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Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon

BMC public health, 2017-06, Vol.17 (1), p.567-567, Article 567 [Peer Reviewed Journal]

COPYRIGHT 2017 BioMed Central Ltd. ;2017. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;The Author(s). 2017 ;ISSN: 1471-2458 ;EISSN: 1471-2458 ;DOI: 10.1186/s12889-017-4317-5 ;PMID: 28606120

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Title:
Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon
Author: Jomaa, Lamis ; Naja, Farah ; Cheaib, Ruba ; Hwalla, Nahla
Subjects: Adult ; Age ; Ascorbic acid ; Caregivers ; Confectionery ; Correlation analysis ; Cross-Sectional Studies ; Dairy products ; Data collection ; Demographics ; Developing Countries ; Diet ; Diet - economics ; Dietary intake ; Direct reduced iron ; Female ; Folic acid ; Food ; Food intake ; Food security ; Food Supply - statistics & numerical data ; Health aspects ; Household food insecurity ; Households ; Humans ; Income ; Interviews ; Interviews as Topic ; Lebanon ; Lebanon - epidemiology ; Micronutrients ; Middle Aged ; Mothers ; Mothers - statistics & numerical data ; Nutrients ; Nutrition ; Nuts ; Obesity ; Obesity - epidemiology ; Potassium ; Public health ; Questionnaires ; Regression analysis ; Risk ; Risk factors ; Social factors ; Sociodemographics ; Socioeconomic Factors ; Socioeconomics ; Studies ; Surveys and Questionnaires ; Urban ; Women ; Womens health
Is Part Of: BMC public health, 2017-06, Vol.17 (1), p.567-567, Article 567
Description: Mixed evidence exists with respect to the association between household food insecurity (HFIS) and obesity in low-to-middle income countries (LMICs), particularly among women. This study aimed to measure socioeconomic correlates of HFIS and explores its association with dietary intake and odds of obesity among mothers in Lebanon, a middle-income country undergoing nutrition transition. A cross-sectional study was conducted among a representative sample of households (n = 378) in Beirut, Lebanon. Surveys were completed with mothers of children <18 years. HFIS was measured using a locally-validated, Arabic-translated Household Food Insecurity Access Scale (HFIAS). Dietary intake was assessed using the multiple pass 24-h recall method. Associations between HFIS (food vs food insecure) and socio-demographic characteristics were reported using crude and adjusted odds ratios. The odds of consuming <2/3rd Dietary Reference Intakes (DRIs) for nutrients among mothers from food secure and food insecure households were explored. In addition, logistic regression analyses were conducted to explore the association of HFIS with obesity (BMI ≥ 30 kg/m2) and at-risk waist circumference (WC ≥ 80 cm) among mothers. HFIS was found among 50% of study sample and was inversely associated with household income and mother's educational level, even after adjusting for other socioeconomic variables (p < 0.01). Mothers in food insecure households reported consuming significantly less dairy products, fruits, and nuts yet more breads and sweets; and they had higher odds of consuming <2/3rd the DRI's for key micronutrients (potassium, folate, and vitamin C) compared to secure ones. Adjusting for socioeconomic correlates, food insecure mothers had 1.73 odds of obesity (95% CI: 1.02-2.92) compared to food secure mothers. High HFIS prevalence was reported among urban Lebanese households. Mothers from food insecure households had a high risk of dietary inadequacy and obesity. Adequate evidence-based public health strategies are needed to reduce the vulnerability of mothers to food insecurity in LMIC settings and alleviate their risk of a high burden of nutrient insecurity and obesity.
Publisher: England: BioMed Central Ltd
Language: English
Identifier: ISSN: 1471-2458
EISSN: 1471-2458
DOI: 10.1186/s12889-017-4317-5
PMID: 28606120
Source: Geneva Foundation Free Medical Journals at publisher websites
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Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon

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