Evidence map›Paper›PMID 39296549›Full record

ArticleSSM - population health2024

Estimating the impact of addressing food needs on diabetes outcomes.

Seth A Berkowitz, Aileen Ochoa, Jenna M Donovan, Jenine Dankovchik, Myklynn LaPoint, Marlena L Kuhn, Suzanne Morrissey, Mufeng Gao, Michael G Hudgens, Sanjay Basu and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in SSM - population health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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

5 citing papers in PubMed.

  1. Article
  2. Food and Nutrition Insecurity in Kidney Disease: Practitioner Considerations.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  3. Heterogeneity in associations between food insecurity and diabetes outcomes.Journal of epidemiology and community health · 2025
    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

11 authors.

Seth A BerkowitzDivision of General Medicine and Clinical Epidemiology, Department of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Aileen OchoaDepartment of Research, OCHIN, Portland, OR, USA.
Jenna M DonovanDepartment of Research, OCHIN, Portland, OR, USA.
Jenine DankovchikDepartment of Research, OCHIN, Portland, OR, USA.
Myklynn LaPointCenter for Health Promotion and Disease Prevention, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
Marlena L KuhnDepartment of Social Medicine, Center for Health Equity Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Suzanne MorrisseyDepartment of Research, OCHIN, Portland, OR, USA.
Mufeng GaoDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Michael G HudgensDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Sanjay BasuClinical Product Development, Waymark Care, San Francisco, CA, USA.
Rachel GoldDepartment of Research, OCHIN, Portland, OR, USA.

Funding

Pilot and Feasibility ProgramP30DK092926 · UNIVERSITY OF MICHIGAN AT ANN ARBOR · 2025 to 2025
$779k
SOCRATES: SOCial Risk and diAbetes ouTcomEs StudyR01DK125406 · UNIV OF NORTH CAROLINA CHAPEL HILL · 2025 to 2025
$571k
NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R01 DK125406
6 · The paper itself

Abstract

Objective: To estimate the association between food needs and diabetes outcomes. Research design and methods: Longitudinal cohort study, using a target trial emulation approach. 96,792 adults with type 2 diabetes mellitus who underwent food need assessment in a network of community-based health centers were followed up to 36 months after initial assessment. We used targeted minimum loss estimation to estimate the association between not experiencing food needs, compared with experiencing food needs, and hemoglobin a1c (HbA1c), systolic and diastolic blood pressure (SBP and DBP), and LDL cholesterol. The study period was June 24th, 2016 to April 30th, 2023. Results: We estimated that not experiencing food needs, compared with experiencing food needs, would be associated with 0.12 percentage points lower (95% Confidence Interval [CI] -0.16% to -0.09%, p = < 0.0001) mean HbA1c at 12 months. We further estimated that not experiencing food needs would be associated with a 12-month SBP that was 0.67 mm Hg lower (95%CI -0.97 to -0.38 mm Hg, p < .0001), DBP 0.21 mm Hg lower (95%CI -0.38 to -0.04 mm Hg, p = .01). There was no association with lower LDL cholesterol. Results were similar at other timepoints, with associations for HbA1c, SBP, and DBP of similar magnitude, and no difference in LDL cholesterol. Conclusions: We estimated that not experiencing food needs may be associated with modestly better diabetes outcomes. These findings support testing interventions that address food needs as part of their mechanism of action.

Indexed as

Diabetes mellitusFood insecurityHealth equityPopulation healthSocial determinants of healthSocioeconomic factors

Identifiers

PMID39296549
PMCPMC11408712

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.