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Cardiovascular Health, Adiposity, and Food Insecurity in an Underserved Population.

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  • معلومة اضافية
    • المصدر:
      Publisher: MDPI Publishing Country of Publication: Switzerland NLM ID: 101521595 Publication Model: Electronic Cited Medium: Internet ISSN: 2072-6643 (Electronic) Linking ISSN: 20726643 NLM ISO Abbreviation: Nutrients Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Basel, Switzerland : MDPI Publishing
    • الموضوع:
      Food Supply* ; Medically Underserved Area* ; Vulnerable Populations*; Adiposity/*ethnology ; Cardiovascular Diseases/*ethnology ; Cardiovascular Diseases/*physiopathology ; Obesity/*ethnology ; Obesity/*physiopathology ; Social Determinants of Health/*ethnology; Adult ; Body Mass Index ; Cardiovascular Diseases/diagnosis ; Cardiovascular Diseases/prevention & control ; Cross-Sectional Studies ; Health Literacy ; Humans ; Louisiana/epidemiology ; Middle Aged ; Nutritional Status/ethnology ; Obesity/diagnosis ; Obesity/therapy ; Pragmatic Clinical Trials as Topic ; Risk Factors ; Sex Factors ; Waist Circumference
    • نبذة مختصرة :
      This study investigated associations between cardiovascular health (CVH), adiposity, and food insecurity by race, sex, and health literacy in a sample of 800 underserved patients with obesity (body mass index [BMI] ≥ 30 kg/m 2 ). CVH was assessed using American Heart Association Life's Simple 7 (LS7) and adiposity was estimated using BMI and waist circumference (WC). Mixed models including interaction terms between food insecurity and sex, race, and health literacy were analyzed for LS7, BMI, and WC. Stratified models were analyzed as indicated by significant interactions. Mean BMI and WC were 37.3 kg/m 2 (4.6 SD) and 113.5 cm (12.4 SD), respectively. Among patients, 31% were food insecure and 31% had low health literacy. There were significant positive associations between food insecurity and BMI ( p = 0.03) and WC ( p = 0.03) in the overall sample. In sex-stratified models, women who were food insecure had higher BMI ( p = 0.02) and WC ( p = 0.007) than their food secure counterparts. Further, food insecure patients with better health literacy had greater BMI ( p = 0.004) and WC ( p = 0.007) than their food secure counterparts. Results suggest that adiposity is a greater burden in food insecure patients, which may be an important consideration for obesity treatment in underserved populations.
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    • Grant Information:
      P30 DK072476 United States DK NIDDK NIH HHS; U54 GM104940 United States GM NIGMS NIH HHS; #P30DK072476 United States DK NIDDK NIH HHS; 1U54GM104940 United States GM NIGMS NIH HHS; OB-1402-10977 United States PCORI Patient-Centered Outcomes Research Institute
    • Contributed Indexing:
      Keywords: adiposity; cardiovascular health; food insecurity; health literacy; underserved population
    • الموضوع:
      Date Created: 20190629 Date Completed: 20200106 Latest Revision: 20200727
    • الموضوع:
      20250114
    • الرقم المعرف:
      PMC6628173
    • الرقم المعرف:
      10.3390/nu11061376
    • الرقم المعرف:
      31248113