Food insecurity and hypertension in the Eastern Caribbean

项目摘要 高血压（HTN）是全球发病率和死亡率的主要原因。它几乎影响 全球有8.5亿人，是中风和其他心血管疾病的主要危险因素 疾病高血压的负担在低收入和中等收入国家最大， 在加勒比地区不成比例地增加。粮食不安全（FI），经济或 获得适足食物的机会有限或不确定的社会状况，最近已成为 美国慢性病发展和管理不善的促成因素， 拉丁美洲人口。研究表明FI和不良饮食之间的关系 肥胖糖尿病和压力然而，很少有研究将粮食不安全纳入其中 对高血压的调查，在那些调查过的人中，结果好坏参半。FI是一个专业 加勒比区域的公共卫生问题，可能与调查特别相关 高血压患有FI的人消费廉价，高热量的超加工食品 而且钠含量很高患有FI和饮食敏感性疾病的人控制较差， 急诊和并发症这项研究利用了东部地区的数据， 加勒比健康结果研究网络队列研究，这是第一次 在四个加勒比岛屿的社区居住队列，以确定粮食不安全是否 影响加勒比高血压的发展和管理。

Project Abstract Hypertension (HTN) is a leading cause of morbidity and mortality worldwide. It affects almost 850 million people worldwide and is a primary risk factor for strokes and other cardiovascular diseases. The burden of hypertension is greatest in low-and middle-income countries, and is disproportionately increased in the Caribbean region. Food insecurity (FI), an economic or social condition of limited or uncertain access to adequate food, has recently emerged as a contributing factor in the development and poor management of chronic diseases in US and Latin American populations. Studies demonstrate a relationship between FI and poor dietary quality, obesity, diabetes and stress. However, few studies have included food insecurity in investigations of hypertension, and among those that have, results are mixed. FI is a major public health problem in the Caribbean region and may be particularly relevant to investigations of hypertension. People with FI consume cheap, calorie dense foods that are ultra-processed and high in sodium. Persons with FI and diet sensitive conditions have poorer control, more emergency visits, and complications. The proposed study leverages data from the Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS), a first of its kind community-dwelling cohort across four Caribbean islands, to determine whether food insecurity influences the development and management of hypertension in the Caribbean.