Food insecurity, food choices, and body mass index in adults: nutrition transition in Trinidad and Tobago
Open Access
- 1 August 2003
- journal article
- research article
- Published by Oxford University Press (OUP) in International Journal of Epidemiology
- Vol. 32 (4), 508-516
- https://doi.org/10.1093/ije/dyg100
Abstract
Background This study evaluated whether food insecurity and obesity were associated in a population sample in Trinidad. Methods A sample was drawn of 15 clusters of households, in north central Trinidad. Resident adults were enumerated. A questionnaire was administered including the short form Household Food Security Scale (HFSS). Heights and weights were measured. Analyses were adjusted for age, sex, and ethnic group. Results Data were analysed for 531/631 (84%) of eligible respondents including 241 men and 290 women with a mean age of 47 (range 24–89) years. Overall, 134 (25%) of subjects were classified as food insecure. Food insecurity was associated with lower household incomes and physical disability. Food insecure subjects were less likely to eat fruit (food insecure 40%, food secure 55%; adjusted odds ratio [OR] = 0.60, 95% CI: 0.36–0.99, P = 0.045) or green vegetables or salads (food insecure 28%, food secure 51%; adjusted OR = 0.46, 95% CI: 0.27–0.79, P = 0.005) on ≥5–6 days per week. Body mass index (BMI) was available for 467 (74%) subjects of whom 41 (9%) had BMI 2, 157 (34%) had BMI 25–29 kg/m2, and 120 (26%) had BMI ≥30 kg/m2. Underweight (OR = 3.21, 95% CI: 1.17–8.81) was associated with food insecurity, but obesity was not (OR = 1.08, 95% CI: 0.55–2.12). Conclusions Food insecurity was frequent at all levels of BMI and was associated with lower consumption of fruit and vegetables. Food insecurity was associated with underweight but not with present obesity.Keywords
This publication has 28 references indexed in Scilit:
- Free school meals and children's social and nutritional status in Trinidad and TobagoPublic Health Nutrition, 2002
- An overview on the nutrition transition and its health implications: the Bellagio meetingPublic Health Nutrition, 2002
- Low Family Income and Food Insufficiency in Relation to Overweight in US ChildrenArchives of Pediatrics & Adolescent Medicine, 2001
- Obesity and undernutrition in a very-low-income population in the city of Maceió, northeastern BrazilBritish Journal of Nutrition, 2001
- The effectiveness of a short form of the Household Food Security Scale.American Journal of Public Health, 1999
- Food insufficiency exists in the United States: results from the third National Health and Nutrition Examination Survey (NHANES III).American Journal of Public Health, 1998
- Relationship of Hunger and Food Insecurity to Food Availability and ConsumptionJournal of the American Dietetic Association, 1996
- Physical Activity and Stroke Incidence in Women and Men: The NHANES I Epidemiologic Follow-up StudyAmerican Journal of Epidemiology, 1996
- Distribution of Anthropometric Variables and the Prevalence of Obesity in Populations of West African Origin: The International Collaborative Study on Hypertension in Blacks (ICSHIB)Obesity Research, 1995
- Socioeconomic status and obesity: A review of the literature.Psychological Bulletin, 1989