ArticleBMC pediatrics2022
Food insecurity during COVID-19 in children with end-stage kidney disease: a pilot study.
Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Implementation and evaluation of a quality improvement project to standardize food insecurity screening in a pediatric nephrology clinic.Pediatric nephrology (Berlin, Germany) · 2026Article
- Food Assistance to Financially Insecure Children and Adolescents With Chronic Kidney Disease: Impact on Disease Progression.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2026Article
- Food Insecurity in Pediatric Kidney Transplant Recipients.Pediatric transplantation · 2025Article
- Neighborhood Disadvantage and Inequities in Access to Preemptive and Living Kidney Transplantation.Kidney360 · 2025Article
- Missed Opportunities to Address SNAP for Nonenrolled Children.Pediatrics · 2025Article
- Food insecurity impacts diet quality and adherence to the gluten-free diet in youth with celiac disease.Journal of pediatric gastroenterology and nutrition · 2024Article
- Improving food insecurity screening across a health system throughout the COVID-19 pandemic.BMJ open quality · 2024Article
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Authors and funding
6 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundFood insecurity, an important social determinant of health among children, has become more common during the COVID-19 pandemic. Children with chronic diseases including end-stage kidney disease (ESKD) are at higher risk of food insecurity due to their complex care needs, medication burden, and dietary restrictions. No data exists describing food insecurity prevalence in pediatric ESKD patients during the COVID-19 pandemic.
methodsFood insecurity was assessed among families of children (age 0-18 years) with ESKD on chronic dialysis at two pediatric academic medical centers. Families were screened in April 2020 using the Hunger Vital Sign, a validated 2-question screening tool. We assessed impact of COVID-19 on food insecurity. We compared serum phosphorus "pre-COVID" (January/February 2020) to "during COVID" (April/May 2020).
resultsA total of 29 families enrolled in this study. 62% (18/29) of children with ESKD lived in food insecure households, and of those, 72% (13/18) reported that COVID-19 had worsened their food insecurity status. During the COVID-19 pandemic, food insecure patients experienced greater rise in their serum phosphorus levels (1.1 mg/dL vs. 0 mg/dL, p = 0.03) and decreased likelihood of having adequate phosphorus control (50% vs. 11%, p = 0.03).
conclusionFood insecurity was common among children with ESKD on chronic dialysis during the COVID-19 pandemic. Children with food insecurity had a greater increase in their phosphorus levels during the pandemic than did food secure children. Further exploration into how food resources such as an onsite food pantry impacts food insecurity and phosphorus control in children with ESKD is essential.
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