Food Insecurity and Odds of High Allostatic Load in Puerto Rican Adults: The Role of Participation in the Supplemental Nutrition Assistance Program During 5 Years of Follow-Up

McClain, Amanda C.; Xiao, Rui; Gao, Xiang; Tucker, Katherine L.; Falcón, Luis M.; Mattei, Josiemer

doi:10.1097/psy.0000000000000628

Cited by 42 publications

(37 citation statements)

References 69 publications

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“…Further, it is possible that NFD in an observational setting is a marker of another unassessed risk factor for cardiometabolic disease such as food insecurity. NHANES data demonstrate that 22% of Hispanic households vs. 14% of all US households are food insecure [ 28 ], and food insecurity has in turn been associated with elevated cardiometabolic risk in this population [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Habitual Nightly Fasting Duration, Eating Timing, and Eating Frequency are Associated with Cardiometabolic Risk in Women

et al. 2020

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Nightly fasting duration (NFD) and eating timing and frequency may influence cardiometabolic health via their impact on circadian rhythms, which are entrained by food intake, but observational studies are limited. This 1-year prospective study of 116 US women (33 ± 12y, 45% Hispanic) investigated associations of habitual NFD and eating timing and frequency with cardiovascular health (CVH; American Heart Association Life’s Simple 7 score) and cardiometabolic risk factors. NFD, eating timing and frequency, and nighttime eating levels were evaluated from 1-week electronic food records completed at baseline and 1 y. In multivariable-adjusted linear regression models, longer NFD was associated with poorer CVH (β = −0.22, p = 0.016 and β = −0.22, p = 0.050) and higher diastolic blood pressure (DBP) (β = 1.08, p < 0.01 and β = 1.74, p < 0.01) in cross-sectional and prospective analyses, respectively. Later timing of the first eating occasion at baseline was associated with poorer CVH (β = −0.20, p = 0.013) and higher DBP (β = 1.18, p < 0.01) and fasting glucose (β = 1.43, p = 0.045) at 1 y. After adjustment for baseline outcomes, longer NFD and later eating times were also associated with higher waist circumference (β = 0.35, p = 0.021 and β = 0.27, p < 0.01, respectively). Eating frequency was inversely related to DBP in cross-sectional (β = −1.94, p = 0.033) and prospective analyses (β = −3.37, p < 0.01). In cross-sectional analyses of baseline data and prospective analyses, a higher percentage of daily calories consumed at the largest evening meal was associated with higher DBP (β = 1.69, p = 0.046 and β = 2.32, p = 0.029, respectively). Findings suggest that frequent and earlier eating may lower cardiometabolic risk, while longer NFD may have adverse effects. Results warrant confirmation in larger multi-ethnic cohort studies with longer follow-up periods.

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Section: Discussionmentioning

confidence: 99%

Habitual Nightly Fasting Duration, Eating Timing, and Eating Frequency are Associated with Cardiometabolic Risk in Women

et al. 2020

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“…To date, only one other study has examined the association between food insecurity and allostatic load. Among 733 Puerto Rican adults in the Boston Puerto Rican Health Study (BPHC), McClain and colleagues found that food insecurity was associated with greater dysregulation of the neuroendocrine and immune systems over a five-year follow-up period, but not with the total allostatic load [42]. The differences in these findings may be due to BPHC study participants being older and already having higher burden of chronic disease at baseline than the general NHANES population, and the lack of neuroendocrine markers within NHANES to investigate this specific association.…”

Section: Discussionmentioning

confidence: 99%

“…Household food insecurity is both a form of socioeconomic adversity and an issue with relatively high prevalence in low-income and minority racial/ethnic households [1]. However, its relation to allostatic load has only been explored in one study [42]. In an analysis of 733 Puerto Rican adults residing in Boston, food insecurity was associated with greater dysregulation of the neuroendocrine and inflammatory systems, but not total allostatic load [42].…”

Section: Introductionmentioning

confidence: 99%

“…However, its relation to allostatic load has only been explored in one study [42]. In an analysis of 733 Puerto Rican adults residing in Boston, food insecurity was associated with greater dysregulation of the neuroendocrine and inflammatory systems, but not total allostatic load [42]. In order to understand the pathways connecting food insecurity and adverse health outcomes, more research is needed to examine this association in a larger and more representative sample of adults.…”

Section: Introductionmentioning

confidence: 99%

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Household Food Insecurity and the Association with Cumulative Biological Risk among Lower-Income Adults: Results from the National Health and Nutrition Examination Surveys 2007–2010

Leung

Zhou

2020

Nutrients

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Household food insecurity has been associated with adverse health outcomes; however, the mechanisms underlying these associations are not well-defined. Using data from 5005 adults from the 2007–2010 National Health and Nutrition Examination Surveys (NHANES), we examined associations between household food insecurity and cumulative biological risk, a measure of the body’s physiological response to chronic stress. Household food security was assessed using the 18-item Household Food Security Survey Module. Marginal food security refers to 1–2 positive responses, and food insecurity refers to ≥3 positive responses. The cumulative biological risk scores were calculated based on the distributions of ten biomarkers from the cardiovascular, metabolic, and immune systems. Elevated biological risk was defined as a risk score of ≥3. Multivariable regression models were used to examine associations between food security and cumulative biological risk scores, adjusting for sociodemographic characteristics. After multivariable adjustment, food insecurity was associated with a 0.14-unit higher cumulative biological risk score (95% CI 0.05–0.22, p-trend = 0.003) and higher odds of elevated biological risk (OR 1.20, 95% CI 1.05–1.37, p-trend = 0.003). These associations differed by gender. Among women, food insecurity was associated with 0.30-unit higher cumulative biological risk score (95% CI 0.14–0.45, p-trend = 0.0004) and higher odds of elevated biological risk (OR 1.61, 95% CI 1.29–2.00, p-trend < 0.0001). These associations were not observed in men. Women experiencing food insecurity demonstrated elevated levels of biological risk. These findings support the hypothesis that food insecurity may be associated with women’s chronic health outcomes through the pathway of chronic stress. Further research is needed to understand why these associations were not observed in men.

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“…We therefore aimed to evaluate pre- and post-ARRA SNAP expansion differences in FI and dietary intake among a longitudinal cohort of Puerto Rican adults living in the mainland U.S., a population with a high prevalence of FI (7) and SNAP participation, (8) as well as poor nutrient intake, (9) and diet quality, (10) along with high rates of chronic disease. (11,12) Findings may help inform improved policy strategies that better equip Puerto Ricans and similar high-risk populations to lower FI and consume a healthy diet.…”

Section: Introductionmentioning

confidence: 99%

Food insecurity and dietary intake by Supplemental Nutrition Assistance Program participation status among mainland US Puerto Rican adults after the 2009 American Recovery and Reinvestment Act

McClain¹,

Tucker²,

Falcón³

et al. 2019

Public Health Nutr.

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Objective:The 2009 American Recovery and Reinvestment Act (ARRA) increased monthly Supplemental Nutrition Assistance Program (SNAP) benefits and expanded SNAP eligibility, yet limited evidence exists on the potential impact of ARRA on dietary intake among at-risk individuals. We aimed to examine pre-/post-ARRA differences in food insecurity (FI) and dietary intake by SNAP participation status.Design:Pre/post analysis.Setting:Boston, MA, USA.Participants:Data were from the longitudinal Boston Puerto Rican Health Study (2007–2015). The US Department of Agriculture ten-item adult module assessed FI. A validated FFQ assessed dietary intake. Diet quality was assessed using the Alternate Healthy Eating Index-2010 (AHEI-2010). Self-reported pre-/post-ARRA household SNAP participation responses were categorized as: sustained (n 249), new (n 95) or discontinued (n 58). We estimated differences in odds of FI and in mean nutrient intakes and AHEI-2010 scores post-ARRA.Results:Compared with pre-ARRA, OR (95 % CI) of FI post-ARRA were lower for all participants (0·69 (0·51, 0·94)), and within sustained (0·63 (0·43, 0·92)) but not within new (0·94 (0·49, 1·80)) or discontinued (0·63 (0·25, 1·56)) participants. Post-ARRA, total carbohydrate intake was higher, and alcohol intake was lower, for sustained and new participants, and dietary fibre was higher for sustained participants, compared with discontinued participants. Scores for AHEI-2010 and its components did not differ post-ARRA, except for lower alcohol intake for sustained v. discontinued participants.Conclusions:Post-ARRA, FI decreased for sustained participants and some nutrient intakes were healthier for sustained and new participants. Continuing and expanding SNAP benefits and eligibility likely protects against FI and may improve dietary intake.

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Food Insecurity and Odds of High Allostatic Load in Puerto Rican Adults: The Role of Participation in the Supplemental Nutrition Assistance Program During 5 Years of Follow-Up

Abstract: FI is associated with dysregulated components of the primary AL system, and this relationship may be stronger for those not receiving SNAP. Research is needed in additional populations to test AL as a plausible pathway connecting FI to chronic disease and SNAP as a moderator.

Cited by 42 publications

References 69 publications

Habitual Nightly Fasting Duration, Eating Timing, and Eating Frequency are Associated with Cardiometabolic Risk in Women

Habitual Nightly Fasting Duration, Eating Timing, and Eating Frequency are Associated with Cardiometabolic Risk in Women

Household Food Insecurity and the Association with Cumulative Biological Risk among Lower-Income Adults: Results from the National Health and Nutrition Examination Surveys 2007–2010

Food insecurity and dietary intake by Supplemental Nutrition Assistance Program participation status among mainland US Puerto Rican adults after the 2009 American Recovery and Reinvestment Act

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