当访问不足时:利用障碍在营养安全和心脏代谢风险中的作用
Maha Almohamad1,2, Ruosha Li3, Natalia I Heredia4
1Center for Health Equity, Department of Epidemiology, The University of Texas Health Science Center at Houston (UTHealth Houston), School of Public Health, Houston, TX 77030, USA.
Nutrients
|June 27, 2025
概括
家庭的有形障碍削弱了营养安全和更好的心脏代谢健康之间的联系. 解决实际资源需求对于促进健康饮食的公共卫生战略至关重要.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 健康的社会决定因素
背景情况:
- 粮食和营养安全是心脏代谢健康的关键社会决定因素.
- 营养安全,包括食品质量和可用性,对家庭障碍的研究较少.
- 家庭对食物利用的障碍可能会影响粮食安全和健康结果之间的关系.
研究的目的:
- 评估有形和无形的食物利用障碍是否会改变低收入成年人中粮食/营养安全和心脏代谢健康之间的关联.
- 研究家庭资源在营养安全与心脏代谢健康关系中的作用.
- 通过有形 (例如设备,存储) 和无形 (例如时间,知识) 的障碍来检查效果的修改.
主要方法:
- 在美国五个州对486名低收入成年人的横截面调查.
- 用于粮食安全,营养安全和利用障碍 (有形/无形) 的验证尺度.
- 混合效应物流回归分析了安全性,障碍和心脏代谢结果 (高血压,高脂血症,糖尿病) 之间的关联.
主要成果:
- 更高的营养安全与心脏代谢疾病的几率较低有关 (AOR=0.59).
- 有形障碍显著改变了营养安全与高血压的联系 (p-相互作用=0.04),当障碍物不存在时,益处更强.
- 在无形障碍或粮食安全方面没有发现显著的缓解.
结论:
- 有形的家庭障碍降低了营养安全对心脏代谢健康的保护作用.
- 公共卫生倡议必须考虑健康食品的准备和消费的实际资源,而不仅仅是获取.
- 解决有形障碍对于最大限度地发挥营养安全对心脏代谢健康的益处至关重要.
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