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dc.contributor.authorLópez-Cepero, Andrea A
dc.contributor.authorLemon, Stephenie C
dc.contributor.authorRosal, Milagros C
dc.date2022-08-11T08:10:18.000
dc.date.accessioned2022-08-23T17:03:49Z
dc.date.available2022-08-23T17:03:49Z
dc.date.issued2018-04-13
dc.date.submitted2018-05-16
dc.identifier.citation<p>2018 Society of Behavioral Medicine Annual Meeting</p>
dc.identifier.doi10.13028/v7y8-1v87
dc.identifier.urihttp://hdl.handle.net/20.500.14038/44507
dc.description.abstractBackground: Food insecurity has been consistently associated with CVD risk factors (i.e., obesity, type 2 diabetes, hypertension and hypercholesterolemia). Consumption of fruits and vegetables may reduce CVD risk factors among food insecure Latinos. Objective: To examine the potential moderating effect of fruit and vegetable intake in the association between food insecurity and CVD risk factors in a sample of Latino men and women in the northeast U.S. Methods: A representative community sample of Latino individuals was recruited from a community health center in Lawrence, MA. Food insecurity was measured with the 6-item USDA Household Food Security Scale. Fruit and vegetable intake, was measured with Block’s Fruit and Vegetable Screener. CVD risk factors examined included: obesity assessed by body mass index (BMI), and diagnoses of type 2 diabetes, hypertension and hyperlipidemia abstracted from electronic health records. Covariates considered included: age, gender, education and BMI (except in the obesity model). Statistical analyses included multivariable logistic regression testing for interaction between food insecurity and diet. Results: Overall, 51% of the sample were women and most self-identified as Dominicans (73%). Thirty-one percent of the sample experienced food insecurity and 79% consumed less than 5 servings of fruits and vegetables per day. Twenty percent of food secure participants and 23% of food insecure individuals consumed 5 servings or more of fruits and vegetables per day (p=0.439). In adjusted models, food insecurity was positively associated with type 2 diabetes in individuals consuming less than 5 servings of fruits and vegetables per day (OR=1.79; 95% CI=1.11–2.89) but not in individuals consuming 5 servings or more of fruits and vegetables per day. Interaction analyses showed that these estimates were significantly different from each other (p=0.04). Conclusion: Among those who were food insecure, low consumption of fruits and vegetables, was associated with type 2 diabetes in this Latino sample. Studies are needed to confirm our findings. Further, longitudinal studies are needed to understand a potential causal relationship. Interventions to increase availability of fruits and vegetables among food insecure Latinos may help alleviate diabetes disparities in this vulnerable group.
dc.language.isoen_US
dc.publishereScholarship@UMassChanen_US
dc.rightsCopyright the Authors
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectFood insecurity
dc.subjectcardiovascular disease
dc.subjecttype 2 diabetes
dc.subjectLatinos
dc.subjectBehavioral Medicine
dc.subjectBehavior and Behavior Mechanisms
dc.subjectCardiovascular Diseases
dc.subjectCommunity Health
dc.subjectCommunity Health and Preventive Medicine
dc.subjectDietetics and Clinical Nutrition
dc.subjectFood Security
dc.subjectPreventive Medicine
dc.subjectRace and Ethnicity
dc.titleAssociation between food insecurity and CVD risk factors is moderated by intake of fruits and vegetables in Latinos
dc.typePoster
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1004&amp;context=prc_presentations&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/prc_presentations/4
dc.identifier.contextkey12137959
refterms.dateFOA2022-08-23T17:03:49Z
html.description.abstract<p>Background: Food insecurity has been consistently associated with CVD risk factors (i.e., obesity, type 2 diabetes, hypertension and hypercholesterolemia). Consumption of fruits and vegetables may reduce CVD risk factors among food insecure Latinos.</p> <p>Objective: To examine the potential moderating effect of fruit and vegetable intake in the association between food insecurity and CVD risk factors in a sample of Latino men and women in the northeast U.S.</p> <p>Methods: A representative community sample of Latino individuals was recruited from a community health center in Lawrence, MA. Food insecurity was measured with the 6-item USDA Household Food Security Scale. Fruit and vegetable intake, was measured with Block’s Fruit and Vegetable Screener. CVD risk factors examined included: obesity assessed by body mass index (BMI), and diagnoses of type 2 diabetes, hypertension and hyperlipidemia abstracted from electronic health records. Covariates considered included: age, gender, education and BMI (except in the obesity model). Statistical analyses included multivariable logistic regression testing for interaction between food insecurity and diet.</p> <p>Results: Overall, 51% of the sample were women and most self-identified as Dominicans (73%). Thirty-one percent of the sample experienced food insecurity and 79% consumed less than 5 servings of fruits and vegetables per day. Twenty percent of food secure participants and 23% of food insecure individuals consumed 5 servings or more of fruits and vegetables per day (p=0.439). In adjusted models, food insecurity was positively associated with type 2 diabetes in individuals consuming less than 5 servings of fruits and vegetables per day (OR=1.79; 95% CI=1.11–2.89) but not in individuals consuming 5 servings or more of fruits and vegetables per day. Interaction analyses showed that these estimates were significantly different from each other (p=0.04).</p> <p>Conclusion: Among those who were food insecure, low consumption of fruits and vegetables, was associated with type 2 diabetes in this Latino sample. Studies are needed to confirm our findings. Further, longitudinal studies are needed to understand a potential causal relationship. Interventions to increase availability of fruits and vegetables among food insecure Latinos may help alleviate diabetes disparities in this vulnerable group.</p>
dc.identifier.submissionpathprc_presentations/4
dc.contributor.departmentDepartment of Medicine, Division of Preventive and Behavioral Medicine
dc.contributor.departmentPrevention Research Center


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