Evidence mapPaperPMID 41511646Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026

Associations between socioeconomic status, dietary habits and health-related quality of life among children in rural riverside communities: the mediation role of food insecurity.

Luziane de Lima Pereira, Fernando José Herkrath, Jordana Herzog Siqueira, Maria do Carmo Leal, Fabíola Macedo de Abreu, Amanda Forster Lopes, Mario Vianna Vettore

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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Luziane de Lima PereiraFundação Oswaldo Cruz, Instituto Leônidas & Maria Deane, Manaus, Amazonas, Brazil.
Fernando José HerkrathFundação Oswaldo Cruz, Instituto Leônidas & Maria Deane, Manaus, Amazonas, Brazil.ORCID http://orcid.org/0000-0003-4439-0189
Jordana Herzog SiqueiraFundação Oswaldo Cruz, Instituto Leônidas & Maria Deane, Manaus, Amazonas, Brazil.ORCID http://orcid.org/0000-0003-0116-7411
Maria do Carmo LealFundação Oswaldo Cruz, Escola Nacional de Saúde Pública, Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-3047-515X
Fabíola Macedo de AbreuFundação Oswaldo Cruz, Instituto Leônidas & Maria Deane, Manaus, Amazonas, Brazil.ORCID http://orcid.org/0009-0002-7166-9003
Amanda Forster LopesDepartamento de Alimentos e Nutrição, Universidade Federal de Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.ORCID http://orcid.org/0000-0002-3195-4013
Mario Vianna VettoreDepartment of Dentistry and Oral Health, Aarhus University, Vennelyst Boulevard 9, Aarhus C, 8000, Aarhus, Denmark. m.vettore@dent.au.dk.ORCID http://orcid.org/0000-0001-6299-4432

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigated the relationships between socioeconomic status (SES), housing conditions, BMI z-score, food availability and consumption, food insecurity, and health-related quality of life (HRQoL) in schoolchildren aged 5 to 10 years living in rural riverine communities.

methodsThis school-based cross-sectional study included 128 parent-child dyads living in rural riverside in the city of Coari, Amazonas, Brazil. SES, housing conditions, household food availability, consumption of ultra-processed foods and food insecurity data were gathered from children's parents. Children's nutritional status (BMI z-scores), diet quality and HRQoL [Kiddo-KINDL] were also assessed. Direct and indirect relationships between variables were examined through structural equation modelling.

resultsFood insecurity was directly linked to poorer HRQoL. Worse socioeconomic status, lower availability of food at household, and poorer child's diet quality were directly linked to food insecurity. Greater household food availability, higher children's BMI z-score, and worse diet quality were directly linked to higher socioeconomic status. Availability of food at home was directly associated with higher consumption of ultra-processed foods, which, in turn, was directly associated with poorer diet quality. Food insecurity mediated the indirect associations of socioeconomic status, availability of food at household, consumption of ultra-processed foods, and diet quality with HRQoL.

conclusionThe present findings elucidate the complex pathways between socioeconomic inequalities, food access and availability, diet quality, and children's quality of life.

Indexed as

Feeding BehaviorFood InsecurityFood SupplyQuality of LifeRural PopulationSocial ClassBody Mass IndexBrazilChildChild, PreschoolCross-Sectional StudiesFemaleHumansMaleNutritional StatusSocioeconomic Disparities in HealthChildrenFood insecurityFood qualityQuality of lifeRural population

Identifiers

PMID41511646
PMCPMC12789232

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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.