Rahim Sharafkhani

Abstract

The aim of this study was to evaluate the relationship between the food insecurity and type 2 diabetes and hypertension in a city.

Methods and materials: Studt population was the Khoy city’s households which refer to the primary health care centers. The 6 item questionnaire was used to determine the food insecurity. Health care providers were educated to fill the questionnaire. Inclusion criteria were having type 2 diabetes or hypertension, no other comorbidities (asthma, cardiovascular diseases, cerebrovascular events, renal diseases), and the age of over 35 years. The sample size for each case group was calculated to be 110 subjects. To increase the Power the sample size for controls was doubled to be 220 subjects. The systematic random sampling was used. The food insecurity was compare in cases and controls by using the chi-square test. To control the confounding variabies the logistic regression was used.

Results: In total 210 subjects (47.7%) had food security and 52.3% were insecure. The most frequent positive response to food insecurity questionnaire was for question number 6 (57%) and the least frequent was question 4. Seventeen percent of the study population had normal BMI and 83% were obese or overweight (42.7% obese, 40.5% overweight). In multivariete analysis, age, BMI, and education were significantly related to hypertension.