Self-Reported Food Security in Adolescents with Type 1 Diabetes: Association with Hemoglobin A1c and Mental Health Symptoms Independent of Household Food Security.

adolescent depression diabetes mellitus eating disorder food security hemoglobin A1c mental health

Journal

The Journal of nutrition
ISSN: 1541-6100
Titre abrégé: J Nutr
Pays: United States
ID NLM: 0404243

Informations de publication

Date de publication:
08 Dec 2023
Historique:
received: 21 07 2023
revised: 17 11 2023
accepted: 06 12 2023
medline: 11 12 2023
pubmed: 11 12 2023
entrez: 10 12 2023
Statut: aheadofprint

Résumé

Typically, child exposure to food insecurity is assessed by caregiver report of household food security. Child report has a potential for greater accuracy because it pertains only to the child whose experiences may differ from caregiver reports. We assessed if adolescent-reported food insecurity was associated with levels of hemoglobin A1c (HbA In a cross-sectional analysis of the multicenter SEARCH for Diabetes in Youth Study (Phase 4, 2016-2019) including 601 adolescents aged 10-17 years with type 1 diabetes and their caregivers, household food security and adolescent-reported food security were assessed using the 18-item Household Food Security Survey Module and the six-item Child Food Security Assessment questionnaire. Age-stratified (10-13, 14-17) regression models were performed to estimate independent associations, adjusting for socio-demographics, clinical factors, and household food security. Food insecurity was reported by 13.1% (n=79) of adolescents and 15.6% (n=94) of caregivers. Among adolescent-caregiver dyads, 82.5% (n=496) of reports were concordant and 17.5% (n=105) discordant, Cohen's kappa = 0.3. Adolescent-reported food insecurity was not independently associated with HbA Adolescents with type 1 diabetes may experience food insecurity differently than caregivers. Adolescent-reported food insecurity was independently associated with depressive symptoms and disordered eating behaviors and thus may be an important attribute to assess in addition to household food security in adolescents with type 1 diabetes.

Sections du résumé

BACKGROUND BACKGROUND
Typically, child exposure to food insecurity is assessed by caregiver report of household food security. Child report has a potential for greater accuracy because it pertains only to the child whose experiences may differ from caregiver reports.
OBJECTIVE OBJECTIVE
We assessed if adolescent-reported food insecurity was associated with levels of hemoglobin A1c (HbA
METHODS METHODS
In a cross-sectional analysis of the multicenter SEARCH for Diabetes in Youth Study (Phase 4, 2016-2019) including 601 adolescents aged 10-17 years with type 1 diabetes and their caregivers, household food security and adolescent-reported food security were assessed using the 18-item Household Food Security Survey Module and the six-item Child Food Security Assessment questionnaire. Age-stratified (10-13, 14-17) regression models were performed to estimate independent associations, adjusting for socio-demographics, clinical factors, and household food security.
RESULTS RESULTS
Food insecurity was reported by 13.1% (n=79) of adolescents and 15.6% (n=94) of caregivers. Among adolescent-caregiver dyads, 82.5% (n=496) of reports were concordant and 17.5% (n=105) discordant, Cohen's kappa = 0.3. Adolescent-reported food insecurity was not independently associated with HbA
CONCLUSIONS CONCLUSIONS
Adolescents with type 1 diabetes may experience food insecurity differently than caregivers. Adolescent-reported food insecurity was independently associated with depressive symptoms and disordered eating behaviors and thus may be an important attribute to assess in addition to household food security in adolescents with type 1 diabetes.

Identifiants

DOI: 10.1016/j.tjnut.2023.12.006 PMID: 38072157
pubmed: 38072157
pii: S0022-3166(23)72793-4
doi: 10.1016/j.tjnut.2023.12.006
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Conflict of interest: All authors of this study declare no potential conflicts of interest.

Auteurs

Emmanuel F Julceus (EF)

Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC. Electronic address: ejulceus@email.sc.edu.

Edward A Frongillo (EA)

Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC. Electronic address: efrongil@mailbox.sc.edu.

Jason A Mendoza (JA)

Fred Hutch Cancer Center, University of Washington, and Seattle Children's Research Institute, Seattle, WA. Electronic address: jay.mendoza@seattlechildrens.org.

Katherine A Sauder (KA)

Lifecourse Epidemiology of Adiposity and Diabetes (LEAD Center), Colorado School of Public Health, Aurora, CO. Electronic address: katherine.sauder@cuanschutz.edu.

Faisal S Malik (FS)

Department of Pediatrics, University of Washington, and Seattle Children's Research Institute, Seattle, WA. Electronic address: faisal.malik@seattlechildrens.org.

Elizabeth T Jensen (ET)

Department of Epidemiology and Prevention, Wake Forest University School of Medicine, Winston-Salem, NC. Electronic address: ejensen@wakehealth.edu.

Lawrence M Dolan (LM)

Department of Pediatrics, Cincinnati Children's Hospital, University of Cincinnati College of Medicine, Cincinnati, OH. Electronic address: Larry.Dolan@cchmc.org.

Anna Bellatorre (A)

Lifecourse Epidemiology of Adiposity and Diabetes (LEAD Center), Colorado School of Public Health, Aurora, CO. Electronic address: anna.bellatorre@cuanschutz.edu.

Dana Dabelea (D)

Lifecourse Epidemiology of Adiposity and Diabetes (LEAD Center), Colorado School of Public Health, Aurora, CO. Electronic address: dana.dabelea@cuanschutz.edu.

Beth A Reboussin (BA)

Department of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC. Electronic address: brebouss@wakehealth.edu.

Kristi Reynolds (K)

Department of Research & Evaluation, Kaiser Permanente Southern California, Pasadena, CA. Electronic address: Kristi.Reynolds@kp.org.

Catherine Pihoker (C)

Department of Pediatrics, University of Washington, and Seattle Children's Research Institute, Seattle, WA. Electronic address: Catherine.pihoker@seattlechildrens.org.

Angela D Liese (AD)

Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC. Electronic address: Liese@sc.edu.

Classifications MeSH