Physical Health, Mental Health, and Nutrition

  • Lisa HenryEmail author


This chapter begins with a literature review on the negative health outcomes associated with food insecurity and poor dietary habits in the general population. I briefly review the literature on K-12 students before detailing the expanding research on college students. Next, I discuss the research at UNT and detail the physical consequences of food insecurity as described by students. The next section discusses the association of mental health issues with hunger and poor nutrition, starting with the general literature, then among college student, and next among UNT students. Finally, I end the chapter with a discussion about how nutrition fits in with their experiences with food insecurity and their physical and mental health.


Food insecurity Nutrition Physical health Mental health 


  1. Adams, Elizabeth J., Laurence Grummer-Strawn, and Gilberto Chavez. 2003. Food Insecurity Is Associated with Increased Risk of Obesity in California Women. The Journal of Nutrition 133 (4): 1070–1074. Scholar
  2. Alaimo, Katherine, Christine M. Olson, and Edward A. Frongillo Jr. 2002. Family Food Insufficiency, But Not Low Family Income, Is Positively Associated with Dysthymia and Suicide Symptoms in Adolescents. The Journal of Nutrition 132 (4): 719–725.CrossRefGoogle Scholar
  3. Allen, Alejandro C. 2019. Study Hard, Eat Less: Exploring Food Insecurity Among College Students. Master’s Thesis, Texas State University, San Marcos, TX.Google Scholar
  4. Allen, Cara Cliburn, and Nathan F. Alleman. 2019. A Private Struggle at a Private Institution: Effects of Student Hunger on Social and Academic Experiences. Journal of College Student Development 60 (1): 52–69. Scholar
  5. American College Health Association (ACHA). 2014. National College Health Assessment: Spring 2014 Reference Group Executive Summary. Accessed 11 April 2019.
  6. ———. 2018. National College Health Assessment: Spring 2018 Reference Group Executive Summary. Accessed 15 May 2019.
  7. Arenas, Daniel Jose, Sara Zhou, Arthur Thomas, Jici Wang, Gilberto Vila Arroyo, and Katie Bash. 2018. Negative Health Outcomes Associated with Food Insecurity Status in the United States of America: A Systematic Review of Peer-reviewed Studies. NutriXiv, September 11.
  8. Ashe, Leah M., and Roberta Sonnino. 2013. At the Crossroads: New Paradigms of Food Security, Public Health Nutrition and School Food. Public Health Nutrition 16 (6): 1020–1027. Scholar
  9. Basiotis, P.P., and M. Lino. 2002. Food Insufficiency and Prevalence of Overweight Among Adult Women. Family Economics and Nutrition Review 15: 55.Google Scholar
  10. Broton, Katharine, Kari Weaver, and Minhtuyen Mai. 2018. Hunger in Higher Education: Experiences and Correlates of Food Insecurity Among Wisconsin Undergraduates from Low-Income Families. Social Sciences 7 (10): 179. Scholar
  11. Bruening, Meg, Stephanie Brennhofer, Irene Van Woerden, Michael Todd, and Melissa Laska. 2016. Factors Related to the High Rates of Food Insecurity Among Diverse, Urban College Freshmen. Journal of the Academy of Nutrition and Dietetics 116 (9): 1450–1457. Scholar
  12. Bruening, Meg, Irene Van Woerden, Michael Todd, and Melissa N. Laska. 2018. Hungry to Learn: The Prevalence and Effects of Food Insecurity on Health Behaviors and Outcomes Over Time Among a Diverse Sample of University Freshmen. International Journal of Behavioral Nutrition and Physical Activity 15 (1).
  13. Burris, Mecca, Sarah Bradley, David Himmelgreen, Kayla Rykiel, Paige Tucker, Danielle Hintz, and Elisa Shannon. 2018. Teen Food Insecurity in Pinellas County Technical Report, May 19. Accessed 17 May 2019.
  14. Casey, Patrick, Susan Goolsby, Carol Berkowitz, Deborah Frank, John Cook, Diana Cutts, Maureen M. Black, Nieves Zaldivar, Suzette Levenson, Tim Heeren, Alan Meyers, and the Children’s Sentinel Nutrition Assessment Program Study Group. 2004. Maternal Depression, Changing Public Assistance, Food Security, and Child Health Status. Pediatrics 113 (2): 298–304.CrossRefGoogle Scholar
  15. Chilton, M., J.M. Chyatte, and J. Breaux. 2007. The Negative Effects of Poverty & Food Insecurity on Child Development. Indian Journal of Medical Research 126 (4): 262–272.Google Scholar
  16. Coleman-Jensen, Alisha, Mark Nord, Margaret Andrews, and Steven Carlson. 2012. Household Food Security in the United States in 2011. Report No. 141. Department of Agriculture, Economic Research Service.Google Scholar
  17. Connell, Carol L., Kristi L. Lofton, Kathy Yadrick, and Timothy A. Rehner. 2005. Children’s Experiences of Food Insecurity Can Assist in Understanding Its Effect on Their Well-Being. The Journal of Nutrition 135 (7): 1683–1690. Scholar
  18. Darling, Katherine E., Amy J. Fahrenkamp, Shana M. Wilson, Alexandra L. D’Auria, and Amy F. Sato. 2015. Physical and Mental Health Outcomes Associated with Prior Food Insecurity Among Young Adults. Journal of Health Psychology 22 (5): 572–581. Scholar
  19. Darmon, Nicole, André Briend, and Adam Drewnowski. 2004. Energy-dense Diets Are Associated with Lower Diet Costs: A Community Study of French Adults. Public Health Nutrition 7 (1): 21–27. Scholar
  20. Davison, Karen, Lovedeep Gondara, and Bonnie Kaplan. 2017. Food Insecurity, Poor Diet Quality, and Suboptimal Intakes of Folate and Iron Are Independently Associated with Perceived Mental Health in Canadian Adults. Nutrients 9 (3): 274. Scholar
  21. De Marco, M., S. Thorburn, and J. Due. 2009. In a Country as Affluent as America, People Should Be Eating: Experiences with and Perceptions of Food Insecurity among Rural and Urban Oregonians. Qualitative Health Research 19 (7): 1010–1024. Scholar
  22. Dhillon, Jaapna, L. Karina Diaz Rios, Kaitlyn Aldaz, Natalie De La Cruz, Emily Vu, Syed Asad Asghar, Quintin Kuse, and Rudy Ortiz. 2019. We Don’t Have a Lot of Healthy Options: Food Environment Perceptions of First-Year, Minority College Students Attending a Food Desert Campus. Nutrients 11 (4): 816. Scholar
  23. Dietz, William H. 1995. Does Hunger Cause Obesity? Pediatrics 95: 766–767. Scholar
  24. Dinour, Lauren M., Dara Bergen, and Ming-Chin Yeh. 2007. The Food Insecurity–Obesity Paradox: A Review of the Literature and the Role Food Stamps May Play. Journal of the American Dietetic Association 107 (11): 1952–1961. Scholar
  25. Farahbakhsh, Jasmine, Mahitab Hanbazaza, Geoff D.C. Ball, Anna P. Farmer, Katerina Maximova, and Noreen D. Willows. 2017. Food Insecure Student Clients of a University-based Food Bank Have Compromised Health, Dietary Intake and Academic Quality. Nutrition & Dietetics 74 (1): 67–73. Scholar
  26. Finney Rutten, Lila J., Amy L. Yaroch, Uriyoan Colón-Ramos, Wendy Johnson-Askew, and Mary Story. 2010. Poverty, Food Insecurity, and Obesity: A Conceptual Framework for Research, Practice, and Policy. Journal of Hunger & Environmental Nutrition 5: 403–415. Scholar
  27. Fram, Maryah Stella, Lorrene D. Ritchie, Nila Rosen, and Edward A. Frongillo. 2015. Child Experience of Food Insecurity Is Associated with Child Diet and Physical Activity. The Journal of Nutrition 145 (3): 499–504. Scholar
  28. Frank, Deborah A., Patrick H. Casey, Maureen M. Black, Ruth RoseJacobs, Mariana Chilton, Diana Cutts, Elizabeth March, Timothy Heeren, Sharon Coleman, Stephanie Ettinger de Cuba, and John T. Cook. 2010. Cumulative Hardship and Wellness of Low-Income, Young Children: Multisite Surveillance Study. Pediatrics 125 (5): e1115–e1123.CrossRefGoogle Scholar
  29. Franklin, Brandi, Ashley Jones, Dejuan Love, Stephane Puckett, Justin Macklin, and Shelley White-Means. 2012. Exploring Mediators of Food Insecurity and Obesity: A Review of Recent Literature. Journal of Community Health 37 (1): 253–264. Scholar
  30. Garner, A.S., J.P. Shonkoff, B.S. Siegel, M.I. Dobbins, M.F. Earls, A.S. Garner, L. Mcguinn, J. Pascoe, and D.L. Wood. 2012. Early Childhood Adversity, Toxic Stress, and the Role of the Pediatrician: Translating Developmental Science into Lifelong Health. Pediatrics 129 (1).
  31. Greene, Lamar. 2018. The Effects of Childhood Food Insecurity. Destination Health EU: The Center for the Study of Human Health Blog, March 29. // Accessed 1 May 2019.
  32. Hadley, Craig, and Deborah L. Crooks. 2012. Coping and the Biosocial Consequences of Food Insecurity in the 21st Century. American Journal of Physical Anthropology 149 (S55): 72–94. Scholar
  33. Hamelin, Anne-Marie, Jean-Pierre Habicht, and Micheline Beaudry. 1999. Food Insecurity: Consequences for the Household and Broader Social Implications. The Journal of Nutrition 129 (2): 525S–528S. Scholar
  34. Hamelin, Anne-Marie, Micheline Beaudry, and Jean-Pierre Habicht. 2002. Characterization of Household Food Insecurity in Québec: Food and Feelings. Social Science & Medicine 54 (1): 119–132. Scholar
  35. Hamrick, Karen S., and Ket McClelland. 2016. Americans Eating Patterns and Time Spent on Food: The 2014 Eating & Health Module Data. Report No. 158. United States Department of Agriculture, July.
  36. Hattangadi, Nayantara, Ellen Vogel, Linda Carroll, and Pierre Côté. 2019. “Everybody I Know Is Always Hungry…But Nobody Asks Why”: University Students, Food Insecurity and Mental Health. Sustainability 11 (6): 1571. Scholar
  37. Henry, Lisa. 2017. Understanding Food Insecurity Among College Students: Experience, Motivation, and Local Solutions. Annals of Anthropological Practice 41 (1): 6–19. Scholar
  38. Higashi, Robin T., Simon J. Craddock Lee, Tammy Leonard, Erica L. Cuate, Jay Cole, and Sandi L. Pruitt. 2015. Multiple Comorbidities and Interest in Research Participation among Clients of a Nonprofit Food Distribution Site. Clinical and Translational Science 8 (5): 584–590. Scholar
  39. Himmelgreen, David. 2013. Using a Life Course Approach and a Bio-cultural Perspective to Understand the Food Insecurity and Obesity Paradox. Cadernos De Saúde Pública 29 (2). Scholar
  40. Himmelgreen, David, Rafael Pérez-Escamilla, Sofia Segura-Millan, Yu-Kuei Peng, Anir Gonzalez, Merrill Singer, and Ann Ferris. 2000. Food Insecurity Among Low-Income Hispanics in Hartford, Connecticut: Implications for Public Health Policy. Human Organization 59 (3): 334–342. Scholar
  41. Hughes, Roger, Irene Serebryanikova, Katherine Donaldson, and Michael Leveritt. 2011. Student Food Insecurity: The Skeleton in the University Closet. Nutrition & Dietetics 68 (1): 27–32. Scholar
  42. Ivers, Louise C., and Kimberly A. Cullen. 2011. Food Insecurity: Special Considerations for Women. The American Journal of Clinical Nutrition 94 (6): 1740S–1744S. Scholar
  43. Jyoti, Diana F., Edward A. Frongillo, and Sonya J. Jones. 2005. Food Insecurity Affects School Childrens Academic Performance, Weight Gain, and Social Skills. The Journal of Nutrition 135 (12): 2831–2839. Scholar
  44. Kirkpatrick, Sharon I., and Valerie Tarasuk. 2008. Food Insecurity Is Associated with Nutrient Inadequacies among Canadian Adults and Adolescents. The Journal of Nutrition 138 (3): 604–612. Scholar
  45. Knol, Linda L., Cliff A. Robb, Erin M. Mckinley, and Mary Wood. 2017. Food Insecurity, Self-Rated Health, and Obesity Among College Students. American Journal of Health Education 48 (4): 248–255. Scholar
  46. Knowles, Molly, Jenny Rabinowich, Tianna Gaines-Turner, and Mariana Chilton. 2015. Witnesses to Hunger: Methods for Photovoice and Participatory Action Research in Public Health. Human Organization 74 (3): 255–265.CrossRefGoogle Scholar
  47. Laraia, B.A. 2013. Food Insecurity and Chronic Disease. Advances in Nutrition 4 (2): 203–212. Scholar
  48. Leung, Cindy W., Elissa S. Epel, Lorrene D. Ritchie, Patricia B. Crawford, and Barbara A. Laraia. 2014. Food Insecurity Is Inversely Associated with Diet Quality of Lower-Income Adults. Journal of the Academy of Nutrition and Dietetics 114 (12): 1943–1953. Scholar
  49. Lund, Crick, Alison Breen, Alan J. Flisher, Ritsuko Kakuma, Joanne Corrigall, John A. Joska, Leslie Swartz, and Vikram Patel. 2010. Poverty and Common Mental Disorders in Low and Middle Income Countries: A Systematic Review. Social Science & Medicine 71 (3): 517–528. Scholar
  50. Martinez, Suzanna M., Edward A. Frongillo, Cindy Leung, and Lorrene Ritchie. 2018. No Food for Thought: Food Insecurity Is Related to Poor Mental Health and Lower Academic Performance among Students in California’s Public University System. Journal of Health Psychology, 135910531878302, June 1.
  51. Maynard, Merryn, Lesley Andrade, Sara Packull-Mccormick, Christopher Perlman, Cesar Leos-Toro, and Sharon Kirkpatrick. 2018. Food Insecurity and Mental Health Among Females in High-Income Countries. International Journal of Environmental Research and Public Health 15 (7): E1424. Scholar
  52. Messer, Ellen. 1989. Seasonal Hunger and Coping Strategies: An Anthropological Discussion. In Coping with Seasonal Constraints. Philadelphia, PA: University Museum, University of Pennsylvania.Google Scholar
  53. Meza, Anthony, Emily Altman, Suzanna Martinez, and Cindy W. Leung. 2018. “It’s a Feeling That One Is Not Worth Food”: A Qualitative Study Exploring the Psychosocial Experience and Academic Consequences of Food Insecurity Among College Students. Journal of the Academy of Nutrition and Dietetics, December 12. Scholar
  54. Mintz, Sidney Winfried, and Christine M. Du Bois. 2002. The Anthropology of Food and Eating. Annual Review of Anthropology 31: 99–119. Scholar
  55. Mirabitur, Erica, Karen E. Peterson, Colleen Rathz, Stacey Matlen, and Nicole Kasper. 2016. Predictors of College-Student Food Security and Fruit and Vegetable Intake Differ by Housing Type. Journal of American College Health 64 (7): 555–564. Scholar
  56. Olson, Christine M. 1999. Nutrition and Health Outcomes Associated with Food Insecurity and Hunger. The Journal of Nutrition 129 (2): 521S–524S. Scholar
  57. Patton-López, Megan M., Daniel F. López-Cevallos, Doris I. Cancel-Tirado, and Leticia Vazquez. 2014. Prevalence and Correlates of Food Insecurity among Students Attending a Midsize Rural University in Oregon. Journal of Nutrition Education and Behavior 46 (3): 209–214. Scholar
  58. Payne-Sturges, Devon C., Allison Tjaden, Kimberly M. Caldeira, Kathryn B. Vincent, and Amelia M. Arria. 2018. Student Hunger on Campus: Food Insecurity Among College Students and Implications for Academic Institutions. American Journal of Health Promotion 32 (2): 349–354. Scholar
  59. Quandt, Sara, and Pamela Rao. 1999. Hunger and Food Security Among Older Adults in a Rural Community. Human Organization 58 (1): 28–35. Scholar
  60. Rose-Jacobs, Ruth, Maureen M. Black, Patrick H. Casey, John T. Cook, Diana B. Cutts, Mariana Chilton, Timothy Heeren, Suzette M. Levenson, Alan F. Meyers, and Deborah A. Frank. 2008. Household Food Insecurity: Associations with At-Risk Infant and Toddler Development. Pediatrics 121 (1): 65–72. Scholar
  61. Seligman, Hilary K., Barbara A. Laraia, and Margot B. Kushel. 2010. Food Insecurity Is Associated with Chronic Disease Among Low-Income NHANES Participants. The Journal of Nutrition 140 (2): 304–310. Scholar
  62. Townsend, Marilyn S., Janet Peerson, Bradley Love, Cheryl Achterberg, and Suzanne P. Murphy. 2001. Food Insecurity Is Positively Related to Overweight in Women. The Journal of Nutrition 131 (6): 1738–1745. Scholar
  63. Watson, Tyler D., Hannah Malan, Deborah Glik, and Suzanna M. Martinez. 2017. College Students Identify University Support for Basic Needs and Life Skills as Key Ingredient in Addressing Food Insecurity on Campus. California Agriculture 71 (3): 130–138. Scholar
  64. Wattick, Rachel, Rebecca Hagedorn, and Melissa Olfert. 2018. Relationship Between Diet and Mental Health in a Young Adult Appalachian College Population. Nutrients 10 (8): 957. Scholar
  65. Weaver, Lesley Jo, and Connor B. Fasel. 2018. A Systematic Review of the Literature on the Relationships between Chronic Diseases and Food Insecurity. Food and Nutrition Sciences 9: 519–541. Scholar
  66. Weaver, Lesley Jo, and Craig Hadley. 2009. Moving Beyond Hunger and Nutrition: A Systematic Review of the Evidence Linking Food Insecurity and Mental Health in Developing Countries. Ecology of Food and Nutrition 48 (4): 263–284. Scholar
  67. Weinstein, James L., Katie S. Martin, and Ann M. Ferris. 2009. Household Food Security Varies Within Month and Is Related to Childhood Anemia. Journal of Hunger & Environmental Nutrition 4 (1): 48–61. Scholar
  68. Whitaker, R.C., S.M. Phillips, and S.M. Orzol. 2006. Food Insecurity and the Risks of Depression and Anxiety in Mothers and Behavior Problems in Their Preschool-Aged Children. Pediatrics 118 (3): E859–E568. Scholar
  69. Wutich, Amber, and Alexandra Brewis. 2014. Food, Water, and Scarcity: Toward a Broader Anthropology of Resource Insecurity. Current Anthropology 55 (4): 444–468. Scholar

Copyright information

© The Author(s) 2020

Authors and Affiliations

  1. 1.University of North TexasDentonUSA

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