Verde Ludovica, Kohler Lindsay N, Muscogiuri Giovanna, Parra Oscar, Klimentidis Yann C, Coletta Dawn K, Mandarino Lawrence J
Department of Public Health, University of Naples Federico II, Naples, Italy.
Unità di Endocrinologia, Diabetologia e Andrologia, Dipartimento di Medicina Clinica e Chirurgia, Centro Italiano per la Cura e il Benessere del Paziente con Obesità (C.I.B.O), Università Degli Studi di Napoli Federico II, Naples, Italy.
Front Nutr. 2024 Oct 9;11:1499504. doi: 10.3389/fnut.2024.1499504. eCollection 2024.
Latino populations, especially those of Mexican ancestry, face higher rates of both cardiometabolic diseases and food insecurity, compounding negative health outcomes. Food insecurity is associated with poor dietary choices, which not only worsen cardiometabolic health but also contribute to various health complications, making it a critical public health issue in these communities. The aim of this study was to investigate the prevalence of food insecurity and its associations with diet, cardiometabolic risk factors, and glycemic control among Latino individuals of Mexican ancestry.
Cross-sectional observational study using data from the El Banco por Salud biobank. The study included 1,827 participants with a mean age of 52.5 ± 14.4 years, recruited from community-based settings. The majority were women (67.6%), obese (mean BMI 32.4 ± 7.0 kg/m), and sedentary (43.5%). Food insecurity was assessed using the 6-item U.S. Household Food Security Module, while dietary information was obtained using the Brief Dietary Assessment Tool for Hispanics. Primary outcomes included cardiometabolic risk factors and glycemic control, specifically HbA1c levels.
Of 1,827 participants, 69.7% were food secure and 30.3% were food insecure. Food insecure participants had a significantly larger waist circumference ( = 0.034), consumed poorer quality diets, and had higher HbA1c levels ( = 0.043), with the association remaining significant after adjustments ( = 0.007 for age, sex, BMI, and waist circumference; = 0.021 for additional sociodemographic factors).
The findings reveal that food insecurity among Latino individuals of Mexican ancestry is associated with unhealthy food choices and higher HbA1c levels, exacerbating the risk of poor cardiometabolic health. This underscores an urgent need for targeted interventions to address food insecurity, ultimately promoting better metabolic health outcomes in vulnerable populations.
拉丁裔人群，尤其是墨西哥裔人群，面临着更高的心脏代谢疾病和粮食不安全发生率，这加剧了负面健康结果。粮食不安全与不良饮食选择有关，这不仅会恶化心脏代谢健康，还会导致各种健康并发症，使其成为这些社区中的一个关键公共卫生问题。本研究的目的是调查墨西哥裔拉丁裔人群中粮食不安全的患病率及其与饮食、心脏代谢风险因素和血糖控制的关联。
使用来自健康银行生物样本库的数据进行横断面观察性研究。该研究纳入了1827名参与者，他们的平均年龄为52.5±14.4岁，从社区环境中招募。大多数参与者为女性（67.6%），肥胖（平均BMI为32.4±7.0kg/m），且久坐不动（43.5%）。使用美国家庭粮食安全6项模块评估粮食不安全情况，同时使用西班牙裔简短饮食评估工具获取饮食信息。主要结局包括心脏代谢风险因素和血糖控制，特别是糖化血红蛋白水平。
在1827名参与者中，69.7%的人粮食安全，30.3%的人粮食不安全。粮食不安全的参与者腰围显著更大（P=0.034），饮食质量较差，糖化血红蛋白水平较高（P=0.043），在调整年龄、性别、BMI和腰围后，该关联仍然显著（P=0.007）；在调整其他社会人口学因素后，该关联也仍然显著（P=0.021）。
研究结果表明，墨西哥裔拉丁裔人群中的粮食不安全与不健康的食物选择和较高的糖化血红蛋白水平有关，这加剧了心脏代谢健康不良的风险。这突出表明迫切需要采取有针对性的干预措施来解决粮食不安全问题，最终促进弱势群体获得更好的代谢健康结果。
