scholarly journals Association of Home Food Availability with Prediabetes and Diabetes among Adults in the United States

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1209
Author(s):  
Jennifer R. McAtee ◽  
Meng-Hua Tao ◽  
Christian King ◽  
Weiwen Chai
Keyword(s):  
Food Availability ◽  
The United States ◽  
Healthy Food ◽  
Inverse Association ◽  
Healthy Foods ◽  
Low Fat ◽  
Health And Nutrition ◽  
Healthy Food Availability ◽  
Home Food ◽  
Home Food Availability

This study examined associations of home food availabilities with prediabetes and diabetes among 8929 adults (20–70 years) participating in 2007–2010 National Health and Nutrition Examination Surveys. Odds ratios (ORs) and 95% confidence intervals (95% CIs) were estimated by logistic regression. Relative to non-diabetic participants (individuals without diabetes or prediabetes), prediabetes participants were associated with lower availabilities of green vegetables (OR = 0.82; 95% CI = 0.73–0.91; p = 0.0006) and fat-free/low-fat milk (OR = 0.80, 95% CI = 0.65–0.89; p = 0.001) and higher sugary drink availability (OR = 1.24, 95% CI = 1.04–1.48; p = 0.02), adjusting for age, sex, and ethnicity (Model 1). The associations remained significant for vegetables (p = 0.005) and fat-free/low-fat milk (p = 0.02) adjusting for additional confounders (body mass index, education, Model 2). Adjusting for dietary components did not change the above results (in model 2) significantly. Participants with high healthy food availability scores had approximately 31% reduction (p = 0.003) in odds of prediabetes compared to those with low scores in Model 1. No associations were detected for diabetes except for fat-free/low-fat milk availability, for which an inverse association was observed in Model 1 (OR = 0.80, 95% CI = 0.65–0.99; p = 0.04). The results show prediabetes participants had lower availability of healthy foods and higher availability of unhealthy foods, suggesting the need to improve healthy food availability at home for this population.

scholarly journals Association of Home Food Availability with Prediabetes and Diabetes Among Adults in the United States

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1386-1386
Author(s):  
Weiwen Chai ◽  
Jennifer McAtee ◽  
Meng-Hua Tao
Keyword(s):  
Food Availability ◽  
The United States ◽  
Self Report ◽  
Healthy Foods ◽  
Low Fat ◽  
Funding Sources ◽  
Health And Nutrition ◽  
Diabetes Status ◽  
Home Food ◽  
Home Food Availability

Abstract Objectives This study examined associations of the availability of healthy and unhealthy foods in the home with prediabetes and diabetes status using National Health and Nutrition Examination Surveys (NHANES) Methods Analyses included 8929 participants (20–70 years) from 2007–2010 NHANES. Diabetes and prediabetes status were determined through self-report diagnosis and laboratory Hemoglobin A1C values. Food availability was measured using questionnaire regarding the frequency of foods/drinks available at home. Odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using logistic regression adjusting for confounders. Results Prediabetes status was inversely associated with green vegetable (OR = 0.82; 95% CI = 0.73–0.91; P = 0.0006) and fat-free/low-fat milk (OR = 0.80, 95% CI = 0.65–0.89; P = 0.001) availability, and positively associated with sugary drink availability (OR = 1.24, 95% CI = 1.04–1.48; P = 0.02) adjusting for age, sex, and ethnicity (Model 1). The association remained statistically significant for vegetables (OR = 0.86; 95% CI = 0.78–0.95; P = 0.005) and fat-free/low-fat milk (OR = 0.82; 95% CI = 0.69–0.97; P = 0.02) after adjusting for additional confounders. Overall, participants with high healthy food availability scores had a 45% reduction (P = 0.003) in odds of having prediabetes compared to those with low scores in Model 1 although the association was attenuated in the full model (P = 0.06). The results were consistent across race/ethnicity with no interactions between home food availability and ethnicity. No association between home food availability and diabetes status was observed. Conclusions The results show prediabetes participants had lower availability of healthy foods and higher availability of unhealthy foods compared to individuals without prediabetes or diabetes suggesting the need to improve the home food environment and food choices in this population. Funding Sources N/A.

scholarly journals Healthy food availability and the association with BMI in Baltimore, Maryland

2011 ◽  
Vol 14 (6) ◽  
pp. 1001-1007 ◽  
Author(s):  
Sarah Stark Casagrande ◽  
Manuel Franco ◽  
Joel Gittelsohn ◽  
Alan B Zonderman ◽  
Michele K Evans ◽  
...  
Keyword(s):  
Predominantly White ◽  
Food Availability ◽  
Healthy Aging ◽  
Economic Status ◽  
Positive Association ◽  
Healthy Food ◽  
Dietary Quality ◽  
Healthy Foods ◽  
Nutrition Environment ◽  
Healthy Food Availability

AbstractObjectiveTo study the association between the availability of healthy foods and BMI by neighbourhood race and socio-economic status (SES).DesignTrained staff collected demographic information, height, weight and 24 h dietary recalls between 2004 and 2008. Healthy food availability was determined in thirty-four census tracts of varying racial and SES composition using the Nutrition Environment Measures Survey–Stores in 2007. Multilevel linear regression was used to estimate associations between healthy food availability and BMI.SettingBaltimore City, Maryland, USA.SubjectsAdults aged 30–64 years (n 2616) who participated in the Healthy Aging in Neighborhoods of Diversity across the Life Span study.ResultsAmong individuals living in predominantly white neighbourhoods, high availability of healthy foods was associated with significantly higher BMI compared with individuals living in neighbourhoods with low availability of healthy food after adjustment for demographic variables (β = 3·22, P = 0·001). Associations were attenuated but remained significant after controlling for dietary quality (β = 2·81, P = 0·012).ConclusionsContrary to expectations, there was a positive association between the availability of healthy food and higher BMI among individuals living in predominantly white neighbourhoods. This result could be due to individuals in neighbourhoods with low healthy food availability travelling outside their neighbourhood to obtain healthy food.

scholarly journals Healthy food availability in small urban food stores: a comparison of four US cities

2009 ◽  
Vol 13 (7) ◽  
pp. 1031-1035 ◽  
Author(s):  
Melissa Nelson Laska ◽  
Kelley E Borradaile ◽  
June Tester ◽  
Gary D Foster ◽  
Joel Gittelsohn
Keyword(s):  
Food Availability ◽  
Low Income ◽  
Healthy Food ◽  
Food Sources ◽  
Low Fat ◽  
Limited Region ◽  
Food Stores ◽  
Healthy Food Availability ◽  
Staple Foods ◽  
Cross Site

AbstractObjectiveGiven that small food stores may be important retail food sources in low-income urban communities, our objective was to examine cross-city comparative data documenting healthy food availability within such facilities, particularly those located in low-income areas and nearby schools.DesignFood stores in Baltimore, Maryland; Minneapolis/St. Paul, Minnesota; Oakland, California; and Philadelphia, Pennsylvania were selected for assessment based on proximity to low-income schools. Stores were defined as: (i) single-aisle (n 45); (ii) small (2–5 aisles; n 52); and (iii) large (≥6 aisles; n 8). Staff conducted in-store audits to assess the presence/absence of twenty-eight healthy items, organized within five categories: (i) fresh fruits/vegetables, (ii) processed fruits/vegetables, (iii) healthy beverages/low-fat dairy, (iv) healthy snacks and (v) other healthy staple foods.ResultsThe availability of healthy food items was low, particularly in single-aisle and small stores, and there was significant cross-site variability in the availability of healthy snacks (P < 0·0001) and other healthy staple foods (P < 0·0001). No cross-site differences existed for fruits/vegetables or healthy beverages/low-fat dairy availability. Healthy food availability scores increased significantly with store size for nearly all food/beverage categories (P < 0·01).ConclusionsOverall, healthy food availability in these venues was limited. Region-specific factors may be important to consider in understanding factors influencing healthy food availability in small urban markets. Data suggest that efforts to promote healthy diets in low-income communities may be compromised by a lack of available healthy foods. Interventions targeting small stores need to be developed and tailored for use in urban areas across the USA.

scholarly journals Obesogenic home food availability, diet, and BMI in Pakistani and White toddlers

2021 ◽  
Author(s):  
Madison N. LeCroy ◽  
Maria Bryant ◽  
Sandra S. Albrecht ◽  
Anna Maria Siega‐Riz ◽  
Dianne S. Ward ◽  
...  
Keyword(s):  
Food Availability ◽  
Home Food ◽  
Home Food Availability

scholarly journals Food Insecurity, Diet Quality, Home Food Availability, and Health Risk Behaviors Among Emerging Adults: Findings From the EAT 2010–2018 Study

2020 ◽  
Vol 110 (9) ◽  
pp. 1422-1428 ◽  
Author(s):  
Nicole Larson ◽  
Melissa N. Laska ◽  
Dianne Neumark-Sztainer
Keyword(s):  
Food Insecurity ◽  
Emerging Adults ◽  
Food Availability ◽  
Diet Quality ◽  
Fast Food ◽  
Health Risk Behaviors ◽  
Food Literacy ◽  
Home Food ◽  
Home Food Availability

Objectives. To examine emerging adults’ experiences of food insecurity in relation to measures of diet quality, food literacy, home food availability, and health behaviors. Methods. We used EAT 2010–2018 (Eating and Activity over Time) study data on 1568 participants who completed surveys as adolescents in 2009 to 2010 and follow-up surveys in 2017 to 2018 (mean age = 22.0 ±2.0 years; 58% female). At baseline, participants were recruited from 20 urban schools in Minneapolis–St Paul, Minnesota. Food insecurity was defined by emerging adult report of both eating less than they thought they should and not eating when hungry because of lack of money. Results. The prevalence at follow up of experiencing food insecurity in the past year was 23.3% among emerging adults. Food insecurity was associated with poorer diet quality (e.g., less vegetables and whole grains, more sugar-sweetened drinks and added sugars), lower home availability of healthy foods, skipping breakfast, frequently eating at fast-food restaurants, binge eating, binge drinking, and substance use (all P < .01). Conclusions. Assistance programs and policies are needed to address food insecurity among emerging adults and should be coordinated with other services to protect health.

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