Assessing the diet quality of individuals with rheumatic conditions: a cross-sectional study
Assessing the diet quality of individuals with rheumatic conditions: a cross-sectional study
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DOI：
10.1007/s00296-020-04527-2
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发表时间：
2020-02-06
影响因子：
4
通讯作者：
Naumovski, Nenad
中科院分区：
文献类型：
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作者：
Carter, Thomas;D'Cunha, Nathan M.;Naumovski, Nenad
关节炎是慢性疼痛和残疾的重要原因，影响了大约350万澳大利亚人。然而，人们对关节炎患者的整体饮食质量知之甚少。本研究旨在评估生活在澳大利亚首都地区患有关节炎的澳大利亚人的饮食质量。本横断面研究使用有效的食物频率问卷分析了关节炎患者的饮食摄入数据。使用健康饮食指数-2015 （HEI-2015）评估饮食质量，使用关节炎影响测量量表2 （AIMS2-SF）的简短形式检查饮食组成、年龄、收入与关节炎影响之间的关系。参与者主要为女性（82.6%），按年龄分组：18-50岁（n = 32）、50-64岁（n = 31）和65岁以上（n = 23）。年龄与HEI-2015 （r(s) = 0.337, p = 0.002）、收入与AIMS2-SF （r(s) = - 0.353, p < 0.001）存在显著相关性。18-49岁组HEI-2015平均评分为一般（72.1 +/- 12.3），低于50-64岁组良好评分（81.5 +/- 9.72）（p = 0.004）和65岁以上组良好评分（81.8 +/- 12.1）（p = 0.007）。膳食纤维、海鲜和植物蛋白、脂肪酸和精制谷物被确定为18-49岁人群关注的膳食成分，总水果和添加糖是AIMS2-SF中最差的人群关注的成分。与50岁及以上的人相比，18岁至49岁的人饮食质量较低。需要进一步的研究来理解为什么这种关联发生在澳大利亚这个高社会经济地区（一个高收入国家）。
Arthritis is a significant cause of chronic pain and disability, affecting around 3.5 million Australians. However, little is known regarding the overall diet quality of those living with arthritis. This study aimed to assess the dietary quality of Australians living in the Australian Capital Territory region with arthritis. This cross-sectional study analysed dietary intake data of individuals living with arthritis using a validated food frequency questionnaire. Dietary quality was assessed using the Healthy Eating Index-2015 (HEI-2015) to examine associations between diet composition, age, income and arthritis impact using the short form of the Arthritis Impact Measurement Scales 2 (AIMS2-SF). Participants, predominantly female (82.6%), were grouped by age: 18-50 years (n = 32), 50-64 years (n = 31), and 65 + years (n = 23). Significant correlations were observed between age and HEI-2015 (r(s) = 0.337, p = 0.002) and income and AIMS2-SF (r(s) = - 0.353, p < 0.001). The mean HEI-2015 score for the 18-49 years group was fair (72.1 +/- 12.3), lower than both the 50-64 years group score of good (81.5 +/- 9.72) (p = 0.004), and the 65 + years group score of good (81.8 +/- 12.1) (p = 0.007). Dietary fibre, seafood and plant protein, fatty acids, and refined grains were identified as dietary components of concern for the 18-49 years group, and total fruit and added sugar were components of concern for people in the worst tertile for the AIMS2-SF. People aged between 18 and 49 years are consuming a lower quality diet compared to people aged 50 years and over. Further research is needed to understand why this association is occurring in this high socioeconomic region of Australia (a high-income country).