دورية أكاديمية
Diet in Food Insecurity: A Mediator of Metabolic Health?
العنوان: | Diet in Food Insecurity: A Mediator of Metabolic Health? |
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المؤلفون: | Morselli LL; Department of Medicine, Division of Endocrinology and Molecular Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Amjad R; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI 53226, USA., James R; Department of Medicine, Division of Endocrinology and Molecular Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Kindel TL; Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Department of Surgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Kwitek AE; Department of Physiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Department of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Linda T. and John A. Mellowes Center for Genomic Sciences and Precision Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Williams JS; Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Center for Advancing Population Science, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Department of Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Grobe JL; Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Department of Physiology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Department of Biomedical Engineering, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Comprehensive Rodent Metabolic Phenotyping Core, Medical College of Wisconsin, Milwaukee, WI 53226, USA., Kidambi S; Department of Medicine, Division of Endocrinology and Molecular Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA.; Cardiovascular Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA. |
المصدر: | Journal of the Endocrine Society [J Endocr Soc] 2024 Apr 02; Vol. 8 (6), pp. bvae062. Date of Electronic Publication: 2024 Apr 02 (Print Publication: 2024). |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Endocrine Society Country of Publication: United States NLM ID: 101697997 Publication Model: eCollection Cited Medium: Internet ISSN: 2472-1972 (Electronic) Linking ISSN: 24721972 NLM ISO Abbreviation: J Endocr Soc Subsets: PubMed not MEDLINE |
أسماء مطبوعة: | Original Publication: Washington, DC : Endocrine Society, [2017]- |
مستخلص: | Objective: Food insecurity (FI) is associated with poor metabolic health. It is assumed that energy intake and diet quality underlie this association. We tested the hypothesis that dietary factors (quantity and quality) mediate the association of FI with excess weight, waist circumference and glycemic control [glycohemoglobin (A1C)]. Methods: A mediation analysis was performed on data from the National Health And Nutrition Examination Survey using FI as an independent variable; body mass index (BMI), waist circumference, and A1C as metabolic outcome variables and total energy intake, macronutrients, and diet quality measured by the Healthy Eating Index-2015 (HEI-2015) as potential mediators. Results: Despite a greater prevalence of obesity in participants experiencing FI, daily reported energy intake was similar in food-secure and -insecure subjects. In adjusted analyses of the overall cohort, none of the examined dietary factors mediated associations between FI and metabolic outcomes. In race-stratified analyses, total sugar consumption was a partial mediator of BMI in non-Hispanic Whites, while diet quality measures (HEI-2015 total score and added sugar subscore) were partial mediators of waist circumference and BMI, respectively, for those in the "other" ethnic group. Conclusion: Dietary factors are not the main factors underlying the association of FI with metabolic health. Future studies should investigate whether other social determinants of health commonly present in the context of FI play a role in this association. (© The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society.) |
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معلومات مُعتمدة: | R01 HL158900 United States HL NHLBI NIH HHS |
فهرسة مساهمة: | Keywords: adiposity; diet quality; energy intake; food insecurity; metabolic health |
تواريخ الأحداث: | Date Created: 20240416 Latest Revision: 20240425 |
رمز التحديث: | 20240425 |
مُعرف محوري في PubMed: | PMC11017326 |
DOI: | 10.1210/jendso/bvae062 |
PMID: | 38623381 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2472-1972 |
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DOI: | 10.1210/jendso/bvae062 |