Understanding Food Security as a Social Determinant of Diabetes-Related Health during Pregnancy.

Publisher: Thieme-Stratton Country of Publication: United States NLM ID: 8405212 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1098-8785 (Electronic) Linking ISSN: 07351631 NLM ISO Abbreviation: Am J Perinatol Subsets: MEDLINE

Original Publication: New York, NY : Thieme-Stratton, 1983-

Diabetes Mellitus, Type 2* ; Diabetes, Gestational*/epidemiology ; Pregnancy in Diabetics*/epidemiology; Adult ; Female ; Pregnancy ; Infant, Newborn ; Humans ; United States/epidemiology ; Social Determinants of Health ; Food Supply ; Food Security

Gestational and pregestational diabetes during pregnancy are substantial and growing public health issues. Low-income individuals and individuals who identify as racial and ethnic minorities are disproportionately affected. Food security, which is defined as the degree to which individuals have capacity to access and obtain food, is at the center of nutritional resources and decisions for individuals with diabetes. While increasingly recognized as an important mediator of health disparities in the United States, food insecurity is understudied during pregnancy and specifically among pregnant individuals with diabetes, for whom the impact of food-related resources may be even greater. Previous research has suggested that food insecurity is associated with type 2 diabetes mellitus diagnoses and disease exacerbation in the general adult population. An emerging body of research has suggested that food insecurity during pregnancy is associated with gestational diabetes mellitus diagnoses and adverse diabetes-related outcomes. Additionally, food insecurity during pregnancy may be associated with adverse maternal and neonatal outcomes. Future research and clinical work should aim to further examine these relationships and subsequently develop evidence-based interventions to improve diabetes-related outcomes among pregnant individuals with food insecurity. The purpose of this article is to offer a working definition of food security, briefly review issues of food insecurity and diabetes, summarize research on food insecurity and diabetes-related pregnancy health, and discuss clinical recommendations and areas for future investigation. KEY POINTS: · Research on food insecurity and diabetes-related health is limited.. · The impact of food security on diabetes management and obstetric outcomes is likely significant.. · Future work to evaluate perinatal food security screening is warranted..
Competing Interests: None declared.
(Thieme. All rights reserved.)

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P30 DK092949 United States DK NIDDK NIH HHS; R21 HD094271 United States HD NICHD NIH HHS; R34 DK125958 United States DK NIDDK NIH HHS

Date Created: 20211128 Date Completed: 20230522 Latest Revision: 20240603

20240603

PMC9142759

10.1055/s-0041-1740194

34839467