{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"submitter":["Saelee R"],"funding":["Intramural CDC HHS"],"pagination":["785-793"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10922609"],"repository":["biostudies-literature"],"omics_type":["Unknown"],"volume":["154(2)"],"pubmed_abstract":["<h4>Background</h4>Household food insecurity has been linked to adverse health outcomes, but the pathways driving these associations are not well understood. The stress experienced by those in food-insecure households and having to prioritize between food and other essential needs could lead to physiologic dysregulations [i.e., allostatic load (AL)] and, as a result, adversely impact their health.<h4>Objective</h4>To assess the association between household food security status and AL and differences by gender, race and ethnicity, and Supplemental Nutrition Assistance Program (SNAP) participation.<h4>Methods</h4>We used data from 7640 United States adults in the 2015-2016 and 2017-March 2020 National Health and Nutrition Examination Survey to estimate means and prevalence ratios (PR) for AL scores (based on cardiovascular, metabolic, and immune biomarkers) associated with self-reported household food security status from multivariable linear and logistic regression models.<h4>Results</h4>Adults in marginally food-secure [mean = 3.09, standard error (SE) = 0.10] and food-insecure households (mean = 3.05; SE = 0.08) had higher mean AL than those in food-secure households (mean = 2.70; SE = 0.05). Compared with adults in food-secure households in the same category, those more likely to have an elevated AL included: SNAP participants [PR = 1.12; 95% confidence interval (CI):  1.03, 1.22] and Hispanic women (PR = 1.20; 95% CI: 1.05, 1.37) in marginally food-secure households; and non-Hispanic Black women (PR = 1.14; 95% CI: 1.03, 1.26), men (PR = 1.13; 95% CI: 1.02, 1.26), and non-SNAP non-Hispanic White adults (PR = 1.22; 95% CI: 1.08, 1.39) in food-insecure households.<h4>Conclusions</h4>AL may be one pathway by which household food insecurity affects health and may vary by gender, race and ethnicity, and SNAP participation."],"journal":["The Journal of nutrition"],"pubmed_title":["Household Food Security Status and Allostatic Load among United States Adults: National Health and Nutrition Examination Survey 2015-2020."],"pmcid":["PMC10922609"],"funding_grant_id":["CC999999"],"pubmed_authors":["Alexander DS","Imperatore G","Bullard KM","Onufrak S","Saelee R"],"additional_accession":[]},"is_claimable":false,"name":"Household Food Security Status and Allostatic Load among United States Adults: National Health and Nutrition Examination Survey 2015-2020.","description":"<h4>Background</h4>Household food insecurity has been linked to adverse health outcomes, but the pathways driving these associations are not well understood. The stress experienced by those in food-insecure households and having to prioritize between food and other essential needs could lead to physiologic dysregulations [i.e., allostatic load (AL)] and, as a result, adversely impact their health.<h4>Objective</h4>To assess the association between household food security status and AL and differences by gender, race and ethnicity, and Supplemental Nutrition Assistance Program (SNAP) participation.<h4>Methods</h4>We used data from 7640 United States adults in the 2015-2016 and 2017-March 2020 National Health and Nutrition Examination Survey to estimate means and prevalence ratios (PR) for AL scores (based on cardiovascular, metabolic, and immune biomarkers) associated with self-reported household food security status from multivariable linear and logistic regression models.<h4>Results</h4>Adults in marginally food-secure [mean = 3.09, standard error (SE) = 0.10] and food-insecure households (mean = 3.05; SE = 0.08) had higher mean AL than those in food-secure households (mean = 2.70; SE = 0.05). Compared with adults in food-secure households in the same category, those more likely to have an elevated AL included: SNAP participants [PR = 1.12; 95% confidence interval (CI):  1.03, 1.22] and Hispanic women (PR = 1.20; 95% CI: 1.05, 1.37) in marginally food-secure households; and non-Hispanic Black women (PR = 1.14; 95% CI: 1.03, 1.26), men (PR = 1.13; 95% CI: 1.02, 1.26), and non-SNAP non-Hispanic White adults (PR = 1.22; 95% CI: 1.08, 1.39) in food-insecure households.<h4>Conclusions</h4>AL may be one pathway by which household food insecurity affects health and may vary by gender, race and ethnicity, and SNAP participation.","dates":{"release":"2024-01-01T00:00:00Z","publication":"2024 Feb","modification":"2025-04-05T10:18:45.391Z","creation":"2025-04-05T10:18:45.391Z"},"accession":"S-EPMC10922609","cross_references":{"pubmed":["38158187"],"doi":["10.1016/j.tjnut.2023.12.041"]}}