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Food insecurity, weight control practices and body mass index in adolescents

Published online by Cambridge University Press:  02 January 2007

Martin C Gulliford ,
Cheryl Nunes  and
Brian Rocke
Martin C Gulliford*
Affiliation:
Department of Public Health Sciences, King's College London, Capital House, 42 Weston Street, London, SE1 3QD, UK
Cheryl Nunes
Affiliation:
Nutrition and Metabolism Division, Ministry of Health, Trinidad and Tobago
Brian Rocke
Affiliation:
Nutrition and Metabolism Division, Ministry of Health, Trinidad and Tobago
*
*Corresponding author: Email [email protected]
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Abstract

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Objective

We investigated whether experienced food insecurity was associated with weight control behaviour of adolescents.

Design

A national survey of 16-year-old students with the six-item food security scale, questions concerning intentions of trying to change weight, physical activity patterns, and measurement of height and weight.

Setting

Representative sample of 29 schools in Trinidad, West Indies.

Subjects

Data analysed for 1903 subjects including 1484 who were food-secure and 419 who were food-insecure.

Results

In the whole sample, food security status did not vary by body mass index (BMI) category. ‘Trying to gain weight’ and ‘spending most free time in activities involving little physical effort’ were each associated with lower BMI. ‘Trying to gain weight’ was more frequent in food-insecure subjects (135, 32%) than in food-secure subjects (369, 25%, P=0.012). After adjustment for BMI, age, sex, ethnicity and socio-economic variables, the adjusted odds ratio (OR) of ‘trying to gain weight’ for food-insecure subjects was 1.39 (95% confidence interval (CI) 1.07–1.82, P = 0.014). Food-insecure subjects (197, 47%) were more likely than food-secure subjects (575, 39%) to report that most of their free time was spent doing things that involved little physical effort (P = 0.003). This association was not explained by adjustment for BMI, age, sex and ethnicity (OR = 1.41, 95% CI 1.13–1.76, P = 0.002) or additional socio-economic variables (OR = 1.27, 95% CI 1.02–1.57, P = 0.033).

Conclusions

Adolescents who experience food insecurity are more likely to intend to gain weight but engage in less physical activity than food-secure subjects with the same BMI.

Keywords

Food insecurityBody mass indexWeight controlAdolescence
Type
Research Article
Information
Public Health Nutrition , Volume 9 , Issue 5 , August 2006 , pp. 570 - 574
Copyright
Copyright © The Authors 2006

References

1Carlson, SJ, Andrews, MS, Bickel, GW. Measuring food insecurity and hunger in the United States: development of a national benchmark measure and prevalence estimates. Journal of Nutrition 1999; 129: 510S–6S.CrossRefGoogle ScholarPubMed
2Bickel, G, Nord, M, Price, C, Hamilton, W, Cook, J. Measuring Food Security in the United States. Guide to Measuring Food Security, 2000 revision. Washington, DC: US Department of Agriculture, Food and Nutrition Service, 2000.Google Scholar
3Tingay, RS, Tan, CJ, Tan, NCW, Tang, S, Teoh, PF, Wong, R, et al. Food insecurity and low income in an English inner city. Journal of Public Health Medicine 2003; 25: 156–9.CrossRefGoogle Scholar
4Gulliford, MC, Mahabir, D, Rocke, B. Food insecurity, food choices, and body mass index in adults: nutrition transition in Trinidad and Tobago. International Journal of Epidemiology 2003; 32: 508–16.CrossRefGoogle ScholarPubMed
5Townsend, MS, Peerson, J, Love, B, Achterberg, C, Murphy, SP. Food insecurity is positively related to overweight in women. Journal of Nutrition 2001; 131: 1738–45.CrossRefGoogle ScholarPubMed
6Adams, EJ, Grummer-Strawn, L, Chavez, G. Food insecurity is associated with increased risk of obesity in California women. Journal of Nutrition 2003; 133: 1070–4.CrossRefGoogle ScholarPubMed
7Olson, CM. Nutrition and health outcomes associated with food insecurity and hunger. Journal of Nutrition 1999; 129: 521S–4S.CrossRefGoogle ScholarPubMed
8Alaimo, K, Olson, CM, Frongillo, EA Jr. Low family income and food insufficiency in relation to overweight in US children: is there a paradox? Archives of Pediatrics & Adolescent Medicine 2001; 155: 1161–7.CrossRefGoogle Scholar
9Tarasuk, VS. Household food insecurity with hunger is associated with women's food intakes, health and household circumstances. Journal of Nutrition 2001; 131: 2670–6.CrossRefGoogle ScholarPubMed
10Gulliford, MC, Mahabir, D, Nunes, C, Rocke, B. Self-administration of a food security scale by adolescents: item functioning, socio-economic position and food intakes. Public Health Nutrition 2005; 8: 853–60.CrossRefGoogle ScholarPubMed
11Aguirre, P. Socio-anthropological aspects of obesity in poverty. In: Pena, M, Bacallao, J, eds. Obesity and Poverty: A New Public Health Challenge. Scientific Publication No. 576. Washington: DC: Pan-American Health Organization/World Health Organization, 2000; 11–22.Google Scholar
12Connell, CL, Nord, M, Lofton, KL, Yadrick, K. Food security of older children can be assessed using a standardized survey instrument. Journal of Nutrition 2004; 134: 2566–72.CrossRefGoogle ScholarPubMed
13Blumberg, SJ, Bialostosky, K, Hamilton, WL, Briefel, RR. The effectiveness of a short form of the household food security scale. American Journal of Public Health 1999; 89: 1231–4.CrossRefGoogle Scholar
14Prescott-Clarke, P, Primatesta, P. Health Survey for England. The Health of Young People 1995–1997. London: The Stationery Office, 1999.Google Scholar
15Colhoun, H, Prescott-Clarke, P. Health Survey for England 1994. London: HMSO, 1996.Google Scholar
16Cole, TJ, Bellizzi, MC, Flegal, KM, Dietz, WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 2000; 320: 1240–3.CrossRefGoogle ScholarPubMed
17Kuczmarski, RJ, Ogden, CL, Grummer-Strawn, LM, Flegal, KM, Guo, SS, Wei, R, et al. CDC growth charts: United States. Advance Data 2000; 8: 1–27.Google Scholar
18Stata Corporation. Stata Reference Manual, Release 8. College Station, TX: Stata Corporation, 2001.Google Scholar
19Jebb, SA, Rennie, KL, Cole, TJ. Prevalence of overweight and obesity among young people in Great Britain. Public Health Nutrition 2004; 7: 461–5.CrossRefGoogle ScholarPubMed
20Wardle, J, Griffith, J. Socioeconomic status and weight control practices in British adults. Journal of Epidemiology and Community Health 2001; 55: 185–90.CrossRefGoogle ScholarPubMed
21Gulliford, MC, Mahabir, D, Rocke, B, Chinn, S, Rona, RJ. Overweight, obesity and skinfold thicknesses of children of African or Indian descent in Trinidad and Tobago. International Journal of Epidemiology 2001; 30: 989–98.CrossRefGoogle ScholarPubMed
22Gulliford, MC, Mahabir, D, Rocke, B. Reliability and validity of a short form household food security scale in a Caribbean community. BMC Public Health 2004; 4: 22.CrossRefGoogle Scholar
23Nord, M, Bickel, G. Measuring Children's Food Security in US Households, 1995–99. Food Assistance and Nutrition Research Report No. 25. Washington, DC: Economic Research Service, US Department of Agriculture, 2002.Google Scholar