主要低收入的黑人和白人美国居民的摄入量和特定原因死亡率
Hyung-Suk Yoon1,2,3, Qiuyin Cai1, Jae Jeong Yang1,2,3
1Vanderbilt-Ingram Cancer Center, Vanderbilt Epidemiology Center, Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
JAMA network open
|March 26, 2024
概括
低收入黑人和白人美国人的高摄入量与心血管疾病死亡率的增加有关. 减少的消耗可以防止这些死亡的很大一部分在这个人群.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 有限的流行病学数据存在于食对低收入人群,特别是黑人人群的死亡率的影响.
- 过度摄入是一种普遍的问题,特别是在服务不足的社区.
研究的目的:
- 调查过度饮食摄入量与全因和因特定死亡率之间的关联.
- 为了检查这些协会在一个主要是低收入的黑人和白人美国人的队列.
主要方法:
- 来自南方社区队列研究的64,329名参与者 (40-79岁) 的队列研究.
- 通过食物频率问卷评估饮食中的摄入量;使用多变量调整的考克斯回归分析死亡结果.
- 人口归因风险 (PAR) 计算出与过多的相关的死亡负担.
主要成果:
- 近80%的参与者超过了推的每日摄入量 (2300毫克/天).
- 在黑人和白人参与者中,较高的摄入量与心血管疾病 (CVD) 和冠心病 (CHD) 死亡率的风险增加有关.
- 人口归因风险估计表明,过多的摄入可能占心脏病,心脏病和心力衰竭死亡的10%-30%.
结论:
- 过多的食摄入量在低收入的南方人中很常见,并且与显著的心血管死亡率有关.
- 旨在减少这种服务不足的人群的摄入量的公共卫生干预措施可能是有益的.
- 对减少的有针对性的干预措施进行进一步的研究是有必要的.
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