Food insecurity, type 2 diabetes, and hyperglycaemia: A systematic review and meta‐analysis

Beltrán, Sourik; Arenas, Daniel J.; Pharel, Marissa; Montgomery, Canada T.; López-Hinojosa, Itzel; DeLisser, Horace M.

doi:10.1002/edm2.315

Cited by 15 publications

(7 citation statements)

References 88 publications

(201 reference statements)

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“…This finding is similar to what has been previously reported by Beltr an et al for FIS and self-reported diabetes and hypertension. 78,83 It is currently unclear why foodinsecure patients are more likely to report such chronic diagnoses, although 1 possibility is a complex interaction between FIS, anxiety/depression, 31 and the odds of self-reporting poor health. 84 With respect to its clinical implications, our data do not indicate an association between FIS and dyslipidemia and thus do not support routine lipid screening of food-insecure individuals.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of Food Insecurity and Dyslipidemia

et al. 2022

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There is considerable interest in the association between food insecurity (FIS) and various cardiovascular risk factors such as dyslipidemia. Although the association between FIS and dyslipidemia has been studied across various methodologies and populations, there is no comprehensive systematic review and meta-analysis of these data.Methods: A systematic literature search was conducted. Cross-sectional peer-review studies assessing the association between FIS and dyslipidemia were identified. Data extracted included population characteristics, study sizes, covariates explored, and laboratory assessments of dyslipidemia. Effect sizes were extracted or calculated, then synthesized across studies using a random effect model, and the heterogeneity, publication bias, and subgroup dependence for each meta-analysis were assessed.Results: For adults, meta-analysis demonstrated no significantly elevated odds for FIS individuals to have a concomitant abnormal lipid measurement. Covariate-unadjusted analysis of standardized mean differences showed no significant differences in lipid measurements between food-insecure and foodsecure individuals. In contrast to quantitative laboratory results, food-insecure patients were more likely to self-report previous diagnoses of dyslipidemia.Conclusions: Although current data do not suggest an association between FIS and dyslipidemia, more longitudinal studies and studies targeting women, children, the elderly, and patients with chronic diseases such as diabetes are needed to further address this issue.

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Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of Food Insecurity and Dyslipidemia

et al. 2022

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“…A meta-analysis study by Abdurahman et al further strengthens the hypothesis for an association between household food insecurity and increased risk of type 2 diabetes, with an odds ratio value of 1.27 (95% CI 1.11–1.42) [ 30 ]. Based on the studies mentioned previously, it appears that food insecurity is associated with different stages of diabetes mellitus; however, there are some recent studies that contrast the findings and do not suggest an association between food insecurity and clinically determined type 2 diabetes or significant differences in fasting blood glucose and HbA1c [ 31 ]. Beltran et al additionally stated that food insecurity is a complex issue and it might look different depending on factors such as social, economic, and geographic consideration [ 31 ].…”

Section: Food Insecurity and Risk For Diet-related Chronic Diseasementioning

confidence: 99%

“…Based on the studies mentioned previously, it appears that food insecurity is associated with different stages of diabetes mellitus; however, there are some recent studies that contrast the findings and do not suggest an association between food insecurity and clinically determined type 2 diabetes or significant differences in fasting blood glucose and HbA1c [ 31 ]. Beltran et al additionally stated that food insecurity is a complex issue and it might look different depending on factors such as social, economic, and geographic consideration [ 31 ]. The study explained that the differences in the findings might be a result of the difference in food insecurity concepts, where in some cases hunger and chronic starvation are the primary drives of food insecurity [ 31 ].…”

Section: Food Insecurity and Risk For Diet-related Chronic Diseasementioning

confidence: 99%

“…Beltran et al additionally stated that food insecurity is a complex issue and it might look different depending on factors such as social, economic, and geographic consideration [ 31 ]. The study explained that the differences in the findings might be a result of the difference in food insecurity concepts, where in some cases hunger and chronic starvation are the primary drives of food insecurity [ 31 ]. In another study, starvation due to food insecurity was related to worsening signs of insulin sensitivity in type 2 diabetes [ 29 ].…”

Section: Food Insecurity and Risk For Diet-related Chronic Diseasementioning

confidence: 99%

“…In another study, starvation due to food insecurity was related to worsening signs of insulin sensitivity in type 2 diabetes [ 29 ]. Meanwhile, food-insecure areas in the United States are usually not associated with hunger, but mainly with intake of lower-quality, high-calorie foods, which increase a person’s risk for type 2 diabetes [ 31 ].…”

Section: Food Insecurity and Risk For Diet-related Chronic Diseasementioning

confidence: 99%

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Increasing Access to Healthy Foods through Improving Food Environment: A Review of Mixed Methods Intervention Studies with Residents of Low-Income Communities

2022

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Food insecurity is a broad and serious public health issue in the United States, where many people are reporting lack of access to healthy foods. The reduced availability of healthy, affordable foods has led to increased consumption of energy-dense and nutrient-poor foods, resulting in increasing the risk for many chronic diseases such as obesity, cardiovascular diseases, and type 2 diabetes mellitus. Thus, identifying promising approaches to increase access to healthy foods through improving the food environment is of importance. The purpose of this review article is to highlight how the food environment affects directly a person’s food choices, and how to increase access to healthy foods through improving environmental approaches. The literature search was focused on finding different approaches to improve food security, primarily those with an impact on food environment. Overall, potential solutions were gathered through multilevel environmental approaches, including nutrition education and peer education, community-based participatory research, and policy changes in supplemental nutrition programs. A recommendation to reduce food insecurity is learning to create meals with a variety of seasonal fruits and vegetables purchased from affordable farmers’ markets.

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