 5.20) after adjusting for HIV status, age, race, household status, income, drug and alcohol use.ConclusionFood insecurity with hunger was associated with obesity in this population of HIV-infected and –uninfected, urban women. Both food insecurity and obesity are independent markers for increased mortality; further research is needed to understand this relationship and their role in adverse health outcomes.

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Section: Discussionmentioning

confidence: 99%

Food Insecurity with Hunger Is Associated with Obesity among HIV-Infected and at Risk Women in Bronx, NY

et al. 2014

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“…Studies have revealed that: (1) the driver for the global obesity epidemic may be in the food system [4], (2) food insecurity leads to obesity [92,93], (3) there is a correlation between the epidemic of obesity and diabetes and increased exposure to synthetic B-vitamins (niacin, thiamin, and riboflavin) due to food fortification (Figure 3), (4) obese and overweight persons have uncontrollable eating [94,95], and (5) evidence suggests that oxidative stress caused dysregulated production of inflammation-related adipocytokines (fat-derived hormones) [96-98]. We therefore suspected that xenobiotics might be related to the etiology of uncontrollable eating in obesity.…”

Section: The Skin Function and Obesitymentioning

confidence: 99%

The skin function: a factor of anti-metabolic syndrome

Zhou

et al. 2012

Diabetol Metab Syndr

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The body’s total antioxidant capacity represents a sum of the antioxidant capacity of various tissues/organs. A decrease in the body’s antioxidant capacity may induce oxidative stress and subsequent metabolic syndrome, a clustering of risk factors for type 2 diabetes and cardiovascular disease. The skin, the largest organ of the body, is one of the major components of the body’s total antioxidant defense system, primarily through its xenobiotic/drug biotransformation system, reactive oxygen species-scavenging system, and sweat glands- and sebaceous glands-mediated excretion system. Notably, unlike other contributors, the skin contribution is variable, depending on lifestyles and ambient temperature or seasonal variations. Emerging evidence suggests that decreased skin’s antioxidant and excretory functions (e.g., due to sedentary lifestyles and low ambient temperature) may increase the risk for metabolic syndrome. This review focuses on the relationship between the variability of skin-mediated detoxification and elimination of exogenous and endogenous toxic substances and the development of metabolic syndrome. The potential role of sebum secretion in lipid and cholesterol homeostasis and its impact on metabolic syndrome, and the association between skin disorders (acanthosis nigricans, acne, and burn) and metabolic syndrome are also discussed.

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“…Evidence from research examining the nature of the relationship between food insecurity and risk of obesity in children and adolescents is somewhat mixed [3,7,8,[25][26][27][28][29][30][31][32][33][34][35][36][37]. Recent meta-analytic reviews and research syntheses identify a relationship between food insecurity and obesity among certain subpopulations such as households with incomes below the poverty line, households led by a single adult, and households headed by African American and/or Hispanic persons [1,38,39].…”

Section: Isrn Public Healthmentioning

confidence: 99%

Obesity Prevention and National Food Security: A Food Systems Approach

et al. 2012

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Interventions that cultivate sustainable food systems to promote health, prevent obesity, and improve food security have the potential for many large-scale and long-lasting benefits including improvements in social, environmental, health, and economic outcomes. We briefly summarize findings from previous research examining associations between obesity and food insecurity and discuss the need for greater synergy between food insecurity initiatives and national obesity prevention public health goals in the United States. The common ground between these two nutrition-related public health issues is explored, and the transformation needed in research and advocacy communities around the shared goal of improving population health through individual, environmental, and policy level changes to promote healthy sustainable food systems is discussed. We propose an ecological framework to simultaneously consider food insecurity and obesity that identifies levers for change to promote sustainable food systems to improve food security and prevent obesity.

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Food Insecurity and Obesity in New York City Primary Care Clinics

Cited by 25 publications

References 5 publications

Food Insecurity with Hunger Is Associated with Obesity among HIV-Infected and at Risk Women in Bronx, NY

Food Insecurity with Hunger Is Associated with Obesity among HIV-Infected and at Risk Women in Bronx, NY

The skin function: a factor of anti-metabolic syndrome

Obesity Prevention and National Food Security: A Food Systems Approach

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