Energy and nutrient supply according to food insecurity severity among Mexican households

Studies from Latin America have shown that food insecurity reduces dietary diversity. However, dietary diversity measures do not account for the energy and nutrient supply in households. The objective of our study was to know whether there are differences in food, energy and nutrients supplies in Mexican households according to their food insecurity level. We analyzed the database of the National Household Income and Expenditure Survey performed in Mexico in 2014. The modified Latin-American and Caribbean Food Security Scale was used to determine the existence of household food security or insecurity. Participants registered foods and beverages available at their homes during the previous week. The supply of energy and nutrients was estimated using Mexican and American food composition references. Mexican food secure households had greater supply of healthy (e.g., fresh fruits and vegetables, fish and seafood, and fresh meats) and unhealthy (e.g., processed meats, fries, sugar-sweetened beverages, desserts, and alcoholic beverages) foods. By contrast, food insecure households rely on cheap staple food (e.g. maize, rice, pulses, eggs, and sugar). There was a linear relationship between the energy density and severity of food insecurity. Households with mild and moderate food insecurity had greater total energy supplies than households with food security and severe food insecurity. Food insecure households had greater supplies of carbohydrates, cholesterol, iron, and magnesium, but lower supplies of protein, fat, vitamin C, vitamin A, potassium, calcium, and sodium. Most of the results suggest that food insecure households are exposed mostly to negative aspects of the nutrition transition because they have greater access to energy and lower availability of some micronutrients.