Evidence map›Paper›PMID 40022035›Full record

ArticleBMC public health2025

Food insecurity and cardiovascular disease risk factors among U.S. adults.

Michael F Royer, Lisa G Rosas, Abby C King

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

3 authors.

Michael F RoyerStanford Prevention Research Center, Stanford University School of Medicine, Palo Alto, CA, USA. mfroyer@stanford.edu.
Lisa G RosasDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, CA, USA.
Abby C KingStanford Prevention Research Center, Stanford University School of Medicine, Palo Alto, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood insecurity is an ongoing public health issue that involves limited or uncertain access to food. National rates of food insecurity among U.S. households have increased from 10.2% (~ 13,500,000 households) in 2021 to 12.8% (~ 17,000,000 households) in 2022 and most recently 13.5% (~ 18,000,000 households) in 2023. Food insecurity is associated with various health conditions and behaviors that raise the risk of cardiovascular disease (CVD). Little is known about whether the associations between food insecurity and CVD risk factors among U.S. adults differ by gender and race/ethnicity.

methodsThe 2017-2018 National Health and Nutrition Examination Survey dataset was accessed for a cross-sectional study on the associations between food insecurity and six CVD risk factors among U.S. adults. Food insecurity was measured with the 10-item Adult Food Security Survey Module. General linear models were used to analyze the associations between food insecurity and high blood pressure, high cholesterol, diabetes, cigarette smoking, sedentary time, and body mass index (BMI). Moderation analyses examined differences in the association between food insecurity and CVD risk factors by gender and race/ethnicity.

resultsFood insecurity was positively associated with high blood pressure (B = 0.104, p = 0.04), diabetes (B = 0.087, p = 0.006), and cigarette smoking (B = 0.239, p = 0.002); and food insecurity was negatively associated with sedentary time (B=-0.765, p = 0.02). Moderation analyses for gender revealed that women who were food insecure had greater BMI than men who were food insecure (B = 2.284, p = 0.02). Moderation analyses for race/ethnicity determined that, compared to White adults with food insecurity, high blood pressure rates were lower among Asian (B=-0.164, p = 0.04) and Black (B=-0.153, p = 0.04) adults with food insecurity, high cholesterol rates were greater among Latino adults with food insecurity (B = 0.168, p = 0.04), and cigarette smoking rates were lower among Black (B=-0.246, p = 0.03) and Latino (B=-0.380, p = 0.006) adults with food insecurity.

conclusionsThis research produced useful insight into how food insecurity relates to conditions and behaviors that increase CVD risk. Evidence from this study can inform both longitudinal and prevention efforts aimed at investigating food insecurity as both a harmful social determinant of health and a potential predictor of CVD risk among U.S. adults.

trial registrationN/A.

Indexed as

Cardiovascular DiseasesFood InsecurityHeart Disease Risk FactorsAdultAgedBody Mass IndexCross-Sectional StudiesEthnicityFemaleHumansMaleMiddle AgedNutrition SurveysRisk FactorsUnited StatesBlood pressureBody mass indexCardiovascular diseaseCholesterolDiabetesEthnicityFood insecurityGenderNHANESRaceSedentarySmoking

Identifiers

PMID40022035
PMCPMC11871765

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.