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Lohse B, Nguyen B, Drees BM, Bailey-Davis L, Masters KS, Nicklas JM, Daniels BT, Ruder EH, Trabold N. Examination of eating competence in a geo-diverse sample with metabolic syndrome. Appetite 2024; 199:107373. [PMID: 38677621 DOI: 10.1016/j.appet.2024.107373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 04/21/2024] [Accepted: 04/22/2024] [Indexed: 04/29/2024]
Abstract
Eating competence (EatC) is an intra-individual approach to eating attitudes and behaviors associated with greater well-being. EatC research has not included persons with confirmed metabolic syndrome (MetS). Therefore, EatC of persons with MetS was explored to identify unique associations and inform implementation of MetS lifestyle interventions using baseline data from a multisite, randomized trial of a 2-year lifestyle intervention with MetS. EatC, measured with the Satter Eating Competence Inventory 2.0 (ecSI 2.0™), was examined for relationships with bioclinical measures (e.g., blood pressure, lipids), medication use, BMI, waist circumference, fruit/vegetable intake, and psychosocial factors, (e.g., stress, mindfulness). Data were collected in person and video call by trained research personnel. EatC was examined as a continuous score and as a categorical variable with ecSI 2.0™ scores ≥ 32 considered eating competent. Participants (n = 618) were predominantly female (76%), White (74%), college educated (60%). Mean age was 55.5 ± 11 y. Mean ecSI 2.0™ was 29.9 ± 7.4 and 42% were eating competent. EatC was greater for males, persons who were older and food secure. Competent eaters (vs. non-eating competent) had lower waist circumference (112.7 ± 12.5 cm vs.116.8 ± 16.0 cm; P < 0.001) and BMI (35.0 ± 6.1 vs. 37.5 ± 7.3; P < 0.001). Serum triglycerides, HDL-cholesterol, fasting blood glucose, HbA1c, and blood pressure did not differ by EatC status. Compared to non-eating competent persons, competent eaters perceived less stress, were more mindful, indicated better physical function, and more habitual vegetable intake (all P < 0.001) and sensory awareness (P < 0.05). EatC in MetS paralleled the non-MetS profile. EatC was associated with a healthier psychosocial profile, waist circumference and BMI. Findings support further research to examine the mediational or moderating influence of EatC in the treatment of MetS.
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Affiliation(s)
- Barbara Lohse
- Rochester Institute of Technology, 180 Lomb Memorial Drive, Rochester, NY, 14623, USA.
| | - Bong Nguyen
- University of Missouri-Kansas City School of Medicine, 2411 Holmes Street, Kansas City, MO, 64108, USA.
| | - Betty M Drees
- University of Missouri-Kansas City School of Medicine, 2411 Holmes Street, Kansas City, MO, 64108, USA.
| | - Lisa Bailey-Davis
- Geisinger Health System, 100 N Academy Avenue, Danville, PA, 17822, USA.
| | - Kevin S Masters
- University of Colorado Denver, 13001 E. 17th Place, Aurora, CO, 80045, USA.
| | - Jacinda M Nicklas
- University of Colorado Denver, 13001 E. 17th Place, Aurora, CO, 80045, USA.
| | - Bryce T Daniels
- Rush University Medical Center, 1700 W. Van Buren Street, Suite 470, Chicago, IL, 60612, USA.
| | - Elizabeth H Ruder
- Rochester Institute of Technology, 180 Lomb Memorial Drive, Rochester, NY, 14623, USA.
| | - Nicole Trabold
- Rochester Institute of Technology, 180 Lomb Memorial Drive, Rochester, NY, 14623, USA; Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY 13210, USA.
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Archuleta M, Haldeman L, Koch P, Reeder J, Martin SS, Shimizu R, Stage VC, Weatherspoon L. A Reflection on the Past for a More Inclusive Future. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2024; 56:417-418. [PMID: 38972706 DOI: 10.1016/j.jneb.2024.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/09/2024]
Affiliation(s)
- Martha Archuleta
- SNEB Past President, Professor, Nutrition, Dietetics & Food Sciences Department, Utah State University, Logan, UT
| | - Lauren Haldeman
- Editor-in-Chief, JNEB, Professor and Chair, Department of Nutrition, University of North Carolina at Greensboro
| | - Pamela Koch
- SNEB Past President, Mary Swartz Rose Associate Professor of Nutrition and Education, Teachers College, Columbia University, New York, NY
| | - Julie Reeder
- Senior Research Analyst, Oregon Health Authority, WIC Program, Associate Editor, JNEB
| | - Susan Stephenson Martin
- SNEB DEI Chair and Vice President Director, WIC NJMS Pediatrics-WIC Program, Rutgers University, Newark, NJ
| | - Rei Shimizu
- Assistant Professor, School of Social Work, University of Alaska Anchorage
| | - Virginia C Stage
- Assistant Professor, Nutrition Education & Behavior Specialist, Department of Agricultural and Human Sciences, North Carolina State University, NC State Extension
| | - Lorraine Weatherspoon
- Professor, Associate Chair and Director, Didactic Program in Dietetics, Department of Food Science and Human Nutrition, Michigan State University
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Kim D, Perumpail BJ, Cholankeril G, Ahmed A. Association between food insecurity and metabolic dysfunction-associated steatotic liver disease/significant fibrosis measured by fibroscan. Eur J Nutr 2024; 63:995-1001. [PMID: 38260997 DOI: 10.1007/s00394-024-03327-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Accepted: 01/12/2024] [Indexed: 01/24/2024]
Abstract
PURPOSE Studies evaluating food insecurity and metabolic dysfunction-associated steatotic liver disease (MASLD) and significant hepatic fibrosis are currently scarce. We evaluated the characteristics of food insecure individuals and whether food insecurity was associated with MASLD and significant hepatic fibrosis in the US population. METHODS In this cross-sectional study from the National Health and Nutrition Examination Survey 2017-2018, 3441 participants with complete data were enrolled. We defined MASLD and significant hepatic fibrosis (≥ F2) by transient elastography in the absence of other causes of liver disease. The detailed questionnaire assessed and categorized food security as high, marginal, low, and very low food security. RESULTS Food-insecure subjects were more likely to be female, younger, more impoverished, non-Hispanic blacks, Hispanics, and less likely to be educated, married, and physically active. Food insecurity increased the odds of the prevalence of MASLD by 42% (odds ratio [OR]: 1.42, 95% confidence interval [CI]: 1.12-1.78) after adjustment for demographic, lifestyle, and metabolic risk factors. The addition of diabetes and obesity did not change this association (OR: 1.36, 95% CI: 1.03-1.78). The multivariable model showed an independent relationship between food insecurity and significant hepatic fibrosis (OR: 1.40, 95% CI: 1.04-1.88) after adjustment for demographic, lifestyle, and metabolic risk factors, although the association was attenuated and changed insignificantly after adjustment for diabetes and obesity. CONCLUSIONS Food insecurity was associated with higher odds for MASLD. While there is a relationship between food insecurity and significant hepatic fibrosis, this relationship changed insignificantly after adjustment of diabetes and obesity.
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Affiliation(s)
- Donghee Kim
- Division of Gastroenterology and Hepatology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA, 94304, USA.
| | - Brandon J Perumpail
- Department of Pediatrics, St. Christopher's Hospital for Children, Philadelphia, PA, USA
| | - George Cholankeril
- Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA
- Liver Center, Division of Abdominal Transplantation, Michael E DeBakey Department of General Surgery, Baylor College of Medicine, Houston, TX, USA
| | - Aijaz Ahmed
- Division of Gastroenterology and Hepatology, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA, 94304, USA
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