Evidence map›Paper›PMID 32174292›Full record

SynthesisPublic health nutrition2020

Food insecurity and mental health: a systematic review and meta-analysis.

Ali Pourmotabbed, Sajjad Moradi, Atefeh Babaei, Abed Ghavami, Hamed Mohammadi, Cyrus Jalili, Michael E Symonds, Maryam Miraghajani

Erratum issued 2 registry-linked trialsOpen access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Public health nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 287 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
287citing papers in PubMed, 10 pooled it
62.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

NCT07427524 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Psychosocial Intervention With Precarious Young People: a Comparative Longitudinal Study on Psychological Distress and Food Insecurity

TypeinterventionalSponsorUniversity of LorraineRan2026 to 2027Enrolled70ConditionsTrauma and Stress-related Disorders, Food Insecurity, Child Maltreatment, Psychological DistressArmsFood Assistance, Psychological Follow-Up
NCT07620028 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Improving Dietary Quality Through Animal Source Protein Accessibility in a Low-Resource Setting

TypeinterventionalSponsorPurdue UniversityRan2026 to 2027Enrolled500ConditionsNutrition Intervention, Healthy Eating, Diet, Healthy, HungerArmsNutrition Secure Indianapolis Food Box Intervention, Nutrition Secure Indianapolis Nutrition Education
3 · Its place in the literature

Who cites it

287 citing papers in PubMed, 10 syntheses or guidelines pooled it, 495 citations in OpenAlex.

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  10. Food insecurity and binge eating: A systematic review and meta-analysis.The International journal of eating disorders · 2023
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  13. Food Security and Cardio-Metabolic Risk in Individuals with Metabolic Syndrome.International journal of environmental research and public health · 2024
    Trial
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227 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Ali PourmotabbedDepartment of Physiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Sajjad MoradiHalal Research Center of IRI, FDA, Tehran, Iran.ORCID 0000-0003-0108-187X
Atefeh BabaeiDepartment of Physiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Abed GhavamiDepartment of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Hamed MohammadiStudent Research Committee, Department of Clinical Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran.
Cyrus JaliliDepartment of Anatomical Sciences, Medical School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Michael E SymondsThe Early Life Research Unit, Division of Child Health, Obstetrics and Gynaecology, and Nottingham Digestive Disease Centre and Biomedical Research Centre, School of Medicine, University of Nottingham, Nottingham, UK.
Maryam MiraghajaniCancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Isfahan University of Medical Sciences · IRKermanshah University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRUniversity of Nottingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFood security has been suggested to be a risk factor for depression, stress and anxiety. We therefore undertook a systematic review and meta-analysis of available publications to examine these associations further.

designRelevant studies were identified by searching Web of Science, Embase, Scopus and PubMed databases up to January 2019.

settingOR was pooled using a random-effects model. Standard methods were used for assessment of heterogeneity and publication bias.

participantsData were available from nineteen studies with 372 143 individual participants from ten different countries that were pooled for the meta-analysis.

resultsThe results showed there was a positive relationship between food insecurity (FI) and risk of depression (OR = 1·40; 95 % CI: 1·30, 1·58) and stress (OR = 1·34; 95 % CI: 1·24, 1·44) but not anxiety. Subgroup analysis by age showed that subjects older than ≥65 years exhibited a higher risk of depression (OR = 1·75; 95 % CI: 1·20, 2·56) than younger participants (OR = 1·34; 95 % CI: 1·20, 1·50), as well as a greater risk of depression in men (OR = 1·42; 95 % CI: 1·17, 1·72) than women (OR = 1·30; 95 % CI: 1·16, 1·46). Finally, subgroup analysis according to geographical location illustrated that food insecure households living in North America had the highest risk of stress and anxiety.

conclusionsThe evidence from this meta-analysis suggests that FI has a significant effect on the likelihood of being stressed or depressed. This indicates that health care services, which alleviate FI, would also promote holistic well-being in adults.

Indexed as

Food InsecurityAdultAgedAge FactorsAnxietyDepressionDietFamily CharacteristicsFemaleGeographyHumansMaleMental HealthMiddle AgedNorth AmericaOdds RatioAnaemia riskAnxietyDepressionFood insecurityMeta-analysisStressSystematic review

Identifiers

PMID32174292
PMCPMC10200655
OpenAlexW3011138890

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.