The Association of Child and Household Food Insecurity With Childhood Overweight Status

Casey, Patrick H.; Simpson, Pippa; Gossett, Jeffrey M.; Bogle, Margaret L.; Champagne, Catherine M.; Connell, Carol; Harsha, David W.; McCabe‐Sellers, Beverly; Robbins, James M.; Stuff, Janice E.; Weber, Judith

doi:10.1542/peds.2006-0097

Cited by 304 publications

(269 citation statements)

References 55 publications

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“…Food insecurity is prevalent in both developed and developing countries, affecting 6-73 % of the general population (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16) . It has considerable health impacts on the physical, social and psychological status of individuals suffering from food insecurity.…”

Section: Food Securitymentioning

confidence: 99%

Household food security status and associated factors among high-school students in Esfahan, Iran

Mohammadzadeh

Dorosty

Eshraghian

2010

Public Health Nutr.

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Objective: The present study was designed to determine household food security status and factors associated with food insecurity among high-school students in Esfahan, Iran. Design: Cross-sectional surveys. Setting: The present study was conducted in autumn 2008 in Esfahan, Iran. The samples were selected using systematic cluster sampling. Socio-economic questionnaires, food security questionnaires and FFQ were filled out during face-to-face interviews. In addition, data on participants' weights and heights were collected. Subjects: A total of 580 students (261 boys and 319 girls) aged 14-17 years from forty high schools in Esfahan, Iran, were selected. Results: The prevalence of household food insecurity according to the US Department of Agriculture food security questionnaire was 36?6 % (95 % CI 0?33, 0?40). Food insecurity was positively associated with number of members in the household (P , 0?05) and negatively associated with parental education level and job status and household economic status (P , 0?05). Moreover, students living in food-insecure households more frequently consumed bread, macaroni, potato and egg (P , 0?05), while they less frequently consumed rice, red meat, sausage and hamburger, poultry, fish, green vegetables, root and bulb (coloured) vegetables, melons, apples and oranges, milk and yoghurt (P , 0?05). Conclusions: Food insecurity was prevalent among households in Esfahan, Iran, and food security status was associated with socio-economic factors. Students who belonged to food-secure households more frequently consumed healthy foods (except sausage and hamburger), whereas those living in food-insecure households more frequently consumed cheap foods containing high energy per kilogram. The present study suggests that intervention programmes be designed and carried out. Keywords Food securityEsfahan High-school students USDAThe concept of food security includes problems with the quantity of available food, uncertainty about food supply and experience of hunger in life (1,2) . Food insecurity is prevalent in both developed and developing countries, affecting 6-73 % of the general population (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16) . It has considerable health impacts on the physical, social and psychological status of individuals suffering from food insecurity. It also affects quality of life (17) . Various techniques and methods have been used to measure food insecurity in many countries (18)(19)(20) .The aim of the present study was to determine household food security status and factors associated with food insecurity among high-school students in Esfahan, Iran. Methods Data collection and subjectsThis cross-sectional study was conducted in autumn 2008 with 580 students (261 boys and 319 girls) from forty high schools in Esfahan. The average age of students was 15?7 years (range: 14-17 years), and the exclusion criterion was suffering from metabolic disease. The sampling method used in the present study was systemic clustering. Selection of schools and classes was ca...

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Section: Food Securitymentioning

confidence: 99%

Household food security status and associated factors among high-school students in Esfahan, Iran

Mohammadzadeh

Dorosty

Eshraghian

2010

Public Health Nutr.

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“…5 Paradoxically, for both adults and children, food insecurity (i.e., hunger) is associated with increased risk for obesity. 6,7 BACKGROUND Disparities in Local Food Environments A growing body of evidence suggests that local food environments in the US differ based on the racial and economic composition of a community. 8 Stores selling a wide variety of food items such as chain supermarkets tend to be located in areas that are predominantly populated by Whites and by people representing middle or high levels of income (i.e., populations with low levels of food insecurity), whereas convenience stores and smaller, nonchain grocery stores are more prevalent in communities predominantly populated by racial minorities and people living in poverty (i.e., populations with high levels of food insecurity).…”

Section: Introductionmentioning

confidence: 99%

Access to Healthful Foods among an Urban Food Insecure Population: Perceptions versus Reality

Freedman

Bell

2009

J Urban Health

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The influence of local food environments on the risk for obesity is important overall, but may be particularly important for food insecure populations in urban settings. Access to healthful foods is most limited among racial and ethnic minorities and low-income populations; these same populations experience the highest rates of obesity and food insecurity. Few valid and reliable measures have been developed to assess the quality of local food environments. This research addresses this gap by introducing an inventory for measuring self-reported perceptions of food access and then compares the perceptions measure to objective assessments of local food environments. Data are focused on an urban population experiencing disproportionate rates of food insecurity. The four-item perceptions of food access inventory had high internal consistency (Cronbach's alpha=0.80). Participants' perceptions of access to healthful foods mirrored the reality of their food environment; however, perceptions of access to alcohol and tobacco were less accurate. Findings suggest that people living in low-income, urban, minority, and food insecure communities can validly assess (in)access to healthful foods. Future research is needed to further validate the perceptions of food access measure introduced and, more importantly, to develop strategies for increasing access to healthful foods in food insecure contexts.

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“…In adults, food insecurity has been clearly associated with increased obesity, particularly in women. 4,5 In children, many studies have demonstrated increased risk of obesity, [6][7][8][9][10][11][12][13] although the results have been mixed. 4,5,[14][15][16][17][18][19] Less research has explored potential pathways through which household food insecurity is related to child weight, especially in families with young infants.…”

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confidence: 99%

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

et al. 2012

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WHAT'S KNOWN ON THIS SUBJECT: Food insecurity has been linked to childhood obesity in a number of studies. Few studies have explored potential pathways through which food insecurity is related to child weight, especially in low-income families with young infants. WHAT THIS STUDY ADDS:We found that food insecurity was related to maternal controlling feeding styles and concerns about the infants' future weight. Early obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. abstract OBJECTIVES: We explored the relationship between household food insecurity and maternal feeding styles, infant feeding practices, and perceptions and attitudes about infant weight in low-income mothers. METHODS: Mothers participating in the Special Supplemental FoodProgram for Women, Infants, and Children with infants aged between 2 weeks and 6 months were interviewed. By using regression analyses, the following relationships were examined between food insecurity and: (1) controlling feeding styles (restrictive and pressuring); (2) infant feeding practices, including breastfeeding, juice consumption, and adding cereal to the bottle; and (3) perceptions and attitudes about infant weight. Path analysis was used to determine if perceptions and attitudes about infant weight mediated the relationships between food insecurity and controlling feeding styles. ). This concern mediated the relationship between food insecurity and both restrictive (P = .009) and pressuring (P = .01) feeding styles. RESULTS:CONCLUSIONS: Increased concern about future overweight and controlling feeding styles represent potential mechanisms by which food insecurity could be related to obesity. Obesity prevention should aim to decrease food insecurity and to reduce controlling feeding styles in families who remain food insecure. Pediatrics 2012;130:254-261

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The Association of Child and Household Food Insecurity With Childhood Overweight Status

Cited by 304 publications

References 55 publications

Household food security status and associated factors among high-school students in Esfahan, Iran

Household food security status and associated factors among high-school students in Esfahan, Iran

Access to Healthful Foods among an Urban Food Insecure Population: Perceptions versus Reality

Food Insecurity and Obesogenic Maternal Infant Feeding Styles and Practices in Low-Income Families

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