NEK-Prosper-Home
Home 9 Beyond the Plate: Long-Term Health Consequences of Childhood Hunger

TERMS
RESEARCH AND REFERENCES
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  • Brooks, Jeanette, host, with Dr. Stephen Devries. “Food Insecurity and What Clinicians Can Do About It.” Medicine with a Fork Podcast, Gaples Institute Nutrition and Lifestyle Education. Published Online: November 11, 2021. edhub.ama-assn.org/gaples-institute-ed/audio-player/18641998?widget=personalizedcontent&previousarticle=0
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  • Cook JT, Frank DA, Berkowitz C, Black MM, Casey PH, Cutts DB, Meyers AF, Zaldivar N, Skalicky A, Levenson S, Heeren T, Nord M. Food insecurity is associated with adverse health outcomes among human infants and toddlers. J Nutr. 2004 Jun;134(6):1432-8. doi: 10.1093/jn/134.6.##. PMID: 15173408.
  • Cook JT, Frank DA, Levenson SM, Neault NB, Heeren TC, Black MM, Berkowitz C, Casey PH, Meyers AF, Cutts DB, Chilton M. Child food insecurity increases risks posed by household food insecurity to young children’s health. J Nutr. 2006 Apr;136(4):1073-6. doi: 10.1093/jn/136.4.1073. PMID: 16549481.
  • Dean EB, French MT, Mortensen K. Food insecurity, health care utilization, and health care expenditures. Health Serv Res. 2020;55(Suppl 2):883-893. doi:1111/1475-6773.13283
  • DePanfilis, D. (2018). Child Protective Services : a guide for caseworkers. Washington, D.C, U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, Children’s Bureau, Office on Child Abuse and Neglect.
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  • Dinour, L. M., Bergen, D., & Yeh, M. C. (2007). The food insecurity–obesity paradox: A review of the literature and the role food stamps may play. Journal of the American Dietetic Association, 107(11), 1952-1961. doi.org/10.1016/j.jada.2007.08.006
  • Drake VJ. Subpopulations at risk for micronutrient inadequacy or deficiency. Linus Pauling Institute, Oregon State University. Published March 2018. Accessed September 24, 2024. lpi.oregonstate.edu/mic/micronutrient-inadequacies/subpopulations-at-risk
  • Feeding America. (September 2024). Elevating Voices Insights Report: www.feedingamerica.org/sites/default/files/2024-09/FA_InsightReport_Digital_Final.pdf
  • Feeding America. Importance of Nutrition on Health in America  www.feedingamerica.org/hunger-in-america/impact-of-hunger/hunger-and-nutrition#:~:text=Food%20insecurity%20can%20lead%20to,have%20a%20member%20with%20diabetes. Accessed August 29, 2024.
  • Gallegos D, Eivers A, Sondergeld P, Pattinson C. Food Insecurity and Child Development: A State-of-the-Art Review. Int J Environ Res Public Health. 2021 Aug 26;18(17):8990. doi: 10.3390/ijerph18178990. PMID: 34501578; PMCID: PMC8431639. 
  • Gregory CA, Coleman-Jensen A. Food insecurity, chronic disease, and health among working-age adults (ERR-235). USDA Economic Research Service. Published July 2017. Accessed September 24, 2024. www.ers.usda.gov/publications/pub-details/?pubid=84466
  • Gundersen, C.; Ziliak, J.P. Food insecurity and health outcomes. Health Aff. 2015, 34, 1830–1839. 
  • Guyenet, Stephan. The Hungry Brain: Outsmarting the Instincts That Make Us Overeat. Flatiron Books, 2017.
  • Guyenet, Stephan. “Why Do We Overeat? A Neurobiological Perspective.” YouTube, 21 Feb 2014, www.youtube.com/watch?v=Mp2p4TdLn_8 
  • Hartline-Grafton, H., Hassink, S.G. (2021). Food Insecurity and Health: Practices and Policies to Address Food Insecurity among Children. Academic Pediatrics, Volume 21, Issue 2, 205 – 210
  • Hazzard, V. M., Loth, K. A., Hooper, L., & Becker, C. B. (2020). Food insecurity and eating disorders: A review of emerging evidence. Current psychiatry reports, 22, 1-9.
  • Holben, D. H., & Marshall, M. B. (2017). Position of the Academy of Nutrition and Dietetics: Food insecurity in the United States. Journal of the Academy of Nutrition and Dietetics, 117(12), 1991-2002. doi.org/10.1016/j.jand.2017.09.027
  • Hosfield, C. G. (2018). Food Insecurity and Obesity: Experience from an Academic Weight Management Clinic (Master’s thesis, University of Minnesota).
  • Jantz, Kathryn (HealthBegins), Bank, Amanda (Center for Health Care). October 2024 Brief: “Food for Thought: Medicaid Nutrition Benefit Design Approaches for Equitable Implementation.” www.chcs.org/media/Food-for-Thought-Medicaid-Nutrition-Benefit-Design-Approaches-for-Equitable-Implementation.pdf.   Accessed October 10, 2024.
  • Kardashian A, Dodge JL, Terrault NA. Food insecurity is associated with mortality among U.S. adults with nonalcoholic fatty liver disease and advanced fibrosis. Clin Gastroenterol Hepatol. 2022;20(12):2790-2799.e4. doi:1016/j.cgh.2021.11.029
  • Kirkpatrick, S. I., McIntyre, L., & Potestio, M. L. (2010). Child hunger and long-term adverse consequences for health. Archives of Pediatrics & Adolescent Medicine, 164(8), 754-762. doi.org/10.1001/archpediatrics.2010.117
  • Laraia BA. Food insecurity and chronic disease. Adv Nutr. 2013;4(2):203-212. doi:3945/an.112.003277 
  • Leung CW, Laraia BA, Feiner C, Solis K, Stewart AL, Adler NE, Epel ES. The Psychological Distress of Food Insecurity: A Qualitative Study of the Emotional Experiences of Parents and Their Coping Strategies. J Acad Nutr Diet. 2022 Oct;122(10):1903-1910.e2. doi: 10.1016/j.jand.2022.05.010. Epub 2022 May 13. PMID: 35577183.
  • Liu J. , Higgs S. (2019). Social Modeling of Food Intake: No Evidence for Moderation by Identification With the Norm Referent Group. Frontiers in Psychology, Volume 10 – 2019. doi.org/10.3389/fpsyg.2019.00159
  • Liu, Y., Eicher-Miller, H. A., Mason, A. M., & Mitchell, D. C. (2021). Food insecurity and cardiovascular risk factors among children and adolescents in the United States: NHANES 2003–2016. Journal of the American College of Cardiology, 77(18), 2182-2193. doi.org/10.1016/j.jacc.2021.03.293
  • Liu YZ, Wang YX, Jiang CL. Inflammation: The Common Pathway of Stress-Related Diseases. Front Hum Neurosci. 2017 Jun 20;11:316. doi: 10.3389/fnhum.2017.00316. PMID: 28676747; PMCID: PMC5476783.
  • McIntyre, L., Williams, J. V., Lavorato, D. H., & Patten, S. (2013). Depression and suicide ideation in late adolescence and early adulthood are an outcome of child hunger. Journal of Affective Disorders, 150(1), 123-129. doi.org/10.1016/j.jad.2012.11.029
  • Miller, A. L., Gearhardt, A. N., Retzloff, L., Sturza, J., Kaciroti, N., & Lumeng, J. C. (2018). Early childhood stress and child age predict longitudinal increases in obesogenic eating among low-income children. Academic Pediatrics, 18(6), 685-691.
  • Nagata JM, Palar K, Gooding HC, Garber AK, Bibbins-Domingo K, Weiser SD. Food insecurity and chronic disease in US young adults: findings from the National Longitudinal Study of Adolescent to Adult Health. J Gen Intern Med. 2019;34(12):2756-2762. doi:1007/s11606-019-05317-8
  • Naveed, H. (2022). “If I Wasn’t Poor, I Wouldn’t Be Unfit”: The Family Separation Crisis in the US Child Welfare System, American Civil Liberties Union (ACLU). www.hrw.org/sites/default/files/media_2022/11/us_crd1122web_3.pdf
  • No Kid Hungry. “Effects of Hunger on Children’s Development”. March 9, 2023. Accessed August 27, 2024. www.nokidhungry.org/blog/effects-of-hunger-on-the-body
  • Office of Disease Prevention and Health Promotion. Healthy People 2030: food insecurity. US Department of Health and Human Services. Accessed September 12, 2024. health.gov/healthypeople/priority-areas/social-determinants-health/literature-summaries/food-insecurity
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  • Pai S, Bahadur K. The impact of food insecurity on child health. Pediatr Clin North Am. 2020;67(2):387-396. doi:1016/j.pcl.2019.12.004 
  • Pickard, A., Farrow, C., Haycraft, E., Herle, M., Edwards, K., Llewellyn, C., Croker, H., Blissett, J. Associations between parent and child latent eating profiles and the role of parental feeding practices. Appetite, 2024; 201: 107589 DOI: 10.1016/j.appet.2024.107589
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BACKGROUND INFO AND RESOURCES

 

  • HRSA Health Center Program Bulletin – October 1, 2024

Dear Valued Colleague:

I am writing to inform you about important collaborative work to advance Food Is Medicine that is underway within the U.S. Department of Health and Human Services (HHS) in support of the National Strategy on Hunger, Nutrition, and Health.[i] Extensive research has demonstrated the link between nutrition and health, and it has become increasingly clear that diet quality affects risk for chronic diseases, such as cardiovascular disease, type 2 diabetes, obesity, liver disease, and some types of cancer.[ii] The risk is further exacerbated by food insecurity, especially among communities of color and those with low income.[iii] [iv] [v] Today, 60% of adults have one or more diet-related chronic-disease. This poses a major public health problem given that diet-related diseases are some of the leading causes of death and disability in the U.S.[vi] [vii] The burden of sub-optimal nutrition and food insecurity extends beyond physical health and is also associated with psychological distress and other mental health outcomes, including depression.[viii]

Food Is Medicine affirms the connection between diet and health and recognizes that access to high-quality nourishment is essential for individuals and communities to thrive. To date, there are a variety of Food Is Medicine models and the landscape, which includes health centers, is quickly evolving. Models may include medically tailored meals, medically supported groceries, produce prescriptions, and nutrition incentives along with education designed to facilitate behavior change such as group classes, supermarket tours, cooking classes, and/or medical nutrition therapy.

Multiple federal agencies worked together to develop the following resources (available on HHS’ Food Is Medicine website):

  • Foundational Understanding Tools: Key materials that provide support to understand policy and state data profiles related to Food Is Medicine opportunities.
  • Federal Food Is Medicine Resource Hub: Information on relevant federal policies, regulations, educational tools, and funding opportunities to support Food Is Medicine programs.
  • Promising Practices: Models and emerging practices for broad, scalable Food Is Medicine implementation, including within health centers.
  • Bright Spots: Case studies that are designed to provide actionable insights from innovators across the nation.
  • Provider Continuing Education Resources: Continuing education opportunities for health care professionals to advance their understanding of nutrition and application of Food Is Medicine.
  • Analytic Framework: Priority measurement domains and metrics to advance Food Is Medicine evaluation.

I encourage you to review these resources and consider opportunities to introduce or enhance Food Is Medicine in your own work.

Join Us

HHS will host a webinar for HRSA-supported health centers to introduce Food Is Medicine, the new resources, and opportunities to get involved:

Tuesday, November 5
1:30-3:00 p.m. ET
Registration page

Thank you for your dedication to enhancing the health of your communities and interest in learning new approaches, like Food Is Medicine, to improve your success.

Sincerely,

/s/ Jim Macrae
Associate Administrator
Bureau of Primary Health Care

/s/ Rear Admiral Paul Reed
Deputy Assistant Secretary for Health
Office of Disease Prevention and Health Promotion

Endnotes

[i] https://www.whitehouse.gov/wp-content/uploads/2022/09/White-House-National-Strategy-on-Hunger-Nutrition-and-Health-FINAL.pdf (PDF)

[ii] U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition

[iii] Leung CW, Kullgren JT, Malani PN, Singer DC, Kirch M, Solway E, Wolfson JA. Food insecurity is associated with multiple chronic conditions and physical health status among older US adults

[iv] Christian A. Gregory, Alisha Coleman-Jensen. Food Insecurity, Chronic Disease, and Health Among Working-Age Adults, ERR-235, U.S. Department of Agriculture, Economic Research Service, July 2017

[v] Hernandez, D. C., Reesor, L. M., & Murillo, R. (2017). Food insecurity and adult overweight/obesity: Gender and race/ethnic disparities. Appetite, 117, 373–378

[vi] Jayedi, A, Soltani, S, Abdolshahi, A, Shab-Bidar, S. Healthy and unhealthy dietary patterns and the risk of chronic disease: an umbrella review of meta-analyses of prospective cohort studies. Br J Nutr. 2020;124:1133–1144. doi: 10.1017/S0007114520002330

[vii] U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2020-2025. 9th Edition

[viii] Fang, D., Thomsen, M.R. & Nayga, R.M. The association between food insecurity and mental health during the COVID-19 pandemic. BMC Public Health 21, 607 (2021). https://doi.org/10.1186/s12889-021-10631-0

  • Lexend Fonts: In 1999, as an educational therapist, Dr. Bonnie Shaver-Troup, working with clients, began observing that reading issues masked the individual’s true capability and intelligence. In 2000, Bonnie theorized that reading performance would improve through use of:
    • A sans-serif font to reduce cognitive noise
    • Expanded scaling to improve potential for character recognition
    • Hyper-expansion of character spacing, which creates a greater lag time and reduces potential crowding and masking effects

These changes led to the development of seven specially-designed fonts, which create an immediate improvement in reading performance. https://www.lexend.com/

 

 

  • People
    • Kimi Ceridon is a freelance writer and blogger offering conversational, formal or scholarly content, essays and articles in technology, food & wine, women’s issues, and cultural identity. https://kceridon.com/
    • After earning her doctoral degree from Long Island University’s Post Campus and completing an internship at The Karen Horney Clinic, Dr. Alexis Conason completed a postdoctoral fellowship at the New York Obesity Nutrition Research Center at St. Luke’s-Roosevelt Hospital (now Mount Sinai Morningside) in affiliation with Columbia University. In this capacity, Dr. Conason worked closely with the Center for Bariatric Surgery at St. Luke’s-Roosevelt Hospital as part of the treatment team conducting preoperative psychological evaluations, designing treatment plans, and leading support groups. While she initially entered into this position with the intention of gleaning knowledge to help others lose weight, she shifted to a weight-inclusive, Health At Every Size stance after being presented with a great deal of evidence that intentional weight loss doesn’t work and is harmful. Dr. Conaon’s research focused on psychological outcomes following bariatric weight loss surgery (WLS). Her groundbreaking dissertation research on substance use following WLS was one of the first studies to document an increased risk of alcohol use following Roux-en-Y gastric bypass surgery; now a widely-recognized phenomenon. Her research was published in the Journal of the American Medical Association (JAMA) Surgery and has been cited hundreds of times in peer reviewed articles. https://drconason.com/
    • Considered by many to be the master of continual improvement of quality, as well as their overall operation, William H. Deming was an eminent scholar and teacher in American academia for more than half a century. He published hundreds of original papers, articles and books covering a wide range of interrelated subjects—from statistical variance, to systems and systems thinking, to human psychology. He was a consultant to business leaders, major corporations, and governments around the world. His efforts led to the transformation of management that has profoundly impacted manufacturing and service organizations around the world. https://deming.org/deming-the-man/
    • Dr. Stephen Devries is a preventive cardiologist and Executive Director of the Gaples Institute, an educational nonprofit with the mission of advancing the role of nutrition and lifestyle in medicine. Dr. Devries has also been appointed Adjunct Associate Professor of Nutrition in the Harvard T.H. Chan School of Public Health. Dr. Devries attended medical school at the University of Michigan where he was elected to the Alpha Omega Alpha Honor Medical Society. He received Cardiovascular subspecialty training at Washington University in St. Louis and later completed a Fellowship in the Andrew Weil Center for Integrative Medicine at the University of Arizona. He previously served as the Director of the Outpatient Heart Center at the University of Illinois and later, as Associate Professor at Northwestern University. Dr. Devries teaches a course at the Harvard T.H. Chan School of Public Health, “Integrating Nutrition into Clinical Medicine: The Role of Health Professionals as Change Agents.” He is also the co-leader, along with Dr. Walter Willett, of the Nutrition Education Working Group, a multidisciplinary cohort of leading scientists, nutrition educators, and policy experts. The group meets regularly at the Harvard T.H. Chan School of Public Health for the purpose of exploring ways to strengthen nutrition education in all levels of medical training. https://connects.catalyst.harvard.edu/Profiles/display/Person/207620
    • Dr. Stephan Guyenet: “After earning a BS in biochemistry at the University of Virginia, I completed a PhD in neuroscience at the University of Washington, then went on to study the neuroscience of obesity and eating behavior as a postdoctoral fellow. I’ve spent a total of 12 years in the neuroscience research world studying neurodegenerative disease and the neuroscience of body fatness. My publications in scientific journals have been cited more than 3,600 times by my peers. Today, I continue my mission to advance science and public health as a researcher, science consultant, and science communicator. My book, The Hungry Brain, was released in February of 2017 and was named one of the best books of the year by Publishers Weekly and called “essential” by the New York Times Book Review. I am a Senior Researcher at GiveWell and scientific reviewer for the Examine.com Research Digest. Past clients include the Open Philanthropy Project. www.stephanguyenet.com/