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Food Insecurity and Eating Pathology in Adolescents

Author

Listed:
  • Brittany H. Kim

    (New York State Psychiatric Institute, New York, NY 10032, USA)

  • Lisa Ranzenhofer

    (New York State Psychiatric Institute, New York, NY 10032, USA
    Department of Psychiatry, Columbia University Irving Medical Center, New York, NY 10032, USA)

  • Jill Stadterman

    (Department of Psychology, Fordham University, Bronx, NY 10458, USA)

  • Yvette G. Karvay

    (Department of Psychology, Fordham University, Bronx, NY 10458, USA)

  • Natasha L. Burke

    (Department of Psychology, Fordham University, Bronx, NY 10458, USA)

Abstract

Adolescence is a critical period for the emergence of eating disorders, and food insecurity may be related to eating pathology and weight, as evidenced in adults. However, little is known about food insecurity and eating pathology during this developmental period, and associations between food insecurity and body mass index (BMI) are mixed. Therefore, we examined associations between food insecurity and BMI percentile, self-reported eating-related pathology and binge eating, and subgroup differences by race/ethnicity. In a subset, we examined the relationship between food insecurity and real-world hunger, food craving, and loss-of-control eating using ecological momentary assessment (EMA). Fifty-eight adolescents at two sites (clinical sample, n = 38, BMI percentile ≥ 70th; community sample, n = 20, all BMI strata) completed self-report questionnaires. Adolescents were 15.2 ± 2.1 years old, 62% female, 50% Black, 34.5% Hispanic, with BMI percentile = 80.5 ± 25.8 (range 4–99). In the full sample, food insecurity was associated with greater BMI ( p < 0.01), higher shape/weight overvaluation ( p = 0.04), and greater number of binge eating episodes among those reporting at least one binge episode ( p < 0.01), with significant relationships for BMI percentile, shape/weight overvaluation, body dissatisfaction, and binge episode frequency among Hispanic adolescents only (each p < 0.01). As in adults, food insecurity may be a risk factor for eating pathology, particularly for Hispanic teens.

Suggested Citation

  • Brittany H. Kim & Lisa Ranzenhofer & Jill Stadterman & Yvette G. Karvay & Natasha L. Burke, 2021. "Food Insecurity and Eating Pathology in Adolescents," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:9155-:d:625714
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    References listed on IDEAS

    as
    1. Coleman-Jensen, Alisha & Rabbitt, Matthew P. & Gregory, Christian A. & Singh, Anita, 2017. "Household Food Security in the United States in 2016," Economic Research Report 291968, United States Department of Agriculture, Economic Research Service.
    2. Bhattacharya, Jayanta & Currie, Janet & Haider, Steven, 2004. "Poverty, food insecurity, and nutritional outcomes in children and adults," Journal of Health Economics, Elsevier, vol. 23(4), pages 839-862, July.
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    1. Prince Yeboah & Dennis Bomansang Daliri & Ahmad Yaman Abdin & Emmanuel Appiah-Brempong & Werner Pitsch & Anto Berko Panyin & Emmanuel Bentil Asare Adusei & Afraa Razouk & Muhammad Jawad Nasim & Claus , 2021. "Knowledge into the Practice against COVID-19: A Cross-Sectional Study from Ghana," IJERPH, MDPI, vol. 18(24), pages 1-13, December.

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