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The association of child and household food insecurity with childhood overweight status.
Pediatrics 2006; 118(5):e1406-13Ped

Abstract

CONTEXT

The prevalence of childhood overweight status is increasing. Some have suggested that childhood overweight is associated with food insecurity, defined as limited or uncertain access to enough nutritious food.

OBJECTIVES

The purpose of this work was to assess the association of household and child food insecurity with childhood overweight status.

METHODS

The National Health and Nutrition Examination Survey 1999-2002 uses a stratified multistaged probability sample and collects a broad array of data from a nationally representative sample of US citizens. All children 3 to 17 years old in this sample are included in these analyses. We measured BMI categorized as at risk for overweight or greater (> or = 85%) or overweight (> or = 95%) and household and child food security/insecurity using the US Food Security Scale.

RESULTS

When compared with children from food-secure households, children from food-insecure households were more likely to demonstrate significant associations with being at risk for overweight or greater in the following demographic categories: 12 to 17 years, girls, white, and in households with income < 100% and > 4 times the federal poverty level. Household food insecurity is associated with child overweight status in children aged 12 to 17, girls, and children who live in households with incomes > 4 times the federal poverty level. Child food insecurity demonstrated the same associations with being at risk for overweight or greater, as did household food insecurity, but associations were also seen in 3- to 5-year-old children, boys, and Mexican American children. Child food insecurity is significantly associated with child overweight status for children aged 12 to 17, girls, white children, and children in families with income < or = 100% poverty level. Controlling for ethnicity, gender, age, and family poverty index level, childhood food insecurity is associated with a child being at risk for overweight status or greater, but not overweight status.

CONCLUSIONS

Household and child food insecurity are associated with being at risk for overweight and overweight status among many demographic categories of children. Child food insecurity is independently associated with being at risk for overweight status or greater while controlling for important demographic variables. Future longitudinal research is required to determine whether food insecurity is causally related to child overweight status.

Authors+Show Affiliations

Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences and Arkansas Children's Hospital Research Institute, 800 Marshall St, 512-26, Little Rock, AR 72202, USA. caseypatrickh@uams.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

17079542

Citation

Casey, Patrick H., et al. "The Association of Child and Household Food Insecurity With Childhood Overweight Status." Pediatrics, vol. 118, no. 5, 2006, pp. e1406-13.
Casey PH, Simpson PM, Gossett JM, et al. The association of child and household food insecurity with childhood overweight status. Pediatrics. 2006;118(5):e1406-13.
Casey, P. H., Simpson, P. M., Gossett, J. M., Bogle, M. L., Champagne, C. M., Connell, C., ... Weber, J. (2006). The association of child and household food insecurity with childhood overweight status. Pediatrics, 118(5), pp. e1406-13.
Casey PH, et al. The Association of Child and Household Food Insecurity With Childhood Overweight Status. Pediatrics. 2006;118(5):e1406-13. PubMed PMID: 17079542.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association of child and household food insecurity with childhood overweight status. AU - Casey,Patrick H, AU - Simpson,Pippa M, AU - Gossett,Jeffrey M, AU - Bogle,Margaret L, AU - Champagne,Catherine M, AU - Connell,Carol, AU - Harsha,David, AU - McCabe-Sellers,Beverly, AU - Robbins,James M, AU - Stuff,Janice E, AU - Weber,Judith, PY - 2006/11/3/pubmed PY - 2006/11/15/medline PY - 2006/11/3/entrez SP - e1406 EP - 13 JF - Pediatrics JO - Pediatrics VL - 118 IS - 5 N2 - CONTEXT: The prevalence of childhood overweight status is increasing. Some have suggested that childhood overweight is associated with food insecurity, defined as limited or uncertain access to enough nutritious food. OBJECTIVES: The purpose of this work was to assess the association of household and child food insecurity with childhood overweight status. METHODS: The National Health and Nutrition Examination Survey 1999-2002 uses a stratified multistaged probability sample and collects a broad array of data from a nationally representative sample of US citizens. All children 3 to 17 years old in this sample are included in these analyses. We measured BMI categorized as at risk for overweight or greater (> or = 85%) or overweight (> or = 95%) and household and child food security/insecurity using the US Food Security Scale. RESULTS: When compared with children from food-secure households, children from food-insecure households were more likely to demonstrate significant associations with being at risk for overweight or greater in the following demographic categories: 12 to 17 years, girls, white, and in households with income < 100% and > 4 times the federal poverty level. Household food insecurity is associated with child overweight status in children aged 12 to 17, girls, and children who live in households with incomes > 4 times the federal poverty level. Child food insecurity demonstrated the same associations with being at risk for overweight or greater, as did household food insecurity, but associations were also seen in 3- to 5-year-old children, boys, and Mexican American children. Child food insecurity is significantly associated with child overweight status for children aged 12 to 17, girls, white children, and children in families with income < or = 100% poverty level. Controlling for ethnicity, gender, age, and family poverty index level, childhood food insecurity is associated with a child being at risk for overweight status or greater, but not overweight status. CONCLUSIONS: Household and child food insecurity are associated with being at risk for overweight and overweight status among many demographic categories of children. Child food insecurity is independently associated with being at risk for overweight status or greater while controlling for important demographic variables. Future longitudinal research is required to determine whether food insecurity is causally related to child overweight status. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/17079542/The_association_of_child_and_household_food_insecurity_with_childhood_overweight_status_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&amp;pmid=17079542 DB - PRIME DP - Unbound Medicine ER -