Objective: Food insecurity is reported in approximately 28 % of individuals with diabetes in the USA and is associated with poor glycaemic and lipid control. The present study aimed to understand the direct and indirect pathways through which food insecurity impacts glycaemic control in individuals with diabetes.Design/Setting/SubjectsAdults (n 615) with type 2 diabetes completed validated questionnaires after recruitment from two primary care clinics. Structural equation modelling was used to investigate mechanisms through which food insecurity influences diabetes self-care behaviours and glycaemic control, including investigation into possible direct and indirect effects of perceived stress and social support.
Results: The final model showed that higher food insecurity was directly significantly related to increased stress (r=0·14, P<0·001) and increased glycosylated Hb (r=0·66, P=0·03). Higher stress was significantly related to poorer self-care (r=-0·54, P<0·001) and lower social support (r=-0·41, P<0·001). There was no significant direct association between food insecurity and self-care, or between perceived stress and glycaemic control.
Conclusions: Food insecurity had both a direct effect on glycaemic control and an indirect effect on self-care through stress. The indirect pathway suggests that efforts to address stress may influence the ability of individuals to perform diabetes self-care behaviours. The direct effect on glycaemic control suggests that pathways independent of self-care behaviours may also be necessary to improve diabetes outcomes. Results from the study suggest a multipronged approach is necessary to address food insecurity in individuals with diabetes.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258341 | PMC |
| http://dx.doi.org/10.1017/S1368980018001908 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Implementing Food as Medicine During COVID-19: Produce Prescriptions and Integrative Group Medical Visits in Federally Qualified Health Centers.
Glob Adv Integr Med Health
January 2025
Alameda County Health, San Leandro, CA, USA.
Background: Food as Medicine is a rapidly developing area of health care in the United States, aimed at concurrently addressing nutrition-sensitive chronic conditions and food and nutrition insecurity. Recipe4Health (R4H) is a Food as Medicine program with an integrative health equity focus. It provides prescriptions for locally grown produce ('Food Farmacy') with or without integrative group medical visits, alongside training for clinic staff.
View Article and Find Full Text PDFConfronting food insecurity through agricultural interventions: the Farmer FIRST program in India.
Front Nutr
January 2025
ICAR- National Academy of Agricultural Research Management, Hyderabad, India.
Introduction: Nutrition-sensitive agricultural interventions are crucial in addressing malnutrition and promoting food security. The Farmer, Farm, Innovation, Resources, Science, and Technology (FIRST) Program is a national-level agricultural intervention program that was started in 2016 by the Indian Council of Agricultural Research (ICAR). Its primary objective is to transform the lives and livelihoods of Indian farmers, with a focus on income and livelihood security.
View Article and Find Full Text PDFFood Acquisition Coping Strategies Vary Based on Food Security Among University Students.
Curr Dev Nutr
January 2025
The Family, Interiors, Nutrition & Apparel (FINA) Department, San Francisco State University, San Francisco, CA, United States.
Background: Food insecurity on college campuses is a pressing issue, yet the ways in which students manage challenges and disruptions to their food security status (FSS) are poorly understood.
Objectives: The objective of this study was to examine knowledge of food insecurity as a concept, evaluate FSS, identify food acquisition-related behaviors, and determine whether these behaviors differ among FSS.
Methods: University students at increased risk of experiencing food insecurity ( = 43) were recruited for this mixed-methods study.
Strengthening community actions to improve diabetes mellitus care optimising public health facilitators.
BMC Health Serv Res
January 2025
Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Background: Diabetes mellitus is the second leading cause of death in South Africa, and almost 90,000 people died from diabetes-related causes in the year 2019. This study aimed to investigate facilitators that can be harnessed to strengthen community actions and barriers that should be redressed in structured public health and health promotion programs for people with diabetes mellitus at a primary healthcare level.
Methods: An exploratory qualitative study was conducted using face-to-face interviews among 20 conveniently sampled participants.
Anxiety moderates the association between severity of food insecurity and sleep duration among young adults in food-insecure households.
J Behav Med
January 2025
Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
This study examined associations between food insecurity (FI) severity, anxiety symptoms, and sleep duration among young adults in food-insecure households. We hypothesized that more severe FI and higher anxiety would independently predict shorter sleep duration, and that anxiety would amplify the FI-sleep duration relationship. Analysis was conducted on a subsample (n = 96) of the EAT 2010-2018 young adult cohort.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!