Dietary patterns in patients with asthma and their relationship with asthma-related emergency room visits: NHANES 2005-2016.
Dietary patterns in patients with asthma and their relationship with asthma-related emergency room visits: NHANES 2005-2016.
复制标题
哮喘患者的饮食模式及其与哮喘相关急诊室就诊的关系：NHANES 2005-2016。
DOI：
10.1080/02770903.2021.1984529
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Zein,JoeG
中科院分区：
文献类型：
--
作者：
Zhang,Peng;Lopez,Rocio;Arrigain,Susana;Rath,Mary;Khatri,SumitaB;Zein,JoeG
饮食摄入、代谢失调和哮喘之间存在广泛的相互依赖性;然而，成人哮喘患者的饮食模式仍然未知。目的评估饮食模式与哮喘ER访视之间的关联，并探讨种族和饮食之间的相互作用对哮喘的影响。方法使用NHANES数据，我们比较了在过去一年中有和没有哮喘相关急诊室（ER）就诊的哮喘成人之间以及不同种族受试者之间的饮食模式。2015年健康饮食指数（HEI-2015）被用来评估饮食模式和2015-2020年饮食指南Americans.ResultsAmong纳入研究的1681个人，193报告哮喘相关的ER访问之间的对齐。哮喘患者的水果和蔬菜摄入量较低，平均（SE）HEI-2015评分较低[52.6（0.53）]。与没有哮喘相关ER访问的人相比，有较低的蔬菜消费量（中位数0.61对0.85杯当量）。此外，与非西班牙裔白人相比，非西班牙裔黑人（NHB）报告的蔬菜（中位杯当量0.58 vs. 0.89）和水果摄入量（0.17 vs. 0.39）较低，并且HEI-2015评分较低（49.9 vs. 52.9）。在多变量分析中，饮食模式和ER访视之间没有发现关联，或者饮食和种族之间的显著相互作用在预测ER visits.ConclusionsDietary模式在成人与当前哮喘患者中经常与当前的饮食指南不一致。与哮喘相关的ER访问和NHB种族的患者有较低的蔬菜消费量;然而，在多变量分析中，相关性消失。饮食对哮喘的影响并不直接，值得进一步研究。本文的补充数据可在www.tandfonline.com/ijas上获取。
RationaleExtensive interdependencies exist between dietary intake, metabolic dysregulation, and asthma; however, the dietary pattern in adults with asthma remains unknown.ObjectivesTo evaluate the association between dietary patterns and asthma ER visits and explore the effect of the interaction between race and diet on asthma.MethodsUsing NHANES data, we compared dietary patterns between adults with asthma with and without asthma-related emergency room (ER) visits in the previous year, and between subjects of different races. The 2015 Healthy Eating Index (HEI-2015) was used to assess alignment between dietary patterns and the 2015–2020 Dietary Guideline for Americans.ResultsAmong 1681 individuals included in the study, 193 reported asthma-related ER visit. Patients with asthma had low fruit and vegetable intake, and a low mean (SE) HEI-2015 score [52.6 (0.53)]. Individuals with asthma-related ER visits had lower vegetable consumption compared to those without (median 0.61 vs. 0.85 cup equivalents). Furthermore, non-Hispanic Blacks (NHB) reported lower amount of vegetable (median cup equivalent 0.58 vs. 0.89) and fruit intake (0.17 vs. 0.39) and had a lower HEI-2015 score (49.9 vs. 52.9) comparing to non-Hispanic Whites. No association was discovered between dietary patterns and ER visits in multivariable analysis, or significant interactions between diet and race in predicting the need for ER visits.ConclusionsDietary patterns in adult with current asthma are frequently misaligned with current dietary guidelines. Patients with asthma-related ER visits and of NHB race had lower vegetable consumption; however, the associations disappeared in multivariable analysis. The impact of diet on asthma is not straightforward and deserves further investigation.Supplemental data for this article is available online at at www.tandfonline.com/ijas.