The Mediating Role of Sleep Quality and Quantity in the Link Between Food Insecurity and Obesity Across Race and Ethnicity

Narcisse, Marie Rachelle; Long, Christopher R.; Felix, Holly C.; Rowland, Brett; Bursac, Zoran; McElfish, Pearl A.

doi:10.1002/oby.22266

Cited by 18 publications

(21 citation statements)

References 38 publications

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“…As hypothesized, the present study found that short sleep duration mediated the relationship between financial stress and dietary risk score among students reported short sleep duration. This finding is consistent with the finding from another study, in which it was noted that very short (≤4 h per night) and short sleep (5 to 6 h per night) duration mediated the relationship between food insecurity and obesity [ 67 ]. There are several mechanisms that could plausibly contribute to these relationships.…”

Section: Discussionsupporting

confidence: 92%

“…Based on experimental studies noting the causal relationships between perceived stress and sleep quality as well as with sleep quality and dietary behaviors [ 63 , 64 , 65 , 66 ], the mediation effect of sleep quality on the relationship between financial stress and dietary risk score is plausible. Additionally, one other study explored the mediation effect of sleep quality on the relationship between food insecurity and obesity and revealed that poor sleep quality, specifically trouble falling asleep and maintaining sleep, mediated the relationship between food insecurity and obesity [ 67 ]. Because obesity is associated with undesirable dietary behaviors [ 16 , 17 ], and based on the totality of the evidence, poor sleep quality appears to serve as an intermediate factor that explains the connection between financial stress and dietary risk score.…”

Section: Discussionmentioning

confidence: 99%

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Insufficient Sleep and Poor Sleep Quality Completely Mediate the Relationship between Financial Stress and Dietary Risk among Higher Education Students

Wang

Hsiao

et al. 2021

Behavioral Sciences

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The coronavirus disease 2019 (COVID-19) pandemic worsened financial stress for higher education students in the U.S. Financial stress is associated with poor dietary behaviors; however, factors that might influence this relationship are not well characterized. The present cross-sectional study investigated the associations between financial stress and dietary intake and dietary risk scores among higher education students (undergraduate and graduate students) in the U.S. and examined whether poor sleep quality and short sleep duration mediated the relationship between financial stress and dietary risk score. Validated tools were used to assess financial stress, sleep quality, sleep duration, dietary intake, and dietary risk. A total of 1280 students from three large U.S. universities completed the study. Results indicated that higher financial stress was associated with lower vegetable, fruit, fiber, and calcium intake, higher added sugar intake from sugar sweetened beverages, and higher dietary risk score. Further, the positive relationship between financial stress and dietary risk score was completely mediated by poor sleep quality among students who reported poor sleep quality and by short sleep duration among students who slept less than 7 h per night. These findings suggest that students might benefit from both financial management training and sleep education services to reduce undesirable dietary behaviors.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Insufficient Sleep and Poor Sleep Quality Completely Mediate the Relationship between Financial Stress and Dietary Risk among Higher Education Students

Wang

Hsiao

et al. 2021

Behavioral Sciences

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“…Another more straightforward explanation is related to the previously mentioned association between food insecurity and mental health issues. The anxiety and stress resulting from food insecurity often triggers sleep loss, all of which can increase the consumption of cheap energy-dense foods, or comfort foods, inducing excessive weight gain (Dallman et al, 2003;FAO et al, 2018;Frongillo, 2013;Narcisse et al, 2018).…”

Section: Food Security and Obesity Pathwaysmentioning

confidence: 99%

Food insecurity and the double burden of malnutrition in Colombian rural households

Sansón-Rosas

Bernal

Kubow

et al. 2021

Public Health Nutr.

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Objective: This study aimed to examine in Colombian rural households the association between different severity levels of household food insecurity and the presence of the double burden of malnutrition (SCOWT), defined as the coexistence of a stunted child under five years and an overweight or obese (OWOB) mother. Design: A secondary data analysis was conducted using cross-sectional data from the Colombian National Nutritional Survey (ENSIN) 2015. Household food insecurity status was assessed by using the Latin-American and Caribbean Food Security Scale (ELCSA). The household SCOWT status (child stunting and OWOB mother) was determined using anthropometric data from a mother and her child. Setting: Rural Colombia Participants: 2.350 mother-child pairs living in the same household Results: Sixty-two percent of the households were food insecure and SCOWT was present in 7.8% of the households. Moderate (OR: 2.39 – CI: 1.36 - 4.21) and severe (OR: 1.86 – CI: 1.10 - 3.15) food insecurity was associated with SCOWT in an unadjusted logistic regression. Only moderate food insecurity remained significantly associated with SCOWT in a multivariate logistic regression (aOR: 2.41 - IC: 1.24 – 4.68). Conclusions: Colombian rural areas are not exempt from the worldwide concern of increasing OWOB rates while stunting is still persistent. These results highlight the need of implementing double duty rural actions targeting most vulnerable households to SCOWT, particularly in terms of overcoming food insecurity beyond hunger satisfaction to prevent all forms of malnutrition.

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“…Additionally, NHPIs experience higher rates of poverty and lower educational attainment than the general US population [19,51]. Population-based studies of NHPIs have documented a correlation between diabetes and diabetes-related risk factors, such as inadequate sleep, poor nutrition or eating habits, food insecurity and obesogenic food environments, and physiological distress, all of which may be consequences of economic instability [52][53][54].…”

Section: Diabetes Disparitiesmentioning

confidence: 99%

Diabetes Disparities and Promising Interventions to Address Diabetes in Native Hawaiian and Pacific Islander Populations

et al. 2019

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Purpose ofReview-The Native Hawaiian and Pacific Islander (NHPI) population is rapidly growing in the USA. NHPIs face significant health disparities and have a high prevalence of diabetes compared to the general US population. Recent Findings-Recent culturally-adapted diabetes interventions have shown promise in addressing these disparities among NHPI communities. The interventions showed success by utilizing a community-based approach that honored NHPIs' collectivist culture, addressed social determinants of health that influence disease control and prevention, and utilized NHPI Pearl A. McElfish,

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The Mediating Role of Sleep Quality and Quantity in the Link Between Food Insecurity and Obesity Across Race and Ethnicity

Abstract: Food security and sleep hygiene should be an integral part of the fight against obesity.

Cited by 18 publications

References 38 publications

Insufficient Sleep and Poor Sleep Quality Completely Mediate the Relationship between Financial Stress and Dietary Risk among Higher Education Students

Insufficient Sleep and Poor Sleep Quality Completely Mediate the Relationship between Financial Stress and Dietary Risk among Higher Education Students

Food insecurity and the double burden of malnutrition in Colombian rural households

Diabetes Disparities and Promising Interventions to Address Diabetes in Native Hawaiian and Pacific Islander Populations

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