An observational study in Obesity and Food Insecurity, sponsored by University of New Hampshire. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-04-02.
Sponsored by University of New Hampshire · Observational
This telephone-based survey included adults of Hispanic/Latino background residing in New Hampshire (NH). Information on food security and access, food environment, and health status and behaviors was collected through validated questionnaires. This project addresses the need for assessment of barriers to nutrition and health during COVID-19 in this population.
This telephone-based survey included a convenience sample of Hispanic/Latino adults (>18 years) with cultural origin in a Spanish-speaking country and residing in NH. A subgroup of the study population was assessed at baseline and 6-months following baseline. Validated questionnaires assessing the following outcomes were included:
Objective food access will be assessed through mapping and calculation of proximity of subjects' residential addresses to various food sources.
11,522 studies on the registry are indexed under Obesity; 2,033 are open to participants now.
This study's enrollment of 139 is above the median of 114 across 2,154 observational studies indexed under Obesity.
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This study included a convenience sample in which participants were primarily recruited by past participants (without prompting by study staff). Unique participants (excluding participants who completed both surveys, N=139) were mostly female (81.3%). Of those who reported age (N=138), as well as weight and height information (N=132), the average age was 45.6 years (SD=14.9) and the average BMI was overweight (M=28.6, SD=5.2).
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Exclusion Criteria:
New Hampshire adults(at least 18 years of age) with cultural background in a Spanish-speaking Latin American country or territory surveyed between March 2021 - March 2022.
The correlation between weight status and indicators of physical and psychological wellbeing during the COVID-19 pandemic.
Physical activity will be assessed with the Global Physical Activity Questionnaire (GPAQ - possible scores for physical activity level at work, recreation, or transport: sedentary, moderate, or vigorous). Eating behavior will be examined with the Pennington Biomedical Research Center (PBRC) Impacts of COVID-19 on Dietary Intake survey. Results from linear regression analysis will reveal the relationship between weight status (BMI) and lifestyle (physical activity, eating behavior) and psychological characteristics during the COVID-19 pandemic. Linear regression models will be adjusted for age, gender, month of survey completion, and other demographic characteristics as needed.
Time frame: March 2021 - September 2021
Correlation between food insecurity, psychosocial factors, and weight status.
Severity of depressive, anxiety, and stress symptoms will be assessed with the 21-item Depression, Anxiety, Stress Scale (DASS-21 - possible scores for symptoms: normal, mild, moderate, severe, extremely severe). The USDA Household Food Sufficiency Questionnaire will be used to calculate food insecurity scores at both the household and the individual level (possible food security levels: high, marginal, low, and very low). The PBRC Impacts of COVID-19 on Sleep survey will assess sleeping behavior. Analysis will generate information on how food insecurity during the pandemic is associated with psychological wellbeing (stress, anxiety, depression), sleeping patterns, degree of acculturation, and weight status. Linear regression models will be used to ascertain the correlation between lifestyle and psychosocial factors with weight status. Models will be adjusted for age, gender, month of survey completion, and other demographic characteristics as appropriate.
Time frame: March 2021 - September 2021
Role of lifestyle and psychosocial factors in dietary fiber intake.
Intake of fiber-rich foods during the month prior to the data collection date will be assessed using the National Health and Nutrition Examination Survey (NHANES) Dietary Screener. The correlation between fiber intake, food access and insecurity, weight status, and gastrointestinal symptoms will be examined using linear regression models adjusted for age, gender, month of survey completion, and other demographic characteristics as appropriate.
Time frame: March 2021 - September 2021
Updated New Hampshire (NH) food access database and characterization of barriers to healthy nutrition in NH Hispanics.
Perceived (Perceived Nutrition Environment Survey or NEMS-P) and objective food access (food sources) will be compared to characterize personal and geographical barriers to food access. NH food sources will be aggregated and geo-located using publicly available data from the State of NH (e.g., the USDA Economic Research Service (ERS) Food Access and Food Environment Research Atlases). ArcGIS software will be used to calculate measures of food access and to map sources in conjunction with participants' addresses to inspect for high-level spatial patterning in proximity gaps. For each participant, a count of the food sources can be tallied and constrained to a specified, geographically-dependent radius (e.g., within 1 mile of urban residents, 10 miles of rural residents), used for calculating a binary measure of access (e.g., access within zip code, yes/no), or used for measures of access for exploratory research.
Time frame: October 2021 - March 2022
Assessment of the physical and psychosocial burden of food insecurity.
A questionnaire assessing health history and sociodemographic characteristics will be administered as well as the Short Acculturation Scale for Hispanics (language acculturation score range=1-6, high=more acculturation). Other health-related constructs include psychological symptoms, sleep patterns, gastrointestinal symptoms, and food insecurity (possible food security levels: high, marginal, low, and very low). Changes in these constructs from baseline to follow-up will be assessed with a dependent t-test for paired samples, and their association with food insecurity through repeated measures ANOVA including only repeat subjects. The cross-sectional correlation between food insecurity and health behavior will be determined through bivariate linear regression models and chi square analyses. Covariate adjustment will include age and sex, and other relevant sociodemographic characteristics.
Time frame: March 2021 - March 2022
Characterization of the impact of the COVID-19 pandemic on health behaviors and their correlation with food insecurity and weight status.
Food insecurity will be assessed with the USDA Food Sufficiency Questionnaire (possible food security levels: high, marginal, low, and very low). Weighing behaviors will be evaluated with the Early Adult Reduction of weight through Lifestyle intervention (EARLY) Self-Weighing Questionnaire and a modified version of NHANES Weight History Questionnaire. Vaccine receipt will be assessed with questions from the Census Bureau's Household Pulse Survey. COVID-19 vaccination rate will be calculated, and attitudes to vaccination will be analyzed qualitatively through deductive coding. The predictive power of health behaviors on food insecurity and weight status will be assessed by logistic regression. Covariate adjustment will include age and sex.
Time frame: October 2021 - March 2022
Plan to share: No
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University of New Hampshire