Childhood food insufficiency and adulthood cardiometabolic health conditions among a population-based sample of older adults in Puerto Rico.
Childhood food insufficiency and adulthood cardiometabolic health conditions among a population-based sample of older adults in Puerto Rico.
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DOI：
10.1016/j.ssmph.2022.101066
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Mattei J
中科院分区：
文献类型：
--
作者：
McClain AC;Cory H;Mattei J
儿童期食物不足对儿童的身体和心理社会健康产生负面影响，但人们对长期健康影响知之甚少。这项研究旨在阐明儿童时期食物不足与成年后心脏代谢状况的关系。我们使用波多黎各老年人：健康状况项目(n=2712)的数据进行了横断面分析，该项目是居住在波多黎各的老年人(60岁)的人口样本。儿童时期的食物不足是通过一个关于童年经济困难的代理问题来确定的，这些困难阻碍了饮食。参与者自我报告高血压、糖尿病和心血管疾病(心血管疾病；包括心脏病发作、心脏病或中风)。肥胖是通过测量身高和体重来评估身体质量指数的。多变量调整、性别分层的复杂调查Logistic回归模型测试了儿童食物不足与每种情况、心脏代谢疾病的数量(0-6)和发病年龄的相关性。近三分之一(29.4%)的样本报告儿童时期食物不足；68.7%报告高血压，29.6%报告2型糖尿病，34.2%报告心血管疾病，29.9%被归类为肥胖症，55.4%有两种或两种以上心脏代谢疾病。在男性中，而不是在女性中，童年时期食物不足与高血压(优势比(OR)(95%可信区间(CI)：1.7(1.1，2.7))、心血管疾病(1.7(1.1，2.6))以及有两种(1.9(1.0，3.4)或三至四种(2.3(1.2，4.4))心脏代谢疾病的几率更高相关。在男性中，儿童时期的食物不足与心血管疾病早期发病的几率较高(2.2(1.0，4.7))。儿童时期的食物不足可能会增加波多黎各老年男子患心脏代谢性疾病的可能性。使儿童能够获得充足、健康食物的计划可能有助于预防最终与心血管相关的疾病。儿童时期的食物不足与心血管疾病和高血压有关。儿童时期的食物不足与更多的心脏新陈代谢疾病有关。在波多黎各老年男性中观察到了显著的关系，但在女性中没有观察到。
Childhood food insufficiency negatively influences physical and psychosocial health in children, but less is known about long-term health implications. This study aimed to elucidate the association of childhood food insufficiency with older adulthood cardiometabolic conditions. We conducted cross-sectional analyses using data from the Puerto Rican Elderly: Health Conditions Project (n = 2712), a population-based sample of elderly adults (>60 y) living in Puerto Rico. Childhood food insufficiency was ascertained with a proxy question on childhood economic hardships that prevented eating. Participants self-reported hypertension, diabetes, and cardiovascular disease (CVD; including heart attack, heart disease, or stroke). Obesity was assessed as body mass index using measured height and weight. Multivariable-adjusted, sex-stratified, complex survey logistic regression models tested associations of childhood food insufficiency with each condition, number of cardiometabolic conditions (0–6), and age of onset. Nearly a third (29.4%) of the sample reported childhood food insufficiency; 68.7% reported hypertension, 29.6% reported type 2 diabetes, 34.2% reported CVD, 29.9% were categorized with obesity, and 55.4% had two or more cardiometabolic conditions. In men, but not women, childhood food insufficiency was associated with higher odds of hypertension (Odds Ratio (OR) (95% Confidence Intervals (CI)): 1.7 (1.1, 2.7)), CVD (1.7 (1.1, 2.6)), and having two (1.9 (1.0, 3.4) or three to four (2.3 (1.2, 4.4)) cardiometabolic conditions. Childhood food insufficiency was marginally associated with higher odds of early age of onset of CVD among men (2.2 (1.0, 4.7)). Childhood food insufficiency may increase the likelihood of having cardiometabolic conditions in Puerto Rican older men. Programs that enable access to sufficient, healthy food in childhood may help prevent eventual cardiovascular-related diseases. Childhood food insufficiency linked to cardiovascular disease and hypertension. Childhood food insufficiency linked to higher number of cardiometabolic conditions. Significant relationships observed in elderly Puerto Rican men, but not women.
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影响因子：
20.3
作者：
Kautzky-Willer A;Harreiter J;Pacini G
通讯作者：
Pacini G
影响因子：
2.4
作者：
Bayoumi I;Birken CS;Nurse KM;Parkin PC;Maguire JL;Macarthur C;Randall Simpson JA;Borkhoff CM
通讯作者：
Borkhoff CM
影响因子：
8.1
作者：
Grey K;Gonzales GB;Abera M;Lelijveld N;Thompson D;Berhane M;Abdissa A;Girma T;Kerac M
通讯作者：
Kerac M
影响因子：
3.8
作者：
Duany, J
通讯作者：
Duany, J
影响因子：
3.2
作者：
Becker, Carolyn Black;Middlemass, Keesha;Sutherland, Autumn
通讯作者：
Sutherland, Autumn