食物获取和新诊断的儿科炎性肠病的严重程度
Nicole Zeky1, Colleen LeBlanc2, Shengping Yang3
1Division of Pediatric Gastroenterology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Journal of pediatric gastroenterology and nutrition
|January 21, 2025
概括
这项研究发现,生活在食物沙漠和炎症性肠病 (IBD) 在诊断时的严重程度之间没有直接联系. 然而,食物沙漠不成比例地影响少数群体,并与较低的维生素D水平有关.
科学领域:
- 胃肠病学和营养科学 胃肠病学和营养科学
- 公共卫生和流行病学
- 环境健康差异的差异
背景情况:
- 炎症性肠病 (IBD) 的发展涉及遗传,微生物和环境因素.
- 饮食是一种可改变的环境影响,与IBD患病率上升有关.
- 了解食物可访问性对IBD的影响对于公共卫生至关重要.
研究的目的:
- 调查居住在食物沙漠和IBD疾病在诊断时的严重程度之间的联系.
- 探索生活在食物沙漠中的IBD患者的人口和临床特征.
- 评估食品环境与IBD结果之间的关系.
主要方法:
- 在2019-2021年期间,对新诊断的IBD患者 (2-21岁) 的回顾性分析.
- 利用美国农业部食品获取研究图表来确定食物沙漠的居住地.
- 员工修改的零售食品环境指数 (mRFEI) 和内镜评分用于疾病严重程度评估.
主要成果:
- 15%的注册IBD患者居住在食物沙漠中,黑人患者和公共保险的比例更高.
- 食物沙漠中的患者的维生素D水平中位数较低.
- 根据食物沙漠或食物沼泽状态,IBD疾病严重程度没有发现统计学上显著的差异,尽管mRFEI与生活在食物沙漠中的几率降低相关.
结论:
- 虽然没有发现与疾病严重程度的直接联系,但食物沙漠在获得健康食品零售商方面存在挑战.
- 食物沙漠与特定的人口和健康指标有关,包括维生素D含量较低.
- 需要进行进一步的研究,以阐明食物获取能力的空间差异及其与IBD的联系.
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