倾向于石头吗? :评估粮食不安全,精神病并发症和儿科石头管理之间的关联
Lucille G Cheng1, Esther Liu2, Elyse Mark1
1University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Journal of pediatric urology
|November 17, 2024
概括
生活在食物沙漠中的儿童患阻塞性儿科尿病的风险更高,需要手术干预. 这凸显了在儿童石头疾病管理中评估粮食安全的必要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
- 儿科 儿科 儿科
背景情况:
- 儿童石头疾病的发病率正在上升,包括温度,肥胖和粮食不安全等因素.
- 粮食不安全影响了美国大量儿童,因此需要进一步调查其对健康的影响.
研究的目的:
- 为了调查居住在食物沙漠中的关系和阻塞性儿科尿病的发生,需要手术干预.
- 探索儿科尿病,粮食不安全和精神病相关疾病之间的潜在联系.
主要方法:
- 在三级医疗中心对儿科尿病患者 (2009-2023) 的回顾性审查.
- 收录标准:阻塞石头,年龄大于5岁,没有解剖学倾向,固体饮食. 使用美国农业部数据估计的食物沙漠居住地.
- 对人口统计,BMI,并发病,手术,石头负担和精神病诊断 (例如,ADHD) 的分析.
主要成果:
- 在食物沙漠居住和对阻塞性儿科石头疾病进行手术的需要之间发现了显著的关联 (p=0.003).
- 食物沙漠居住也与更大的石头大小 (p=0.001) 有关.
- 在超过28%的患者中,发现了精神病并发症,特别是ADHD,在食物沙漠居住,ADHD治疗和手术干预时间之间发现了特定的关联.
结论:
- 食物沙漠居住与阻塞性儿科石头疾病显著相关,需要手术.
- 精神病的并发症,特别是ADHD,可能代表了与儿科尿病的新兴关联.
- 临床医生应考虑评估儿科尿病患者的食品安全状况,因为饮食在石头管理中的作用.
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