What Is the Hunger-Obesity Paradox?

      Obesity and hunger exist side by side throughout the United States. What is remarkable and counterintuitive is that the contradictory concepts of hunger and obesity are now known to coexist within the same person and within the same household. This phenomenon is called the hunger-obesity paradox.
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        • Dietz W.H.
        Does hunger cause obesity?.
        Pediatrics. 1995; 95: 766-767
        • Olson C.M.
        Nutrition and health outcomes associated with food insecurity and hunger.
        J Nutr. 1999; 129: S521-S524
        • Townsend M.S.
        • Peerson J.
        • Love B.
        • Achterberg C.
        • Murphy S.P.
        Food insecurity is positively related to overweight in women.
        J Nutr. 2001; 131: 1738-1745
        • Adams E.J.
        • Grummer-Strawn L.
        • Chavez G.
        Food insecurity is associated with increased risk of obestiy in California women.
        J Nutr. 2003; 133: 1070-1074
        • Jones S.J.
        • Jahns L.
        • Laraia G.A.
        • Haughton B.
        Lower risk of overweight in school-aged food insecure girls who participate in food assistance.
        Arch Pediatr Adolesc Med. 2003; 157: 780-784
        • Life Sciences Research Office, Federation of American Societies of Experimental Biology
        Core indicators of nutritional state for difficult-to-sample populations.
        J Nutr. 1990; 120: S1559-S1600
        • Nord M.
        • Andrews M.
        • Carlson S.
        Household food security in the United States. 2002 (Available at: Accessed April 4, 2005.)
        • Morland K.
        • Wing S.
        • Diez Roux A.
        The contextual effect of the local food environment on resident’s diets.
        Am J Public Health. 2002; 92: 1761-1767
        • Drewnowski A.
        • Specter S.E.
        Poverty and obesity.
        Am J Clin Nutr. 2004; 79: 6-16
        • Radimer K.L.
        • Olson C.M.
        • Greene J.
        • Campbell C.C.
        • Habicht J.P.
        Understanding hunger and developing indicators to assess it in women and children.
        J Nutr Educ. 1992; 24: S36-S44
        • Darmon N.
        • Ferguson E.L.
        • Briend A.
        A cost constraint alone has adverse effects on food selection and nutrient density.
        J Nutr. 2003; 133: 661-662
        • Polivy J.
        Psychological consequences of food restriction.
        J Am Diet Assoc. 1996; 96: 589-592
        • Power C.
        • Manor O.
        • Matthews S.
        Child to adult socioeconomic conditions and obesity in a national cohort.
        Int J Obes. 2003; 27: 1081-1086
        • Poulton R.
        • Caspi A.
        • Milne B.J.
        • Thomson W.M.
        • Taylor A.
        • Sears M.R.
        • Moffitt T.E.
        Association between children’s experience of socioeconomic disadvantage and adult health.
        Lancet. 2002; 360: 1640-1645