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Food insecurity is inversely associated with diet quality of lower-income adults.
J Acad Nutr Diet. 2014 Dec; 114(12):1943-53.e2.JA

Abstract

Food insecurity acts as a chronic stressor independent of poverty. Food-insecure adults may consume more highly palatable foods as a coping mechanism, leading to poorer diet quality and increased risks of chronic disease over time. Using data from the 1999-2008 National Health and Nutrition Examination Surveys, this study aimed to examine the cross-sectional differences in dietary intake and diet quality by household food security among 8,129 lower-income adults (≤300% of the federal poverty level). Food insecurity was assessed using the 18-item US Household Food Security Survey Module. Dietary intake was assessed from 24-hour recalls and diet quality was measured using the Healthy Eating Index-2005 and the Alternate Healthy Eating Index-2010. Relative mean differences in dietary outcomes by household food security were estimated using linear regression models, adjusting for sociodemographic characteristics. Lower-income food-insecure adults reported higher consumption of some highly palatable foods, including high-fat dairy products (P trend<0.0001) and salty snacks (P trend=0.01) compared with lower-income food-secure adults. Food insecurity was also associated with more sugar-sweetened beverages (P trend=0.003); more red/processed meat (P trend=0.005); more nuts, seeds, and legumes (P trend=0.0006); fewer vegetables (P trend<0.0001); and fewer sweets and bakery desserts (P trend=0.0002). No differences were observed for intakes of total energy and macronutrients. Food insecurity was significantly associated with lower Healthy Eating Index-2005 (P trend<0.0001) and Alternate Healthy Eating Index-2010 scores (P trend<0.0001). Despite no macronutrient differences, food insecurity was associated with characteristics of poor diet quality known to increase chronic disease risk.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

25091796

Citation

Leung, Cindy W., et al. "Food Insecurity Is Inversely Associated With Diet Quality of Lower-income Adults." Journal of the Academy of Nutrition and Dietetics, vol. 114, no. 12, 2014, pp. 1943-53.e2.
Leung CW, Epel ES, Ritchie LD, et al. Food insecurity is inversely associated with diet quality of lower-income adults. J Acad Nutr Diet. 2014;114(12):1943-53.e2.
Leung, C. W., Epel, E. S., Ritchie, L. D., Crawford, P. B., & Laraia, B. A. (2014). Food insecurity is inversely associated with diet quality of lower-income adults. Journal of the Academy of Nutrition and Dietetics, 114(12), 1943-e2. https://doi.org/10.1016/j.jand.2014.06.353
Leung CW, et al. Food Insecurity Is Inversely Associated With Diet Quality of Lower-income Adults. J Acad Nutr Diet. 2014;114(12):1943-53.e2. PubMed PMID: 25091796.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Food insecurity is inversely associated with diet quality of lower-income adults. AU - Leung,Cindy W, AU - Epel,Elissa S, AU - Ritchie,Lorrene D, AU - Crawford,Patricia B, AU - Laraia,Barbara A, Y1 - 2014/08/01/ PY - 2013/09/16/received PY - 2014/06/12/accepted PY - 2014/8/6/entrez PY - 2014/8/6/pubmed PY - 2015/1/31/medline KW - Alternate Healthy Eating Index-2010 KW - Dietary intake KW - Food insecurity KW - Healthy Eating Index-2005 SP - 1943 EP - 53.e2 JF - Journal of the Academy of Nutrition and Dietetics JO - J Acad Nutr Diet VL - 114 IS - 12 N2 - Food insecurity acts as a chronic stressor independent of poverty. Food-insecure adults may consume more highly palatable foods as a coping mechanism, leading to poorer diet quality and increased risks of chronic disease over time. Using data from the 1999-2008 National Health and Nutrition Examination Surveys, this study aimed to examine the cross-sectional differences in dietary intake and diet quality by household food security among 8,129 lower-income adults (≤300% of the federal poverty level). Food insecurity was assessed using the 18-item US Household Food Security Survey Module. Dietary intake was assessed from 24-hour recalls and diet quality was measured using the Healthy Eating Index-2005 and the Alternate Healthy Eating Index-2010. Relative mean differences in dietary outcomes by household food security were estimated using linear regression models, adjusting for sociodemographic characteristics. Lower-income food-insecure adults reported higher consumption of some highly palatable foods, including high-fat dairy products (P trend<0.0001) and salty snacks (P trend=0.01) compared with lower-income food-secure adults. Food insecurity was also associated with more sugar-sweetened beverages (P trend=0.003); more red/processed meat (P trend=0.005); more nuts, seeds, and legumes (P trend=0.0006); fewer vegetables (P trend<0.0001); and fewer sweets and bakery desserts (P trend=0.0002). No differences were observed for intakes of total energy and macronutrients. Food insecurity was significantly associated with lower Healthy Eating Index-2005 (P trend<0.0001) and Alternate Healthy Eating Index-2010 scores (P trend<0.0001). Despite no macronutrient differences, food insecurity was associated with characteristics of poor diet quality known to increase chronic disease risk. SN - 2212-2672 UR - https://www.unboundmedicine.com/medline/citation/25091796/Food_insecurity_is_inversely_associated_with_diet_quality_of_lower_income_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S2212-2672(14)01022-3 DB - PRIME DP - Unbound Medicine ER -