NSP: Food Insecurity and Risk for Malnutrition (2018)
In the pediatric population (in the US), what is the association between food insecurity and risk of malnutrition related to under- or over-nutrition (defined by anthropometrics)?
The preponderance of evidence suggests no association between food insecurity status and underweight.
There are mixed findings regarding the association between food insecurity status and overweight or obesity status, due to heterogeneity in how exposures and outcomes were measured and reported, though large, well-designed cross-sectional studies suggest a potential positive relationship between food insecurity and overweight or obesity status.
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
Evidence Summary: In the pediatric population (in the US), what is the association between food insecurity and risk of malnutrition related to under- or over-nutrition (defined by anthropometrics)?
- Quality Rating Summary
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- Kral TVE, Chittams J, Moore RH. Relationship between food insecurity, child weight status, and parent-reported child eating and snacking behaviors. J Spec Pediatr Nurs. 2017; 22:
- Martin K, Ferris A.. Food insecurity and gender are risk factors for obesity. Journal of Nutrition Education and Behavior 2007; 39:31-36
- Matheson DM, Varady J, Varady A, Killen JD.. Household food security and nutritional status of Hispanic children in the fifth grade. The American Journal of Clinical Nutrition. 2002; 76:210-217.
- Melgar-Quiñonez H, Kaiser L. Relationship of child-feeding practices to overweight in low-income Mexican-American preschool-aged children. Journal of the American Dietetic Association. 2004; 104:1,110-1,119.
- Nguyen BT, Ford CN, Yaroch AL, Shuval K, Drope J.. Food security and weight status in children: interactions with food assistance programs. American Journal of Preventive Medicine. 2017; 52:S138-S144.
- Papas M, Trabulsi J, Dahl A, Dominick G. Food Insecurity Increases the Odds of Obesity Among Young Hispanic Children. Journal of Immigrant and Minority Health. 2016; 18:1,046-1,052.
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- Shanafelt A, Hearst M, Wang Q, Nanney M. Food Insecurity and Rural Adolescent Personal Health, Home, and Academic Environments. The Journal of School Health. 2016; 86:472-480
- Sharkey J, Nalty C, Johnson C, Dean W. Children's very low food security is associated with increased dietary intakes in energy, fat, and added sugar among Mexican-origin children (6-11 y) in Texas border Colonias. BMC Pediatrics. 2012; 12:16
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- Whitaker RC, Orzol SM.. Obesity among US urban preschool children: relationships to race, ethnicity, and socioeconomic status. Archives of Pediatrics and Adolescent Medicine. 2006; 160:578-584.
Search Plan and Results: NSP: Food Insecurity and Malnutrition Risk 2017