Food Security and Metabolic Syndrome in US Adults and Adolescents: Findings From the National Health and Nutrition Examination Survey, 1999-2006

Food Security and Metabolic Syndrome in US Adults and Adolescents: Findings From the National Health and Nutrition Examination Survey, 1999-2006
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DOI:
10.1016/j.annepidem.2010.02.009
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发表时间:
2010-05-01
影响因子:
5.6
通讯作者:
Pereira, Mark A.
Pereira, Mark A.
中科院分区:
医学3区
文献类型:
--
作者:
Parker, Emily D.;Widome, Rachel;Pereira, Mark A.

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目得:我们试图在美国成年人和青少年的代表性样本中检查食物安全和代谢综合征的关联。我们假设,与食物安全家庭相比,生活在食物不安全家庭的青少年和成年人患代谢综合征的几率会增加。从1999年到2006年的全国健康和营养调查数据被合并和交叉分析,采用分段Logistic回归分析方法计算家庭粮食安全与家庭粮食安全关系的比值比和95%可信区间(95%CI(完全粮食安全、边缘、低和非常低的粮食安全)和MetS。结果:与那些食物安全的人相比,食物安全边际家庭的成年人患代谢综合征的几率增加了1.80倍(95% CI,130 -2.49),而那些食物安全程度很低的人患代谢综合征的几率增加了1.65倍(95%CI 1.12 - 2.42)与低粮食安全无关联。边际家庭粮食安全与MetS的关联不显著:在成年人和青少年中,与那些食物安全的人相比,食物安全性非常低,与MetS的几率增加无关结论:边缘和非常低的粮食安全的家庭成员在MetS的风险增加的机制可能是,食品是廉价和容易获得往往是能源密集和营养贫乏安Epidemiol 2010,20 364-370(C)2010 Elsevier Inc保留所有权利
PURPOSE: We sought to examine the association of food security and metabolic syndrome in a representative sample of U.S. adults and adolescents We hypothesized that compared with those in food-secure households, adolescents and adults living in food-insecure households would have increased odds of (MetS)METHODS: Data from the National Health and Nutrition Examination Surveys from 1999 to 2006 were combined and analyzed cross-sectionally Logistic regression was used to compute odds ratios and 95% confidence intervals (95% CI) in the association of household food security (fully food secure, marginal, low, and very low food security) and MetS.RESULTS: Compared with those who were food secure, adults in households with marginal food security had 1.80-fold increased odds of MetS (95% CI, 1 30-2.49), and those with very low food security had a 1.65-fold increased odds of MetS (95% CI 1 12-2 42) There was no association with low food security The association of marginal household food security and MetS was not significant: in adolescents In adults and adolescents, very low was food security not associated with increased odds of MetS compared with those who were food secureCONCLUSIONS: Members of households with marginal and very low food security are at increased risk of MetS A mechanism may be that foods that are inexpensive and easily accessible tend to be energy dense and nutrient poor Ann Epidemiol 2010, 20 364-370 (C) 2010 Elsevier Inc All rights reserved