The Association of Food Insecurity on Body Mass Index Change in a Pediatric Weight Management Intervention

Details

• Alternative Title:
  Pediatr Obes
• Personal Author:
  Persaud, Alicia ; Evans, E. Whitney ; Perkins, Meghan ; Simione, Meg ; Cheng, Erika R. ; Luo, Mandy ; Burgun, Rachel ; Taveras, Elsie M. ; Fiechtner, Lauren
• Description:
  Background:
  
  Childhood obesity is a critical public health concern. One potential determinant to obesity that is less understood is food insecurity.
  
  Objective:
  
  To examine the association of food security status on body mass index (BMI) change in a Pediatric Weight Management Intervention (PWMI) consistent with national treatment recommendations.
  
  Methods:
  
  This analysis included 201 participants from the Healthy Weight Clinic (HWC). Using linear mixed models, we compared BMI and %BMIp95 change per year between the food insecure group and food secure group, adjusting for baseline BMI, age and sex, and SNAP enrollment.
  
  Results:
  
  In fully adjusted models children in households with food insecurity had a 0.50 (0.26, 0.74) kg/m2 BMI increase per year and a 2.10 (1.02, 3.19) %BMIp95 increase per year compared to households that were food secure.
  
  Conclusions:
  
  When comparing the BMI effect of the HWC between the food insecure group and food secure group those experiencing food insecurity in the HWC had an increase in BMI compared to those with food security. These findings suggest that food insecurity may reduce the effectiveness of PWMIs consistent with national recommendations; however, more studies should be conducted to better understand this relationship.
  
  
• Subjects:
  Body Mass Index Child Family Characteristics Food Insecurity Food Supply Humans Pediatric Obesity
• Keywords:
  Childhood Obesity Pediatric Weight Management Intervention SNAP Social Determinants Of Health
• Source:
  Pediatr Obes. 18(11):e13075
• Pubmed ID:
  37679964
• Pubmed Central ID:
  PMC10662037
• Document Type:
  Journal Article
• Funding:
  P30 DK092950/DK/NIDDK NIH HHSUnited States/ ; U18 DP006259/DP/NCCDPHP CDC HHSUnited States/ ; K23 HD090222/HD/NICHD NIH HHSUnited States/ ; P30 DK111022/DK/NIDDK NIH HHSUnited States/ ; K23 HL161447/HL/NHLBI NIH HHSUnited States/ ; K24 DK10589/DK/NIDDK NIH HHSUnited States/ ; U18 DP006424/DP/NCCDPHP CDC HHSUnited States/ ; K24 HL159680/HL/NHLBI NIH HHSUnited States/ ; K24 DK105989/DK/NIDDK NIH HHSUnited States/
• Volume:
  18
• Issue:
  11
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:8304d332abeef9e141cd662d44727fdc8429d806a85a4f9fba8e69933991640b2440a21c44bb5628f1967fe82ddad07f5a03939c9f02736d40b19835b45c60c6
• Download URL:
  https://stacks.cdc.gov/view/cdc/135769/cdc_135769_DS1.pdf
• File Type:
  [PDF - 322.81 KB ]