title: Food insecurity, food choices, and body mass index in adults: nutrition transition in Trinidad and Tobago.
abstract: BACKGROUND
  This study evaluated whether food insecurity and obesity were associated in a population sample in Trinidad.
  
  
  METHODS
  A sample was drawn of 15 clusters of households, in north central Trinidad. Resident adults were enumerated. A questionnaire was administered including the short form Household Food Security Scale (HFSS). Heights and weights were measured. Analyses were adjusted for age, sex, and ethnic group.
  
  
  RESULTS
  Data were analysed for 531/631 (84%) of eligible respondents including 241 men and 290 women with a mean age of 47 (range 24-89) years. Overall, 134 (25%) of subjects were classified as food insecure. Food insecurity was associated with lower household incomes and physical disability. Food insecure subjects were less likely to eat fruit (food insecure 40%, food secure 55%; adjusted odds ratio [OR] = 0.60, 95% CI: 0.36-0.99, P = 0.045) or green vegetables or salads (food insecure 28%, food secure 51%; adjusted OR = 0.46, 95% CI: 0.27-0.79, P = 0.005) on >/=5-6 days per week. Body mass index (BMI) was available for 467 (74%) subjects of whom 41 (9%) had BMI <20 kg/m(2), 157 (34%) had BMI 25-29 kg/m(2), and 120 (26%) had BMI >/=30 kg/m(2). Underweight (OR = 3.21, 95% CI: 1.17-8.81) was associated with food insecurity, but obesity was not (OR = 1.08, 95% CI: 0.55-2.12).
  
  
  CONCLUSIONS
  Food insecurity was frequent at all levels of BMI and was associated with lower consumption of fruit and vegetables. Food insecurity was associated with underweight but not with present obesity.
authors.affiliation: Department of Public Health Sciences, King's College London, Nutrition and Metabolism Division, Ministry of Health, Laventille, Trinidad and Tobago. martin.guilliford@kcl.ac.uk
authors.forename: Martin C
authors.initials: MC
authors.lastname: Gulliford
authors.forename: Deepak
authors.initials: D
authors.lastname: Mahabir
authors.forename: Brian
authors.initials: B
authors.lastname: Rocke
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D002755:Choice Behavior; D003430:Cross-Sectional Studies; D003906:Developing Countries; D004032:Diet; D005006:Ethnicity; D015444:Exercise; D005260:Female; D005502:Food; D005508:Food Deprivation; D005523:Food Supply; D006304:Health Status; D006801:Humans; D008297:Male; D044342:Malnutrition / Q000208:ethnology / Q000209:etiology / Q000523:psychology; D008875:Middle Aged; D009765:Obesity / Q000208:ethnology / Q000209:etiology / Q000523:psychology; D012959:Socioeconomic Factors; D014300:Trinidad and Tobago