Evidence map›Paper›PMID 36328921›Full record

ArticleSleep health2023

Food insecurity, sleep, and cardiometabolic risks in urban American Indian/Alaska Native youth.

Lu Dong, Elizabeth J D'Amico, Daniel L Dickerson, Ryan A Brown, Alina I Palimaru, Carrie L Johnson, Wendy M Troxel

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sleep health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
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  8. Review
  9. Observational
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  11. Review
  12. Article
  13. Trying to Do What's Best: Maternal Perspectives About Toddler Sleep Health Among an Underresourced Sample of Mothers With Diverse Racial and Ethnic Identities.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Lu DongRAND Corporation, Santa Monica, California, USA. Electronic address: ldong@rand.org.
Elizabeth J D'AmicoRAND Corporation, Santa Monica, California, USA.
Daniel L DickersonUCLA Integrated Substance Abuse Program, Semel Institute for Neuroscience and Human Behavior, Los Angeles, California, USA.
Ryan A BrownRAND Corporation, Santa Monica, California, USA.
Alina I PalimaruRAND Corporation, Santa Monica, California, USA.
Carrie L JohnsonSacred Path Indigenous Wellness Center, Los Angeles, California, USA.
Wendy M TroxelRAND Corporation, Pittsburgh, Pennsylvania, USA.
RAND Corporation · US

Funding

Examining the Role of Sleep Disturbances in Contributing to Health Risk Behaviors and Cardiometabolic Outcomes in Urban Native American YouthR01MD012190 · NIMHD · RAND CORPORATION · PI D'AMICO, ELIZABETH J., DICKERSON, DANIEL LEE · 2017 to 2021
$3.5M
NIMHD NIH HHS R01 MD012190
6 · The paper itself

Abstract

objectivesFood insecurity contributes to racial/ethnic disparities in health. This is the first study to examine associations among food insecurity, sleep, and cardiometabolic outcomes in urban American Indian/Alaska Native (AI/AN) youth.

designParticipants were 142 urban AI/AN youth (mean age = 14 years, 58% female). Food insecurity and self-reported sleep disturbance were measured using validated surveys. A multi-dimensional sleep health composite was derived using questionnaires (ie, satisfaction, alertness) and actigraphy-derived indices (ie, duration, efficiency, regularity, timing). Cardiometabolic measures included body mass index, blood pressure, glycosylated hemoglobin, waist circumference, cholesterol, and triglycerides. Covariates were sex, age, and single-parent household.

resultsGreater food insecurity was significantly associated with greater body mass index (b = 0.12, p = .015), higher systolic blood pressure (b = 0.93, p = .03), and greater sleep disturbance (b = 1.49, p < .001), and marginally associated with lower sleep health composite scores (b = -0.09, p = .08). There was a significant indirect path from greater food insecurity to greater waist circumference through poorer sleep health (0.11, 95% bootstrapping CI: [0.01, 0.30]).

conclusionFood insecurity is an important correlate of sleep and cardiometabolic health among urban AI/AN youth and should be addressed to reduce emerging health risks during this important developmental period. Policies to reduce food insecurity and increase access to healthy foods as well as sleep interventions for these youth could help, as preliminary findings suggest that sleep health may mediate the negative impact of food insecurity on cardiometabolic risks.

Indexed as

Cardiovascular DiseasesAdolescentAmerican Indian or Alaska NativeFemaleFood InsecurityHumansMaleSleepAdolescentsAmerican Indian/Alaska NativeFood insecurityObesitySleep

Identifiers

PMID36328921
PMCPMC9991968
OpenAlexW4307898881

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.