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    Longitudinal Analysis of Food Insufficiency and Cardiovascular Disease Risk Factors in the CARDIA study

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    Authors
    Vercammen, Kelsey A.
    Moran, Alyssa J.
    Carnethon, Mercedes R.
    McClain, Amanda C.
    Pool, Lindsay R.
    Kiefe, Catarina I.
    Carson, April P.
    Gordon-Larsen, Penny
    Steffen, Lyn M.
    Lee, Matthew M.
    Young, Jessica G.
    Rimm, Eric B.
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    UMass Chan Affiliations
    Department of Population and Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2021-10-10
    Keywords
    Cardiovascular Diseases
    Dietetics and Clinical Nutrition
    Epidemiology
    Food Security
    Preventive Medicine
    
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    Link to Full Text
    https://doi.org/10.1016/j.amepre.2021.06.020
    Abstract
    INTRODUCTION: Most previous studies on food insecurity and cardiovascular disease risk factors are cross-sectional. Without longitudinal data, it is unclear whether food insecurity precedes poor health and how exposure timing impacts these relationships. METHODS: Data from 2000 to 2001, 2005 to 2006, and 2010 to 2011 of the Coronary Artery Risk Development in Young Adults study were used. Food insufficiency-a screener measure related to food insecurity-was assessed in 2000-2001 and 2005-2006 using a single item. Cardiovascular disease risk factors were objectively assessed in 2010-2011. Impacts of food insufficiency patterns (food sufficient, food insufficient in 2000-2001 only, food insufficient in 2005-2006 only, food insufficient in both 2000-2001 and 2005-2006) on cardiovascular disease risk factors were estimated using inverse probability weighting of marginal structural models. Covariates that change over time were adjusted for using stabilized weights; baseline covariates were adjusted for in the marginal structural models. Analyses were conducted in 2020-2021. RESULTS: The baseline sample included 2,596 participants (56% women, 47% White). In unadjusted analyses, all food insufficiency patterns were associated with higher BMI, waist circumference, and blood pressure than food sufficiency. After accounting for covariates, estimates were attenuated but still consistent with adverse effects of food insufficiency, particularly among women. CONCLUSIONS: After covariate adjustment, food insufficiency was associated with several cardiovascular disease risk factors. Findings from this study should be replicated in other settings and populations. If verified, this evidence could provide justification for intervening in food insecurity to reduce future cardiovascular disease risk.
    Source

    Vercammen KA, Moran AJ, Carnethon MR, McClain AC, Pool LR, Kiefe CI, Carson AP, Gordon-Larsen P, Steffen LM, Lee MM, Young JG, Rimm EB. Longitudinal Analysis of Food Insufficiency and Cardiovascular Disease Risk Factors in the CARDIA study. Am J Prev Med. 2022 Jan;62(1):65-76. doi: 10.1016/j.amepre.2021.06.020. Epub 2021 Oct 10. PMID: 34642058. Link to article on publisher's site

    DOI
    10.1016/j.amepre.2021.06.020
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46983
    PubMed ID
    34642058
    Related Resources

    Link to Article in PubMed

    ae974a485f413a2113503eed53cd6c53
    10.1016/j.amepre.2021.06.020
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