IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0241628.html
   My bibliography  Save this article

Food insecurity and hypertension: A systematic review and meta-analysis

Author

Listed:
  • Sourik Beltrán
  • Marissa Pharel
  • Canada T Montgomery
  • Itzel J López-Hinojosa
  • Daniel J Arenas
  • Horace M DeLisser

Abstract

Background: Food insecurity (FIS) is an important public health issue associated with cardiovascular risk. Given the association of FIS with diets of poorer nutritional quality and higher salt intake as well as chronic stress, numerous studies have explored the link between FIS and hypertension. However, no systematic review or meta-analysis has yet to integrate or analyze the existing literature. Methods: We performed a wide and inclusive search of peer-reviewed quantitative data exploring FIS and hypertension. A broad-terms, systematic search of the literature was conducted in PubMed, Embase, Scopus, and Web of Science for all English-language, human studies containing primary data on the relationship between FIS and hypertension. Patient population characteristics, study size, and method to explore hypertension were extracted from each study. Effect sizes including odds ratios and standardized mean differences were extracted or calculated based on studies’ primary data. Comparable studies were combined by the random effects model for meta-analyses along with assessment of heterogeneity and publication bias. Results: A total of 36 studies were included in the final analyses. The studies were combined into different subgroups for meta-analyses as there were important differences in patient population characteristics, methodology to assess hypertension, and choice of effect size reporting (or calculability from primary data). For adults, there were no significantly increased odds of elevated blood pressures for food insecure individuals in studies where researchers measured the blood pressures: OR = 0.91 [95%CI: 0.79, 1.04; n = 29,781; Q(df = 6) = 7.6; I2 = 21%]. This remained true upon analysis of studies which adjusted for subject BMI. Similarly, in studies for which the standardized mean difference was calculable, there was no significant difference in measured blood pressures between food secure and FIS individuals: g = 0.00 [95%CI: -0.04, 0.05; n = 12,122; Q(df = 4) = 3.6; I2 = 0%]. As for retrospective studies that inspected medical records for diagnosis of hypertension, there were no significantly increased odds of hypertension in food insecure adults: OR = 1.11 [95%CI: 0.86, 1.42; n = 2,887; Q(df = 2) = 0.7; I2 = 0%]. In contrast, there was a significant association between food insecurity and self-reports of previous diagnoses of hypertension: 1.46 [95%CI: 1.13, 1.88; n = 127,467; Q(df = 7) = 235; I2 = 97%]. Only five pediatric studies were identified which together showed a significant association between FIS and hypertension: OR = 1.44 [95%CI: 1.16, 1.79; n = 19,038; Q(df = 4) = 5.7; I2 = 30%]. However, the small number of pediatric studies were not sufficient for subgroup meta-analyses based on individual study methodologies. Discussion: In this systematic review and meta-analysis, an association was found between adult FIS and self-reported hypertension, but not with hypertension determined by blood pressure measurement or chart review. Further, while there is evidence of an association between FIS and hypertension among pediatric subjects, the limited number of studies precluded a deeper analysis of this association. These data highlight the need for more rigorous and longitudinal investigations of the relationship between FIS and hypertension in adult and pediatric populations.

Suggested Citation

  • Sourik Beltrán & Marissa Pharel & Canada T Montgomery & Itzel J López-Hinojosa & Daniel J Arenas & Horace M DeLisser, 2020. "Food insecurity and hypertension: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-17, November.
    • Handle: RePEc:plo:pone00:0241628
    DOI: 10.1371/journal.pone.0241628
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0241628
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0241628&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0241628?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. repec:aph:ajpbhl:10.2105/ajph.2016.303605_0 is not listed on IDEAS
    2. Maxwell, Daniel G., 1996. "Measuring food insecurity: the frequency and severity of "coping strategies"," Food Policy, Elsevier, vol. 21(3), pages 291-303, July.
    3. Coleman-Jensen, Alisha & Rabbitt, Matthew P. & Gregory, Christian A. & Singh, Anita, 2016. "Statistical Supplement to Household Food Security in the United States in 2015," Administrative Publications 292103, United States Department of Agriculture, Economic Research Service.
    4. Jernigan, V.B.B. & Wetherill, M.S. & Hearod, J. & Jacob, T. & Salvatore, A.L. & Cannady, T. & Grammar, M. & Standridge, J. & Fox, J. & Spiegel, J. & Wiley, A. & Noonan, C. & Buchwald, D., 2017. "Food insecurity and chronic diseases among American Indians in rural Oklahoma: The THRIVE study," American Journal of Public Health, American Public Health Association, vol. 107(3), pages 441-446.
    5. Paul T E Cusack, 2020. "On Pain," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24253-24254, October.
    6. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
    7. Coleman-Jensen, Alisha & Rabbitt, Matthew P. & Gregory, Christian A. & Singh, Anita, 2016. "Household Food Security in the United States in 2015," Economic Research Report 262191, United States Department of Agriculture, Economic Research Service.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Claire Townsend Ing & Brettany Clemens & Hyeong Jun Ahn & Joseph Keawe‘aimoku Kaholokula & Peter S. Hovmand & Todd B. Seto & Rachel Novotny, 2023. "Food Insecurity and Blood Pressure in a Multiethnic Population," IJERPH, MDPI, vol. 20(13), pages 1-13, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jae Yeon Park & Arlette Saint Ville & Timothy Schwinghamer & Hugo Melgar-Quiñonez, 2019. "Heterogeneous factors predict food insecurity among the elderly in developed countries: insights from a multi-national analysis of 48 countries," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 11(3), pages 541-552, June.
    2. Alexandria J. Drake & Lora A. Phillips & Brajesh Karna & Shakthi Bharathi Murugesan & Lily K. Villa & Nathan A. Smith, 2023. "Food insecurity and disasters: predicting disparities in total and first-time food pantry visits during the COVID-19 pandemic," Food Security: The Science, Sociology and Economics of Food Production and Access to Food, Springer;The International Society for Plant Pathology, vol. 15(2), pages 493-504, April.
    3. Ourega-Zoé Ejebu & Stephen Whybrow & Lynda Mckenzie & Elizabeth Dowler & Ada L Garcia & Anne Ludbrook & Karen Louise Barton & Wendy Louise Wrieden & Flora Douglas, 2018. "What can Secondary Data Tell Us about Household Food Insecurity in a High-Income Country Context?," IJERPH, MDPI, vol. 16(1), pages 1-17, December.
    4. Jeffrey H Dorfman & Christian Gregory & Zhongyuan Liu & Ran Huo, 2019. "Re-Examining the SNAP Benefit Cycle Allowing for Heterogeneity," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 41(3), pages 404-433.
    5. Wendy L. Ward & Taren M. Swindle & Angela L. Kyzer & Nicola Edge & Jasmin Sumrall & Leanne Whiteside-Mansell, 2019. "Maternal Depression: Relationship to Food Insecurity and Preschooler Fruit/Vegetable Consumption," IJERPH, MDPI, vol. 17(1), pages 1-10, December.
    6. Marcia Y. Shade & Matthew Witry & Katie Robinson & Kevin Kupzyk, 2019. "Analysis of oral dietary supplement use in rural older adults," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1600-1606, May.
    7. Elena Grimaccia & Alessia Naccarato, 2019. "Food Insecurity Individual Experience: A Comparison of Economic and Social Characteristics of the Most Vulnerable Groups in the World," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 143(1), pages 391-410, May.
    8. Joshua Berning & Rebecca Cleary & Alessandro Bonanno, 2023. "Food insecurity and time use in elderly vs. non‐elderly: An exploratory analysis," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 45(1), pages 280-299, March.
    9. Joshua Berning & Alessandro Bonanno & Rebecca Cleary, 2024. "Disparities in food insecurity among Black and White households: An analysis by age cohort, poverty, education, and home ownership," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 46(1), pages 234-254, March.
    10. Martine J. Barons & Thais C. O. Fonseca & Andy Davis & Jim Q. Smith, 2022. "A decision support system for addressing food security in the United Kingdom," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 185(2), pages 447-470, April.
    11. Jayashankar, Priyanka & Raju, Sekar, 2020. "The effect of social cohesion and social networks on perceptions of food availability among low-income consumers," Journal of Business Research, Elsevier, vol. 108(C), pages 316-323.
    12. Jackson, Dylan B. & Johnson, Kecia R. & Vaughn, Michael G. & Hinton, Marissa E., 2019. "The role of neighborhoods in household food insufficiency: Considering interactions between physical disorder, low social capital, violence, and perceptions of danger," Social Science & Medicine, Elsevier, vol. 221(C), pages 58-67.
    13. Whitney S Beck & Ed K Hall, 2018. "Confounding factors in algal phosphorus limitation experiments," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-19, October.
    14. Daniel Niederer & Juliane Mueller, 2020. "Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-21, January.
    15. Bart Verkuil & Serpil Atasayi & Marc L Molendijk, 2015. "Workplace Bullying and Mental Health: A Meta-Analysis on Cross-Sectional and Longitudinal Data," PLOS ONE, Public Library of Science, vol. 10(8), pages 1-16, August.
    16. Sana Sadiq & Khadija Anasse & Najib Slimani, 2022. "The impact of mobile phones on high school students: connecting the research dots," Technium Social Sciences Journal, Technium Science, vol. 30(1), pages 252-270, April.
    17. Francesca Pilotto & Ingolf Kühn & Rita Adrian & Renate Alber & Audrey Alignier & Christopher Andrews & Jaana Bäck & Luc Barbaro & Deborah Beaumont & Natalie Beenaerts & Sue Benham & David S. Boukal & , 2020. "Meta-analysis of multidecadal biodiversity trends in Europe," Nature Communications, Nature, vol. 11(1), pages 1-11, December.
    18. Jitka Vseteckova, 2020. "Psychological Therapy for ICT Literate Older Adults in the Time of COVID-19 - Perceptions on the Acceptability of Online Versus Face to Face Versions of a Mindfulness for Later Life Group," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(1), pages 23912-23916, October.
    19. Khalid Ahmed Al-Ansari & Ahmet Faruk Aysan, 2021. "More than ten years of Blockchain creation: How did we use the technology and which direction is the research heading? [Plus de dix ans de création Blockchain : Comment avons-nous utilisé la techno," Working Papers hal-03343048, HAL.
    20. repec:cup:judgdm:v:15:y:2020:i:6:p:972-988 is not listed on IDEAS
    21. Ling, Gabriel Hoh Teck & Suhud, Nur Amiera binti Md & Leng, Pau Chung & Yeo, Lee Bak & Cheng, Chin Tiong & Ahmad, Mohd Hamdan Haji & Matusin, AK Mohd Rafiq AK, 2021. "Factors Influencing Asia-Pacific Countries’ Success Level in Curbing COVID-19: A Review Using a Social–Ecological System (SES) Framework," SocArXiv b9f2w, Center for Open Science.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0241628. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.