Contextual poverty, nutrition, and chronic kidney disease.
Contextual poverty, nutrition, and chronic kidney disease.
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DOI：
10.1053/j.ackd.2014.05.005
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发表时间：
2015-01
影响因子：
2.9
通讯作者：
Gutiérrez OM
中科院分区：
文献类型：
--
作者：
Gutiérrez OM
营养在慢性肾脏病（CKD）结局中起着重要作用。影响营养的最重要因素之一是社会经济地位，大量流行病学数据表明，收入和教育与饮食质量直接相关。除了收入和教育等社会经济地位的个人水平标志外，环境因素，如提供健康食品选择的食品店的可用性和运输以及特定区域内快餐店的密度显着影响个人遵守营养建议的能力。对于CKD患者最具体的营养指南尤其如此，例如蛋白质，饱和脂肪，钠和磷的摄入量，所有这些都已被证明会影响CKD健康，并受到个别社区食品环境中健康食品选择的影响。由于背景贫困与饮食质量的密切联系，任何改善CKD患者饮食的认真尝试都必须包括讨论每个人在尝试获得健康食品时所面临的环境障碍，医疗保健提供者在定制具体建议时应考虑这些障碍。
Nutrition plays an important role in chronic kidney disease (CKD) outcomes. One of the strongest factors that impacts nutrition is socioeconomic status as evidenced by the large body of epidemiologic data showing that income and education are directly associated with diet quality. Apart from individual-level markers of socioeconomic status such as income and education, contextual factors such as availability of and transportation to food outlets that provide healthy food options and the density of fast food restaurants within particular regions markedly impact the ability of individuals to comply with nutrition recommendations. This is particularly true for nutrition guidelines most specific to individuals with CKD such as the consumption of protein, saturated fat, sodium and phosphorus, all of which have been shown to impact CKD health and are influenced by the availability of healthy food options within individual neighborhood food environments. Because of the strong association of contextual poverty with the diet quality, any serious attempt to improve the diet of CKD patients must include a discussion of the environmental barriers that each individual faces in trying to access healthy foods and health care providers should take account of these barriers when tailoring specific recommendations.
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影响因子：
7.1
作者：
Dubowitz, Tamara;Heron, Melonie;Escarce, Jose J.
通讯作者：
Escarce, Jose J.
DOI：
10.2741/e441
发表时间：
2012-01-01
期刊：
Frontiers in bioscience (Elite edition)
影响因子：
--
作者：
Camici M;Galetta F;Abraham N;Carpi A
通讯作者：
Carpi A
影响因子：
6.3
作者：
Diez-Roux, AV;Nieto, FJ;Szklo, M
通讯作者：
Szklo, M
影响因子：
13.2
作者：
Foster, Meredith C.;Hwang, Shih-Jen;Fox, Caroline S.
通讯作者：
Fox, Caroline S.
影响因子：
3.2
作者：
Cameron, Adrian J.;Thornton, Lukar E.;Crawford, David
通讯作者：
Crawford, David