Food Insecurity Is Associated with Body Dissatisfaction among Children in California.
Food Insecurity Is Associated with Body Dissatisfaction among Children in California.
复制标题
DOI：
10.1016/j.jand.2018.07.007
复制
发表时间：
2019-10
影响因子：
4.8
通讯作者：
Madsen KA
中科院分区：
文献类型：
--
作者：
Altman EA;Ritchie LD;Frongillo EA;Madsen KA
粮食不安全影响到美国1300万儿童。对身体的不满也很普遍，影响到高达46%的儿童。食物不安全和身体不满意都与健康状况不佳有关，两者都与体重和种族/民族差异有关。儿童的粮食不安全与身体不满意之间的关系尚未得到研究。本研究的目的是双重的：检查，在4年级至8年级的儿童样本，儿童食品不安全与身体不满的关系，并了解身体质量指数（BMI），种族/民族和性别的相互作用，在食品不安全和身体不满之间的关系。这是一项横断面研究。这项研究调查了2014年至2016年期间加州54所公立学校4至8年级14,768名儿童的数据。关注的主要结局是身体不满意（5个项目转换为二进制指标），关注的暴露是儿童报告的粮食不安全（3个项目转换为二进制指标）。验证问卷的子集被用来评估身体的不满和粮食不安全。使用多变量逻辑回归分析数据，并通过BMI类别（体重不足、正常、超重、肥胖）、种族/民族和性别检查效应修正。在这个庞大而多样化的样本中，在调整共同创始人后，经历食物不安全的儿童，在所有BMI类别和所有种族/民族背景中，身体不满意的几率高于食物安全的同龄人。这种关系的强度因BMI和种族/民族而异，在非裔美国儿童（比值比=2.32; P<0.001）和正常儿童（比值比=1.76; P<0.001）中观察到的相关性最强。经历食物不安全与更大的身体不满意度相关，相关性的程度由BMI和种族/民族修改。
Food insecurity affects 13 million children in the United States. Body dissatisfaction is also prevalent, affecting up to 46% of children. Both food insecurity and body dissatisfaction are associated with poor health outcomes, and both are associated with body weight and racial/ethnic disparities. The association between food insecurity and body dissatisfaction among children has not been examined. The purpose of this study was twofold: to examine, in a sample of children in grades 4 through 8, the relationship of child food insecurity with body dissatisfaction and to gain an understanding of the interactive roles of body mass index (BMI), race/ethnicity, and sex in the relationship between food insecurity and body dissatisfaction. This was a cross-sectional study. This study examined data obtained from 14,768 children in grades 4 through 8 from 54 public schools in California between 2014 and 2016. The primary outcome of interest was body dissatisfaction (five items converted to a binary indicator), and the exposure of interest was child-reported food insecurity (three items converted to a binary indicator). Subsets of validated questionnaires were used to assess body dissatisfaction and food insecurity. Data were analyzed using multivariable logistic regression, and effect modification was examined by BMI category (underweight, normal, overweight, obese), race/ethnicity, and sex. In this large and diverse sample, after adjusting for cofounders, children experiencing food insecurity, in all BMI categories and from all racial/ethnic backgrounds, had higher odds of body dissatisfaction than their food-secure counterparts. The strength of the relationship differed by BMI and race/ethnicity, with the strongest associations observed for African-American children (odds ratio=2.32; P<0.001) and children with a normal children (odds ratio=1.76; P<0.001). Experiencing food insecurity was associated with greater body dissatisfaction, with the magnitude of the association modified by BMI and race/ethnicity.
登录
查看更多内容
影响因子：
1.6
作者：
Burke, Michael P.;Frongillo, Edward A.;Hartline-Grafton, Heather
通讯作者：
Hartline-Grafton, Heather
影响因子：
7.6
作者：
Neumark-Sztainer, Dianne;Paxton, Susan J.;Story, Mary
通讯作者：
Story, Mary
影响因子：
3.1
作者：
Poole-Di Salvo, Elizabeth;Silver, Ellen J.;Stein, Ruth E. K.
通讯作者：
Stein, Ruth E. K.
影响因子：
3.2
作者：
Vedovato GM;Surkan PJ;Jones-Smith J;Steeves EA;Han E;Trude AC;Kharmats AY;Gittelsohn J
通讯作者：
Gittelsohn J
影响因子：
5.4
作者：
Dubois, Lise;Farmer, Anna;Porcherie, Marion
通讯作者：
Porcherie, Marion