The present study examined the relationship between food insecurity (FI) and loss of control eating (LOC) in adolescents treated for cardiometabolic conditions, and inter-connections among week-to-week variations in receipt of SNAP benefits, FI, and LOC. Forty-one adolescents presenting to cardiometabolic clinics completed validated surveys of FI and LOC. A subset of 20 adolescents experiencing FI completed 4 weekly e-surveys, over 1 month. Overall, 56% reported public assistance, 39% reported FI, and 37% reported LOC. FI related to greater LOC (β = 0.17, p < 0.01). Among those with FI, receipt of SNAP related to greater within-person FI within the same week (β = 0.60, p< 0.05) but not the following week (β = −0.48, p = 0.20). FI related to greater LOC in the same week (β = 0.17, p< 0.001) and in the following week (β = 0.20, p< 0.001). In adolescents treated for cardiometabolic conditions, FI is prevalent and related to greater LOC. SNAP benefits might dampen FI week-to-week, but the effect of FI on LOC and cardiometabolic health should be explored causally.
AbdurahmanABuleMFallahyektM, et al. (2021) Association of diet quality and food insecurity with metabolic syndrome in obese adults. International Journal of Preventive Medicine12(1): 138.
2.
AbdurahmanAAChakaEENedjatS, et al. (2019) The association of household food insecurity with the risk of type 2 diabetes mellitus in adults: A systematic review and meta-analysis. European Journal of Nutrition58(4): 1341–1350.
3.
Alfaro-HudakKMSchulkindLRacineEF, et al. (2022) SNAP and cardiometabolic risk in youth. Nutrients14(13): 2756.
4.
AndersonSA (1990) Core indicators of nutritional state for difficult-to-sample populations. Journal of Nutrition120 Suppl11: 1559–1600.
5.
BachaFChengPGalRL, et al. (2021) Racial and ethnic disparities in comorbidities in youth with type 2 diabetes in the Pediatric Diabetes Consortium (PDC). Diabetes Care44(10): 2245–2251.
6.
BaumanVSanchezNRepkeHE, et al. (2023) Loss of control eating in relation to blood pressure among adolescent girls with elevated anxiety at-risk for excess weight gain. Eating Behaviors50: 101773.
7.
BejaranoCMCushingCC (2018) Dietary motivation and hedonic hunger predict palatable food consumption: An intensive longitudinal study of adolescents. Annals of Behavioral Medicine52(9): 773–786.
8.
BejaranoCMHesseDRCushingCC (2023) Hedonic appetite, affect, and loss of control eating: Macrotemporal and microtemporal associations in adolescents. Journal of Pediatric Psychology48(5): 448–457.
9.
BidopiaTCarboAVRossRA, et al. (2023) Food insecurity and disordered eating behaviors in children and adolescents: A systematic review. Eating Behaviors49: 101731.
10.
BowenSElliottSHardison-MoodyA (2021) The structural roots of food insecurity: How racism is a fundamental cause of food insecurity. Sociology Compass15(7): e12846.
11.
BurnetteCBHazzardVMLarsonN, et al. (2023) Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating. Public Health Nutrition26(7): 1358–1367.
12.
ConnellCLNordMLoftonKL, et al. (2004) Food security of older children can be assessed using a standardized survey instrument. Journal of Nutrition134(10): 2566–2572.
EndersCKDuHKellerBT (2020) A model-based imputation procedure for multilevel regression models with random coefficients, interaction effects, and nonlinear terms. Psychological Methods25(1): 88–112.
15.
EndersCKHayesTDuH (2018) A comparison of multilevel imputation schemes for random coefficient models: Fully conditional specification and joint model imputation with random covariance matrices. Multivariate Behavioral Research53(5): 695–713.
16.
Food and Nutrition Service (2024) Percentage of Participating SNAP Households with Children (FY 2020). United States Department of Agriculture. Available at: https://www.fns.usda.gov/SNAP-State-characteristics/2020 (accessed 4 November 2024).
17.
FranklinBJonesALoveD, et al. (2012) Exploring mediators of food insecurity and obesity: A review of recent literature. Journal of Community Health37: 253–264.
18.
Gassman-PinesABellowsLCopelandWE, et al. (2023) Day-to-day variation in adolescent food insecurity. Children and Youth Services Review149: 106954.
19.
Gassman-PinesASchenck-FontaineA (2019) Daily food insufficiency and worry among economically disadvantaged families with young children. Journal of Marriage and Family81(5): 1269–1284.
20.
GoldschmidtABJonesMManwaringJL, et al. (2008) The clinical significance of loss of control over eating in overweight adolescents. International Journal of Eating Disorders41(2): 153–158.
21.
GoldschmidtABMasonTBSmithKE, et al. (2022) Typology of eating episodes in children and adolescents with overweight/obesity. Eating Behaviors44: 101596.
22.
HazzardVMHooperLLarsonN, et al. (2022) Associations between severe food insecurity and disordered eating behaviors from adolescence to young adulthood: Findings from a 10-year longitudinal study. Preventive Medicine154: 106895.
23.
HazzardVMLothKACrosbyRD, et al. (2023) Relative food abundance predicts greater binge-eating symptoms in subsequent hours among young adults experiencing food insecurity: Support for the “feast-or-famine” cycle hypothesis from an ecological momentary assessment study. Appetite180: 106316.
24.
HazzardVMLothKAHooperL, et al. (2020) Food insecurity and eating disorders: A review of emerging evidence. Current Psychiatry Reports22(12): 74.
25.
HeJCaiZFanX (2017) Prevalence of binge and loss of control eating among children and adolescents with overweight and obesity: An exploratory meta-analysis. International Journal of Eating Disorders50(2): 91–103.
26.
HerbozoSBrownKLBurkeNL, et al. (2023) A call to reconceptualize obesity treatment in service of health equity: Review of evidence and future directions. Current Obesity Reports12(1): 24–35.
27.
KakaeiHNourmoradiHBakhtiyariS, et al. (2022) Effect of COVID-19 on food security, hunger, and food crisis. In: COVID-19 and the Sustainable Development Goals. Amsterdam, The Netherlands: Elsevier, pp.3–39.
28.
KimBHRanzenhoferLStadtermanJ, et al. (2021) Food insecurity and eating pathology in adolescents. International Journal of Environmental Research and Public Health18(17): 9155.
29.
Kunin-BatsonASHaapalaJCrainAL, et al. (2024) Cumulative environmental stress and emerging cardiometabolic risk during childhood. Pediatric Obesity19(6): e13116.
30.
LatnerJDMondJMKellyMC, et al. (2014) The loss of control over eating scale: Development and psychometric evaluation. International Journal of Eating Disorders47(6): 647–659.
31.
LeungCWTesterJMRimmEB, et al. (2017) SNAP participation and diet-sensitive cardiometabolic risk factors in adolescents. American Journal of Preventive Medicine52(2S2): S127–S137.
32.
LeySLZellerMHReiter-PurtillJ, et al. (2021) Unhealthy eating, psychopathology, and nonalcoholic fatty liver disease in youth presenting for bariatric surgery. Journal of Pediatric Gastroenterology and Nutrition73(6): 670–676.
33.
LivingsMSBruinedeBruinWWilsonJP, et al. (2023) Food insecurity is under-reported in surveys that ask about the past year. American Journal of Preventive Medicine65(4): 657–666.
34.
MalikFSLieseADReboussinBA, et al. (2023) Prevalence and predictors of household food insecurity and supplemental nutrition assistance program use in youth and young adults with diabetes: The SEARCH for diabetes in youth study. Diabetes Care46(2): 278–285.
35.
NipASYReboussinBADabeleaD, et al. (2019) Disordered eating behaviors in youth and young adults with type 1 or type 2 diabetes receiving insulin therapy: The SEARCH for diabetes in youth study. Diabetes Care42(5): 859–866.
36.
Ohio Department of Education & Workforce (2023) Implementation and effectiveness for school year 2023-2024. Report for the Ohio School Breakfast Program, Ohio Department of Education, December.
37.
OrkinSZhaoXSetchellKDR, et al. (2024) Food insecurity and pediatric nonalcoholic fatty liver disease severity. Journal of Pediatric265: 113818.
38.
PaikJMDuongSZelber-SagiS, et al. (2024) Food insecurity, low household income, and low education level increase the risk of having metabolic dysfunction-associated fatty liver disease among adolescents in the United States. American Journal of Gastroenterology119(6): 1089–1101.
39.
PerumpailBJManikatRWijarnpreechaK, et al. (2024) The prevalence and predictors of metabolic dysfunction-associated steatotic liver disease and fibrosis/cirrhosis among adolescents/young adults. Journal of Pediatric Gastroenterology and Nutrition79(1): 110–118.
40.
RabbittMPReed-JonesMHalesLJ, et al. (2024) Household food security in the United States in 2023. Report for the Economic Research Service, U.S. Department of Agriculture. Report no. ERR-337, September.
41.
RadinRMTanofsky-KraffMShomakerLB, et al. (2015) Metabolic characteristics of youth with loss of control eating. Eating Behaviors19: 86–89.
42.
ReidLAMendozaJAMerchantAT, et al. (2022) Household food insecurity is associated with diabetic ketoacidosis but not severe hypoglycemia or glycemic control in youth and young adults with youth-onset type 2 diabetes. Pediatric Diabetes23(7): 982–990.
43.
RodgersRFBerryRFrankoDL (2018) Eating disorders in ethnic minorities: An update. Current Psychiatry Reports20(10): 90.
44.
RohdePSticeEMartiCN (2015) Development and predictive effects of eating disorder risk factors during adolescence: Implications for prevention efforts. International Journal of Eating Disorders48(2): 187–198.
45.
ShankLMTanofsky-KraffMRadinRM, et al. (2018) Remission of loss of control eating and changes in components of the metabolic syndrome. International Journal of Eating Disorders51(6): 565–573.
46.
StojekMMKTanofsky-KraffMShomakerLB, et al. (2017) Associations of adolescent emotional and loss of control eating with 1-year changes in disordered eating, weight, and adiposity. International Journal of Eating Disorders50(5): 551–560.
47.
TaiDBGShahADoubeniCA, et al. (2021) The disproportionate impact of COVID-19 on racial and ethnic minorities in the United States. Clinical Infectious Diseases72(4): 703–706.
48.
Tanofsky-KraffMMcDuffieJRYanovskiSZ, et al. (2009a) Laboratory assessment of the food intake of children and adolescents with loss of control eating. American Journal of Clinical Nutrition89(3): 738–745.
49.
Tanofsky-KraffMShomakerLBOlsenC, et al. (2011) A prospective study of pediatric loss of control eating and psychological outcomes. Journal of Abnormal Psychology120(1): 108–118.
50.
Tanofsky-KraffMYanovskiSZSchveyNA, et al. (2009b) A prospective study of loss of control eating for body weight gain in children at high risk for adult obesity. International Journal of Eating Disorders42(1): 26–30.
51.
ThomasMKLammertLJBeverlyEA (2021) Food insecurity and its impact on body weight, type 2 diabetes, cardiovascular disease, and mental health. Current Cardiovascular Risk Reports15(9): 15.
52.
VannucciAOhannessianCM (2018) Psychometric properties of the brief loss of control over eating scale (LOCES-B) in early adolescents. International Journal of Eating Disorders51(5): 459–464.
53.
WilfleyDBerkowitzRGoebel-FabbriA, et al. (2011) Binge eating, mood, and quality of life in youth with type 2 diabetes: Baseline data from the TODAY study. Diabetes Care34(4): 858–860.
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