The Association between Household Food Security and Metabolic Syndrome Among U.S. Children

Bibliographic Details
Main Author: Wang, Yu
Language:English
Published: Ohio University / OhioLINK 2010
Subjects:
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1289589496
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-ohiou12895894962021-08-03T05:46:45Z The Association between Household Food Security and Metabolic Syndrome Among U.S. Children Wang, Yu Epidemiology Food Science Health Health Care Health Education Nutrition Public Health food security food insecurity metabolic syndrome children obesity children's health childhood obesity The purpose of this study was to assess differences across household food security levels in obesity, central adiposity, and metabolic syndrome among children 12 to 18 years of age. Data for 7,435 adolescents between the ages of 12-18 years were downloaded from the National Health and Nutrition Examination Survey (NHANES)1999-2006. Food security status was assessed using the USDA food security Survey Module. Body mass index (BMI) data were classified into CDC weight categories, and central adiposity was identified based on the International Diabetes Federation (IDF) cutoff for the 90th percentile. Differences were assessed using analysis of covariance and logistic regression, controlling for age, gender, and race. Nearly two-thirds (75.9%, n = 5,643) of the sample were from high food secure (HFS) households, while 7.1% (n = 528), 10.8% (n = 803) and 6.1% (n = 454) were from households that were marginally food secure (MFS), low food secure (LFS) and very-low food secure (VLFS), respectively. There were no significant differences in mean BMI-for-age percentiles by food security status (p = 0.087); however, MFS (44%, Odds Ratio: 1.44 [1.12-1.87]) and LFS (44.0%, Odds Ratio: 1.44 [1.13-1.84]) were significantly more likely to present with a BMI >85th percentile than HFS households. Adolescents from HFS households had significantly lower mean central obesity than those from MFS and LFS households (p < 0.001). MFS (52%, Odds Ratio: 1.52 [1.08-2.15]), LFS (42.0%, Odds Ratio: 1.42 [1.11-1.80]) and VLFS (51%, Odds Ratio: 1.51 [1.10-2.08]) were significantly more likely to present with central adiposity than those from HFS households. Only those from HFS households had significantly higher HDL than children from LFS households in our study (p = 0.019). There were no significant differences in blood glucose, triglyceride, LDL, systolic blood pressure, diastolic blood pressure, and total cholesterol by food security category. Food insecurity appears to be a risk factor for central obesity and is associated with low HDL levels among U.S. children. 2010 English text Ohio University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1289589496 http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1289589496 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Epidemiology
Food Science
Health
Health Care
Health Education
Nutrition
Public Health
food security
food insecurity
metabolic syndrome
children
obesity
children's health
childhood obesity
spellingShingle Epidemiology
Food Science
Health
Health Care
Health Education
Nutrition
Public Health
food security
food insecurity
metabolic syndrome
children
obesity
children's health
childhood obesity
Wang, Yu
The Association between Household Food Security and Metabolic Syndrome Among U.S. Children
author Wang, Yu
author_facet Wang, Yu
author_sort Wang, Yu
title The Association between Household Food Security and Metabolic Syndrome Among U.S. Children
title_short The Association between Household Food Security and Metabolic Syndrome Among U.S. Children
title_full The Association between Household Food Security and Metabolic Syndrome Among U.S. Children
title_fullStr The Association between Household Food Security and Metabolic Syndrome Among U.S. Children
title_full_unstemmed The Association between Household Food Security and Metabolic Syndrome Among U.S. Children
title_sort association between household food security and metabolic syndrome among u.s. children
publisher Ohio University / OhioLINK
publishDate 2010
url http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1289589496
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