与囊性纤维化患者自我报告的粮食不安全相关的临床特征
Heather Boas1, Jesse Y Hsu2, Allen Koshy3
1Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
概括
食物不安全 (FI) 在患有囊性纤维化 (PwCF) 的人群中更常见. 在PwCF中,FI与住院病例的增加和年龄相对较差的体重有关,这凸显了定期查的必要性.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 粮食不安全 (FI) 是患有囊性纤维化 (PwCF) 的人群的一个重要问题,超过了国家患病率.
- 关于FI对PwCF的特定健康影响的数据有限,特别是关于肺和营养状况的数据.
研究的目的:
- 调查食物不安全和囊性纤维化患者的健康结果之间的关联.
- 分析FI与肺功能,营养状况和PwCF中的住院率之间的关系.
主要方法:
- 使用电子横截面调查收集FI状态数据.
- 调查数据与囊性纤维化基金会患者登记 (CFFPR) 进行了链接,以进行全面分析.
- 使用统计模型 (线性回归,负二项式) 来评估FI和关键健康指标之间的关联.
主要成果:
- 在1856名受访者中,28%的人报告粮食不安全.
- 在PwCF中,粮食不安全与住院病人的增加独立相关.
- 虽然最初与下肺功能 (ppFEV1) 有关,但经过对混因素进行调整后,这种关联并不显著. 较高的年龄体重与FI有显著的关联.
结论:
- 粮食不安全与囊性纤维化患者的不良健康结果有关.
- 在临床访问期间,建议在PwCF进行食品不安全的例行查.
- 需要进一步的研究来探索FI和该人群中负面临床结果之间的因果关系.
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