Division of General Internal Medicine, Massachusetts General Hospital, Boston, MA, USA.
Department of Epidemiology, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Curr Atheroscler Rep. 2023 May;25(5):219-230. doi: 10.1007/s11883-023-01097-z. Epub 2023 Mar 30.
The importance of addressing nutrition security for the primary and secondary prevention of cardiovascular disease (CVD) in the USA is reviewed by describing the relationships between food security, diet quality, and CVD risk along with the ability of governmental, community, and healthcare policies and interventions to address nutrition security.
Existing safety net programs have shown to be effective at improving food security and diet quality and reducing risk for CVD, but continued efforts to increase reach and improve standards are needed. Adoption of policies, healthcare initiatives, and community- and individual-level interventions addressing the nutritional intake of socioeconomically disadvantaged populations may also lessen CVD burden, but scaling interventions remains a key challenge. Research suggests simultaneously addressing food security and diet quality is feasible and could help reduce socioeconomic disparities in CVD morbidity and mortality. Intervening at multiple levels among high-risk groups should be a priority.
本文通过描述食品保障、饮食质量与心血管疾病 (CVD) 风险之间的关系,以及政府、社区和医疗保健政策和干预措施解决营养安全问题的能力,回顾了美国解决营养安全问题对 CVD 的一级和二级预防的重要性。
现有安全网计划已被证明在提高食品保障和改善饮食质量以及降低 CVD 风险方面是有效的,但仍需要继续努力扩大覆盖面并提高标准。采用针对社会经济弱势群体营养摄入的政策、医疗保健举措以及社区和个人层面的干预措施,也可能减轻 CVD 负担,但扩大干预范围仍然是一个关键挑战。研究表明,同时解决食品保障和饮食质量是可行的,有助于减少 CVD 发病率和死亡率方面的社会经济差异。在高危人群中多层面进行干预应成为优先事项。