Early childhood hunger in minneapolis impact on growth obesity nutritional status and development
Download
1 / 22

Early Childhood Hunger in Minneapolis: Impact on Growth, Obesity, Nutritional Status and Development - PowerPoint PPT Presentation


  • 149 Views
  • Uploaded on

Early Childhood Hunger in Minneapolis: Impact on Growth, Obesity, Nutritional Status and Development. Diana Becker Cutts, MD Joni Geppert, MPH, RD, LN Office of Pediatric Research and Advocacy Hennepin County Medical Center. Definition of Hunger.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Early Childhood Hunger in Minneapolis: Impact on Growth, Obesity, Nutritional Status and Development' - wheeler


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Early childhood hunger in minneapolis impact on growth obesity nutritional status and development l.jpg

Early Childhood Hunger in Minneapolis: Impact on Growth, Obesity, Nutritional Status and Development

Diana Becker Cutts, MD

Joni Geppert, MPH, RD, LN

Office of Pediatric Research and Advocacy

Hennepin County Medical Center


Definition of hunger l.jpg
Definition of Hunger Obesity, Nutritional Status and Development

Hunger is defined as the uneasy or painful sensation caused by a recurrent or involuntary lack of food and is a potential, although not necessary, consequence of food insecurity.


Definition of food insecurity l.jpg
Definition of Food Insecurity Obesity, Nutritional Status and Development

  • Food Insecurity: Occurs whenever the availability of nutritionally adequate and safe food or the ability to acquire acceptable foods in socially acceptable ways is limited or uncertain.

  • Child Food Insecurity: Occurs when households with children also reduce the quality and/or quantity of children’s food intake because they lack sufficient food or money to buy food.


Food insecurity measures l.jpg
Food Insecurity Measures Obesity, Nutritional Status and Development

  • Community Childhood Hunger Identification Project (C-CHIP)

  • Cornell Radimer Scale

  • USDA Food Security Measurement


Usda scale screen one l.jpg
USDA Scale Screen One Obesity, Nutritional Status and Development

  • We worried whether our food would run out before we got money to buy more.

  • The food we bought just didn’t last and we didn’t have money to get more.

  • We couldn’t afford to eat balanced meals.

  • We relied on only a few kinds of low cost food to feed our children because we were running out of money to buy food.**

  • We couldn’t feed our children a balanced meal because we couldn’t afford that.**


Usda scale screen 2 l.jpg
USDA Scale Screen 2 Obesity, Nutritional Status and Development

  • Our children were not eating enough because we just couldn’t afford enough food.**

  • Since last year did you or other adults in your household ever cut the size of your meals or skip meals because there wasn’t enough money for food? 2a. How often did this happen?

  • Eat less than you felt you should because there wasn’t enough money to buy food?

  • Lose weight because you didn’t have enough money for food? How often did this happen?

  • Did adults not eat for a whole day? 5a. How often did this happen?


Usda scale stage 3 child food insecurity l.jpg
USDA Scale Stage 3 (Child Food Insecurity) Obesity, Nutritional Status and Development

  • The next questions are about children living in the household who are under 18 years old.

  • Since last year did you ever cut the size of your child’s meals because there wasn’t enough money for food?**

  • Child ever skip meals because there wasn’t enough money for food? 2b. How often did this happen?**

  • Child ever hungry because you couldn't afford more food.**

  • Child ever not eat for a whole day because there wasn’t enough money for food.**


Food insecurity scoring l.jpg
Food Insecurity Scoring Obesity, Nutritional Status and Development


Prevalence of household food insecurity l.jpg
Prevalence of Household Food Insecurity Obesity, Nutritional Status and Development


Children s sentinel nutrition assessment program c snap l.jpg
Children’s Sentinel Nutrition Assessment Program (C-SNAP) Obesity, Nutritional Status and Development

  • National, multi-site study to measure hunger and malnutrition in children under three years of age starting September 1998 through present.

  • Over 15,000 families surveyed in English, Spanish and Somali (Minneapolis only) in ambulatory pediatric clinics and emergency department settings in Minneapolis, Little Rock, Boston, D.C., Los Angeles and Baltimore


C snap goal l.jpg
C-SNAP Goal Obesity, Nutritional Status and Development

  • To provide information based on clinical research findings to help federal and state policy makers, physicians, service providers and others make informed decisions regarding welfare reform policies and social welfare programs that affect low-income families and young children.


Food insecurity in national csnap sample l.jpg
Food Insecurity in Obesity, Nutritional Status and DevelopmentNational CSNAP Sample


Unadjusted food insecurity trends in hcmc families with young children by year of study l.jpg
Unadjusted Food Insecurity Trends in Obesity, Nutritional Status and DevelopmentHCMC Families with Young Children by Year of Study


Unadjusted childhood hunger trends in hcmc families with young children by year of study l.jpg
Unadjusted Childhood Hunger Trends in Obesity, Nutritional Status and DevelopmentHCMC Families with Young Children by Year of Study


Tanf sanctions and food insecurity for national sample l.jpg
TANF Sanctions and Food Insecurity for National Sample Obesity, Nutritional Status and Development


Food stamp sanctions and food insecurity in national sample l.jpg
Food Stamp Sanctions and Food Insecurity in National Sample Obesity, Nutritional Status and Development


Caregiver report measures unadjusted by covariates aug 1998 dec 2000 2 718 families at six sites l.jpg
Caregiver-Report Measures Obesity, Nutritional Status and Development(Unadjusted by covariates)Aug 1998 - Dec 2000; 2,718 families at six sites

p = .05


Caregivers of infants who receive wic l.jpg
Caregivers of Infants Who Receive WIC Obesity, Nutritional Status and Development

  • Food Security (covariate controls)

    1.4 times more likely to live in food secure households

    • AOR=1.42, 95% CI, 1.01,2.00, p = .04


Slide19 l.jpg

Number of Places Lived in Last Year Obesity, Nutritional Status and Development

Aug 1998 - Dec 2000; 2,718 families at six sites


Housing instability l.jpg
Housing Instability Obesity, Nutritional Status and Development

  • Temporary Living Situation

  • Moved more than 3 times in last year


Slide21 l.jpg

# places lived in last yr. Obesity, Nutritional Status and Development>3 places 1-2 places 95% CI p-valueOutcomes OR OR OR

Food Insecurity 1.92 1.00 (1.50, 2.47) <.0001

Effect of Housing Instability on

Food Insecurity

Aug 1998 - Dec 2000; 2,718 families at six sites


Factors associated with early childhood hunger l.jpg
Factors Associated with Early Childhood Hunger Obesity, Nutritional Status and Development

  • Homelessness, Frequent Moves, Crowding

  • US Born Child, Latina Mom

  • Children of Color

  • Mothers Marital Status

  • Mothers Education

  • Employment

  • Child’s age

  • Changes in TANF or Food Stamp Program Benefits


ad