Pathways by Which Food Insecurity Is Associated With Atherosclerotic Cardiovascular Disease Risk

Background Food insecurity (FI) has been associated with an increased atherosclerotic cardiovascular disease (ASCVD) risk; however, the pathways by which FI leads to worse cardiovascular health are unknown. We tested the hypothesis that FI is associated with ASCVD risk through nutritional/anthropome...

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Veröffentlicht in:	Journal of the American Heart Association 2021-11, Vol.10 (22), p.e021901
Hauptverfasser:	Palakshappa, Deepak, Ip, Edward H, Berkowitz, Seth A, Bertoni, Alain G, Foley, Kristie L, Miller, Jr, David P, Vitolins, Mara Z, Rosenthal, Gary E
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Atherosclerosis - diagnosis Atherosclerosis - epidemiology atherosclerotic cardiovascular disease Cardiovascular Diseases - diagnosis Cardiovascular Diseases - epidemiology Cross-Sectional Studies Food Insecurity Food Supply Humans Middle Aged Nutrition Surveys Original Research Risk Factors social determinants of health
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Zusammenfassung:	Background Food insecurity (FI) has been associated with an increased atherosclerotic cardiovascular disease (ASCVD) risk; however, the pathways by which FI leads to worse cardiovascular health are unknown. We tested the hypothesis that FI is associated with ASCVD risk through nutritional/anthropometric (eg, worse diet quality and increased weight), psychological/mental health (eg, increased depressive symptoms and risk of substance abuse), and access to care pathways. Methods and Results We conducted a cross-sectional study of adults (aged 40-79 years) using the 2007 to 2016 National Health and Nutrition Examination Survey. Our primary exposure was household FI, and our outcome was 10-year ASCVD risk categorized as low (
ISSN:	2047-9980 2047-9980
DOI:	10.1161/JAHA.121.021901