Dyslipidemia and Food Security in Low-Income US Adolescents: National Health and Nutrition Examination Survey, 2003–2010

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Tester, June M. ; Laraia, Barbara A. ; Leung, Cindy W. ; Mietus-Snyder, Michele L.
• Description:
  Introduction
  
  Low levels of food security are associated with dyslipidemia and chronic disease in adults, particularly in women. There is a gap in knowledge about the relationship between food security among youth and dyslipidemia and chronic disease. We investigated the relationship between food security status and dyslipidemia among low-income adolescents.
  
  Methods
  
  We analyzed data from adolescents aged 12 to 18 years (N = 1,072) from households with incomes at or below 200% of the federal poverty level from the National Health and Nutrition Examination Survey (NHANES) 2003–2010. We used logistic regression to examine the relationship between household food security status and the odds of having abnormalities with fasting total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), serum triglycerides (TGs), high-density lipoprotein cholesterol (HDL-C), TG/HDL-C ratio, and apolipoprotein B (Apo B). Models included age, sex, race/ethnicity, smoking status, partnered status in the household, and maternal education, with additional adjustment for adiposity.
  
  Results
  
  Household food security status was not associated with elevated TC or LDL-C. Adolescents with marginal food security were more likely than food-secure peers to have elevated TGs (odds ratio [OR] = 1.86; 95% confidence interval [CI], 1.14–3.05), TG/HDL-C ratio (OR = 1.74; 95% CI, 1.11–2.82), and Apo B (OR = 1.98; 95% CI, 1.17–3.36). Female adolescents with marginal food security had greater odds than male adolescents of having low HDL-C (OR = 2.69; 95% CI, 1.14–6.37). No elevated odds of dyslipidemia were found for adolescents with low or very low food security. Adjustment for adiposity did not attenuate estimates.
  
  Conclusion
  
  In this nationally representative sample, low-income adolescents living in households with marginal food security had increased odds of having a pattern consistent with atherogenic dyslipidemia, which represents a cardiometabolic burden above their risk from adiposity alone.
  
  
• Subjects:
  Adolescent Apolipoproteins B Child Cholesterol, HDL Cholesterol, LDL Dyslipidemias Female Food Supply Humans Logistic Models Male Nutrition Surveys Odds Ratio Original Research Poverty Risk Factors Self Report Triglycerides

  More +
• Source:
  Prev Chronic Dis. 13.
• DOI:
  http://dx.doi.org/10.5888/pcd13.150441
• ISSN:
  1545-1151
• Pubmed ID:
  26866948
• Pubmed Central ID:
  PMC4752514
• Document Type:
  Journal Article
• Funding:
  K23 HD075852/HD/NICHD NIH HHS/United States ; K99 HD084758/HD/NICHD NIH HHS/United States ; 1K23HD075852/HD/NICHD NIH HHS/United States ; 1K99HD84758/HD/NICHD NIH HHS/United States
• Place as Subject:
  United States
• Location:
  North America
• Volume:
  13
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:0fcdbebe5e17952a4ec7663e3a0a020c0e251d81f25c13cc3c664073ec789fe03618582048c1fff4ed0dc7055493034ba17eb9c49aeea1c541b81ed719cb4e92
• Download URL:
  https://stacks.cdc.gov/view/cdc/38301/cdc_38301_DS1.pdf
• File Type:
  [PDF - 330.30 KB ]