Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Current Diabetes Reports
Published in: Current Diabetes Reports 9/2016

01-09-2016 | Obesity (J McCaffery, Section Editor)

Food Insecurity and Diabetes in Developed Societies

Authors: Utibe R. Essien, Naysha N. Shahid, Seth A. Berkowitz

Published in: Current Diabetes Reports | Issue 9/2016

Login to get access

Abstract

Food insecurity is an important issue in public health even in developed societies, particularly for vulnerable populations. Food insecurity refers to the uncertain or limited access to adequate and safe foods. Emerging evidence shows an association between food insecurity, type 2 diabetes risk factors, and management of type 1 and type 2 diabetes. A review of the current literature describing the association between food insecurity and diabetes reveals possible mechanisms and pathophysiologic pathways. There is less evidence for effective interventions, and much of the current literature is limited to cross-sectional studies. Future work should evaluate longitudinal associations and ways to help vulnerable patients with diabetes access adequate food for effective diabetes management.
Literature
1.
Seligman HK, Bindman AB, Vittinghoff E, Kanaya AM, Kushel MB. Food insecurity is associated with diabetes mellitus: results from the National Health Examination and Nutrition Examination Survey (NHANES) 1999–2002. J Gen Intern Med. 2007;22(7):1018–23.CrossRefPubMedPubMedCentral
2.
Seligman HK, Laraia BA, Kushel MB. Food insecurity is associated with chronic disease among low-income NHANES participants. J Nutr. 2010;140(2):304–10.CrossRefPubMedPubMedCentral
3.
Seligman HK, Jacobs EA, Lopez A, Tschann J, Fernandez A. Food insecurity and glycemic control among low-income patients with type 2 diabetes. Diabetes Care. 2012;35(2):233–8.CrossRefPubMedPubMedCentral
4.
Berkowitz SA, Baggett TP, Wexler DJ, Huskey KW, Wee CC. Food insecurity and metabolic control among U.S. adults with diabetes. Diabetes Care. 2013;36(10):3093–9.CrossRefPubMedPubMedCentral
5.
6.
Sattler EL, Lee JS, Bhargava V. Food insecurity and medication adherence in low-income older Medicare beneficiaries with type 2 diabetes. J Nutr Gerontol Geriatr. 2014;33(4):401–17.CrossRefPubMed
7.
Coleman-Jensen AG C, Singh A. Household food security in the United States in 2014. 2015.
8.
United States Department of Agriculture. Food security in the U.S.: survey tools. 2015.
9.
Depa J, Hilzendegen C, Tinnemann P, Stroebele-Benschop N. IAn explorative cross-sectional study examining self-reported health and nutritional status of disadvantaged people using food banks in Germany. Int J Equity Health. 2015;14(1):141.CrossRefPubMedPubMedCentral
10.
11.
Service UER. Nearly one-third of SNAP recipients obtain food from a food pantry. 2014.
12.
Alley DE, Asomugha CN, Conway PH, Sanghavi DM. Accountable health communities—addressing social needs through Medicare and Medicaid. N Engl J Med. 2016;374(1):8–11.CrossRefPubMed
13.
Seligman HK, Schillinger D. Hunger and socioeconomic disparities in chronic disease. N Engl J Med. 2010;363(1):6–9.CrossRefPubMed
14.
Lyles CR, Seligman HK, Parker MM, Moffet HH, Adler N, Schillinger D, et al. Financial strain and medication adherence among diabetes patients in an integrated health care delivery system: the diabetes study of Northern California (DISTANCE). Health Serv Res. 2015;51:610–24.CrossRefPubMed
15.
Morales ME. Berkowitz SA. Dietary Patterns, and Obesity. Current Nutrition Reports: The relationship between food insecurity; 2016.
16.
Bruening M, MacLehose R, Loth K, Story M, Neumark-Sztainer D. Feeding a family in a recession: food insecurity among Minnesota parents. Am J Public Health. 2012;102(3):520–6.CrossRefPubMedPubMedCentral
17.
Dinour LM, Bergen D, Yeh MC. The food insecurity-obesity paradox: a review of the literature and the role food stamps may play. J Am Diet Assoc. 2007;107(11):1952–61.CrossRefPubMed
18.
Seligman HK, Davis TC, Schillinger D, Wolf MS. Food insecurity is associated with hypoglycemia and poor diabetes self-management in a low-income sample with diabetes. J Health Care Poor Underserved. 2010;21(4):1227–33.PubMedPubMedCentral
19.
20.
Sirotin N, Hoover DR, Shi Q, Anastos K, Weiser SD. Food insecurity with hunger is associated with obesity among HIV-infected and at risk women in Bronx, NY. PLoS One. 2014;9(8):e105957.CrossRefPubMedPubMedCentral
21.
Mohammadi F, Omidvar N, Harrison GG, Ghazi-Tabatabaei M, Abdollahi M, Houshiar-Rad A, et al. Is household food insecurity associated with overweight/obesity in women? Iran J Public Health. 2013;42(4):380–90.PubMedPubMedCentral
22.
Cheung HC, Shen A, Oo S, Tilahun H, Cohen MJ, Berkowitz SA. Food insecurity and body mass index: a longitudinal mixed methods study, Chelsea, Massachusetts, 2009–2013. Prev Chronic Dis. 2015;12:E125.PubMed
23.
Burns C, Bentley R, Thornton L, Kavanagh A. Associations between the purchase of healthy and fast foods and restrictions to food access: a cross-sectional study in Melbourne, Australia. Public Health Nutr. 2015;18(1):143–50.CrossRefPubMed
24.
Esser N, Legrand-Poels S, Piette J, Scheen AJ, Paquot N. Inflammation as a link between obesity, metabolic syndrome and type 2 diabetes. Diabetes Res Clin Pract. 2014;105(2):141–50.CrossRefPubMed
25.
Fronczyk A, Moleda P, Safranow K, Piechota W, Majkowska L. Increased concentration of C-reactive protein in obese patients with type 2 diabetes is associated with obesity and presence of diabetes but not with macrovascular and microvascular complications or glycemic control. Inflammation. 2014;37(2):349–57.CrossRefPubMed
26.
Hernandez-Aguilera A, Rull A, Rodriguez-Gallego E, Riera-Borrull M, Luciano-Mateo F, Camps J, et al. Mitochondrial dysfunction: a basic mechanism in inflammation-related non-communicable diseases and therapeutic opportunities. Mediators Inflamm. 2013;2013:135698.CrossRefPubMedPubMedCentral
27.••
Gowda C, Hadley C, Aiello AE. The association between food insecurity and inflammation in the US adult population. Am J Public Health. 2012;102(8):1579–86. One of the only studies describing inflammations as a potential mechanism for the relationship between food insecurity and inflammation. CrossRefPubMedPubMedCentral
28.
Despres JP. Intra-abdominal obesity: an untreated risk factor for type 2 diabetes and cardiovascular disease. J Endocrinol Invest. 2006;29(3 Suppl):77–82.PubMed
29.
Sahakyan KR, Somers VK, Rodriguez-Escudero JP, Hodge DO, Carter RE, Sochor O, et al. Normal-weight central obesity: implications for total and cardiovascular mortality. Ann Intern Med. 2015;163(11):827–35.CrossRefPubMed
30.
Willows N, Veugelers P, Raine K, Kuhle S. Associations between household food insecurity and health outcomes in the Aboriginal population (excluding reserves). Health Rep. 2011;22(2):15–20.PubMed
31.
Shariff ZM, Sulaiman N, Jalil RA, Yen WC, Yaw YH, Taib MN, et al. Food insecurity and the metabolic syndrome among women from low income communities in Malaysia. Asia Pac J Clin Nutr. 2014;23(1):138–47.PubMed
32.
Kimani-Murage EW, Kahn K, Pettifor JM, Tollman SM, Klipstein-Grobusch K, Norris SA. Predictors of adolescent weight status and central obesity in rural South Africa. Public Health Nutr. 2011;14(6):1114–22.CrossRefPubMedPubMedCentral
33.
Rezazadeh A, Omidvar N, Eini-Zinab H, Ghazi-Tabatabaie M, Majdzadeh R, Ghavamzadeh S, et al. Food insecurity, socio-economic factors and weight status in two Iranian ethnic groups. Ethn Health. 2015:1–18.
34.
Weigel MM, Armijos RX, Hall YP, Ramirez Y, Orozco R. The household food insecurity and health outcomes of U.S.-Mexico border migrant and seasonal farmworkers. J Immigr Minor Health. 2007;9(3):157–69.CrossRefPubMed
35.
Parker ED, Widome R, Nettleton JA, Pereira MA. Food security and metabolic syndrome in U.S. adults and adolescents: findings from the National Health and Nutrition Examination Survey, 1999–2006. Ann Epidemiol. 2010;20(5):364–70.CrossRefPubMed
36.
Liu J, Park YM, Berkowitz SA, Hu Q, Han K, Ortaglia A, et al. Gender differences in the association between food insecurity and insulin resistance among U.S. adults: National Health and Nutrition Examination Survey, 2005–2010. Ann Epidemiol. 2015;25(9):643–8.CrossRefPubMed
37.••
Holben DH, Taylor CA. Food insecurity and its association with central obesity and other markers of metabolic syndrome among persons aged 12 to 18 years in the United States. J Am Osteopath Assoc. 2015;115(9):536–43. One of the only studies describing the relationship between central adiposity and food insecurity as potential mechanisms for the development of metabolic syndrome. CrossRefPubMed
38.••
Ding M, Wilson NL, Garza KB, Zizza CA. Undiagnosed prediabetes among food insecure adults. Am J Health Behav. 2014;38(2):225–33. Key examination of food insecurity and prediabetes. CrossRefPubMed
39.
James C, Bullard KM, Rolka DB, Geiss LS, Williams DE, Cowie CC, et al. Implications of alternative definitions of prediabetes for prevalence in U.S. adults. Diabetes Care. 2011;34(2):387–91.CrossRefPubMedPubMedCentral
40.
Ardisson Korat AV, Willett WC, Hu FB. Diet, lifestyle, and genetic risk factors for type 2 diabetes: a review from the Nurses’ Health Study, Nurses’ Health Study 2, and Health Professionals’ follow-up study. Curr Nutr Rep. 2014;3(4):345–54.CrossRefPubMedPubMedCentral
41.
Berkowitz SA, Gao X, Tucker KL. Food-insecure dietary patterns are associated with poor longitudinal glycemic control in diabetes: results from the Boston Puerto Rican Health study. Diabetes Care. 2014;37(9):2587–92.CrossRefPubMedPubMedCentral
42.
Heerman WJ, Wallston KA, Osborn CY, Bian A, Schlundt DG, Barto SD, et al. Food insecurity is associated with diabetes self-care behaviours and glycaemic control. Diabet Med. 2015.
43.•
Wang EA, McGinnis KA, Goulet J, Bryant K, Gibert C, Leaf DA, et al. Food insecurity and health: data from the Veterans Aging Cohort Study. Public Health Rep. 2015;130(3):261–8. This study describes the impact of food insecurity on a number of different health outcomes including diabetes in the veteran population. PubMedPubMedCentral
44.
Mayer VL, McDonough K, Seligman H, Mitra N, Long JA. Food insecurity, coping strategies and glucose control in low-income patients with diabetes. Public Health Nutr. 2015:1–9.
45.
Berkowitz SA, Meigs JB, DeWalt D, Seligman HK, Barnard LS, Bright OJ, et al. Material need insecurities, control of diabetes mellitus, and use of health care resources: results of the Measuring Economic Insecurity in Diabetes study. JAMA Intern Med. 2015;175(2):257–65.CrossRefPubMedPubMedCentral
46.
Lyles CR, Wolf MS, Schillinger D, Davis TC, Dewalt D, Dahlke AR, et al. Food insecurity in relation to changes in hemoglobin A1c, self-efficacy, and fruit/vegetable intake during a diabetes educational intervention. Diabetes Care. 2013;36(6):1448–53.CrossRefPubMedPubMedCentral
47.
Moreno G, Morales LS, Isiordia M, de Jaimes FN, Tseng CH, Noguera C, et al. Latinos with diabetes and food insecurity in an agricultural community. Med Care. 2015;53(5):423–9.CrossRefPubMedPubMedCentral
48.
Berkowitz SA, Seligman HK, Choudhry NK. Treat or eat: food insecurity, cost-related medication underuse, and unmet needs. Am J Med. 2014;127(4):303–10e3.CrossRefPubMed
49.
Knight CK, Probst JC, Liese AD, Sercye E, Jones SJ. Household food insecurity and medication “scrimping” among US adults with diabetes. Prev Med. 2016;83:41–5.CrossRefPubMed
50.
Anderson RJ, Freedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes: a meta-analysis. Diabetes Care. 2001;24(6):1069–78.CrossRefPubMed
51.
Berge LI, Riise T. Comorbidity between type 2 diabetes and depression in the adult population: directions of the association and its possible pathophysiological mechanisms. Int J Endocrinol. 2015;2015:164760.CrossRefPubMedPubMedCentral
52.
Berge LI, Riise T, Tell GS, Iversen MM, Ostbye T, Lund A, et al. Depression in persons with diabetes by age and antidiabetic treatment: a cross-sectional analysis with data from the Hordaland Health Study. PLoS One. 2015;10(5):e0127161.CrossRefPubMedPubMedCentral
53.
Bajor LA, Gunzler D, Einstadter D, Thomas C, McCormick R, Perzynski AT, et al. Associations between comorbid anxiety, diabetes control, and overall medical burden in patients with serious mental illness and diabetes. Int J Psychiatry Med. 2015;49(4):309–20.CrossRefPubMedPubMedCentral
54.
Gonzalez JS, Shreck E, Psaros C, Safren SA. Distress and type 2 diabetes-treatment adherence: a mediating role for perceived control. Health Psychol. 2015;34(5):505–13.CrossRefPubMed
55.
Becerra BJ, Sis-Medina RC, Reyes A, Becerra MB. Association between food insecurity and serious psychological distress among Hispanic adults living in poverty. Prev Chronic Dis. 2015;12:E206.PubMedPubMedCentral
56.•
Silverman J, Krieger J, Kiefer M, Hebert P, Robinson J, Nelson K. The relationship between food insecurity and depression, diabetes distress and medication adherence among low-income patients with poorly-controlled diabetes. J Gen Intern Med. 2015;30(10):1476–80. This study provides a link between diabetes, food insecurity and mental health, particularly depression. CrossRefPubMed
57.
Kollannoor-Samuel G, Vega-Lopez S, Chhabra J, Segura-Perez S, Damio G, Perez-Escamilla R. Food insecurity and low self-efficacy are associated with health care access barriers among Puerto-Ricans with type 2 diabetes. J Immigr Minor Health. 2012;14(4):552–62.CrossRefPubMedPubMedCentral
58.
Gucciardi E, Vahabi M, Norris N, Del Monte JP, Farnum C. The intersection between food insecurity and diabetes: a review. Curr Nutr Rep. 2014;3(4):324–32.CrossRefPubMedPubMedCentral
59.
Seligman HK, Jacobs EA, Lopez A, Sarkar U, Tschann J, Fernandez A. Food insecurity and hypoglycemia among safety net patients with diabetes. Arch Intern Med. 2011;171(13):1204–6.CrossRefPubMedPubMedCentral
60.
Berkowitz SA, Aragon K, Hines J, Seligman H, Lee S, Sarkar U. Do clinical standards for diabetes care address excess risk for hypoglycemia in vulnerable patients? A systematic review. Health Serv Res. 2013;48(4):1299–310.CrossRefPubMedPubMedCentral
61.
Chan J, DeMelo M, Gingras J, Gucciardi E. Challenges of diabetes self-management in adults affected by food insecurity in a large Urban Centre of Ontario, Canada. Int J Endocrinol. 2015;2015:903468.CrossRefPubMedPubMedCentral
62.
Seligman HK, Bolger AF, Guzman D, Lopez A, Bibbins-Domingo K. Exhaustion of food budgets at month’s end and hospital admissions for hypoglycemia. Health Aff (Millwood). 2014;33(1):116–23.CrossRef
63.
Barnard LS, Wexler DJ, DeWalt D, Berkowitz SA. Material need support interventions for diabetes prevention and control: a systematic review. Curr Diab Rep. 2015;15(2):574.CrossRefPubMed
64.
Gao J, Wang J, Zheng P, Haardorfer R, Kegler MC, Zhu Y, et al. Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Fam Pract. 2013;14:66.CrossRefPubMedPubMedCentral
65.
66.
Sonik RA. Massachusetts inpatient medicaid cost response to increased supplemental nutrition assistance program benefits. Am J Public Health. 2016;106(3):443–8.CrossRefPubMedPubMedCentral
67.••
Seligman HK, Lyles C, Marshall MB, Prendergast K, Smith MC, Headings A, et al. A pilot food bank intervention featuring diabetes-appropriate food improved glycemic control among clients in three states. Health Aff (Millwood). 2015;34(11):1956–63. This study is the first known study to describe a food pantry intervention to improve diabetes outcomes. CrossRef
68.•
Goddu AP, Roberson TS, Raffel KE, Chin MH, Peek ME. Food Rx: a community-university partnership to prescribe healthy eating on the South Side of Chicago. J Prev Interv Community. 2015;43(2):148–62. This study describes a novel intervention to impact diabetes care in low socioeconomic populations. CrossRefPubMedPubMedCentral
69.
Basu S, Seligman HK, Gardner C, Bhattacharya J. Ending SNAP subsidies for sugar-sweetened beverages could reduce obesity and type 2 diabetes. Health Aff (Millwood). 2014;33(6):1032–9.CrossRef
70.
Professional practice committee for the standards of medical care in diabetes—2016. Diabetes Care. 2016;39 Suppl 1:S107-8.
71.
Promoting food security for all children. Pediatrics. 2015;136(5):e1431-8.
72.
Hager ER, Quigg AM, Black MM, Coleman SM, Heeren T, Rose-Jacobs R, et al. Development and validity of a 2-item screen to identify families at risk for food insecurity. Pediatrics. 2010;126(1):e26–32.CrossRefPubMed
73.
Ellwood M, Downer S, Leib EB, Greenwald R, Farthing-Nichol D, Luk E, et al. Opportunities in public and private health care for supporting nutritional counseling and medically tailored, home-delivered meals. Cambridge, UK: Harvard University; 2014.
Metadata
Title
Food Insecurity and Diabetes in Developed Societies
Authors
Utibe R. Essien
Naysha N. Shahid
Seth A. Berkowitz
Publication date
01-09-2016
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 9/2016
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-016-0774-y

Other articles of this Issue 9/2016

Current Diabetes Reports 9/2016 Go to the issue

Treatment of Type 1 Diabetes (M Pietropaolo, Section Editor)

Management of Hypoglycemia in Children and Adolescents with Type 1 Diabetes Mellitus

Microvascular Complications—Neuropathy (R Pop-Busui, Section Editor)

Is Stem Cell Transplantation Ready for Prime Time in Diabetic Polyneuropathy?

Diabetes Epidemiology (NM Maruthur, Section Editor)

Should There be Concern About Autoimmune Diabetes in Adults? Current Evidence and Controversies

Psychosocial Aspects (S Jaser and KK Hood, Section Editors)

Physical Activity in Youth With Type 1 Diabetes: a Review

Health Care Delivery Systems and Implementation in Diabetes (EB Morton-Eggleston and ME McDonnell, Section Editors)

Effectiveness of Non-Primary Care-Based Smoking Cessation Interventions for Adults with Diabetes: A Systematic Literature Review

Economics and Policy in Diabetes (ES Huang and A Baig, Section Editors)

Diabetes Prevention Interventions in Latin American Countries: a Scoping Review
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits