Evidence map›Paper›PMID 40082777›Full record

Trial reportJournal of the American Heart Association2025

Food Insecurity and Its Cardiovascular Implications in Underresourced Communities.

Esther Porras-Pérez, Juan L Romero-Cabrera, Alberto Díaz-Cáceres, Alejandro Serrán-Jiménez, Javier Arenas-Montes, Patricia J Peña-Orihuela, Isabel De-Castro-Burón, Antonio García-Ríos, José D Torres-Peña, María M Malagón and 4 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05379842 (Educational Strategy on a Vulnerable Population to Improve Cardiovascular Health and Mitigate Food Insecurity Through a Sustainable Health Literacy Program), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT05379842 nacompletednot on this map

Educational Strategy on a Vulnerable Population to Improve Cardiovascular Health and Mitigate Food Insecurity Through a Sustainable Health Literacy Program

TypeinterventionalSponsorMaimónides Biomedical Research Institute of CórdobaRan2021 to 2024Enrolled460ConditionsCardiovascular Health, Food Insecurity, Healthy Lifestyle, Vulnerable PopulationArmsEducation on a healthy lifestyle and health literacy
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. 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

14 authors.

Esther Porras-PérezLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0000-0003-3281-8838
Juan L Romero-CabreraLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0000-0001-6459-3536
Alberto Díaz-CáceresLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0009-0000-4121-8290
Alejandro Serrán-JiménezLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0009-0004-0225-4482
Javier Arenas-MontesLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0000-0002-2846-7804
Patricia J Peña-OrihuelaLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.
Isabel De-Castro-BurónCommunication Department Maimonides Institute for Biomedical Research in Córdoba Spain.
Antonio García-RíosLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.
José D Torres-PeñaLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0000-0003-1366-5549
María M MalagónCIBER Physiopathology of Obesity and Nutrition (CIBEROBN) Institute of Health Carlos III Madrid Spain.ORCID 0000-0002-2419-2727
Javier Delgado-ListaLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0000-0002-2982-2716
Jose M OrdovásCIBER Physiopathology of Obesity and Nutrition (CIBEROBN) Institute of Health Carlos III Madrid Spain.ORCID 0000-0002-7581-5680
Elena M Yubero-SerranoLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0000-0002-2733-5359
Pablo Pérez-MartínezLipids and Atherosclerosis Unit, Maimonides Institute for Biomedical Research in Córdoba (IMIBIC), University of Córdoba Reina Sofia University Hospital Córdoba Spain.ORCID 0000-0001-7716-8117

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood insecurity is linked to poorer cardiovascular health (CVH) outcomes, particularly in underresourced communities, where social determinants of health play a critical role. Despite the recognized connections, there remains a lack of empirical evidence delineating the implications of food insecurity on CVH. CVH, a broader concept than cardiovascular disease, encompasses the overall well-being of the cardiovascular system and is supported by favorable lifestyle choices and physiological metrics. Particularly in underresourced communities, the study of CVH could provide valuable insights for early intervention and targeted public health initiatives. This study aimed to fill this knowledge gap. METHODS AND

resultsWe conducted a cross-sectional analysis of baseline data from the E-DUCASS (Educational Strategy on a Vulnerable Population to Improve Cardiovascular Health and Food Insecurity) program (NCT05379842), a 24-month randomized study targeting participants at risk for food insecurity. CVH was assessed using the Life's Essential 8 score. The sample included 451 participants aged 12 to 80 years, stratified by age (30.6% children [aged 12-19 years], 35.9% young adults [aged 20-39 years], and 33.5% adults [aged 40-80 years]) and sex (42.1% men and 57.9% women). The mean CVH score was 65.1 (95% CI, 63.9-66.4), with diet, physical activity, nicotine exposure, and body mass index being the lowest-scoring metrics. Food insecurity significantly influenced CVH; those participants with severe food insecurity had lower CVH scores than those without (effect size, -2.83 [95% CI, -5.10 to -0.56];

conclusionsOur findings highlight the negative association between food insecurity and CVH in underresourced Mediterranean communities. These results underscore the need for strategies aimed at reducing cardiovascular risk, potentially through health literacy programs like E-DUCASS, that focus on improving lifestyle and alleviating food insecurity. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique Identifier: NCT05379842.

Indexed as

Cardiovascular DiseasesFood InsecurityFood SupplyAdolescentAdultAgedAged, 80 and overChildCross-Sectional StudiesFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedRisk FactorsSocial Determinants of Healthcardiovascular healthfood insecurityhealth disparitiessocial determinant of healthunderresourced communities

Identifiers

PMID40082777
PMCPMC12132623

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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.