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Food Insecurity and Cardiometabolic Markers: Results From the Study of Latino Youth.

TitleFood Insecurity and Cardiometabolic Markers: Results From the Study of Latino Youth.
Publication TypePublication
Year2022
AuthorsMaldonado LE, Sotres-Alvarez D, Mattei J, Perreira KM, McClain AC, Gallo LC, Isasi CR, Albrecht SS
JournalPediatrics
Volume149
Issue4
Date Published2022 04 01
ISSN1098-4275
KeywordsAdolescent, Adult, Cardiovascular Diseases, Child, Cross-Sectional Studies, Food Insecurity, Hispanic or Latino, Humans, Risk Factors
Abstract

OBJECTIVES: Hispanic/Latino youth bear a disproportionate burden of food insecurity and poor metabolic outcomes, but research linking the two in this diverse population is lacking. We evaluated whether lower household and child food security (FS) were adversely associated with a metabolic syndrome (MetS) composite variable and clinically measured cardiometabolic markers: waist circumference, fasting plasma glucose, triglycerides, high-density lipoprotein cholesterol, and systolic and diastolic blood pressure.METHODS: This cross-sectional study included 1325 Hispanic/Latino youth aged 8 to 16 years from the Hispanic Community Children's Health Study/Study of Latino Youth, a study of offspring of adults enrolled in the Hispanic Community Health Survey/Study of Latinos. Multivariable regression analyses were used to assess relationships between household FS (high, marginal, low, very low) and child FS (high, marginal, low/very low) status, separately, and our dependent variables, adjusting for participant age, sex, site, parental education, and poverty-income ratio.RESULTS: For both FS measures, youth in the lowest FS category had significantly lower high-density lipoprotein cholesterol than those with high FS (household FS: -3.17, 95% confidence interval [CI]: -5.65 to -0.70, child FS: -1.81, 95% CI: -3.54 to -0.09). Low/very low versus high child FS was associated with greater fasting plasma glucose (β = 1.37, 95% CI: 0.08 to 2.65), triglycerides (β = 8.68, 95% CI: 1.75 to 15.61), and MetS expected log counts (β = 2.12, 95% CI: 0.02 to 0.45).CONCLUSIONS: Lower FS is associated with unfavorable MetS-relevant cardiometabolic markers in Hispanic/Latino youth. These findings also support the use of a child-level versus a household-level measure to capture the health implications of food insecurity in this population.

DOI10.1542/peds.2021-053781
Alternate JournalPediatrics
PubMed ID35292821
Grant ListR01 HL102130 / HL / NHLBI NIH HHS / United States
N01HC65233 / HL / NHLBI NIH HHS / United States
N01HC65234 / HL / NHLBI NIH HHS / United States
N01HC65235 / HL / NHLBI NIH HHS / United States
N01HC65236 / HL / NHLBI NIH HHS / United States
N01HC65237 / HL / NHLBI NIH HHS / United States
T32 HL129969 / HL / NHLBI NIH HHS / United States
K01 DK107791 / DK / NIDDK NIH HHS / United States
R24 HD050924 / HD / NICHD NIH HHS / United States
MS#: 
0675
Manuscript Lead/Corresponding Author Affiliation: 
Coordinating Center - Collaborative Studies Coordinating Center - UNC at Chapel Hill
ECI: 
Yes
Manuscript Affiliation: 
Coordinating Center - Collaborative Studies Coordinating Center - UNC at Chapel Hill
Manuscript Status: 
Published