Lipids & metabolic liver disease

Food insecurity is a risk factor for metabolic dysfunction‐associated steatotic liver disease in Latinx children

Pediatr ObesPublished Prospective cohort study

Main finding · MASLDResult — go to the resultOdds ratio 3.7 95% CI 1.5–9.0

Authors' conclusion

Exposure to household food insecurity at 4 years of age was associated with increased risk for MASLD later in childhood. Further studies are needed to explore mechanism(s) and impact of reducing food insecurity on risk for MASLD.

Study context

Population
Latinx children of Latina mothers recruited during pregnancy, followed to early to mid-childhood
Participants
136 children
Exposure
Household food insecurity at age 4 vs food security
Outcome
MASLD: Alanine transaminase (ALT) ≥95th% for age/gender plus body mass index (BMI) ≥85% at time of ALT measurement
Follow-up
Ages 5-12

Main finding

MASLD · early to middle childhood

Odds ratio

3.7

95% CI 1.5–9.0

P < 0.01

Food insecurevs Food secure
OR 3.7 (95% CI 1.5–9.0); P < 0.01

As reported in the abstract

Observational data: associations, not effects.

Further findings

Prevalence of household food insecurity at age 4 and MASLD

Household food insecurity at 4 years
28.7%
MASLD in early to middle childhood
27.2%

Food insecure among children with vs without MASLD

Food insecure among children with MASLD
≈49%
Food insecure among children without MASLD
21%
With vs without MASLD
P < 0.01

Original publication

Food insecurity is a risk factor for metabolic dysfunction‐associated steatotic liver disease in Latinx children. Pediatr Obes. Published 7 March 2024. doi:10.1111/ijpo.13109

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