Food security and cardiovascular disease risk among adults in the United States: findings from the National Health and Nutrition Examination Survey, 2003-2008.
Food security and cardiovascular disease risk among adults in the United States: findings from the National Health and Nutrition Examination Survey, 2003-2008.
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DOI：
10.5888/pcd10.130244
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发表时间：
2013-12-05
影响因子：
5.5
通讯作者：
Ford ES
中科院分区：
文献类型：
--
作者：
Ford ES
关于粮食安全状况与预测的10年心血管疾病风险之间的关系知之甚少。本研究的目的是研究食品安全状况与心血管疾病风险因素之间的关系，并预测美国成年人全国样本的10年风险。使用2003-2008年国家健康和营养调查中10，455名20岁或以上成年人的数据进行了横断面分析。通过10个问题确定了粮食安全状况的4个等级。在所有参与者中，83.9%的人享有完全粮食安全，6.7%的人享有边际粮食安全，5.8%的人享有低粮食安全，3.6%的人享有极低粮食安全。调整后，平均血红蛋白A1 c高0.15%，C-反应蛋白的平均浓度高0.8毫克/升的参与者中，非常低的食物安全比那些完全的食物安全。食物安全性极低的参与者中可替宁的校正平均浓度几乎是食物安全性完全的参与者的两倍（112.8 vs 62.0 ng/mL，P < .001）。没有观察到食物安全状况与收缩压或总胆固醇、高密度脂蛋白胆固醇或非高密度脂蛋白胆固醇浓度之间存在显著相关性。年龄在30至59岁之间，食物安全程度非常低的参与者比完全食物安全的参与者更有可能预测10年心血管疾病风险大于20%（调整后的患病率为2.38; 95%CI为1.31-4.31）。30至59岁的食物安全非常低的成年人显示出增加10年心血管疾病风险的证据。
Little is known about the relationship between food security status and predicted 10-year cardiovascular disease risk. The objective of this study was to examine the associations between food security status and cardiovascular disease risk factors and predicted 10-year risk in a national sample of US adults. A cross-sectional analysis using data from 10,455 adults aged 20 years or older from the National Health and Nutrition Examination Survey 2003–2008 was conducted. Four levels of food security status were defined by using 10 questions. Among all participants, 83.9% had full food security, 6.7% had marginal food security, 5.8% had low food security, and 3.6% had very low food security. After adjustment, mean hemoglobin A1c was 0.15% greater and mean concentration of C-reactive protein was 0.8 mg/L greater among participants with very low food security than among those with full food security. The adjusted mean concentration of cotinine among participants with very low food security was almost double that of participants with full food security (112.8 vs 62.0 ng/mL, P < .001). No significant associations between food security status and systolic blood pressure or concentrations of total cholesterol, high-density lipoprotein cholesterol, or non-high-density lipoprotein cholesterol were observed. Participants aged 30 to 59 years with very low food security were more likely to have a predicted 10-year cardiovascular disease risk greater than 20% than fully food secure participants (adjusted prevalence ratio, 2.38; 95% CI, 1.31–4.31). Adults aged 30 to 59 years with very low food security showed evidence of increased predicted 10-year cardiovascular disease risk.
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