Is Food Insecurity Associated with Elevated Glycosylated Hemoglobin among Adults Diagnosed with Type 2 Diabetes Mellitus in Malawi?

被引：0
作者：
Mphwanthe, Getrude [1 ]
Weatherspoon, Dave [2 ]
Bourquin, Leslie D. [3 ]
Kalimbira, Alexander [1 ]
Weatherspoon, Lorraine [3 ]
机构：
[1] Lilongwe Univ Agr & Nat Resources LUANAR, Fac Food & Human Sci, Dept Human Nutr & Hlth, Lilongwe, Malawi
[2] Michigan State Univ, Dept Agr Food & Resource Econ, E Lansing, MI 48824 USA
[3] Michigan State Univ, Dept Food Sci & Human Nutr, E Lansing, MI 48824 USA
来源：
JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION | 2024年 / 19卷 / 05期
关键词：
Food insecurity; glycosylated hemoglobin; Malawi; type 2 diabetes mellitus; LOW-INCOME PATIENTS; GLYCEMIC CONTROL; SELF-MANAGEMENT; URBAN; VEGETABLES; COMMUNITY; SECURITY; PATTERNS; INCREASE;
D O I：
10.1080/19320248.2022.2047861
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
This study assessed food insecurity and its associations with glycosylated hemoglobin (A1C) among adults diagnosed with type 2 diabetes mellitus (T2DM) in Malawi. A cross-sectional study (n = 428) was conducted in two government hospitals targeting adults with T2DM. Findings show that 40.4% were moderately-to-severely food insecure with a mean A1C of 9.7 +/- 2.8%. Food insecurity was positively associated with A1C (p = .011), and negatively with dietary diversity (p = .015). These findings suggest that individuals with T2DM are at greater risk for food insecurity juxtaposed with elevated A1C, which warrants focusing efforts on both sustainable food security programs and nutrition education in diabetes care in Malawi.
引用
收藏
页码：718 / 732
页数：15
相关论文
共 37 条
  • [1] Community and home gardens increase vegetable intake and food security of residents in San Jose, California
    Algert, Susan
    Diekmann, Lucy
    Renvall, Marian
    Gray, Leslie
    [J]. CALIFORNIA AGRICULTURE, 2016, 70 (02) : 77 - 82
  • [2] American Diabetes Association, 2018, Clin Diabetes, V36, P14, DOI 10.2337/cd17-0119
  • [3] [Anonymous], 2008, Guidelines for measuring household and individual dietary diversity
  • [4] Food insecurity is related to glycemic control deterioration in patients with type 2 diabetes
    Bawadi, Hiba Ahmad
    Ammari, Fawaz
    Abu-Jamous, Dima
    Khader, Yousef Saleh
    Bataineh, Safa'a
    Tayyem, Reema Fayez
    [J]. CLINICAL NUTRITION, 2012, 31 (02) : 250 - 254
  • [5] Food Insecurity, Food "Deserts," and Glycemic Control in Patients With Diabetes: A Longitudinal Analysis
    Berkowitz, Seth A.
    Karter, Andrew J.
    Corbie-Smith, Giselle
    Seligman, Hilary K.
    Ackroyd, Sarah A.
    Barnard, Lily S.
    Atlas, Steven J.
    Wexler, Deborah J.
    [J]. DIABETES CARE, 2018, 41 (06) : 1188 - 1195
  • [6] Food-Insecure Dietary Patterns Are Associated With Poor Longitudinal Glycemic Control in Diabetes: Results From the Boston Puerto Rican Health Study
    Berkowitz, Seth A.
    Gao, Xiang
    Tucker, Katherine L.
    [J]. DIABETES CARE, 2014, 37 (09) : 2587 - 2592
  • [7] Urban food insecurity in the context of high food prices: a community based cross sectional study in Addis Ababa, Ethiopia
    Birhane, Tesfay
    Shiferaw, Solomon
    Hagos, Seifu
    Mohindra, Katia Sarla
    [J]. BMC PUBLIC HEALTH, 2014, 14
  • [8] Food security status in households of people living with HIV/AIDS (PLWHA) in a Ugandan urban setting
    Bukusuba, John
    Kikafunda, Joyce K.
    Whitehead, Roger G.
    [J]. BRITISH JOURNAL OF NUTRITION, 2007, 98 (01) : 211 - 217
  • [9] Relationship between food insecurity and body composition in Ugandans living in Urban Kampala
    Chaput, Jean-Philippe
    Gilbert, Jo-Anne
    Tremblay, Angelo
    [J]. JOURNAL OF THE AMERICAN DIETETIC ASSOCIATION, 2007, 107 (11) : 1978 - 1982
  • [10] Prevalence of food insecurity in patients with diabetes in western Kenya
    Cheng, S.
    Kamano, J.
    Kirui, N. K.
    Manuthu, E.
    Buckwalter, V.
    Ouma, K.
    Pastakia, S. D.
    [J]. DIABETIC MEDICINE, 2013, 30 (06) : E215 - E222
1234