Food insecurity and hypertension in the Eastern Caribbean

项目摘要 高血压(HTN)是世界范围内发病率和死亡率的主要原因。它几乎影响到了 全世界有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重，而且 加勒比地区的增长不成比例。粮食不安全(FI)，经济或 获得足够食物的机会有限或不确定的社会状况，最近已成为一种 美国慢性病的发展和管理不善的促成因素 拉丁美洲人口。研究表明，FI与不良饮食之间存在关系 质量、肥胖、糖尿病和压力。然而，很少有研究将粮食不安全包括在 对高血压的研究，在那些已经进行的研究中，结果好坏参半。FI是一名少校 加勒比地区的公共卫生问题，可能与调查特别相关 高血压的症状。FI患者食用超加工的廉价、高卡路里食物 而且钠含量很高。患有FI和饮食敏感疾病的人控制力较差，更多 急诊和并发症。这项拟议的研究利用了来自东部的数据 加勒比健康结果研究网络队列研究(ECS)，这是此类研究中的第一项 对加勒比海四个岛屿的社区居民进行了队列调查，以确定粮食不安全 影响加勒比地区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.