Trends in food insecurity for adults with cardiometabolic disease in the United States: 2005-2012

Trends in food insecurity for adults with cardiometabolic disease in the United States: 2005-2012
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DOI:
10.1371/journal.pone.0179172
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发表时间:
2017-06-07
期刊:
影响因子:
3.7
通讯作者:
Wexler, Deborah J.
Wexler, Deborah J.
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Berkowitz, Seth A.;Berkowitz, Theodore S. Z.;Wexler, Deborah J.

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背景粮食不安全,不确定的能力,获得足够的食物,可以限制坚持所需的饮食措施,以预防和管理心脏代谢的条件。然而,对饮食敏感性心脏代谢疾病患者食物不安全的时间趋势知之甚少。MethodsWe使用2005 -2012年连续国家健康和营养检查调查(NHANES)的数据,在2015- 2016年进行分析,计算有和没有以下饮食敏感性心脏代谢疾病患者的年龄标准化食物不安全率的趋势:糖尿病、高血压、冠心病、充血性心力衰竭和肥胖。结果21,196名NHANES参与者来自4个波(2005-2006年4,408人,2007-2008年5,607人,2009-2010年5,934人,2011-2012年5,247人)。56.2%至少有一种心脏代谢疾病,24.4%有2种或以上,8.5%有3种或以上。在研究期间,粮食不安全的总体年龄标准化比率翻了一番,从2005-2006年的9.06%增至2007-2008年的10.82%,再增至2009-2010年的15.22%和2011-2012年的18.33%(p代表趋势
BackgroundFood insecurity, the uncertain ability to access adequate food, can limit adherence to dietary measures needed to prevent and manage cardiometabolic conditions. However, little is known about temporal trends in food insecurity among those with diet-sensitive cardiometabolic conditions.MethodsWe used data from the Continuous National Health and Nutrition Examination Survey (NHANES) 2005-2012, analyzed in 2015-2016, to calculate trends in age-standardized rates of food insecurity for those with and without the following diet-sensitive cardiometabolic conditions: diabetes mellitus, hypertension, coronary heart disease, congestive heart failure, and obesity.Results21,196 NHANES participants were included from 4 waves (4,408 in 2005-2006, 5,607 in 2007-2008, 5,934 in 2009-2010, and 5,247 in 2011-2012). 56.2% had at least one cardiometabolic condition, 24.4% had 2 or more, and 8.5% had 3 or more. The overall age-standardized rate of food insecurity doubled during the study period, from 9.06% in 2005-2006 to 10.82% in 2007-2008 to 15.22% in 2009-2010 to 18.33% in 2011-2012 (p for trend