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Food insecurity and hypertension in the Eastern Caribbean

东加勒比地区的粮食不安全和高血压

基本信息

批准号：
10214671
负责人：
Carol Renee Oladele
金额：
$ 15.95万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-08-15 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10214671
关键词：
Address Adherence Adult Affect Age Baseline Surveys Biological Blood Pressure Calories Cardiovascular Diseases Caribbean region Characteristics Chronic Disease Classification Clinical assessments Cohort Studies Communities Consumption Data Data Set Development Diabetes Mellitus Diagnosis Diet Dietary Factors Economic Conditions Economics Emergency Situation Epidemic Ethnic group Food Gender Geography Goals Health Health Professional Hypertension Incidence Individual Intervention Intervention Studies Interview Investigation Island Latin America Latin American Maps Mediating Methodology Methods Modeling Morbidity - disease rate Obesity Outcome Outcomes Research Participant Pathway interactions Patient Self-Report Persons Pharmaceutical Preparations Physicians Population Prevalence Process Public Health Research Research Training Risk Factors Role Site Social Conditions Sodium Stress Stroke System Visit West Indies base cohort comorbidity coping dietary effective intervention food environment food insecurity hazard hypertension control low and middle-income countries mortality nutrition racial and ethnic recruit social

项目摘要

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.

项目摘要