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Psychological Mechanisms Linking Food Insecurity and Obesity

Psychological Mechanisms Linking Food Insecurity and Obesity (Food Mind Pilot Study)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03441594
Enrollment
56
Registered
2018-02-22
Start date
2018-02-05
Completion date
2019-12-31
Last updated
2020-02-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Obesity, Psychological

Keywords

Food Insecurity

Brief summary

The current pilot study will examine emergent hypotheses by investigating the role of psychological mechanisms in the relationship between food insecurity and obesity. This objective will be achieved via a cross-sectional, observational pilot study collecting quantitative and qualitative data.

Detailed description

This pilot study will investigate an emergent risk factor for obesity: food insecurity, which is defined as the limited or uncertain availability of nutritionally adequate and safe foods. While paradoxically linked, numerous studies have shown a significant association between food insecurity and obesity. Moreover, recent narrative works have developed new, untested hypotheses linking food insecurity and obesity positing the causal role of psychological mechanisms. Given this, this mixed method pilot study will collect new psychological data in a sample of food secure and food insecure adults with and without obesity to examine the connections between food insecurity, body weight, and psychological constructs. The overarching objective of the study is to gather pilot data to identify potentially new intervention targets that will be used in future studies to more rigorously investigate the relationship between food insecurity and obesity.

Interventions

None listed

Sponsors

National Institute of General Medical Sciences (NIGMS)
CollaboratorNIH
Pennington Biomedical Research Center
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
18 Years to 49 Years
Healthy volunteers
Yes

Inclusion criteria

* Age 18-49 years * BMI ≥ 20.0 kg/m2 * Able to read and write using the English language * Willing to provide written informed consent

Exclusion criteria

* Pregnancy

Design outcomes

Primary

MeasureTime frameDescription
Delay DiscountingThrough study completion, an average of 1 hour and 30 minutes at Study Visit 1Assessed via the 27-Item Monetary Choice Questionnaire, which measures bias toward smaller, immediate rewards versus larger, delayed rewards. This questionnaire presents participants with a set of 27 choices between smaller, immediate monetary rewards and larger, delayed monetary rewards. Participants who discount the value of the delayed rewards more steeply are considered to be more impulsive. An estimate of a participant's discounting rate (k) is calculated from the pattern of choices. Values of k range from 0.00016 (ln transformation -8.74) to 0.25 (ln transformation -1.39), with higher values indicating a greater preference for smaller, immediate rewards over larger, delayed rewards. K tends to be skewed, so a natural log (ln) transformation is utilized to approximate a normal distribution for statistical analyses.

Secondary

MeasureTime frameDescription
GritThrough study completion, an average of 1 hour and 30 minutes at Study Visit 1Assessed using the 8-item Short Grit Scale, which measures trait-level perseverance and passion for long-term goals. Scores range from 1 (not at all gritty) to 5 (extremely gritty).

Countries

United States

Participant flow

Participants by arm

ArmCount
Single Group
The study sample included a single group of 56 food secure and food insecure women and men aged 18 to 49 years with a BMI of 20.0 kg/m2 or greater.
56
Total56

Baseline characteristics

CharacteristicSingle Group
Age, Continuous32.25 years
STANDARD_DEVIATION 9.18
Race/Ethnicity, Customized
African American
27 Participants
Race/Ethnicity, Customized
Caucasian or Asian American
29 Participants
Region of Enrollment
United States
56 participants
Sex: Female, Male
Female
37 Participants
Sex: Female, Male
Male
19 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 56
other
Total, other adverse events
0 / 56
serious
Total, serious adverse events
0 / 56

Outcome results

Primary

Delay Discounting

Assessed via the 27-Item Monetary Choice Questionnaire, which measures bias toward smaller, immediate rewards versus larger, delayed rewards. This questionnaire presents participants with a set of 27 choices between smaller, immediate monetary rewards and larger, delayed monetary rewards. Participants who discount the value of the delayed rewards more steeply are considered to be more impulsive. An estimate of a participant's discounting rate (k) is calculated from the pattern of choices. Values of k range from 0.00016 (ln transformation -8.74) to 0.25 (ln transformation -1.39), with higher values indicating a greater preference for smaller, immediate rewards over larger, delayed rewards. K tends to be skewed, so a natural log (ln) transformation is utilized to approximate a normal distribution for statistical analyses.

Time frame: Through study completion, an average of 1 hour and 30 minutes at Study Visit 1

ArmMeasureValue (MEAN)Dispersion
Single GroupDelay Discounting-4.84 score on a scale (natural log)Standard Deviation 2.07
Secondary

Grit

Assessed using the 8-item Short Grit Scale, which measures trait-level perseverance and passion for long-term goals. Scores range from 1 (not at all gritty) to 5 (extremely gritty).

Time frame: Through study completion, an average of 1 hour and 30 minutes at Study Visit 1

ArmMeasureValue (MEAN)Dispersion
Single GroupGrit3.68 score on a scaleStandard Deviation 0.63

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026