Household Food Insecurity and Associations with Hemoglobin A1c and Acute Diabetes-Related Complications in Youth and Young Adults with Type 1 Diabetes: The SEARCH for Diabetes in Youth study

Details

• Alternative Title:
  Diabetes Res Clin Pract
• Personal Author:
  Malik, Faisal S. ; Liese, Angela D. ; Ellyson, Alice ; Reid, Lauren A. ; Reboussin, Beth A. ; Sauder, Katherine A. ; Frongillo, Edward A. ; Pihoker, Catherine ; Dabelea, Dana ; Reynolds, Kristi ; Jensen, Elizabeth T. ; Marcovina, Santica ; Bowlby, Deborah A. ; Mendoza, Jason A.
• Corporate Authors:
  SEARCH for Diabetes in Youth Study Group
• Description:
  Aims:
  
  To examine, among youth and young adults (YYA) with type 1 diabetes (T1D), the association of household food insecurity (HFI) with: 1) HbA1c and 2) episodes of diabetic ketoacidosis (DKA) and severe hypoglycemia.
  
  Methods:
  
  HFI was assessed using the U.S. Household Food Security Survey Module in SEARCH for Diabetes in Youth participants with T1D between 2016–2019. Linear and logistic regression models adjusted for age, diabetes duration, sex, race, ethnicity, clinic site, parent/participant education, household income, health insurance, and diabetes technology use.
  
  Results:
  
  Of 1830 participants (mean age 20.8±5.0 years, 70.0% non-Hispanic White), HbA1c was collected for 1060 individuals (mean HbA1c 9.2%±2.0%). The prevalence of HFI was 16.4%. In the past 12 months, 18.2% and 9.9% reported an episode of DKA or severe hypoglycemia, respectively. Compared to participants who were food secure, HFI was associated with a 0.33% (95% CI 0.003, 0.657) higher HbA1c level. Those with HFI had 1.58 (95% CI 1.13, 2.21) times the adjusted odds of an episode of DKA and 1.53 (95% CI 0.99, 2.37) times the adjusted odds of an episode of severe hypoglycemia as those without HFI.
  
  Conclusions:
  
  HFI is associated with higher HbA1c levels and increased odds of DKA in YYA with T1D.
  
  
• Subjects:
  Adolescent Adult Cross-Sectional Studies Diabetes Mellitus, Type 1 Diabetic Ketoacidosis Female Food Insecurity Glycated Hemoglobin Humans Hypoglycemia Male Prevalence Young Adult

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• Keywords:
  Food Insecurity Social Determinants Of Health Type 1 Diabetes Young Adults Youth
• Source:
  Diabetes Res Clin Pract. 212:111608
• Pubmed ID:
  38574894
• Pubmed Central ID:
  PMC11290462
• Document Type:
  Journal Article
• Funding:
  HIR 10-001/HX/HSRD VAUnited States/ ; UC4 DK108173/DK/NIDDK NIH HHSUnited States/ ; U18 DP002710/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006134/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006138/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002714/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000248/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000244/DP/NCCDPHP CDC HHSUnited States/ ; EP-C-15-002/EPA/EPAUnited States/ ; R01 DK117461/DK/NIDDK NIH HHSUnited States/ ; U18 DP006139/DP/NCCDPHP CDC HHSUnited States/ ; R01 DK127208/DK/NIDDK NIH HHSUnited States/ ; U01 DP000250/DP/NCCDPHP CDC HHSUnited States/ ; K23 DK119465/DK/NIDDK NIH HHSUnited States/ ; U18 DP002708/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000247/DP/NCCDPHP CDC HHSUnited States/ ; P30 DK048520/DK/NIDDK NIH HHSUnited States/ ; U18 DP006131/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006136/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP002709/DP/NCCDPHP CDC HHSUnited States/ ; U18 DP006133/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000246/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP000254/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  212
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:e7c7ff7d6e6b65e09b174ca7987405761164b32243b4ea6a886732f441449c17837ff42b0e5d07790f18bca78ad2e7358de52ceaeb83767976aa4011ffeae87c
• Download URL:
  https://stacks.cdc.gov/view/cdc/159519/cdc_159519_DS1.pdf
• File Type:
  [PDF - 353.61 KB ]