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食物不安全与慢性肾脏病:从业者的考虑因素。

Food Insecurity and Chronic Kidney Disease: Considerations for Practitioners.

机构信息

Departamento de Ciencias Fisiológicas, Universidad de Buenos Aires, Facultad de Medicina, Buenos Aires, Argentina.

Nephrology Department, Clínica Universidad de Navarra, Instituto de Investigación Sanitaria de, Navarra (IdiSNA), Pamplona, Spain.

出版信息

J Ren Nutr. 2023 Sep;33(5):691-697. doi: 10.1053/j.jrn.2023.06.001. Epub 2023 Jun 17.

Abstract

The coronavirus disease 2019 pandemic has exacerbated existing health disparities related to food security status. Emerging literature suggests individuals with Chronic Kidney Disease (CKD) who are also food insecure have a greater likelihood of disease progression compared to food secure individuals. However, the complex relationship between CKD and food insecurity (FI) is understudied relative to other chronic conditions. The purpose of this practical application article is to summarize the recent literature on the social-economic, nutritional, to care through which FI may negatively impact health outcomes in individuals with CKD. While several studies have reported on the cross-sectional prevalence of FI among persons with CKD, literature is lacking about the severity and duration of exposure to FI on CKD outcomes. Future research is needed to better understand how FI impairs CKD care, nutritional and structural barriers that impact disease prevention and disease progression, and effective strategies to support patients.

摘要

2019 年冠状病毒病大流行加剧了与食品安全状况有关的现有健康差距。新出现的文献表明,与食品安全的个体相比,患有慢性肾脏病 (CKD) 且同时存在粮食不安全问题的个体更有可能出现疾病进展。然而,与其他慢性疾病相比,CKD 和粮食不安全 (FI) 之间的复杂关系研究还不够充分。本文的目的是总结最近关于社会经济、营养以及 FI 通过哪些途径对 CKD 患者健康结果产生负面影响的文献。尽管有几项研究报告了 CKD 患者中 FI 的横断面患病率,但关于 FI 对 CKD 结果的严重程度和持续时间的文献却很少。需要进一步的研究来更好地了解 FI 如何损害 CKD 的护理、影响疾病预防和疾病进展的营养和结构障碍,以及支持患者的有效策略。

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