Reducing Both Food Insecurity and Excess Body Weight in Costa Rican Women: A Cluster Randomized Trial

Martínez-Jaikel, Tatiana; Frongillo, Edward A.; Blake, Christine E.; Fram, Maryah Stella; Esquivel-Solís, Viviana

doi:10.1016/j.amepre.2019.11.021

Cited by 5 publications

(6 citation statements)

References 26 publications

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“…Financial and nutritional support programs that provide better food security are also important if designed based on in-depth understanding of the people’s lives so that the programs reduce food insecurity without contributing to excess body weight. 44 -47…”

Section: Discussionmentioning

confidence: 99%

Determinants and Consequences of Food Insecurity in Artisanal Fishing Families From the Coastal Community of Sonora, Mexico

et al. 2020

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Background: Families living from artisanal fisheries are vulnerable to food insecurity. Objective: This research aimed to assess the determinants and consequences of food insecurity in artisanal fishing families from the coastal community of Sonora, Mexico, and to understand how these families face food insecurity. Methods: This was a cross-sectional study with 116 mothers. A socioeconomic, demographic, and nutritional knowledge survey was applied to assess determinants. A survey about food in the community and food security scale were collected to evaluate food insecurity and two 24-hour dietary recalls and anthropometric measures to assess consequences. Field notes about facing food insecurity were collected. Results: Sixty-eight percent of families have food insecurity. Being above poverty line, higher father education, knowing how many glasses of water should be drunk per day, and how many minutes of physical activity should be done per day were associated with lower food insecurity. Not having medical service and lower mother education were associated with higher food insecurity. Higher food insecurity was associated with buying in a convenience store; higher food insecurity and higher mother education were associated with lower dietary score; and higher father education was associated with higher dietary score. Being below extreme poverty line by income and number of children were associated with lower waist circumference; lower father education was associated with higher waist circumference of mothers. Conclusions: Artisanal fishing families residing in the coastal community of Sonora, Mexico, experience high food insecurity associated with social and economic determinants and their dietary quality.

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Section: Discussionmentioning

confidence: 99%

Determinants and Consequences of Food Insecurity in Artisanal Fishing Families From the Coastal Community of Sonora, Mexico

et al. 2020

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“…Similar to high-income countries, people in LMIC are demanding foods with shorter and simpler steps to prepare, minimal ingredients, and which can be made in advance and preserved or stored for long periods [ 41 , 46 , 66 , 101 ]. When faced with a choice between maintaining traditional food practices or purchasing affordable foods that free up time, findings from the review suggest that many households will choose the latter because of livelihood changes.…”

Section: Discussionmentioning

confidence: 99%

How Livelihood Change Affects Food Choice Behaviors in Low- and Middle-Income Countries: A Scoping Review

Kenney,

Rampalli,

Samin

et al. 2024

Advances in Nutrition

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“…For example, alleviating food insecurity in overweight women through resource augmentation has tended to exacerbate excess weight, 63 but a recent randomised control trial has demonstrated that a programme that was carefully designed and implemented based on in-depth understanding of women’s lives in Costa Rica 64 was effective in simultaneously reducing food insecurity and excess body weight. 65 Therefore, experimental or observational studies of programmes to alleviate food insecurity should collect data on recent tobacco initiators or quitters to provide valuable information on the contextual milieu that is related to smoking initiation, duration, intensity and cessation. With such information, researchers may be able to better identify those at risk for tobacco use initiation as well as design and enhance policies and programmes to simultaneously reduce food insecurity and promote smoking cessation.…”

Section: Discussionmentioning

confidence: 99%

Relationship between food insecurity and smoking status among women living with and at risk for HIV in the USA: a cohort study

et al. 2021

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ObjectivesPeople living with HIV (PLHIV) in the USA, particularly women, have a higher prevalence of food insecurity than the general population. Cigarette smoking among PLHIV is common (42%), and PLHIV are 6–13 times more likely to die from lung cancer than AIDS-related causes. This study sought to investigate the associations between food security status and smoking status and severity among a cohort of predominantly low-income women of colour living with and without HIV in the USA.DesignWomen enrolled in an ongoing longitudinal cohort study from 2013 to 2015.SettingNine participating sites across the USA.Participants2553 participants enrolled in the Food Insecurity Sub-Study of the Women’s Interagency HIV Study, a multisite cohort study of US women living with HIV and demographically similar HIV-seronegative women.OutcomesCurrent cigarette smoking status and intensity were self-reported. We used cross-sectional and longitudinal logistic and Tobit regressions to assess associations of food security status and changes in food security status with smoking status and intensity.ResultsThe median age was 48. Most respondents were African-American/black (72%) and living with HIV (71%). Over half had annual incomes ≤US$12 000 (52%). Food insecurity (44%) and cigarette smoking (42%) were prevalent. In analyses adjusting for common sociodemographic characteristics, all categories of food insecurity were associated with greater odds of current smoking compared with food-secure women. Changes in food insecurity were also associated with increased odds of smoking. Any food insecurity was associated with higher smoking intensity.ConclusionsFood insecurity over time was associated with smoking in this cohort of predominantly low-income women of colour living with or at risk of HIV. Integrating alleviation of food insecurity into smoking cessation programmes may be an effective method to reduce the smoking prevalence and disproportionate lung cancer mortality rate particularly among PLHIV.

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Reducing Both Food Insecurity and Excess Body Weight in Costa Rican Women: A Cluster Randomized Trial

Cited by 5 publications

References 26 publications

Determinants and Consequences of Food Insecurity in Artisanal Fishing Families From the Coastal Community of Sonora, Mexico

Determinants and Consequences of Food Insecurity in Artisanal Fishing Families From the Coastal Community of Sonora, Mexico

How Livelihood Change Affects Food Choice Behaviors in Low- and Middle-Income Countries: A Scoping Review

Relationship between food insecurity and smoking status among women living with and at risk for HIV in the USA: a cohort study

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