Evidence mapPaperPMID 40087608Full record

ArticleBMC public health2025

The relationship between household food insecurity and quality of life among children aged 7-13 years: effects of parent-reported disordered eating, anxiety and depression.

Elie Ghadban, Feten Fekih-Romdhane, Joakima Khachan, Marilyne Rizk, Cesar Ghadbane, Charbel Mouaness, Tara Chehwan, Myriam El Aam, Sahar Obeid, Souheil Hallit

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Article in BMC public health, 2025. 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

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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. Associations between socioeconomic status, dietary habits and health-related quality of life among children in rural riverside communities: the mediation role of food insecurity.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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  4. Article
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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Elie GhadbanSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Feten Fekih-RomdhaneThe Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi hospital, Manouba, 2010, Tunisia.
Joakima KhachanSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Marilyne RizkSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Cesar GhadbaneFaculty of Medicine and Medical Sciences, University of Balamand, P.O. Box 100, Tripoli, Lebanon.
Charbel MouanessSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Tara ChehwanSchool of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
Myriam El Aam *Department of Pediatrics, Notre Dame des Secours University Hospital, Postal code 3, Byblos, Lebanon.
Sahar Obeid *School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon.
Souheil Hallit *School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. souheilhallit@usek.edu.lb.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFood insecurity (FI) has been linked to adverse child health outcomes, including developmental, physical, and psychological disorders. However, little is known about the impact of FI on Lebanese children, especially considering the daily social and economic challenges the population faces. These challenges heighten children's vulnerability, particularly with regard to disordered eating, anxiety, and depression, which may act as mediating factors affecting their overall quality of life. This study aims to assess the mediating effects of disordered eating, anxiety, and depression between FI and quality of life among Lebanese children aged 7-13 years.

methodsA cross-sectional study was conducted among 504 Lebanese parents of children aged 7-13 years. FI was assessed using the Arab Family Food Security Scale (AFFSS), quality of life using the KIDSCREEN-10, disordered eating with the Eating Disorder Examination-Questionnaire Short-Parent version, anxiety with the Spence Children's Anxiety Scale-Parent, and depression with the Short Mood and Feelings Questionnaire-Parent version. Mediation analysis was performed using PROCESS MACRO v3.4 in SPSS, with 5000 bootstrapped samples.

resultsIn total, 30.8% of parents reported severe levels of household FI. The results of the mediation analysis showed that disordered eating, depression and anxiety fully mediated the association between FI and quality of life. Higher FI was significantly associated with higher disordered eating/depression/anxiety, whereas higher disordered eating/depression/anxiety were significantly associated with lower quality of life. FI was not directly associated with quality of life.

conclusionFI indirectly affects child's quality of life through its impact on disordered eating, anxiety, and depression. Addressing these psychological disorders in children from food-insecure households appears to be essential to improve their overall quality of life. The implications are specific to Lebanon but may provide valuable insights applicable to similar socio-economically and politically challenged areas.

Indexed as

AnxietyDepressionFeeding and Eating DisordersFood InsecurityParentsQuality of LifeAdolescentChildCross-Sectional StudiesFemaleHumansLebanonMaleSurveys and QuestionnairesAnxietyDepressionDisordered eatingFood insecurityLebanonQuality of life

Identifiers

PMID40087608
PMCPMC11909965

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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.