评估在接受全关节关节整形手术的患者的食品和营养安全
Joseph P McCafferty1, Anna K Michalowski1, Joshua B Davis2
1Department of Orthopaedics, Tufts Medical Center, Boston, Massachusetts.
粮食不安全影响9%的关节关节整形患者,与较低的维生素D水平相关. 解决食品获取问题对于患者健康结果至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 公共卫生 营养 公共卫生 营养
- 健康差异 在健康上的差异
背景情况:
- 粮食不安全和营养不安全与营养不良有关.
- 这些问题可能会影响接受全关节整形术 (TJA) 的患者群体.
研究的目的:
- 确定TJA患者中粮食和营养不安全的流行程度.
- 识别与不安全相关的人口因素.
- 检查不安全感与维生素D/白蛋白水平之间的关系.
主要方法:
- 在两个中心对387名TJA患者进行了截面调查 (2023年1月-2024年3月).
- 追溯收集人口统计数据 (包括面积贫困指数 - ADI) 和实验室值 (维生素D,白蛋白).
- 统计分析包括t测试和多变量逻辑回归.
主要成果:
- 9.0%的TJA患者报告食物不安全;92%的人认为健康食品太贵.
- 与年龄,种族/种族,BMI和ADI相关的粮食不安全.
- 在食物不安全的患者中观察到较低的维生素D水平 (30.8 ng/mL与37.5 ng/mL).
- 与种族/种族和国家相联系的营养不安全.
结论:
- 9.0%和9.5%的TJA患者分别经历了食物和营养不安全.
- 不安全与特定的人口因素和较低的维生素D水平有关.
- 建议制定策略来识别有风险的患者,并改善获得健康食品的机会.
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