Nguyen Bong, Lohse Barbara, Powell Lynda H, Masters Kevin S, Berkley-Patton Jannette, Drees Betty M
Department of Biomedical and Health Informatics, University of Missouri, Kansas City, MO 64108, USA.
Wegmans School of Health and Nutrition, Rochester Institute of Technology, Rochester, NY 14623, USA.
Int J Environ Res Public Health. 2024 Dec 29;22(1):28. doi: 10.3390/ijerph22010028.
This study assessed the association of food security with potential cardio-metabolic risk factors among persons with metabolic syndrome (MetS). Data were derived from the baseline data of a randomized controlled lifestyle intervention trial for individuals with MetS. Household food security, fruit and vegetable intake, perceived food environment, and perceived stress were collected using validated questionnaires. Cardio-metabolic measures assessed with standardized procedures included body mass index, waist circumference, blood pressure, glucose, HbA1c, and lipids. Regression models adjusted for demographics, medication use, and perceived stress were performed. Of a total of 664 participants (median age 56), the majority were female, non-Hispanic White, college-educated, and employed. Food insecurity affected 23% (n = 152), with 5% (n = 31) experiencing very low food security. Food-insecure individuals had significantly higher stress ( < 0.001), lacked healthy food access ( < 0.001), were and less likely to consume ≥2 servings of vegetables/day ( = 0.003). HbA1c was the only cardio-metabolic measure significantly associated with food security ( = 0.007). The link between food insecurity and elevated HbA1c levels highlights the importance of addressing food insecurity and stress to improve metabolic health outcomes in the MetS population.
本研究评估了代谢综合征（MetS）患者的粮食安全与潜在心血管代谢风险因素之间的关联。数据来源于一项针对MetS患者的随机对照生活方式干预试验的基线数据。使用经过验证的问卷收集家庭粮食安全、水果和蔬菜摄入量、感知食物环境和感知压力。采用标准化程序评估的心血管代谢指标包括体重指数、腰围、血压、血糖、糖化血红蛋白（HbA1c）和血脂。进行了针对人口统计学、药物使用和感知压力进行调整的回归模型分析。在总共664名参与者（中位年龄56岁）中，大多数为女性、非西班牙裔白人、受过大学教育且有工作。粮食不安全影响了23%（n = 152）的人，其中5%（n = 31）经历了极低的粮食安全状况。粮食不安全的个体压力显著更高（< 0.001），缺乏获得健康食品的途径（< 0.001），且每天食用≥2份蔬菜的可能性更小（= 0.003）。HbA1c是唯一与粮食安全显著相关的心血管代谢指标（= 0.007）。粮食不安全与HbA1c水平升高之间的联系凸显了在MetS人群中解决粮食不安全和压力以改善代谢健康结果的重要性。
