Household Food Insecurity Is Associated with Anemia in Adult Mexican Women of Reproductive Age

Fischer, Nils; Shamah‐Levy, Teresa; Mundo‐Rosas, Verónica; Gómez-Humarán, Ignacio Méndez; Pérez‐Escamilla, Rafael

doi:10.3945/jn.114.197095

Cited by 46 publications

(54 citation statements)

References 40 publications

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“…A recent study of French adults [3] has identified a significantly poorer overall diet quality among food insecure individuals, with a higher consumption of sweet foods and a lower consumption of fruits, vegetables and fish. A greater risk for iron deficiency anemia among women has been found [44,45]. Reduced intake of certain nutrients, in turn, has been linked to irritability, nervousness, depression, and dementia, among others problems [37].…”

Section: Discussionmentioning

confidence: 99%

Food insecurity and mental health problems among a community sample of young adults

Pryor

Lioret

Waerden

et al. 2016

Soc Psychiatry Psychiatr Epidemiol

129

113

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Food insecurity co-occurs with depression, suicidal ideation and substance use problems in young adulthood. Our findings suggest that reductions in food insecurity during this important life period may help prevent mental health problems. Policies aiming to alleviate food insecurity should also address individuals' psychiatric problems, to prevent a lifelong vicious circle of poor mental health and low socioeconomic attainment.

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Section: Discussionmentioning

confidence: 99%

Food insecurity and mental health problems among a community sample of young adults

Pryor

Lioret

Waerden

et al. 2016

Soc Psychiatry Psychiatr Epidemiol

129

113

View full text Add to dashboard Cite

show abstract

“…The regular consumption of such diets can lead to the double burden of malnutrition, whereby women, may suffer from obesity coupled with micronutrient deficiencies. The ‘sacrifice theory’ is another proposed mechanism suggesting that mothers tend to adopt unfavorable coping strategies, including sacrificing their own dietary intake and nutritional health, for the sake of their children [19, 20, 87]. Moreover, to manage feeding their families on limited budgets, mothers may skip meals and consume diets of low diversity that are calorically-dense yet of low nutritional value, which may in turn increase their risk of weight gain [80].…”

Section: Discussionmentioning

confidence: 99%

Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon

et al. 2017

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BackgroundMixed evidence exists with respect to the association between household food insecurity (HFIS) and obesity in low-to-middle income countries (LMICs), particularly among women. This study aimed to measure socioeconomic correlates of HFIS and explores its association with dietary intake and odds of obesity among mothers in Lebanon, a middle-income country undergoing nutrition transition.MethodsA cross-sectional study was conducted among a representative sample of households (n = 378) in Beirut, Lebanon. Surveys were completed with mothers of children <18 years. HFIS was measured using a locally-validated, Arabic-translated Household Food Insecurity Access Scale (HFIAS). Dietary intake was assessed using the multiple pass 24-h recall method. Associations between HFIS (food vs food insecure) and socio-demographic characteristics were reported using crude and adjusted odds ratios. The odds of consuming <2/3rd Dietary Reference Intakes (DRIs) for nutrients among mothers from food secure and food insecure households were explored. In addition, logistic regression analyses were conducted to explore the association of HFIS with obesity (BMI ≥ 30 kg/m2) and at-risk waist circumference (WC ≥ 80 cm) among mothers.ResultsHFIS was found among 50% of study sample and was inversely associated with household income and mother’s educational level, even after adjusting for other socioeconomic variables (p < 0.01). Mothers in food insecure households reported consuming significantly less dairy products, fruits, and nuts yet more breads and sweets; and they had higher odds of consuming <2/3rd the DRI’s for key micronutrients (potassium, folate, and vitamin C) compared to secure ones. Adjusting for socioeconomic correlates, food insecure mothers had 1.73 odds of obesity (95% CI: 1.02–2.92) compared to food secure mothers.ConclusionsHigh HFIS prevalence was reported among urban Lebanese households. Mothers from food insecure households had a high risk of dietary inadequacy and obesity. Adequate evidence-based public health strategies are needed to reduce the vulnerability of mothers to food insecurity in LMIC settings and alleviate their risk of a high burden of nutrient insecurity and obesity.

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“…Household food insecurity has been associated in Mexico with negative health outcomes such as anaemia, obesity, diabetes and hypertension Fischer et al 2014;Morales-Ruan Mdel et al 2014). However, information concerning the association of food insecurity with mental health is lacking.…”

Section: Introductionmentioning

confidence: 99%

Household food insecurity is associated with depressive symptoms: results from a Mexican population-based survey

et al. 2020

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The objective of this cross-sectional study was to assess the relationship between food insecurity and depression in the Mexican population. We used data from the 2012 health and nutrition survey (ENSANUT), which is representative of the Mexican population. Food insecurity was determined by the Latin American and Caribbean Food Security Scale (ELCSA). Depressive symptoms were evaluated using the Center for Epidemiological Studies Depression Scale Short-Form (CES-D-SF). Adjusted logistic regression analyses and ANCOVA were used. Out of 33,011 participants, 5788 (18%) had high depressive symptoms and 24,098 (73%) experienced food insecurity. The adjusted logistic regression analysis showed that, participants with mild food insecurity, (OR = 1.47,95% CI = 1.27 to 1.71), moderate food insecurity (OR = 2.14,95% CI = 1.85 to 2.47) and severe food insecurity (OR = 3.01,95% CI = 2.51 to 3.60,) were more likely to have high depressive symptoms than food secure participants. Participants with moderate food insecurity (OR =1.45, 95% CI = 1.28 to 1.64) and severe food insecurity (OR =2.04, 95% CI = 1.76 to 2.37) were more likely to suffer from depression as compared to participants with mild food insecurity. Participants with severe food insecurity were more likely (OR=1.41, 95% CI = 1.21 to 1.65) to suffer from depression compared to participants with moderate food insecurity. This paper provides an overview of the complex problem of food insecurity and mental health. Despite the unknown causality, the analysis suggests a strong association between depression and food insecurity. This problem calls for much more attention from the scientific community. Given the high prevalence of depression and the high prevalence of household food insecurity in Mexico, the implementation of successful public health programs to improve food security is necessary.

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Household Food Insecurity Is Associated with Anemia in Adult Mexican Women of Reproductive Age

Abstract: HFI is associated with anemia among adult Mexican women. Programs that reduce HFI may also be effective at reducing the risk of anemia among Mexican women.

Cited by 46 publications

References 40 publications

Food insecurity and mental health problems among a community sample of young adults

Food insecurity and mental health problems among a community sample of young adults

Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon

Household food insecurity is associated with depressive symptoms: results from a Mexican population-based survey

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