儿童炎症性肠病中的粮食不安全,饮食和健康结果:试点研究
Nicole Zeky1,2,3, Alysse Baudier4, Colleen Leblanc4,5
1Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA.
粮食不安全 (FI) 影响40%的儿童炎症性肠病 (IBD) 的家庭,导致营养状况较差和住院病例增加. 这突显了食物获取和儿童IBD结果之间的关键联系.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 粮食不安全 (FI) 与饮食质量差有关,这是炎症性肠病 (IBD) 患病率的一个因素.
- FI对儿科IBD的影响仍未得到充分研究.
- 这项试点研究调查了FI在新诊断的儿科IBD中的作用.
研究的目的:
- 评估儿童IBD中FI查的可行性.
- 探索FI,饮食摄入量和儿科IBD的临床结果之间的关联.
- 了解FI在这个人群中的流行程度和影响.
主要方法:
- 对新诊断IBD患者 (5-18岁) 的试点研究.
- 在诊断和6个月后使用USDA和AAP工具进行FI查.
- 饮食摄入量分析 (NOVA分类),临床数据,人体测量和医疗保健利用,收集了6个月的时间.
主要成果:
- 在40%的家庭中发现了FI.
- 粮食不安全的患者在诊断时体重和BMIz-score显著降低 (p<0.01).
- 在食物不安全的患者中观察到更高的住院率;对于大多数人来说,饮食中含有大量超加工食品.
结论:
- FI在儿科IBD中很普遍,与较差的营养状况相关.
- FI与超加工食品消费增加有关,尽管整体饮食质量令人担忧.
- 需要在更大的队列和干预研究中进行进一步的研究.
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