Evidence map›Paper›PMID 40568620›Full record

ArticleJournal of nutritional science2025

Associations between Food Insecurity and Supplemental Nutrition Assistance Program (SNAP) participation with ultra-processed food intake in lower-income U.S. adolescents.

Aarohee P Fulay, Ana Baylin, Julia A Wolfson, Joyce M Lee, Euridice Martinez-Steele, Cindy W Leung

Abstract read
In one paragraph

Article in Journal of nutritional science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. 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

6 authors.

Aarohee P FulayDepartment of Epidemiology, University of Pittsburgh School of Public Health, Pittsburgh, PA, USA.ORCID https://orcid.org/0000-0003-3411-7306
Ana BaylinDepartment of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA.
Julia A WolfsonDepartments of International Health and Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Joyce M LeeSusan B. Meister Child Health Evaluation and Research Center, Division of Pediatric Endocrinology, University of Michigan Medical School, Ann Arbor, MI, USA.
Euridice Martinez-SteeleDepartment of Nutrition, School of Public Health, University of Sao Paulo, São Paulo, Brazil.
Cindy W LeungDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WILLIAM H HERMAN · 2013 to 2026
$24.3M
Pilot and Feasibility (P and F) ProgramP30DK089503 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Kanakadurga Singer · 2010 to 2026
$20.3M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
TRAINING IN THE EPIDEMIOLOGY OF AGINGT32AG000181 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 1989 to 2025
$6.2M
Development and Pilot Evaluation of a Novel Cooking Skills Intervention to Prevent DiabetesK01DK119166 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLFSON, JULIA A · 2020 to 2023
$607k
NIA NIH HHS T32 AG000181NIDDK NIH HHS K01 DK119166NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK089503NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

Ultra-processed foods (UPFs) have negative health consequences. Food insecurity and Supplemental Nutrition Assistance Program (SNAP) are associated with higher UPF intake in U.S. adults, but this has not been examined in U.S. adolescents. This study assesses associations between food security status and SNAP participation with UPF intake in 3,067 adolescents aged 12-19 years with household incomes at or below 300% of the federal poverty line from the 2007-2016 National Health and Nutrition Examination Survey. UPF is defined using the Nova classification and measured as a percentage of daily total energy intake (TEI). High food security, marginal food security, or food insecurity status was determined through the U.S. Department of Agriculture's eighteen-item Household Food Security Survey. SNAP participation was deemed affirmative if the household reported receiving SNAP benefits in the last year. Multivariable linear regressions that controlled for TEI and sociodemographic covariates and accounted for the complex survey design examined associations between food insecurity and SNAP participation with UPF intake. In the sample, the prevalence of marginal food security was 15.9%, the prevalence of food insecurity was 33.8%, and the prevalence of SNAP participation was 36.5%. After multivariate adjustment, there were no significant differences in UPF intake by food security status. Adolescents participating in SNAP consumed 2.7% higher UPF intake (95% CI: 0.1%, 5.2%, p = 0.04) compared to adolescents not participating in SNAP. Among lower-income U.S. adolescents, SNAP participation but not food security status was associated with higher UPF intake. Programs and policies promoting the intake of more healthful, minimally processed foods should be strengthened.

Indexed as

Fast FoodsFood AssistanceFood InsecurityFood SupplyPovertyAdolescentChildCross-Sectional StudiesEnergy IntakeFemaleFood, ProcessedHumansMaleNutrition SurveysUnited StatesYoung AdultAdolescentsFood securitySupplemental nutrition assistance program (SNAP)Ultra-processed foods (UPF)

Identifiers

PMID40568620
PMCPMC12187485

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.