Gender Disparities in the Food Insecurity–Overweight and Food Insecurity–Obesity Paradox among Low-Income Older Adults

Hernandez, Daphne C.; Reesor, Layton; Murillo, Rosenda

doi:10.1016/j.jand.2017.01.014

Cited by 56 publications

(56 citation statements)

References 29 publications

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“…While further research is needed to fully understand the relationship of food insecurity to overweight and obesity among older adults, unlike men, a significantly greater proportion of low-income, food-insecure women were obese (40%) compared with their food-secure counterparts (32%). 74 In addition, a significantly lower proportion of low-income, food-insecure women were normal weight (26%) compared with food-secure women (35%). 74 Food insecurity among older adults may not only impact the risk of chronic disease, but can also increase the risk of disability and, in turn, negatively impact physical, emotional, and financial status.…”

Section: Advocacy and Public Policymentioning

confidence: 98%

“…74 In addition, a significantly lower proportion of low-income, food-insecure women were normal weight (26%) compared with food-secure women (35%). 74 Food insecurity among older adults may not only impact the risk of chronic disease, but can also increase the risk of disability and, in turn, negatively impact physical, emotional, and financial status. 75 As such, food-insecure older adults have poorer dietary intake, nutritional status, and health status than food-secure older adults.…”

Section: Advocacy and Public Policymentioning

confidence: 98%

“…17 Among older Medicare beneficiaries, medication nonadherence can contribute to poor diabetes management. 73 Hernandez and colleagues 74 assessed the association between overweight and obesity among a nationally representative sample of US adults aged 60 years and older with an income less 200% of the federal poverty level and a body mass index !18.5 (self-reported height and weight). While further research is needed to fully understand the relationship of food insecurity to overweight and obesity among older adults, unlike men, a significantly greater proportion of low-income, food-insecure women were obese (40%) compared with their food-secure counterparts (32%).…”

Section: Advocacy and Public Policymentioning

confidence: 99%

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Position of the Academy of Nutrition and Dietetics: Food Insecurity in the United States

Holben¹,

Marshall²

2017

Journal of the Academy of Nutrition and Dietetics

125

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It is the position of the Academy of Nutrition and Dietetics that systematic and sustained action is needed to achieve food and nutrition security in the United States. To achieve food security, effective interventions are needed, along with adequate funding for, and increased utilization of, food and nutrition assistance programs; inclusion of nutrition education in such programs; strategies to support individual and household economic stability; and research to measure impact on food insecurity- and health-related outcomes. Millions of individuals living in the United States experience food insecurity. Negative nutritional and non-nutritional outcomes are associated with food insecurity across the lifespan, including substandard academic achievement, inadequate intake of key nutrients, increased risk for chronic disease, and poor psychological and cognitive functioning. Registered dietitian nutritionists and nutrition and dietetics technicians, registered, play key roles in addressing food insecurity and are uniquely positioned to make valuable contributions through competent and collaborative practice, provision of comprehensive food and nutrition education and training, innovative research related to all aspects of food insecurity, and advocacy efforts at the local, state, regional, and national levels.

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Section: Advocacy and Public Policymentioning

confidence: 98%

Section: Advocacy and Public Policymentioning

confidence: 98%

Section: Advocacy and Public Policymentioning

confidence: 99%

See 1 more Smart Citation

Position of the Academy of Nutrition and Dietetics: Food Insecurity in the United States

Holben¹,

Marshall²

2017

Journal of the Academy of Nutrition and Dietetics

125

View full text Add to dashboard Cite

show abstract

“…Much discussion and debate about this has transpired in connection with the resulting obesity paradox that often occurs with food insecurity. 46,47 …and my guess is that convenience, lack of knowing how to cook with these things causes people to buy the convenient foods. And the perception that it's cheaper.…”

Section: Food Insecurity and Hungermentioning

confidence: 99%

Social Determinants of Health and the Effects on Quality of Life and Well-being in 2 Rural Appalachia Communities

Hege

Ball

Christiana

et al. 2018

Family &Amp; Community Health

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Recent evidence highlights health disparities among rural communities. The purpose of this study was to learn from members of 2 Appalachia communities in North Carolina about barriers to health and well-being. Researchers conducted 3 focus groups (n = 24), which were coded and analyzed by a team of researchers to identify themes. Researchers identified 5 themes: (1) poverty/lack of economic opportunity; (2) access to health care and health resources; (3) social/mental health challenges; (4) food insecurity/hunger; and (5) youth/older adults being most vulnerable to health disparities. Ample evidence suggests that rural Appalachia is in dire need of public health attention.

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“…Furthermore, HIV-infected women may experience additional consequences of food insecurity compared to HIV-infected men. For example, food-insecure women are more likely to enter risky sexual relationships, experience depression, and develop obesity compared to men [1, 6]. Most studies of the impact of food insecurity on HIV outcomes have been among men, due to the characteristics of the HIV epidemic in North America and the composition of populations in HIV-infected cohorts [2, 3, 5].…”

Section: Introductionmentioning

confidence: 99%

Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States

et al. 2017

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Women in the general population experience more food insecurity than men. Few studies have examined food insecurity’s impact on HIV treatment outcomes among women. We examined the association between food insecurity and HIV outcomes in a multi-site sample of HIV-infected women in the United States (n = 1154). Two-fifths (40%) of participants reported food insecurity. In an adjusted multivariable Tobit regression model, food insecurity was associated with 2.08 times higher viral load (95% confidence interval (CI): 1.04, 4.15) and lower CD4+ counts (− 42.10, CI: − 81.16, − 3.03). Integration of food insecurity alleviation into HIV programs may improve HIV outcomes in women.

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Gender Disparities in the Food Insecurity–Overweight and Food Insecurity–Obesity Paradox among Low-Income Older Adults

Cited by 56 publications

References 29 publications

Position of the Academy of Nutrition and Dietetics: Food Insecurity in the United States

Position of the Academy of Nutrition and Dietetics: Food Insecurity in the United States

Social Determinants of Health and the Effects on Quality of Life and Well-being in 2 Rural Appalachia Communities

Food Insecurity is Associated with Poor HIV Outcomes Among Women in the United States

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