Elevated Dietary Inflammation Among Supplemental Nutrition Assistance Program Recipients Provides Targets for Precision Public Health Intervention.
Elevated Dietary Inflammation Among Supplemental Nutrition Assistance Program Recipients Provides Targets for Precision Public Health Intervention.
复制标题
DOI：
10.1016/j.amepre.2021.02.007
复制
发表时间：
2021-08
影响因子：
5.5
通讯作者：
Freedman DA
中科院分区：
文献类型：
--
作者：
Ciesielski TH;Ngendahimana DK;Roche A;Williams SM;Freedman DA
补充营养援助计划（SNAP）旨在防止低收入美国人的粮食不安全，并与改善怀孕健康，长期儿童发育和犯罪累犯有关。然而，对粮食安全的追求并不能确保营养充足，该计划也没有改善饮食质量或心脏代谢死亡率（即，心脏病、中风、糖尿病）。在这里，纵向队列数据被用来识别SNAP状态的促炎特征，易患慢性疾病。在2015年至2018年期间，对来自哥伦布和俄亥俄州克利夫兰的低收入城市社区的409名居民进行了年度24小时饮食召回（统计分析始于2019年）。计算饮食炎症指数（DII）。它提供了每种饮食应该产生的内部炎症的经验验证的估计;较高的DII评分与升高的炎症生物标志物相关。最后，SNAP和DII之间的关联进行了评估，并确定了不同的SNAP状态的饮食成分。SNAP接受者与非接受者相比具有更高的DII评分（+0.40，95%CI = 0.09，0.70），并且4种抗炎营养素（膳食纤维、β-胡萝卜素、镁、维生素E）的摄入量始终较低。维生素D的摄入量没有因SNAP状态而异，但远低于该样本中的推荐每日摄入量。SNAP接受者的DII升高，这意味着更高的饮食驱动的炎症。这部分是由于4种抗炎食物成分的摄入量较低，而非接受者的摄入量较高，但营养仍然不足。研究结果强调了通过饮食改变改善公众健康的具体营养目标。
The Supplemental Nutrition Assistance Program (SNAP) was designed to prevent food insecurity among low-income Americans, and has been linked to improvements in pregnancy health, long-term child development, and criminal recidivism. However, the pursuit of food security does not ensure nutritional sufficiency, and the program has not improved diet quality or cardiometabolic mortality (i.e., heart disease, stroke, diabetes). Here, longitudinal cohort data are used to identify by SNAP status the proinflammatory characteristics that predispose to chronic disease. Between 2015 and 2018, annual 24-hour dietary recalls were conducted with 409 residents from low-income, urban neighborhoods in Columbus and Cleveland, Ohio (statistical analysis started in 2019). The Dietary Inflammatory Index (DII) was calculated. It provides empirically validated estimates of the internal inflammation that each diet should produce; higher DII scores have been associated with elevated inflammatory biomarkers. Finally, associations between SNAP and DII were evaluated, and dietary components that differed by SNAP status were identified. SNAP recipients had higher DII scores (+0.40, 95% CI= 0.09, 0.70), and consistently lower intake of 4 anti-inflammatory nutrients (dietary fiber, β-carotene, magnesium, vitamin E) compared with non-recipients. Vitamin D intake did not differ by SNAP status, but was well below the Recommended Daily Allowance in this sample. SNAP recipients had elevated DIIs, implying higher diet-driven inflammation. This was due, in part, to low intake of 4 anti-inflammatory food components, which were higher, yet still nutritionally insufficient, among non-recipients. Findings highlight specific nutritional targets for improving public health through dietary change.
登录
查看更多内容
影响因子：
5.5
作者：
Khoury MJ;Iademarco MF;Riley WT
通讯作者：
Riley WT
DOI：
10.1007/s40615-020-00833-4
发表时间：
2020-09-01
影响因子：
3.9
作者：
Abedi, Vida;Olulana, Oluwaseyi;Zand, Ramin
通讯作者：
Zand, Ramin
影响因子：
10.7
作者：
Hoynes, Hilary;Schanzenbach, Diane Whitmore;Almond, Douglas
通讯作者：
Almond, Douglas
影响因子：
5.4
作者：
Blake, Christine E.;Bell, Bethany A.;Liese, Angela D.
通讯作者：
Liese, Angela D.
影响因子：
4.5
作者：
Caspi, Caitlin E.;Winkler, Megan R.;Laska, Melissa N.
通讯作者：
Laska, Melissa N.