Evidence map›Paper›PMID 40673354›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Food insecurity and cognitive domains among older United States adults: Findings from the health and retirement study.

Elizabeth Ludwig-Borycz, Heejin Lee, Lindsay H Ryan, Steven G Heeringa, Claire T McEvoy, Julia A Wolfson, Arun Agrawal, Kenneth M Langa, Cindy W Leung

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

  1. Pooled it
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  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

9 authors.

Elizabeth Ludwig-BoryczSchool for Environment and Sustainability, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-7682-7587
Heejin LeeDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
Lindsay H RyanInstitute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Steven G HeeringaInstitute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Claire T McEvoyCentre for Public Health, Institute of Clinical Sciences, Queen's University Belfast, Northern Ireland, UK.
Julia A WolfsonDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Arun AgrawalSchool for Environment and Sustainability, University of Michigan, Ann Arbor, Michigan, USA.
Kenneth M LangaInstitute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Cindy W LeungDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.

Funding

HRS Yrs29-34: Y33 SSA CoFundingU01AG009740 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jessica Faul, KENNETH M LANGA · 1990 to 2026
$555.8M
National Institute on Aging - National Institutes of Health R01 AG07928603NIA NIH HHS U01 AG009740
6 · The paper itself

Abstract

introductionThe number of cases of Alzheimer's disease and related dementias (ADRD) is expected to triple in the United States in the next three decades. Food insecurity may be a risk factor for cognitive decline. However, studies exploring the relationship between food insecurity and individual cognitive domains within the United States remain limited.

methodsData came from 1410 participants from the nationally representative Health and Retirement Study. Food insecurity was assessed in 2013, and cognition was assessed using the Harmonized Cognitive Assessment Protocol in 2016.

resultsThe prevalence of food insecurity was 13.1%. After adjusting for all covariates, food insecurity was inversely associated with executive functioning (β = -1.47, 95% CI -2.65, -0.28) but not significantly associated with memory, language, visuospatial functioning, or orientation. DISCUSSION: Further research is needed to understand how food insecurity may influence executive function over time and to explore potential underlying mechanisms for this association. HIGHLIGHTS: After adjusting for age and sex with Bonferroni correction, food insecurity was inversely associated with scores on three of the five cognitive domains: memory (β = -2.67 95% CI -4.41, -0.94); executive functioning (β = -3.50 95% CI -4.62, -2.37); visuospatial (β = -3.18 95% CI -6.13, -0.24. After additional adjustment for other covariates, the inverse association between food insecurity and executive functioning remained statistically significant (β = -1.47 95% CI -2.65, -0.28). Other associations were attenuated and lost statistical significance.

Indexed as

CognitionCognitive DysfunctionExecutive FunctionFood InsecurityAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeuropsychological TestsPrevalenceRetirementRisk FactorsUnited StatesAlzheimer's and dementiacognitive domainscognitive functionexecutive functionfood Insecurityhealth and retirement study

Identifiers

PMID40673354
PMCPMC12268310

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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.