Food insecurity is associated with prediabetes and dietary differences in US adults aged 20-39
Food insecurity is associated with prediabetes and dietary differences in US adults aged 20-39
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DOI：
10.1016/j.ypmed.2018.09.012
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发表时间：
2018-11-01
影响因子：
5.1
通讯作者：
DeBoer, Mark D.
中科院分区：
文献类型：
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作者：
Lee, Arthur M.;Scharf, Rebecca J.;DeBoer, Mark D.
粮食不安全与不同人群的生活方式和代谢健康差异有关。我们试图评估食品不安全如何与相对年轻的美国成年人的前驱糖尿病和饮食差异相关。我们检查了来自美国国家健康和营养调查（2003-2014年）的数据，年龄在20-39岁之间的参与者具有关于食物不安全和代谢实验室评估的完整数据。我们还评估了大量营养素摄入量和补充营养援助计划（SNAP）的使用情况。所有逻辑回归模型均控制了年龄、性别和家庭收入。在纳入的3684名参与者中，食物不安全的患病率为19.12%（95%置信区间[95%CI]：16.16，22.08）。食物不安全的受试者的前驱糖尿病/糖尿病患病率为37.36%（95%CI：30.47，44.25），前驱糖尿病/糖尿病的几率更高（调整后的比值比[aOR] = 1.36，95%CI：1.00，1.85）。食物不安全的成年人有显着不同的常量营养素摄入量：碳水化合物较高（p = 0.02），蛋白质较少（p = 0.01），总脂肪较少（p = 0.04）消费。使用SNAP的食物不安全成年人（与未使用SNAP的食物不安全成年人相比）患代谢综合征（ATP-III MetS）的几率更高（aOR = 2.56，95% CI：1.27，5.22）。我们发现，食品不安全在这部分年轻的美国成年人中相对普遍。我们发现，食物不安全的参与者增加了糖尿病前期的患病率和几率。这些关联也与饮食差异有关。
Food insecurity has been linked with lifestyle and metabolic health differences in varying populations. We sought to assess how food insecurity may have been associated with prediabetes and dietary differences in a relatively young subset of U.S. adults. We examined data from the United States National Health and Nutrition Examination Survey (2003-2014) participants aged 20-39 with complete data regarding food insecurity and metabolic laboratory assessment. We also assessed macronutrient intake and Supplemental Nutrition Assistance Program (SNAP) usage. All logistic regression models controlled for age, sex, and household income. Among 3684 included participants, food insecurity had 19.12% (95% confidence interval [95% CI]: 16.16, 22.08) prevalence. Food-insecure participants had prediabetes/diabetes prevalence of 37.36% (95% CI: 30.47, 44.25) and higher odds of having prediabetes/diabetes (adjusted odds ratio [aOR] = 1.36, 95% CI: 1.00, 1.85). Food-insecure adults has significantly different macronutrient intake: higher carbohydrates (p = 0.02), less protein (p = 0.01), and less total fat (p = 0.04) consumption. Food-insecure adults who used SNAP (compared to food-insecure adults who did not use SNAP) had higher odds of having metabolic syndrome (ATP-III MetS) (aOR = 2.56, 95% CI: 1.27, 5.22). We found that food insecurity was relatively prevalent in this subset of younger U.S. adults. We showed that food-insecure participants had increased prevalence and odds of prediabetes. These associations were also correlated with dietary differences.