Associations between food insecurity and prediabetes in a representative sample of U.S. Adults (NHANES 2005–2014)

Document Type

Article

Publication Date

2-1-2019

Abstract

Aims: The primary aim of this research was to investigate the association between food insecurity and prediabetes and to identify specific subgroups for early clinical intervention. Methods: Cross-sectional data from 25,814 participants were analyzed from the National Health and Nutrition Examination Survey for years 2005–2014. Multivariable logistic regression was used to explore the association between food security status and laboratory-confirmed prediabetes. All models were adjusted for age, sex, race, and body mass index. Results: When compared to participants with full and marginal food security, participants with low/very food security were 1.35 (95% CI: 1.17–1.55) times more likely to have prediabetes. Younger individuals with low/very low food security had a greater likelihood of prediabetes, 1.50 (95% CI: 1.19–1.81), when compared with their food secure counterparts. Conclusions: Food insecurity at any level, whether low or very low, is positively associated with prediabetes in the U.S. general adult population. Food insecure young adults, particularly those aged 20–34 years, should be targeted for early clinical intervention.

Publication Title

Diabetes Research and Clinical Practice

Volume

148

First Page

130

Last Page

136

Digital Object Identifier (DOI)

10.1016/j.diabres.2018.11.017

PubMed ID

30500547

ISSN

01688227

E-ISSN

18728227

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