在接受肺功能检测的患者中,粮食不安全的患病率和影响:一个跨部门研究
Dustin L Norton1, Lauren Witek2, Corey S Obermiller2
1Department of Internal Medicine, Section on Pulmonary, Critical Care, Allergy and Immunologic Diseases; Wake Forest University School of Medicine, Winston-Salem, NC.
粮食不安全 (FI) 与肺功能恶化和肺功能测试 (PFT) 的成年人呼吸道症状增加有关. 解决FI对于改善呼吸系统健康结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 肺部病理学 肺部病理学
- 健康的社会决定因素
背景情况:
- 粮食不安全 (FI) 被定义为无法获得足够的食物,影响了美国大部分家庭,并与各种慢性疾病有关.
- 有限的研究已经探索了粮食不安全和肺部健康之间的联系.
- 这项研究调查了FI与成年人呼吸系统健康之间的关联.
研究的目的:
- 为了确定食物不安全 (FI) 是否与肺功能有关.
- 评估FI是否与接受肺功能测试 (PFT) 的成年人呼吸系统症状负担相关.
主要方法:
- 在2018年3月至2023年1月期间,对10,805名接受PFT的成年人进行了一项横截面研究.
- 食品不安全性被评估使用一个验证的两项问卷.
- 测量了肺功能 (FEV1,FVC) 和呼吸道症状 (呼吸不全,COPD评估测试);多变量模型根据共变量进行调整.
主要成果:
- 17.8%的参与者报告了粮食不安全 (FI).
- FI与预测FEV1 (-2.55%) 和FVC (-1.04%) 的较低百分比相关,并增加了中度至重度呼吸障碍的几率 (OR,1.97).
- 在COPD和喘患者中,FI与较高的症状负担和更频繁的中度至重度呼吸障碍有关.
结论:
- 粮食不安全性 (FI) 与肺功能减弱和呼吸道症状增加有关.
- 这些发现强调了FI作为影响呼吸系统健康的社会决定因素的作用.
- 需要进一步的研究,以了解潜在的机制,并制定干预措施来解决FI对肺部健康的影响.
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