粮食不安全性正在增加,在患有慢性肝病的人群中更为常见
Cindy W Leung1, Elliot B Tapper2
1Harvard University.
Research square
|July 1, 2024
概括
患有肝病的人群中,粮食不安全性正在上升,这影响了他们遵循营养建议的能力. 这一趋势凸显出需要公共卫生战略来支持这些患者.
科学领域:
- 公共卫生 公共卫生
- 肝病学 肝病学是一种肝病学.
- 营养科学 营养科学
背景情况:
- 代谢性肝病干预通常依赖于优化营养摄入量.
- 许多患有代谢性肝病的患者在遵守营养指南时面临资源限制.
- 了解粮食不安全趋势对于解决肝病负担的公共卫生战略至关重要.
研究的目的:
- 分析肝脏疾病成年人粮食不安全的趋势.
- 确定与该人口的粮食不安全相关的人口和临床因素.
- 为了为患有代谢性肝病的患者提供公共卫生干预信息.
主要方法:
- 从国家健康和营养检查调查 (2007-2018) 中对24,847名成年人的横截面分析.
- 使用美国农业部核心粮食安全模块评估的粮食安全.
- 肝病是由肝酶增加加上危险因素 (BMI,糖尿病,酒精) 所定义的;通过FIB-4指数估计的晚期肝病.
主要成果:
- 肝病的发病率为24.6%;可能的晚期肝病是3.4%.
- 肝病患者的粮食不安全性从13.6% (2007-2008) 增加到21.6% (2015-2016),然后下降到18.0% (2017-2018) (P-趋势=0.0004).
- 粮食不安全性在50岁以下的成年人中增加得更快,在女性,高BMI和糖尿病患者中更常见.
结论:
- 在被诊断患有肝病的人群中,粮食不安全问题越来越令人担忧.
- 这些发现强调了需要综合公共卫生和临床方法来解决在肝病管理中的粮食不安全问题.
- 针对年轻人和特定的人口群体可能需要有针对性的干预措施,因为这些人群体的粮食不安全率较高.
更多相关视频
09:27Analysis of Liver Microenvironment During Early Progression of Non-Alcoholic Fatty Liver Disease-Associated Hepatocellular Carcinoma in Zebrafish
Published on: April 1, 2021
3.5K
07:13Application of Ultrasound and Shear Wave Elastography Imaging in a Rat Model of NAFLD/NASH
Published on: April 20, 2021
4.0K
相关概念视频
01:24Chronic Pancreatitis I: Introduction
86
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
86
01:29Chronic Pancreatitis II: Collaborative Care
84
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
84
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
331
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
331
01:26Diseases of the Liver and Gallbladder
507
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
507
01:28Esophageal Varices-II: Clinical Features and Management
57
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
57
01:17Chronic Bowel Disorders: Introduction
439
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
439