Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, USA.
Department of Nursing, College of Nursing, University of South Florida, Tampa, USA.
Ecol Food Nutr. 2021 Sep-Oct;60(5):596-611. doi: 10.1080/03670244.2021.1956485.
Cardiovascular disease is the leading cause of death and disability globally. Self-management of cardiovascular disease includes the consumption of nutrient-dense foods and prudent dietary patterns, such as the DASH (Dietary Approaches to Stop Hypertension) and Mediterranean Diet to decrease inflammation and stress. Over the last few decades, there has been a growing interest in food insecurity and health outcomes in the United States. While it is well established that diet plays a role in the development of cardiovascular disease, there is little known regarding the role of food insecurity and cardiovascular disease. As a result of unprecedented unemployment rates during and following the global COVID-19 pandemic, all dimensions of food insecurity have been impacted, including declines in food availability, accessibility, utilization, and stability. This paper summarizes the existing quantitative and qualitative literature exploring the social determinants of health (economics/poverty, employment, limited access to health care, and food) that affect the self-management of cardiovascular disease, including healthy nutrition, highlighting special considerations during the COVID-19 global pandemic.
心血管疾病是全球范围内导致死亡和残疾的主要原因。心血管疾病的自我管理包括食用营养丰富的食物和谨慎的饮食模式，如 DASH（停止高血压的饮食方法）和地中海饮食，以减少炎症和压力。在过去几十年中，人们对美国的粮食不安全和健康结果越来越感兴趣。虽然饮食在心血管疾病的发展中起着重要作用，但对于粮食不安全和心血管疾病之间的关系知之甚少。由于在全球 COVID-19 大流行期间和之后出现了前所未有的失业率，粮食不安全的所有方面都受到了影响，包括食物供应、可及性、利用和稳定性的下降。本文总结了现有的定量和定性文献，探讨了影响心血管疾病自我管理的健康社会决定因素（经济/贫困、就业、获得医疗保健的机会有限以及食品），包括健康营养，并强调了在 COVID-19 全球大流行期间的特殊考虑因素。
