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Household food insecurity is associated with greater autonomic dysfunction testing score in Latinos with type 2 diabetes

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  • Angela Bermúdez-Millán
  • Richard Feinn
  • Rachel Lampert
  • Rafael Pérez-Escamilla
  • Sofia Segura-Pérez
  • Julie Wagner

Abstract

Aim: We examined household food insecurity (HFI) and autonomic nervous system (ANS) function in a subset of low-income Latinos with type 2 diabetes with data from a stress management trial. Methods: Results: Thirty-five individuals participated, 23 (65.7%) of them were women, age mean = 61.6 (standard deviation = 11.2) years, HbA1c mean = 8.5% (standard deviation = 1.6) and 20 participants (57.1%) used insulin. Twenty-two participants (62.9%) reported HFI and 25 (71.4%) had one or more abnormal ANS measure. Independent t-tests showed that participants with HFI had a higher ANS dysfunction index (mean = 1.5, standard deviation = 0.9) than patients who were food secure (mean = 0.7, standard deviation = 0.8), p = 0.02. Controlling for financial strain did not change significance. Total ANS index was not related to glycemia, insulin use or other socioeconomic indicators. In this sample, HFI was associated with ANS dysfunction. Policies to improve food access and affordability may benefit health outcomes for Latinos with diabetes.

Suggested Citation

  • Angela Bermúdez-Millán & Richard Feinn & Rachel Lampert & Rafael Pérez-Escamilla & Sofia Segura-Pérez & Julie Wagner, 2024. "Household food insecurity is associated with greater autonomic dysfunction testing score in Latinos with type 2 diabetes," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-11, February.
    • Handle: RePEc:plo:pone00:0297681
    DOI: 10.1371/journal.pone.0297681
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    References listed on IDEAS

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    1. Pérez-Escamilla, Rafael & Vilar-Compte, Mireya & Gaitán-Rossi, Pablo, 2020. "Why Identifying Households by Degree of Food Insecurity Matters for Policymaking," SocArXiv fhw26, Center for Open Science.
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