Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating
Abstract Objective: To examine: (1) cross-sectional and longitudinal associations between measures of food insecurity (FI; household status and youth-reported) and intuitive eating (IE) from adolescence to emerging adulthood; and (2) the association between FI persistence and IE in emerging adulth...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2023-07-01
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| Series: | Public Health Nutrition |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S1368980023000460/type/journal_article |
| _version_ | 1797741977107693568 |
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| author | C Blair Burnette Vivienne M Hazzard Nicole Larson Samantha L Hahn Marla E Eisenberg Dianne Neumark-Sztainer |
| author_facet | C Blair Burnette Vivienne M Hazzard Nicole Larson Samantha L Hahn Marla E Eisenberg Dianne Neumark-Sztainer |
| author_sort | C Blair Burnette |
| collection | DOAJ |
| description |
Abstract
Objective:
To examine: (1) cross-sectional and longitudinal associations between measures of food insecurity (FI; household status and youth-reported) and intuitive eating (IE) from adolescence to emerging adulthood; and (2) the association between FI persistence and IE in emerging adulthood.
Design:
Longitudinal population-based study. Young people reported IE and FI (two items from the US Household Food Security Module) in adolescence and emerging adulthood. Parents provided data on household FI via the six-item US Household Food Security Module in adolescence.
Setting:
Adolescents (M
age = 14·3 ± 2 years) and their parents, recruited from Minneapolis/St. Paul public schools in 2009–2010 and again in 2017–2018 as emerging adults (M
age = 22·1 ± 2 years).
Participants:
The analytic sample (n 1372; 53·1 % female, 46·9 % male) was diverse across race/ethnicity (19·8 % Asian, 28·5 % Black, 16·6 % Latinx, 14·7 % Multiracial/Other and 19·9 % White) and socio-economic status (58·6 % low/lower middle, 16·8 % middle and 21·0 % upper middle/high).
Results:
In cross-sectional analyses, youth-reported FI was associated with lower IE during adolescence (P = 0·02) and emerging adulthood (P < 0·001). Longitudinally, household FI, but not adolescent experience of FI, was associated with lower IE in emerging adulthood (P = 0·01). Those who remained food-insecure (P = 0·05) or became food-insecure (P = 0·02) had lower IE in emerging adulthood than those remaining food-secure. All effect sizes were small.
Conclusions:
Results suggest FI may exert immediate and potentially lasting impacts on IE. As evidence suggests IE is an adaptive approach conferring benefits beyond eating, it would be valuable for interventions to address social and structural barriers that could impede IE.
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| first_indexed | 2024-03-12T14:34:24Z |
| format | Article |
| id | doaj.art-9089b0e3016247cd9fda82484478510f |
| institution | Directory Open Access Journal |
| issn | 1368-9800 1475-2727 |
| language | English |
| last_indexed | 2024-03-12T14:34:24Z |
| publishDate | 2023-07-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Public Health Nutrition |
| spelling | doaj.art-9089b0e3016247cd9fda82484478510f2023-08-17T10:00:57ZengCambridge University PressPublic Health Nutrition1368-98001475-27272023-07-01261358136710.1017/S1368980023000460Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eatingC Blair Burnette0https://orcid.org/0000-0002-5003-5856Vivienne M Hazzard1Nicole Larson2Samantha L Hahn3Marla E Eisenberg4Dianne Neumark-Sztainer5Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USADivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USADivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USADivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA Central Michigan University College of Medicine, Mt. Pleasant, MI, USADivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USADivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA Abstract Objective: To examine: (1) cross-sectional and longitudinal associations between measures of food insecurity (FI; household status and youth-reported) and intuitive eating (IE) from adolescence to emerging adulthood; and (2) the association between FI persistence and IE in emerging adulthood. Design: Longitudinal population-based study. Young people reported IE and FI (two items from the US Household Food Security Module) in adolescence and emerging adulthood. Parents provided data on household FI via the six-item US Household Food Security Module in adolescence. Setting: Adolescents (M age = 14·3 ± 2 years) and their parents, recruited from Minneapolis/St. Paul public schools in 2009–2010 and again in 2017–2018 as emerging adults (M age = 22·1 ± 2 years). Participants: The analytic sample (n 1372; 53·1 % female, 46·9 % male) was diverse across race/ethnicity (19·8 % Asian, 28·5 % Black, 16·6 % Latinx, 14·7 % Multiracial/Other and 19·9 % White) and socio-economic status (58·6 % low/lower middle, 16·8 % middle and 21·0 % upper middle/high). Results: In cross-sectional analyses, youth-reported FI was associated with lower IE during adolescence (P = 0·02) and emerging adulthood (P < 0·001). Longitudinally, household FI, but not adolescent experience of FI, was associated with lower IE in emerging adulthood (P = 0·01). Those who remained food-insecure (P = 0·05) or became food-insecure (P = 0·02) had lower IE in emerging adulthood than those remaining food-secure. All effect sizes were small. Conclusions: Results suggest FI may exert immediate and potentially lasting impacts on IE. As evidence suggests IE is an adaptive approach conferring benefits beyond eating, it would be valuable for interventions to address social and structural barriers that could impede IE. https://www.cambridge.org/core/product/identifier/S1368980023000460/type/journal_articleIntuitive eatingFood insecurityAdolescenceEmerging adulthoodHealth equity |
| spellingShingle | C Blair Burnette Vivienne M Hazzard Nicole Larson Samantha L Hahn Marla E Eisenberg Dianne Neumark-Sztainer Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating Public Health Nutrition Intuitive eating Food insecurity Adolescence Emerging adulthood Health equity |
| title | Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating |
| title_full | Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating |
| title_fullStr | Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating |
| title_full_unstemmed | Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating |
| title_short | Is intuitive eating a privileged approach? Cross-sectional and longitudinal associations between food insecurity and intuitive eating |
| title_sort | is intuitive eating a privileged approach cross sectional and longitudinal associations between food insecurity and intuitive eating |
| topic | Intuitive eating Food insecurity Adolescence Emerging adulthood Health equity |
| url | https://www.cambridge.org/core/product/identifier/S1368980023000460/type/journal_article |
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