Household Food Insecurity and Cognition in Youth and Young Adults with Youth-Onset Diabetes
Main finding · Composite Fluid Cognition score (T1D)Result — go to the resultβ −2.5 95% CI −4.8 to −0.1Authors' conclusion
Food-insecure youth and young adults with T1D or T2D did not have different cognition compared to those who were food-secure after adjustment for confounders. Longitudinal research is needed to further understand relations amongst these factors.
Study context
- Population
- Youth and young adults with T1D or T2D, SEARCH for Diabetes in Youth study (5 U.S. states); mean age 21 years, mean diabetes duration 11 years, 51% non-Hispanic white, 47% HbA1c >9%1,240 T1D, 334 T2D
- Participants
- 1,574 participants
- Exposure
- Household food insecurity vs food security
- Outcome
- Age-adjusted composite Fluid Cognition score, and sub-domain scores for Receptive Language and Inhibitory Control and Attention
Methodological detailsstratified by diabetes type, linear regression controlling for covariates
- Stratified by diabetes type
- Linear regression controlling for covariates
Main finding
Composite Fluid Cognition score (T1D)
β
−2.5
95% CI −4.8 to −0.1
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | β (CI) |
|---|---|
| Crystallized Cognition score (T1D) | −3.4 (−5.6 to −1.3) |
- Crystallized Cognition score (T1D): lower with food insecurity; attenuated to non-significance after adjustment for demographics
Prevalence of food insecurity (FI) · past year
- FI among participants with T1D
- ≈18%
- FI among participants with T2D
- 31%
Effect modification by glycemic levels (T1D, composite Fluid Cognition)
- Interaction attenuated after adjustment for socioeconomic characteristics
- P = 0.0531
Original publication
Household Food Insecurity and Cognition in Youth and Young Adults with Youth-Onset Diabetes. Pediatr Diabetes. Published 14 September 2023. doi:10.
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