ArticlePediatric nephrology (Berlin, Germany)2019
Relationship between food insecurity and high blood pressure in a national sample of children and adolescents.
Article in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health outcomes following childhood or adolescent exposure to household food insecurity: a rapid systematic review.Public health nutrition · 2025Pooled it
- Pooled it
- Feeding the Family-A Food Is Medicine Intervention: Preliminary Baseline Results of Clinical Data from Caregivers and Children.Nutrients · 2026Trial
- Beyond genetics: how environmental stressors drive pediatric hypertension risk.Pediatric nephrology (Berlin, Germany) · 2026Review
- Environmental exposures and pediatric kidney health.Pediatric research · 2026Review
- Meeting Youth Needs: The Importance of Incorporating Adolescent and Young Adult Perspectives in Food Insecurity Screening and Interventions.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026Article
- Screening of Pediatric Patients at Cardiology Clinic Identifies High Prevalence of Food Insecurity.International journal of environmental research and public health · 2026Article
- Mediating pathways between area-level deprivation and hypertension in Nepal: the role of nutritional status, food insecurity, and health behaviors.BMC public health · 2025Article
- Household food insecurity and its impact on child and adolescent health outcomes in Western high-income countries: a rapid review of mechanisms and associations.Public health nutrition · 2025Review
- Geospatial Analysis of Food Insecurity and Adverse Human Health Outcomes in the United States.GeoHealth · 2025Article
- The Study of the Epidemiology of Pediatric Hypertension Registry (SUPERHERO): rationale and methods.American journal of epidemiology · 2024Article
- Families Benefit After Utilization of a Clinic-Based Food Pantry Irrespective of Food Insecurity Experiences in a Pediatric Obesity Treatment Program.American journal of health promotion : AJHP · 2024Article
- Uric Acid Is Not Associated With Cardiovascular Health in Youth With Type 1 Diabetes: SEARCH for Diabetes in Youth Study.The Journal of clinical endocrinology and metabolism · 2024Article
- Importance of Nutrition Security to CVD Prevention Efforts in the USA.Current atherosclerosis reports · 2023Review
- Appraising the Preclinical Evidence of the Role of the Renin-Angiotensin-Aldosterone System in Antenatal Programming of Maternal and Offspring Cardiovascular Health Across the Life Course: Moving the Field Forward: A Scientific Statement From the American Heart Association.Hypertension (Dallas, Tex. : 1979) · 2023Review
- Social Determinants, Blood Pressure Control, and Racial Inequities in Childbearing Age Women With Hypertension, 2001 to 2018.Journal of the American Heart Association · 2023Article
- Household and child food insecurity and CVD risk factors in lower-income adolescents aged 12-17 years from the National Health and Nutrition Examination Survey (NHANES) 2007-2016.Public health nutrition · 2022Article
- Correlation between kidney sodium and potassium handling and the renin-angiotensin-aldosterone system in children with hypertensive disorders.Pediatric nephrology (Berlin, Germany) · 2022Article
- Food Insecurity and Cardiometabolic Conditions: a Review of Recent Research.Current nutrition reports · 2021Review
- Food insecurity, dietary acid load, dietary energy density and anthropometric indices among Iranian children.Eating and weight disorders : EWD · 2021Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesTo determine the relationship between food insecurity (FI) and high blood pressure (BP) in a national cohort of children and adolescents.
methodsA cross-sectional analysis of children aged 8-17 years in the 2007-2014 National Health and Nutrition Examination Survey (NHANES; unweighted N = 7125). FI over the preceding 12 months was assessed using the USDA Household Food Security Scale in NHANES. We defined high BP as (i) systolic or diastolic BP ≥ 90% for age < 13 years or ≥ 120/80 mmHg for age ≥ 13 years measured at one visit or (ii) reported hypertension diagnosis or current antihypertensive medication use. We used multivariable logistic regression to determine the association between household and child-specific FI and high BP, controlling for age, sex, race, and household income, accounting for the complex NHANES survey design.
resultsThe study population was 14.4% black, 21.3% Hispanic, and 49.4% female with a mean age of 12.6 years (SD 2.9). 20.3% had FI and 12.8% had high BP. High BP was more common in household FI vs. food-secure subjects (15.3% vs. 12.1%, p = 0.003). Adjusted analysis confirmed that household FI and child FI were associated with high BP (OR 1.26, 95% CI 1.04-1.54; OR 1.42, 95% CI 1.03-1.96, respectively).
conclusionsHousehold and child FI were associated with an increased likelihood of high BP in a large nationally representative cohort of children and adolescents. FI may have a significant impact on cardiovascular health during childhood. Further research is warranted to better define how FI contributes to health disparities.
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Registered trials
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