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
1Department of Nutrition, T.H. Chan School of Public Health, Harvard University, Boston, MA, USA.
患有肝病的人群中,粮食不安全性正在上升,影响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:
- 代谢性肝病的管理依赖于营养干预.
- 许多患者面临资源限制,阻碍他们遵守饮食建议.
- 了解粮食不安全趋势对于肝病公共卫生规划至关重要.
研究的目的:
- 分析肝脏疾病成年人粮食不安全的趋势.
- 确定与粮食不安全相关的人口和社会经济因素.
主要方法:
- 国家健康和营养检查调查数据 (2007-2018) 的横截面分析.
- 包括24,847名20岁以上的成年人.
- 由肝酶和风险因素升高而定义的肝病;通过FIB-4估计的晚期肝病.
- 使用美国农业部核心粮食安全模块评估的粮食安全.
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).
- 在50岁以下的成年人中,粮食不安全程度上升得更为明显.
- 西班牙裔种族,低教育程度和参与SNAP是粮食不安全的重要预测因素.
结论:
- 粮食不安全是肝病患者日益关注的问题.
- 需要有针对性的公共卫生干预措施来解决这个脆弱群体的粮食不安全问题.
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