Household Food Insecurity is Associated with Higher Adiposity among US Schoolchildren Ages 10–15 Years: The Healthy Communities Study

Au, Lauren E.; Zhu, Sonya M; Nhan, Lilly A; Plank, Kaela; Frongillo, Edward A.; Laraia, Barbara A.; Gurzó, Klára; Ritchie, Lorrene D.

doi:10.1093/jn/nxz108

Cited by 32 publications

(26 citation statements)

References 65 publications

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“…Youth from lower SES families are also more likely to experience food insecurity [56][57][58]. Food security can be categorized into one of four ranges: very low, low, marginal, and high food security [59].…”

Section: Socioecological Influencesmentioning

confidence: 99%

“…Most recent estimates have shown a continuous decline in the percentage of food insecure households since 2011 [57]. While low-income families and households with children, in particular non-Hispanic black and Hispanic households, remain at percentages above the national average [57], this shift in prevalence is promising given that household food insecurity is related to overweight and obesity in youth [56,58,60,61].…”

Section: Socioecological Influencesmentioning

confidence: 99%

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Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

et al. 2019

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Obesity is a multifaceted chronic condition with several contributing causes, including biological risk factors, socioeconomic status, health literacy, and numerous environmental influences. Of particular concern are the increasing rates of obesity in children and adolescents, as rates of obesity in youth in the United States have tripled within the last three decades. Youth from historically disadvantaged backgrounds tend to have higher rates of obesity compared to other groups. Adolescents often do not meet intake recommendations for certain food groups and nutrients, which may contribute to a heightened risk of obesity. With obesity disproportionately affecting adolescents (ages 12-19 years), negative effects of excess adiposity may be particularly salient during this critical period of development. The presentation of chronic cardiometabolic disease symptoms typically observed in adults, such as hypertension, hyperglycemia, dyslipidemia, and inflammation, are becoming increasingly common in adolescents with obesity. Additionally, there is dynamic interplay between obesity and psychosocial health, as adolescents with obesity may have increased levels of stress, depressive symptoms, and reduced resilience. To reduce and prevent adolescent obesity, the implementation of theory-driven multicomponent school-and community-based interventions have been suggested. These interventions promote knowledge and self-efficacy for healthful practices that have the potential to progress to sustained behavior change.

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Section: Socioecological Influencesmentioning

confidence: 99%

Section: Socioecological Influencesmentioning

confidence: 99%

Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

et al. 2019

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“…This study has identified male sex, low SES, adolescence, and high BMI as factors associated with an increased risk of low folate and/or cobalamin serum concentrations. There is growing evidence regarding the complex and seemingly paradoxical relationship between pediatric obesity and food insecurity [ 49 , 50 , 51 ], defined as “limited or uncertain availability of nutritionally adequate and safe foods or limited or uncertain ability to acquire acceptable foods in socially acceptable ways” [ 52 ]. Household food insecurity contributes to unhealthy diet-related behaviors, increasing the risk of nutritional inadequacy and adiposity, particularly among older children [ 49 , 50 , 51 ].…”

Section: Discussionmentioning

confidence: 99%

Folate and Cobalamin Serum Levels in Healthy Children and Adolescents and Their Association with Age, Sex, BMI and Socioeconomic Status

et al. 2021

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This study proposes age- and sex-specific percentiles for serum cobalamin and folate, and analyzes the effects of sex, age, body mass index (BMI), and socioeconomic status (SES) on cobalamin and folate concentrations in healthy children and adolescents. In total, 4478 serum samples provided by healthy participants (2 months–18.0 years) in the LIFE (Leipzig Research Centre for Civilization Diseases) Child population-based cohort study between 2011 and 2015 were analyzed by electrochemiluminescence immunoassay (ECLIA). Continuous age-and sex-related percentiles (2.5th, 10th, 50th, 90th, 97.5th) were estimated, applying Cole’s LMS method. In both sexes, folate concentrations decreased continuously with age, whereas cobalamin concentration peaked between three and seven years of age and declined thereafter. Female sex was associated with higher concentrations of both vitamins in 13- to 18-year-olds and with higher folate levels in one- to five-year-olds. BMI was inversely correlated with concentrations of both vitamins, whilst SES positively affected folate but not cobalamin concentrations. To conclude, in the assessment of cobalamin and folate status, the age- and sex-dependent dynamic of the respective serum concentrations must be considered. While BMI is a determinant of both vitamin concentrations, SES is only associated with folate concentrations.

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“…Unhealthy diets, excessive screen time, and inadequate moderate-to-vigorous physical activity are well-established obesity risk factors. Lack of access to healthy food or household food insecurity contribute to unhealthy diets [ 4 ]. The prevention of childhood obesity can involve primary, secondary, and tertiary approaches to promote healthy behaviors in all children and those with the highest risk of developing obesity, as well as children with obesity [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Online Behavioral Screener with Tailored Obesity Prevention Messages: Application to a Pediatric Clinical Setting

et al. 2021

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Obesity prevention involves promoting healthy eating and physical activity across all children. Can we leverage technology to feasibly survey children’s health behaviors and deliver theory-based and user-tailored messages for brief clinical encounters? We assessed the acceptability and utility of an online pediatric-adapted liking survey (PALS) and tailored messages among children receiving non-urgent care in a pediatric emergency department (PED). Two hundred and forty-five children (average age = 10 years, racially/ethnically diverse, 34% overweight/obese from measured indices, 25% of families reporting food insecurity) and their parents/caregivers participated. Each reported the child’s activity and behaviors using the online PALS and received two to three messages tailored to the responses (aligned with elaboration likelihood and transtheoretical models) to motivate behavioral improvements or reinforce healthy behaviors. Most children and parents (>90%) agreed the PALS was easy to complete, encouraging thought about their own/child’s behaviors. The child’s PALS responses appeared reasonable (fair-to-good child–parent intraclass correlations). Most children and parents (≥75%) reported the tailored messages to be helpful and favorable for improving or maintaining the targeted behavior. Neither message type (motivating/reinforcing) nor favorability responses varied significantly by the child’s weight or family’s food security status. In summary, children and parents found the PALS with tailored messages acceptable and useful. The message types and responses could help focus brief clinical encounters.

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Household Food Insecurity is Associated with Higher Adiposity among US Schoolchildren Ages 10–15 Years: The Healthy Communities Study

Cited by 32 publications

References 65 publications

Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors

Folate and Cobalamin Serum Levels in Healthy Children and Adolescents and Their Association with Age, Sex, BMI and Socioeconomic Status

Online Behavioral Screener with Tailored Obesity Prevention Messages: Application to a Pediatric Clinical Setting

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