Evidence map›Paper›PMID 38453472›Full record

ArticlePediatric obesity2024

Food insecurity is a risk factor for metabolic dysfunction-associated steatotic liver disease in Latinx children.

Sarah L Maxwell, Jennifer C Price, Emily R Perito, Philip Rosenthal, Janet M Wojcicki

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Pediatric obesity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
13.6field-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.

NCT07090083 recruitingnot on this mapstarted 2025, after this paper: background citation

Pediatric MASLD and Food Insecurity

Typeobservational_patient_registrySponsorUniversity of California, San FranciscoRan2025 to 2026Enrolled160ConditionsMASLD - Metabolic Dysfunction-Associated Steatotic Liver Disease, Food Insecurity
NCT07091539 narecruitingnot on this mapstarted 2025, after this paper: background citation

Food Insecurity and MASLD: A Fruit and Vegetable Intervention Study

TypeinterventionalSponsorUniversity of California, San FranciscoRan2025 to 2027Enrolled48ConditionsMASLD - Metabolic Dysfunction-Associated Steatotic Liver Disease, Food Insecurity Among ChildrenArmsFruit/vegetable vouchers
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Socioeconomic Factors and Their Role in Metabolic Dysfunction-Associated Steatotic Liver Disease: A Comprehensive Review.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Review
  3. Review
  4. Article
  5. Food Insecurity Is Highly Prevalent Amongst Patients With Chronic Liver Disease in Northern England: A Cross-Sectional Analysis.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. County-Level Food Insecurity and Hepatocellular Carcinoma Risk: A Cross-Sectional Analysis.International journal of environmental research and public health · 2025
    Article
  12. Review
  13. Article
  14. 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

5 authors at 1 institution in 1 country.

Sarah L MaxwellDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0001-8155-1346
Jennifer C PriceDivision of Gastroenterology, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Emily R PeritoDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Philip RosenthalDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
Janet M WojcickiDivision of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, University of California, San Francisco, San Francisco, California, USA.
University of California, San Francisco · US

Funding

TRAINING PROGRAM IN PEDIATRIC GASTROENTEROLOGY/NUTRITIONT32DK007762 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI James Bayrer · 1998 to 2026
$7.3M
Maternal Depression and Child Weight Gain in a Latino CohortK01DK080825 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WOJCICKI, JANET M · 2009 to 2014
$721k
Stress, Obesity and Telomere Length in Latino Infants and ToddlersR03DK097458 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WOJCICKI, JANET M · 2013 to 2014
$158k
NIDDK NIH HHS 007762NIDDK NIH HHS 080825NIDDK NIH HHS 097458NIDDK NIH HHS K01 DK080825NIDDK NIH HHS R03 DK097458NIDDK NIH HHS T32 DK007762
6 · The paper itself

Abstract

introductionMetabolic dysfunction-associated steatotic liver disease (MASLD) is the most common chronic liver disease among US children. Studies have associated food insecurity with MASLD in adults, but there are few studies of pediatric MASLD, particularly in high-risk populations. We assessed the impact of household food insecurity at 4 years of age on MASLD in Latinx children.

methodsUsing a prospective cohort design, Latina mothers were recruited during pregnancy and followed with their children until early to mid-childhood. Our primary exposure was household food insecurity at 4 years of age measured using the validated US Household Food Security Food Module. Our primary outcome, MASLD, was defined as alanine transaminase (ALT) ≥95th% for age/gender plus body mass index (BMI) ≥85% at time of ALT measurement (assessed between ages 5-12). We used multivariable logistic regression models to test for independent associations between household food insecurity and pediatric MASLD.

resultsAmong 136 children, 28.7% reported household food insecurity at 4 years of age and 27.2% had MASLD in early to middle childhood. Approximately 49% of children with MASLD and 21% of children without MASLD were food insecure (p < 0.01). Exposure to household food insecurity at age 4 was independently associated with a 3.7-fold higher odds of MASLD later in childhood (95% CI: 1.5-9.0, p < 0.01).

conclusionsExposure to household food insecurity at 4 years of age was associated with increased risk for MASLD later in childhood. Further studies are needed to explore mechanism(s) and impact of reducing food insecurity on risk for MASLD.

Indexed as

Food InsecurityHispanic or LatinoAlanine TransaminaseBody Mass IndexChildChild, PreschoolFemaleHumansMaleNon-alcoholic Fatty Liver DiseaseProspective StudiesRisk FactorsAlanine Transaminasefood insecurityhealth disparitiesMASLDmetabolic healthsteatotic liver disease

Identifiers

PMID38453472
PMCPMC11146202
OpenAlexW4392757357

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.