Diabetes mellitus—Progress and opportunities in the evolving epidemic

Cell, Год журнала: 2024, Номер 187(15), С. 3789 - 3820

Опубликована: Июль 1, 2024

Язык: Английский

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Food Insecurity and Diabetes: Overview of Intersections and Potential Dual Solutions

Diabetes Care, Год журнала: 2023, Номер 46(9), С. 1599 - 1608

Опубликована: Июнь 24, 2023

Food insecurity increases the risk of developing diabetes and its complications. In this article, we describe complex relationship that exists between food potential mechanisms may underlie association. We then how two different types interventions, food-is-medicine federal nutrition assistance programs, help address both health. Finally, outline research, policy, practice opportunities exist to reduce diabetes-related health disparities.

Язык: Английский

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Effects of Food and Nutrition Insecurity on Global Health

New England Journal of Medicine, Год журнала: 2025, Номер 392(7), С. 686 - 697

Опубликована: Фев. 12, 2025

Язык: Английский

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A Measure of Nutrition Security Using the National Health and Nutrition Examination Survey Dataset

JAMA Network Open, Год журнала: 2025, Номер 8(2), С. e2462130 - e2462130

Опубликована: Фев. 28, 2025

Accurate and practical measures of nutrition security are needed to assess monitor its prevalence identify associated risk factors in the US. To propose a measure derived from combining self-assessed food diet quality indicators available National Health Nutrition Examination Survey (NHANES) sociodemographic health security. This cross-sectional study used data 6 cycles NHANES, which collects on general status behaviors, dietary intake, physiological measurements, characteristics, conducted 2007 2018. All participants were adults aged 20 years or older. Statistical analysis was performed between October 2023 April 2024. Sociodemographic including age, sex, race ethnicity, marital status, household size, presence children household, educational level, poverty income ratio (PIR), Supplemental Assistance Program (SNAP) participation, weight chronic conditions, insurance coverage. A security, measured using US Department Agriculture Household Food Security Module, self-rated indicators. Four categories created dichotomized measures: secure with high (FSHD), low (FSLD), insecure (FIHD), (FILD). Only respondents classified as FSHD considered be secure. The unweighted analytic sample included 28 898 NHANES participants. weighted mean [SD] age 47.3 [14.5] years; 51.9% (weighted) female; 11.1% identified Black, 13.6% Hispanic, 67.4% White individuals; 35.6% those surveyed by proposed (ie, FSLD, FIHD, FILD). Of these participants, 20.2% (95% CI, 19.4%-21.0%) categorized being due 8.4% 7.8%-9.1%) 7.0% 6.4%-7.6%) FILD. remaining 64.4% 63.2%-65.7%) secure). Younger (20-44 years: average marginal effect [AME], -0.193; 95% -0.217 -0.168), (PIR <1.30: AME, -0.111; -0.136 -0.085), lower level (≤high school diploma: -0.135; -0.156 -0.114), racial ethnic minority (Hispanic: -0.054; -0.075 -0.032), SNAP participation (AME, -0.073; -0.099 -0.047), obesity -0.118; -0.138 -0.097), self-reported fair poor -0.239; -0.260 -0.217) insecurity. feasible for assessing monitoring validated NHANES. laid groundwork exploring other national datasets performing regular collection key dimensions assessment

Язык: Английский

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Food (in)security in relation to nutrition (in)security in a national cross-sectional sample of Supplemental Nutrition Assistance Program participants: considerations of an emerging construct

American Journal of Clinical Nutrition, Год журнала: 2024, Номер 119(6), С. 1475 - 1484

Опубликована: Май 13, 2024

Язык: Английский

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Meta-review of child and adolescent experiences and consequences of food insecurity

Global Food Security, Год журнала: 2024, Номер 41, С. 100767 - 100767

Опубликована: Май 25, 2024

We conducted a meta-review of consequences associated with food insecurity for children and adolescents, how these occur, what evidence is available that associations between child outcomes are causal. A systematic search in five databases identified 55 studies on adolescent potential consequences. Extensive literature accumulated over nearly 30 years has profound growth, diet, health, psychological development adolescents who experience insecurity. Many consequences, particularly academic performance, behavior development, mental will affect the readiness adulthood occur regardless setting.

Язык: Английский

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Assessing and Monitoring Nutrition Security in the United States: A Narrative Review of Current Measures and Instruments

Current Nutrition Reports, Год журнала: 2024, Номер 13(3), С. 639 - 667

Опубликована: Июнь 25, 2024

Because nutrition plays a crucial role in the development of chronic diseases, ensuring security is important for promoting population health. Nutrition defined as having consistent and equitable access to healthy, safe, affordable foods essential optimal health well-being. Distinguished from food security, consists two constructs: healthy diets nutritional status. The study aimed identify measures that reflect constructs (i.e., status) inform U.S. assessment monitoring.

Язык: Английский

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Relationship between Food Security, Nutrition Security, and Diabetes: The Role of Supplemental Nutrition Assistance Program Participation

Current Developments in Nutrition, Год журнала: 2024, Номер 8(5), С. 102153 - 102153

Опубликована: Март 30, 2024

BackgroundInadequate nutrition and poor diet quality are associated with heightened risk for diabetes. The connection between food insecurity measures diabetes has been established, evidence indicating that SNAP participation contributes to reductions in insecurity. Recently developed security measures, defined as the ability acquire healthful foods prevent diseases, its association is not yet understood.ObjectiveThe purpose of this study assess relationship relation overall, by potential modifiers.MethodsSecondary data analysis cross-sectional pilot collected from adults five US states [N= 517]. Logistic regression mixed models included moderation clustering effects state address site level confounding.ResultsHigher scores among adults, after adjusting confounders, were significantly lower odds (AOR= 0.59; 95% CI: 0.40, 0.87; P value=0.008). Statistically significant interaction effect differences according was observed (Phomogeneity/interaction =0.021), age, gender, race/ethnicity, education, employment, NSLP, WIC, pantry use, household children, survey mode, security. statistically overall. However, (Phomogeneity/interaction=0.047). Further, no found self-reported diabetes/pre-diabetes (Phomogeneity/interaction=0.250).ConclusionsThis sheds light on early exploration intricate findings suggest a higher score, risk. Notably, there these associations based participation.

Язык: Английский

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Benefits of using both the Hunger Vital Sign and brief nutrition security screener in health-related social needs screening

Translational Behavioral Medicine, Год журнала: 2024, Номер 14(8), С. 445 - 451

Опубликована: Июль 2, 2024

Abstract Food security is a commonly screened for health-related social need at hospitals and community settings, until recently, there were no tools to additionally screen nutrition security. The purpose of this study was assess the potential advantage including one-item brief screener (BNSS) alongside used two-item Hunger Vital Sign (HVS) food identifying individuals with diet-related health risks. Cross-sectional survey data collected from April June 2021. Generalized linear mixed models associations between screening status dietary variables. Recruitment done across five states (California, Florida, Maryland, North Carolina, Washington) community-based organizations. Participants (n = 435) were, on average, 44.7 years old (SD 14.5), predominantly women (77%), racially/ethnically diverse. In adjusted analyses, being in insecure group (but not secure or groups) associated significantly increased odds self-reported “fair” “poor” general [OR 2.914 (95% CI 1.521–5.581)], reporting least one chronic condition [2.028 (1.024–4.018)], “low” fruit vegetable intake [2.421 (1.258–4.660)], compared group. These findings support using both HVS BNSS simultaneously needs identify participants highest risk poor outcomes warrant further investigation into applying these screeners clinical settings.

Язык: Английский

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Beyond Food Assistance: A Scoping Review Examining Associations of Nonfood Social Safety Net Programs in the United States With Food Insecurity and Nutrition Outcomes

Nutrition Reviews, Год журнала: 2025, Номер unknown

Опубликована: Янв. 27, 2025

To conduct a scoping review to summarize the state of evidence on associations between participation in nonfood social safety net programs (eg, income assistance, housing assistance) United States and food- nutrition insecurity-related outcomes. Food insecurity are persistent public health challenges that increase chronic disease risk exacerbate disparities. Several food assistance enhance security. Nonfood programs, however, may also improve these outcomes by relieving households' financial strain. Understanding scope research programs' with not only but is needed understand their potential reduce burden diet-related disease. Six databases were systematically searched for peer-reviewed articles. Articles included if they published 1995 2023; conducted States; available English; dependent variable and/or measures; an independent federally funded, program. Included articles (n = 65) reported studies examined 10 unique programs; 8 program interactions. Twenty focused COVID-19 pandemic-era programs. Fifty-eight used insecurity, insufficiency, or hardship as outcomes, 11 Overall, results suggest associated reductions insecurity. Current association limited. Further warranted insecurity; interactions expiration how impacts might differ among populations disparities

Язык: Английский

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