Ali Gholami1, Farhad Moradpour1,2, Maryam Khazaee-Pool3, Zahra Mousavi Jahromi4,5, Mohammadreza Vafa6, Abbas Abbasi-Ghahramanloo1,7, Masoudreza Sohrabi8, Nader Mahdavi1, Yousef Moradi1, Hamid Reza Baradaran1. 1. Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. 2. Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran. 3. Department of Health Education and Promotion, School of Health, Zanjan University of Medical Sciences, Zanjan, Iran. 4. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran. 5. School of Public Health, Zabol University of Medical Sciences, Zabol, Iran. 6. Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran. 7. Department of Epidemiology, School of Public Health, Ardabil University of Medical Sciences, Ardabil, Iran. 8. Gastrointestinal & Liver Disease Research Center (GILDRC), Firoozgar Hospital, Iran University of Medical Sciences, Tehran, Iran.
Abstract
Background: There is mixed evidence about food insecurity and overweight/obesity coexisting, however it is unclear about association between food insecurity and weight status in people with type 2 diabetes. Therefore, the aim of this study was to evaluate the relationship between food insecurity and weight status in individuals with type 2 diabetes in rural areas in Iran. Methods: 1847 patients with type 2 diabetes who were residence in rural areas completed Household Food Security Scale (six-item short questionnaire). Logistic regression model was applied to assess the independent effect of food insecurity on weight status. Results: Mean age of the study population was 62.6±11.8 years, and the majority of them were female (70.4%). Most of the study population (70.4%) had unhealthy weight status. Food insecurity affected more than 46% (n=852) of the households of the study population. According to weight status, more than 40% (n=565) of overweight and obese subjects and 60% (n=18) of underweight subjects lived in households with food insecurity. The results of multiple logistic regression model showed that food insecurity was not an independent significant predictor of overweight or obesity in patients with type 2 diabetes. However, low food security (LFS) was an independent significant predictor for underweight in patients with type 2 diabetes (OR=2.35, P=0.041). Conclusion: It is concluded that food insecurity was frequent in all levels of weight status of patients with type 2 diabetes in rural regions. However this association observed in underweight individuals but there was no significant overall relationship between household food insecurity and in overweight and obesity in this group of patients.
Background: There is mixed evidence about food insecurity and overweight/obesity coexisting, however it is unclear about association between food insecurity and weight status in people with type 2 diabetes. Therefore, the aim of this study was to evaluate the relationship between food insecurity and weight status in individuals with type 2 diabetes in rural areas in Iran. Methods: 1847 patients with type 2 diabetes who were residence in rural areas completed Household Food Security Scale (six-item short questionnaire). Logistic regression model was applied to assess the independent effect of food insecurity on weight status. Results: Mean age of the study population was 62.6±11.8 years, and the majority of them were female (70.4%). Most of the study population (70.4%) had unhealthy weight status. Food insecurity affected more than 46% (n=852) of the households of the study population. According to weight status, more than 40% (n=565) of overweight and obese subjects and 60% (n=18) of underweight subjects lived in households with food insecurity. The results of multiple logistic regression model showed that food insecurity was not an independent significant predictor of overweight or obesity in patients with type 2 diabetes. However, low food security (LFS) was an independent significant predictor for underweight in patients with type 2 diabetes (OR=2.35, P=0.041). Conclusion: It is concluded that food insecurity was frequent in all levels of weight status of patients with type 2 diabetes in rural regions. However this association observed in underweight individuals but there was no significant overall relationship between household food insecurity and in overweight and obesity in this group of patients.
Entities:
Keywords:
Food insecurity; Obesity; Overweight; Type 2 diabetes; Underweight
Authors: Stacey Marjerrison; Elizabeth A Cummings; N Theresa Glanville; Sara F L Kirk; Mary Ledwell Journal: J Pediatr Date: 2010-12-03 Impact factor: 4.406
Authors: Hilary K Seligman; Elizabeth A Jacobs; Andrea Lopez; Urmimala Sarkar; Jeanne Tschann; Alicia Fernandez Journal: Arch Intern Med Date: 2011-07-11
Authors: Hilary K Seligman; Andrew B Bindman; Eric Vittinghoff; Alka M Kanaya; Margot B Kushel Journal: J Gen Intern Med Date: 2007-04-11 Impact factor: 5.128
Authors: Cynthia L Ogden; Margaret D Carroll; Lester R Curtin; Margaret A McDowell; Carolyn J Tabak; Katherine M Flegal Journal: JAMA Date: 2006-04-05 Impact factor: 56.272