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Julia Raifman, ScD; Jacob Bor, ScD; Atheendar Venkataramani, MD, PhD The prevalence of nutrition-sensitive conditions such as obesity and type 2 diabetes has increased substantially in the US during the past 30 years. These conditions, combined with other diet-related ones such as cardiovascular diseases and certain cancers, are associated with the majority of morbidity, mortality, and health care spending nationally. Simultaneously, income inequality has increased, with accompanying self-reported food insecurity disproportionately affecting individuals with lower incomes. Food insecurity has been defined as the state of being without reliable access to a sufficient quantity of affordable, nutritious food, and in 2019 was estimated to affect 10.5% of US households.

Tufts universityUnited statesAcasti pharmaDariush mozaffarianSupplemental nutrition assistance programMelinda gates foundationNational school lunch programCleveland clinic foundationElysium healthNational institutes of healthFood stamp programSupplemental nutrition program for womenWorld health organizationAgricultural organizationSchool breakfast programRockefeller foundation