Household food insecurity is associated with abdominal but not general obesity among Iranian childrenReportar como inadecuado

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BMC Public Health

, 17:350

Energy balance-related behaviors


BackgroundChildhood obesity is increasing all over the world. Food insecurity is mentioned as a possible risk factor; however, previous studies have led to inconsistent results in different societies while data are lacking for the Middle East. We aimed to investigate the relationship between food insecurity and general or abdominal obesity in Iranian children in a cross-sectional study.

MethodsAnthropometric data including height, weight, and waist circumference were measured by trained nutritionists. General and abdominal obesity were defined based on world health organization WHO and Iranian reference curves for age and gender, respectively. Radimer-Cornell food security questionnaire was filled by parents. Data about the physical activity of participants, family socio-economic status, parental obesity and data about perinatal period were also gathered using self-administered questionnaires. Logistic regression was incorporated to investigate the association between food insecurity and obesity in crude and multi-variable adjusted models.

ResultsA total of 587 children aged 9.30 ± 1.49 years had complete data for analysis. Food insecurity at household level was significantly associated with abdominal obesity odds ratio OR = 1.54; confidence interval CI:1.01–2.34, p <0.05 and the relationship remained significant after adjusting for all potential confounding variables OR = 2.02; CI:1.01–4.03, p <0.05. Food insecurity was associated with general obesity neither in crude analysis and multi-variable adjusted models.

ConclusionsThe slight levels of food insecurity might increase the likelihood of abdominal obesity in Iranian children and macroeconomic policies to improve the food security are necessary. Large-scale prospective studies, particularly in the Middle East, are highly recommended to confirm our results.

KeywordsFood security Abdominal obesity General obesity Children Radimer-Cornell questionnaire 

Autor: Fateme Jafari - Simin Ehsani - Azadeh Nadjarzadeh - Ahmad Esmaillzadeh - Mahmood Noori-Shadkam - Amin Salehi-Abargouei


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