ArticlePloS one2017
Trends in food insecurity for adults with cardiometabolic disease in the United States: 2005-2012.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 3 of them syntheses that pooled it.
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Who cites it
88 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Food insecurity, type 2 diabetes, and hyperglycaemia: A systematic review and meta-analysis.Endocrinology, diabetes & metabolism · 2022Pooled it
- Association between food insecurity and cardiometabolic risk in adults and the elderly: A systematic review.Journal of global health · 2020Pooled it
- Pooled it
- A randomized controlled study comparing three food prescription programs for older adults: program design, implementation, and utilization.Frontiers in public health · 2026Trial
- Food Insecurity Interventions to Improve Blood Pressure: The Healthy Food First Factorial Randomized Clinical Trial.JAMA internal medicine · 2025Trial
- Food Security and Cardio-Metabolic Risk in Individuals with Metabolic Syndrome.International journal of environmental research and public health · 2024Trial
- Does the effect of lifestyle intervention for individuals with diabetes vary by food insecurity status? A preplanned subgroup analysis of the REAL HEALTH randomized clinical trial.BMJ open diabetes research & care · 2020Trial
- "I was able to eat what I am supposed to eat"-- patient reflections on a medically-tailored meal intervention: a qualitative analysis.BMC endocrine disorders · 2020Trial
- Protocol for the sequential multiple assignment randomized trial to reduce food insecurity and improve adherence in patients with hypertension (SMART-FI).Contemporary clinical trials · 2026Article
- Understanding the association of food insecurity and nutrition insecurity with diet quality: a cross-sectional analysis of 2 national samples.The American journal of clinical nutrition · 2026Article
- Prevalence and Impact of Food Insecurity in Patients Undergoing Pulmonary Function Testing: A Cross-Sectional Study.CHEST pulmonary · 2025Article
- Article
- Differences in United States Adult Dietary Patterns by Cardiometabolic Health and Socioeconomic Vulnerability.The Journal of nutrition · 2025Article
- Geospatial Analysis of Food Insecurity and Adverse Human Health Outcomes in the United States.GeoHealth · 2025Article
- Drivers and magnitude of food insecurity among rural households in southern Democratic Republic of Congo.Heliyon · 2024Article
- Article
- Food insecurity in high-risk rural communities before and during the COVID-19 pandemic.Heliyon · 2024Article
- Food Insecurity and Social Policy: A Comparative Analysis of Welfare State Regimes in 19 Countries.International journal of social determinants of health and health services · 2024Article
- Understanding food insecurity risk in the United States: A longitudinal analysis.SSM - population health · 2024Article
- Food Environment Quality and Cardiovascular Disease Mortality in the United States: a County-Level Analysis from 2017 to 2019.Journal of general internal medicine · 2024Article
28 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
Abstract
backgroundFood insecurity, the uncertain ability to access adequate food, can limit adherence to dietary measures needed to prevent and manage cardiometabolic conditions. However, little is known about temporal trends in food insecurity among those with diet-sensitive cardiometabolic conditions.
methodsWe used data from the Continuous National Health and Nutrition Examination Survey (NHANES) 2005-2012, analyzed in 2015-2016, to calculate trends in age-standardized rates of food insecurity for those with and without the following diet-sensitive cardiometabolic conditions: diabetes mellitus, hypertension, coronary heart disease, congestive heart failure, and obesity.
results21,196 NHANES participants were included from 4 waves (4,408 in 2005-2006, 5,607 in 2007-2008, 5,934 in 2009-2010, and 5,247 in 2011-2012). 56.2% had at least one cardiometabolic condition, 24.4% had 2 or more, and 8.5% had 3 or more. The overall age-standardized rate of food insecurity doubled during the study period, from 9.06% in 2005-2006 to 10.82% in 2007-2008 to 15.22% in 2009-2010 to 18.33% in 2011-2012 (p for trend < .001). The average annual percentage change in food insecurity for those with a cardiometabolic condition during the study period was 13.0% (95% CI 7.5% to 18.6%), compared with 5.8% (95% CI 1.8% to 10.0%) for those without a cardiometabolic condition, (parallelism test p = .13). Comparing those with and without the condition, age-standardized rates of food insecurity were greater in participants with diabetes (19.5% vs. 11.5%, p < .0001), hypertension (14.1% vs. 11.1%, p = .0003), coronary heart disease (20.5% vs. 11.9%, p < .001), congestive heart failure (18.4% vs. 12.1%, p = .004), and obesity (14.3% vs. 11.1%, p < .001).
conclusionsFood insecurity doubled to historic highs from 2005-2012, particularly affecting those with diet-sensitive cardiometabolic conditions. Since adherence to specific dietary recommendations is a foundation of the prevention and treatment of cardiometabolic disease, these results have important implications for clinical management and public health.
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