Food Insecurity Is Linked to a Food Environment Promoting Obesity in Households With Children

Nackers, Lisa M.; Appelhans, Bradley M.

doi:10.1016/j.jneb.2013.08.001

Cited by 96 publications

(88 citation statements)

References 21 publications

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“…While it has been hypothesized low-income status may reduce accessibility of healthier foods, and therefore consumption, 26,27 in this study there was no difference in fruit and vegetable intake away from the child-care center between children who were eligible versus ineligible for CACFP. CACFP-eligibility was however associated with higher sugar-sweetened beverage consumption away from the child-care center.…”

Section: Discussioncontrasting

confidence: 58%

Dietary Intake of Children Attending Full-Time Child Care: What Are They Eating Away from the Child-Care Center?

Robson¹,

Khoury²,

Kalkwarf³

et al. 2015

Journal of the Academy of Nutrition and Dietetics

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Background The Academy of Nutrition and Dietetics recommends children attending full-time child care obtain 1/2 – 2/3 of daily nutrient needs, leaving 1/3-1/2 to be consumed away from the center. While there are guidelines to optimize dietary intake of children attending child care, little is known about what these children consume away from the center. Objective To describe the dietary intake away from the child care center for preschool-aged children relative to the expected 1/3-1/2 proportion of recommended intake, and to examine the relationships between energy intake away from the center with weight status, food group consumption and low-income status. Design Cross-sectional study conducted between November 2009 and January 2011. Participants/Setting Participants (n=339) attended 30 randomly selected, licensed, full-time child-care centers in Hamilton County, Ohio. Main Outcome Measures Child weight status and dietary intake (food/beverages consumed outside the child-care setting from the time of pickup from the center to the child’s bedtime) including energy and servings of fruits, vegetables, milk, 100% juice, sugar sweetened beverages and snack foods. Statistical Analyses Generalized linear mixed models were used to examine independent associations of food group servings and low income status to energy intake; and energy intake to child weight status. Results The mean energy intake consumed away from the center (685 ± 17 kcal) was more than the recommended target range (433–650 kcal). Intake of fruits, vegetables, and milk were less than recommended. Food group servings and overweight/obesity status were positively associated with energy intake while away from the center. Conclusion Preschool children consumed more energy and less fruits, vegetables, and milk outside of child-care center than recommended. Overweight status was associated with children’s dietary intake after leaving the child-care center. It may be beneficial to include parents in obesity prevention efforts targeting children attending child-care centers.

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Section: Discussioncontrasting

confidence: 58%

Dietary Intake of Children Attending Full-Time Child Care: What Are They Eating Away from the Child-Care Center?

Robson¹,

Khoury²,

Kalkwarf³

et al. 2015

Journal of the Academy of Nutrition and Dietetics

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“…Non-Hispanic Black women (58.6%) are significantly more likely to be overweight or obese than nonHispanic White (33.4%) and Hispanic (40.7%) women 1 and to have diets of lower nutritional quality. 2,3 Observational studies suggest that food insecurity is associated with obesity, [4][5][6][7][8] chronic diseases and pregnancy complications. [9][10][11] The food insecurityobesity relationship has been found most consistently among women; 4,5,8 the evidence among men and children is mixed.…”

Section: Introductionmentioning

confidence: 99%

Dietary Intake, Behaviors and Psychosocial Factors among Women from Food-Secure and Food-Insecure Households

et al. 2016

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Objective: Determine whether macro-and micro-nutrient intake, energy intake, diet quality, adherence to recommended dietary intake, and psychosocial and behavioral factors are associated with household food security.Design: Baseline data from in-person interviews and telephone-based, 24-hour dietary recall from women recruited to a diet and physical activity controlled trial.Setting: Neighborhoods encompassing 18 urban census tracts in South Carolina.Participants: Participants (n=202) were predominantly African American (87%), overweight or obese women aged 25 to 51 years with mean body mass index of 40.6±8.7. Main Outcomes Measures:Macro-and micro-nutrient intake, energy intake, diet quality, adherence to recommended dietary intake (via multi-pass, 24-h recall); diet-related self-efficacy and social support, healthy/lowfat and emotional eating behaviors, and depressive symptoms.Results: Women in food-secure (FS) and food insecure (FI) households were not different on health and sociodemographic characteristics. Women in FI households had lower self-efficacy and healthy/low-fat eating behaviors, and higher emotional eating and depressive symptoms compared with women in FS households. The groups did not differ on social support. Significant dietary differences were few (FS>FI on protein and lean meat; FS

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“…10 Food insecurity and obesity may coexist because the least expensive foods are often low in nutrients and energy dense. [11][12][13] However, SNAP alone without nutrition education may not be sufficient to help participants adhere to a healthy diet. 14 To counter the dual problem of food insecurity and obesity, nutrition education, including SNAP Nutrition Education (SNAP-Ed), can help participants maximize use of food dollars to buy healthy foods by teaching individual and household economic selfsufficiency.…”

Section: Introductionmentioning

confidence: 99%

Food Resource Management Education With SNAP Participation Improves Food Security

Kaiser

Chaidez

Algert

et al. 2015

Journal of Nutrition Education and Behavior

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Food Insecurity Is Linked to a Food Environment Promoting Obesity in Households With Children

Cited by 96 publications

References 21 publications

Dietary Intake of Children Attending Full-Time Child Care: What Are They Eating Away from the Child-Care Center?

Dietary Intake of Children Attending Full-Time Child Care: What Are They Eating Away from the Child-Care Center?

Dietary Intake, Behaviors and Psychosocial Factors among Women from Food-Secure and Food-Insecure Households

Food Resource Management Education With SNAP Participation Improves Food Security

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