Liu Olivia C, Ortiz Robin, Woo Baidal Jennifer, Pierce Kristyn A, Perrin Eliana M, Duh-Leong Carol
Division of General Pediatrics, Department of Pediatrics, NYU Grossman School of Medicine, New York, New York.
Division of General Pediatrics, Department of Pediatrics, NYU Grossman School of Medicine, New York, New York; Department of Population Health, NYU Grossman School of Medicine, New York, New York; Institute for Excellence in Health Equity, NYU Langone Health, New York, New York.
Am J Prev Med. 2025 Aug;69(2):107647. doi: 10.1016/j.amepre.2025.107647. Epub 2025 May 6.
Research has demonstrated that food insecurity during childhood is associated with worse physical and mental health in childhood. However, little is known about how food insecurity during childhood impacts health outcomes in young adulthood.
This study analyzed data from the Future of Families and Child Wellbeing Study (2024), a longitudinal birth cohort study of children born in 1998-2000. Childhood food insecurity trajectory groups from age 3 to 15 years were identified using group-based trajectory modeling. Associations between childhood food insecurity trajectory groups and young adult weight (BMI, overweight status, and obese status) and high self-reported health (very good/excellent) at age 22 were modeled with multivariate linear and logistic regression.
Three trajectories were identified among 4,296 participants: 66.9% were food secure, 7.5% were food insecure, and 25.6% transitioned from being food insecure-to-secure throughout childhood. In adjusted analyses, young adults assigned to the food insecure-to-secure trajectory group as children had higher BMI (B=0.82, 95% CI=0.07, 1.58) and higher odds of overweight status (OR= 1.24, 95% CI=1.01, 1.52) than young adults assigned to the food secure trajectory group as children. Young adults in the food insecure trajectory group as children had lower odds of high self-reported health than those in the food secure trajectory group as children (OR=0.65, 95% CI=0.48, 0.89).
Food insecurity in childhood is associated with high weight status and poor self-reported health in young adulthood. These findings highlight the importance of childhood food insecurity screening and interventions to promote health throughout the life course.
研究表明，儿童时期的粮食不安全与儿童期较差的身心健康有关。然而，关于儿童时期的粮食不安全如何影响青年期的健康结果，人们知之甚少。
本研究分析了“家庭与儿童福祉未来研究”（2024年）的数据，这是一项对1998 - 2000年出生儿童的纵向出生队列研究。使用基于群体的轨迹模型确定了3至15岁儿童时期的粮食不安全轨迹组。通过多变量线性和逻辑回归模型，对儿童时期的粮食不安全轨迹组与22岁时青年的体重（体重指数、超重状态和肥胖状态）以及自我报告的高健康水平（非常好/优秀）之间的关联进行了建模。
在4296名参与者中确定了三种轨迹：66.9%的人粮食安全，7.5%的人粮食不安全，25.6%的人在整个童年时期从粮食不安全转变为粮食安全。在调整分析中，儿童时期被分配到从粮食不安全转变为粮食安全轨迹组的青年，其体重指数（B = 0.82，95%置信区间 = 0.07，1.58）高于儿童时期被分配到粮食安全轨迹组的青年，超重状态的几率也更高（比值比 = 1.24，95%置信区间 = 1.01，1.52）。儿童时期处于粮食不安全轨迹组的青年，自我报告高健康水平的几率低于儿童时期处于粮食安全轨迹组的青年（比值比 = 0.65，95%置信区间 = 0.48，0.89）。
儿童时期的粮食不安全与青年期的高体重状态和自我报告的健康状况不佳有关。这些发现凸显了儿童时期粮食不安全筛查和干预对于促进一生健康的重要性。
