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Food insecurity and the metabolic syndrome among women from low income communities in Malaysia

This cross-sectional study examined the relationship between household food insecurity and the metabolic syndrome (MetS) among reproductive-aged women (n=625) in low income communities. The Radimer/Cornell Hunger and Food Insecurity instrument was utilized to assess food insecurity. Anthropometry, d...

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Main Authors: Mohd Shariff, Zalilah, Sulaiman, Norhasmah, Abdul Jalil, Rohana, Wong, Chee Yen, Yong, Heng Yaw, Mohd Taib, Mohd Nasir, Kandiah, Mirnalini, Khor, Geok Lin
Format: Article
Language:English
Published: HEC Press 2014
Online Access:http://psasir.upm.edu.my/id/eprint/37695/1/Food%20insecurity%20and%20the%20metabolic%20syndrome%20among%20women%20from%20low%20income%20communities%20in%20Malaysia.pdf
http://psasir.upm.edu.my/id/eprint/37695/
http://apjcn.nhri.org.tw/server/APJCN/23/1/index.php
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spelling my.upm.eprints.376952015-10-06T08:56:36Z http://psasir.upm.edu.my/id/eprint/37695/ Food insecurity and the metabolic syndrome among women from low income communities in Malaysia Mohd Shariff, Zalilah Sulaiman, Norhasmah Abdul Jalil, Rohana Wong, Chee Yen Yong, Heng Yaw Mohd Taib, Mohd Nasir Kandiah, Mirnalini Khor, Geok Lin This cross-sectional study examined the relationship between household food insecurity and the metabolic syndrome (MetS) among reproductive-aged women (n=625) in low income communities. The Radimer/Cornell Hunger and Food Insecurity instrument was utilized to assess food insecurity. Anthropometry, diet diversity, blood pressure and fasting venous blood for lipid and glucose profile were also obtained. MetS was defined as having at least 3 risk factors and is in accordance with the Harmonized criteria. The prevalence of food insecurity and MetS was 78.4% (household food insecure, 26.7%; individual food insecure, 25.3%; child hunger, 26.4%) and 25.6%, respectively. While more food secure than food insecure women had elevated glucose (food secure, 54.8% vs food insecure, 37.3-46.1%), total cholesterol (food secure, 54.1% vs food insecure, 32.1-40.7%) and LDL-cholesterol (food secure, 63.7% vs food insecure, 40.6-48.7%), the percentage of women with overweight/obesity, abdominal obesity, hypertension, high triglyceride, low HDL-cholesterol and MetS did not vary significantly by food insecurity status. However, after controlling for demographic and socioeconomic covariates, women in food insecure households were less likely to have MetS (individual food insecure and child hunger) (p<0.05), abdominal obesity (individual food insecure and child hunger) (p<0.01), elevated glucose (household food insecure), total cholesterol (child hunger) (p<0.05) and LDL-cholesterol (household food insecure and child hunger) (p<0.05) compared to food secure women. Efforts to improve food insecurity of low income households undergoing nutrition transition should address availability and accessibility to healthy food choices and nutrition education that could reduce the risk of diet-related chronic diseases. HEC Press 2014 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/37695/1/Food%20insecurity%20and%20the%20metabolic%20syndrome%20among%20women%20from%20low%20income%20communities%20in%20Malaysia.pdf Mohd Shariff, Zalilah and Sulaiman, Norhasmah and Abdul Jalil, Rohana and Wong, Chee Yen and Yong, Heng Yaw and Mohd Taib, Mohd Nasir and Kandiah, Mirnalini and Khor, Geok Lin (2014) Food insecurity and the metabolic syndrome among women from low income communities in Malaysia. Asia Pacific Journal of Clinical Nutrition, 23 (1). pp. 138-147. ISSN 0964-7058; ESSN: 1440-6047 http://apjcn.nhri.org.tw/server/APJCN/23/1/index.php 10.6133/apjcn.2014.23.1.05
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
description This cross-sectional study examined the relationship between household food insecurity and the metabolic syndrome (MetS) among reproductive-aged women (n=625) in low income communities. The Radimer/Cornell Hunger and Food Insecurity instrument was utilized to assess food insecurity. Anthropometry, diet diversity, blood pressure and fasting venous blood for lipid and glucose profile were also obtained. MetS was defined as having at least 3 risk factors and is in accordance with the Harmonized criteria. The prevalence of food insecurity and MetS was 78.4% (household food insecure, 26.7%; individual food insecure, 25.3%; child hunger, 26.4%) and 25.6%, respectively. While more food secure than food insecure women had elevated glucose (food secure, 54.8% vs food insecure, 37.3-46.1%), total cholesterol (food secure, 54.1% vs food insecure, 32.1-40.7%) and LDL-cholesterol (food secure, 63.7% vs food insecure, 40.6-48.7%), the percentage of women with overweight/obesity, abdominal obesity, hypertension, high triglyceride, low HDL-cholesterol and MetS did not vary significantly by food insecurity status. However, after controlling for demographic and socioeconomic covariates, women in food insecure households were less likely to have MetS (individual food insecure and child hunger) (p<0.05), abdominal obesity (individual food insecure and child hunger) (p<0.01), elevated glucose (household food insecure), total cholesterol (child hunger) (p<0.05) and LDL-cholesterol (household food insecure and child hunger) (p<0.05) compared to food secure women. Efforts to improve food insecurity of low income households undergoing nutrition transition should address availability and accessibility to healthy food choices and nutrition education that could reduce the risk of diet-related chronic diseases.
format Article
author Mohd Shariff, Zalilah
Sulaiman, Norhasmah
Abdul Jalil, Rohana
Wong, Chee Yen
Yong, Heng Yaw
Mohd Taib, Mohd Nasir
Kandiah, Mirnalini
Khor, Geok Lin
spellingShingle Mohd Shariff, Zalilah
Sulaiman, Norhasmah
Abdul Jalil, Rohana
Wong, Chee Yen
Yong, Heng Yaw
Mohd Taib, Mohd Nasir
Kandiah, Mirnalini
Khor, Geok Lin
Food insecurity and the metabolic syndrome among women from low income communities in Malaysia
author_facet Mohd Shariff, Zalilah
Sulaiman, Norhasmah
Abdul Jalil, Rohana
Wong, Chee Yen
Yong, Heng Yaw
Mohd Taib, Mohd Nasir
Kandiah, Mirnalini
Khor, Geok Lin
author_sort Mohd Shariff, Zalilah
title Food insecurity and the metabolic syndrome among women from low income communities in Malaysia
title_short Food insecurity and the metabolic syndrome among women from low income communities in Malaysia
title_full Food insecurity and the metabolic syndrome among women from low income communities in Malaysia
title_fullStr Food insecurity and the metabolic syndrome among women from low income communities in Malaysia
title_full_unstemmed Food insecurity and the metabolic syndrome among women from low income communities in Malaysia
title_sort food insecurity and the metabolic syndrome among women from low income communities in malaysia
publisher HEC Press
publishDate 2014
url http://psasir.upm.edu.my/id/eprint/37695/1/Food%20insecurity%20and%20the%20metabolic%20syndrome%20among%20women%20from%20low%20income%20communities%20in%20Malaysia.pdf
http://psasir.upm.edu.my/id/eprint/37695/
http://apjcn.nhri.org.tw/server/APJCN/23/1/index.php
_version_ 1643832046329528320
score 13.211869

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