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Updated: May 12, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Food Insecurity in Pediatric Kidney Transplant Recipients
Priya S Verghese1,2, Debora Matossian1,2, Anoosh Moin3
1Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Insights
Food insecurity affects nearly 20% of pediatric kidney transplant recipients, particularly those of Hispanic ethnicity and with public insurance. Early screening is crucial for targeted interventions.
Area of Science:
- Pediatric Nephrology
- Transplant Medicine
- Public Health Nutrition
Background:
- Food insecurity (FI) negatively impacts child health.
- Children with kidney disease have higher FI rates.
- FI prevalence and impact in pediatric kidney transplant recipients are unknown.
Purpose of the Study:
- To determine the prevalence of FI in pediatric kidney transplant recipients.
- To analyze the impact of FI on transplant outcomes.
- To identify demographic factors associated with FI in this population.
Main Methods:
- Screened 118 pediatric kidney transplant recipients for FI using the Hunger Vital Sign.
- Analyzed demographic data and transplant outcomes.
- Compared food-secure and food-insecure groups.
Main Results:
- 19.5% of recipients experienced FI.
- FI was more prevalent in Hispanic recipients (56% vs. 30%) and those with public insurance (83% vs. 52%).
- No significant differences in nutrient stores or transplant outcomes were observed between groups.
Conclusions:
- Screening for FI in pediatric kidney transplant recipients is feasible and important.
- FI is linked to specific demographic factors, suggesting intervention targets.
- Further research is needed to guide interventions and policy for this vulnerable group.
Background:
Food insecurity (FI) has documented negative health impacts on children, with a higher prevalence in children with kidney disease. The prevalence and consequences of FI in pediatric kidney transplant recipients are unknown.
Methods:
In this study, we screened and assessed pediatric kidney transplant recipients for FI using the Hunger Vital Sign and analyzed the impact of FI on pediatric kidney transplant outcomes.
Results:
Of the 118 pediatric kidney transplant recipients screened, 23 (19.5%) were identified as FI. Food-secure and food-insecure recipients were not significantly different in age or gender, but there was significantly more FI in recipients of Hispanic ethnicity (56% vs. 30%) and with public insurance (83% vs. 52%). Markers of nutrient stores and transplant outcomes were not significantly different in recipients with FI.
Conclusion:
Our study highlights the feasibility and importance of screening pediatric kidney transplant recipients for FI with the Hunger Vital. The observed link of FI with demographic characteristics such as Hispanic ethnicity and having public insurance offers potential targets for intervention. Larger studies assessing FI and outcomes in pediatric transplant recipients are critical for focused interventions and policy development.
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