The daily experience of hunger in UK females with and without food insecurity

Food insecurity (FI) is associated with obesity in women in high-income countries, but causal mechanisms remain unclear. FI is often assumed to lead to increased levels of hunger. However, quantitative evidence describing daily experiences of hunger in FI is lacking. Our pre-registered study used ecological momentary assessment to capture experiences of hunger in two groups of UK-based women: those experiencing FI (N = 143) and those experiencing food security (FS; N = 149). Participants self-reported hunger hourly (0900-2100) for one week (Monday-Sunday). There was no difference between groups in mean hunger (t(290) = 0.17, p = .866, d = 0.02) nor within-day standard deviation in hunger (t(290) = 1.31, p = .193, d = 0.15). However, both quantities fluctuated more from day to day in the FI group. Compared to the FS group, women in the FI group had a larger day-to-day variation in mean hunger (t(284) = 2.43, p = .016, d = 0.29) and a larger day-to-day variation in the within-day standard deviation of hunger (t(284) = 2.90, p = .004, d = 0.34). These findings suggest that experiences of hunger are less stable in those experiencing FI, likely reflecting the environmental uncertainty in access to food associated with FI and more variable meal timing. Temporal irregularity in hunger may have downstream consequences for weight status and health outcomes, given hunger’s potent psychological influence on health behaviour.