Evidence mapPaperPMID 31025108Full record

ArticlePediatric nephrology (Berlin, Germany)2019

Relationship between food insecurity and high blood pressure in a national sample of children and adolescents.

Andrew M South, Deepak Palakshappa, Callie L Brown

Abstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  5. Screening of Pediatric Patients at Cardiology Clinic Identifies High Prevalence of Food Insecurity.International journal of environmental research and public health · 2026
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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.

Andrew M SouthDepartment of Pediatrics, Wake Forest School of Medicine, One Medical Center Boulevard, Winston Salem, NC, 27157, USA. asouth@wakehealth.edu.ORCID 0000-0002-3204-4142
Deepak PalakshappaDepartment of Pediatrics, Wake Forest School of Medicine, One Medical Center Boulevard, Winston Salem, NC, 27157, USA.
Callie L BrownDepartment of Pediatrics, Wake Forest School of Medicine, One Medical Center Boulevard, Winston Salem, NC, 27157, USA.

Funding

NCATS NIH HHS KL2 TR001421NCATS NIH HHS KL2TR001421NHLBI NIH HHS L40 HL148910
6 · The paper itself

Abstract

objectivesTo determine the relationship between food insecurity (FI) and high blood pressure (BP) in a national cohort of children and adolescents.

methodsA cross-sectional analysis of children aged 8-17 years in the 2007-2014 National Health and Nutrition Examination Survey (NHANES; unweighted N = 7125). FI over the preceding 12 months was assessed using the USDA Household Food Security Scale in NHANES. We defined high BP as (i) systolic or diastolic BP ≥ 90% for age < 13 years or ≥ 120/80 mmHg for age ≥ 13 years measured at one visit or (ii) reported hypertension diagnosis or current antihypertensive medication use. We used multivariable logistic regression to determine the association between household and child-specific FI and high BP, controlling for age, sex, race, and household income, accounting for the complex NHANES survey design.

resultsThe study population was 14.4% black, 21.3% Hispanic, and 49.4% female with a mean age of 12.6 years (SD 2.9). 20.3% had FI and 12.8% had high BP. High BP was more common in household FI vs. food-secure subjects (15.3% vs. 12.1%, p = 0.003). Adjusted analysis confirmed that household FI and child FI were associated with high BP (OR 1.26, 95% CI 1.04-1.54; OR 1.42, 95% CI 1.03-1.96, respectively).

conclusionsHousehold and child FI were associated with an increased likelihood of high BP in a large nationally representative cohort of children and adolescents. FI may have a significant impact on cardiovascular health during childhood. Further research is warranted to better define how FI contributes to health disparities.

Indexed as

Health Status DisparitiesAdolescentBlood Pressure DeterminationChildCross-Sectional StudiesFamily CharacteristicsFemaleFood SupplyHumansHypertensionMaleNutrition SurveysSocioeconomic FactorsUnited StatesCardiovascular diseaseHealth disparitiesHypertensionNational Health and Nutrition Examination SurveyPediatricsSocial determinants of health

Identifiers

PMID31025108
PMCPMC6660989

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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 Socratic graph.