粮食不平等和不安全以及MASLD:负担,挑战和干预措施
Shira Zelber-Sagi1,2, Patrizia Carrieri3, Juan M Pericàs4,5
1School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel. szelber-s@univ.haifa.ac.il.
Nature reviews. Gastroenterology & hepatology
|July 29, 2024
概括
粮食不安全是代谢功能障碍相关的脂肪性肝病 (MASLD) 和肝病不良结果的上游风险因素. 通过环境,政策,社区和医疗保健干预来解决粮食不安全问题,可以减少肝病负担和健康不平等.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 公共卫生 公共卫生
- 健康的社会决定因素
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 是全球最常见的肝病.
- 社会经济地位和粮食不安全严重影响肝病的流行,严重程度和结果.
- 饮食改变可以扭转MASLD,但由于更广泛的社会因素,个人努力往往不足.
研究的目的:
- 审查目前关于粮食不安全与肝脏疾病之间的联系的研究.
- 突出需要采取干预措施,解决食物选择的社会文化决定因素.
- 探索肝脏专家在缓解这些问题的作用.
主要方法:
- 审查有关粮食不安全,社会营养和肝脏疾病的现有文献.
- 分析社会经济因素对饮食选择和健康结果的影响.
- 确定干预水平:环境,政策,社区和医疗保健.
主要成果:
- 粮食不安全是MASLD,晚期纤维化和肝病患者死亡率增加的上游风险因素.
- 低质量的饮食通常更实惠,为粮食不安全的个人创造了健康饮食的障碍.
- 商业压力不成比例地影响弱势群体,加剧了健康差距.
结论:
- 针对多个层面的粮食不安全的干预措施对于减少肝病负担至关重要.
- 解决社会和环境因素对于改善MASLD结果和减少健康不平等至关重要.
- 肝脏专家在倡导和实施干预措施方面发挥着作用,以打击粮食不安全对肝脏健康的影响.
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