Prevention & lipidsCohort study

Food Insecurity and Incident Cardiovascular Disease Among Black and White US Individuals, 2000-2020

JAMA CardiolPublished

  • Prospective cohort study

Authors' conclusion

In this prospective cohort study among participants in the CARDIA study, food insecurity was associated with incident CVD even after adjustment for socioeconomic factors

Study context

Population
US adults without preexisting cardiovascular disease (CVD) in the CARDIA study, 2000 to August 31, 2020mean follow-up 18.8 years
Participants
3,616 adults
Exposure
Food insecurity vs food security
  • Food insecuren = 529
Outcome
CVD events:
  • Fatal and nonfatal CHD
  • HF
  • Stroke
  • TIA
  • PAD
Follow-up
Identified annually through August 31, 2020

Main finding

As reported in the abstract

Incident CVD events · mean (SD) follow-up 18.8 (3.4) years
Food insecurity and incident CVD, aHR (95% CI) adjusted for age, sex and field center
1.90 (1.41-2.56)
Food insecurity and incident CVD, aHR (95% CI) further adjusted for education, marital status and usual source of medical care
1.47 (1.08-2.01)

Observational data: associations, not effects.

Original publication

Food Insecurity and Incident Cardiovascular Disease Among Black and White US Individuals, 2000-2020. JAMA Cardiol. Published 1 May 2025. doi:10.1001/jamacardio.2025.0109

Summarised from the published abstract; every number is checked against it