A pilot investigation of food insecurity among children seen in an outpatient pediatric nephrology clinic

Preventive Medicine Reports
Michelle C StarrSangeeta Hingorani

Abstract

Food insecurity (FI) is common - affecting one in six American households with children. FI is defined as limited or uncertain availability of nutritionally adequate and safe foods. Awareness of food insecurity and its impact on health has increased since the American Academy of Pediatrics 2015 policy statement, "Promoting Food Security for All Children." Though FI is frequently addressed in general pediatric primary care, it is not routinely identified in patients with chronic medical problems. Patients with complex care needs, prescription medication, or restrictive nutritional requirements may be at higher risk of food insecurity. The prevalence of FI in patients with chronic disease, including pediatric patients with kidney disease, remains unknown. We sought to determine the prevalence of FI among our pediatric nephrology clinic patients with a cross-sectional screening pilot study. Nearly 35% of 118 children seen in our pediatric nephrology outpatient clinic lived in food insecure households, a prevalence rate more than double the general pediatric population (16%). Barriers to food security were variable; common themes included challenges with restricted diet and available food, identifying and accessing community resour...Continue Reading

References

Jan 18, 2006·Journal of Renal Nutrition : the Official Journal of the Council on Renal Nutrition of the National Kidney Foundation·Gloria WilsonCarol L Connell
Jan 2, 2008·Pediatrics·Ruth Rose-JacobsDeborah A Frank
Jan 15, 2008·Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association·Christine T MaMargot B Kushel
Sep 25, 2009·The American Journal of Clinical Nutrition·Heather A Eicher-MillerCarol J Boushey
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Oct 27, 2015·Pediatrics·UNKNOWN COUNCIL ON COMMUNITY PEDIATRICS, UNKNOWN COMMITTEE ON NUTRITION
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Feb 22, 2017·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Tanushree BanerjeeUNKNOWN CDC CKD Surveillance Team

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Citations

Oct 31, 2018·Education for Primary Care : an Official Publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors·Sarah Chiu, Martha Okafor
Apr 27, 2019·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Andrew M SouthCallie L Brown
Sep 25, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Jill R KrissbergPaul H Wise
Oct 15, 2021·Clinical Journal of the American Society of Nephrology : CJASN·Reya Mokiao, Sangeeta Hingorani

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