改善水果和蔬菜的获取,以减少脏健康方面的种族/民族差异
Aisha H Montgomery1, Donald E Wesson2
1Applied Sciences, Premier, Inc., Charlotte, NC, USA.
概括
增加水果和蔬菜 (F&V) 的摄入量可以减缓慢性病 (CKD) 的进展,并减少心血管疾病 (CVD) 的死亡率. 社区层面的战略可能有助于减少健康方面的种族差异.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 营养科学 营养科学
背景情况:
- 慢性病 (CKD) 在美国不成比例地影响着非洲裔美国人和西班牙裔人口.
- 现有的药理疗法没有消除CKD进展,并发症和死亡率的差异.
- 心血管疾病 (CVD) 是CKD患者的主要死亡原因.
研究的目的:
- 探索社区层面战略在解决CKD种族/民族差异方面的作用.
- 在CKD管理中强调水果和蔬菜 (F&V) 丰富饮食的不足利用.
- 检查增加F&V消费的潜力,以改善CKD结果并降低心血管疾病风险.
主要方法:
- 审查关于CKD,饮食干预和健康差异的现有文献.
- 分析了F&V摄入量,CKD进展和心血管疾病风险之间的联系.
- 检查影响少数群体社区F&V获取的社会经济因素.
主要成果:
- 富含F&V的饮食与降低CKD发病率,进展,死亡率以及改善心血管疾病风险有关.
- 干预性研究表明,高F&V饮食与标准护理相结合,可以减缓CKD进展,降低心血管疾病死亡率.
- 贫困,受教育程度有限,医疗素养低是食品和体育获取障碍,加剧了服务不足人群中CKD的结果.
结论:
- 扩大社区层面的F&V获取可能会增加CKD患者的饮食坚持.
- 增加F&V消费有望改善结局并降低CKD和相关疾病的死亡率.
- 需要基于证据的,社区一级的F&V策略,以减少美国脏健康方面的种族和民族差异.
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