Association between food insecurity and CVD risk factors is moderated by intake of fruits and vegetables in Latinos
dc.contributor.author | López-Cepero, Andrea A | |
dc.contributor.author | Lemon, Stephenie C | |
dc.contributor.author | Rosal, Milagros C | |
dc.date | 2022-08-11T08:10:18.000 | |
dc.date.accessioned | 2022-08-23T17:03:49Z | |
dc.date.available | 2022-08-23T17:03:49Z | |
dc.date.issued | 2018-04-13 | |
dc.date.submitted | 2018-05-16 | |
dc.identifier.citation | <p>2018 Society of Behavioral Medicine Annual Meeting</p> | |
dc.identifier.doi | 10.13028/v7y8-1v87 | |
dc.identifier.uri | http://hdl.handle.net/20.500.14038/44507 | |
dc.description.abstract | 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. 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.iso | en_US | |
dc.publisher | eScholarship@UMassChan | en_US |
dc.rights | Copyright the Authors | |
dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | * |
dc.subject | Food insecurity | |
dc.subject | cardiovascular disease | |
dc.subject | type 2 diabetes | |
dc.subject | Latinos | |
dc.subject | Behavioral Medicine | |
dc.subject | Behavior and Behavior Mechanisms | |
dc.subject | Cardiovascular Diseases | |
dc.subject | Community Health | |
dc.subject | Community Health and Preventive Medicine | |
dc.subject | Dietetics and Clinical Nutrition | |
dc.subject | Food Security | |
dc.subject | Preventive Medicine | |
dc.subject | Race and Ethnicity | |
dc.title | Association between food insecurity and CVD risk factors is moderated by intake of fruits and vegetables in Latinos | |
dc.type | Poster | |
dc.identifier.legacyfulltext | https://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1004&context=prc_presentations&unstamped=1 | |
dc.identifier.legacycoverpage | https://escholarship.umassmed.edu/prc_presentations/4 | |
dc.identifier.contextkey | 12137959 | |
refterms.dateFOA | 2022-08-23T17:03:49Z | |
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.submissionpath | prc_presentations/4 | |
dc.contributor.department | Department of Medicine, Division of Preventive and Behavioral Medicine | |
dc.contributor.department | Prevention Research Center |