Kocaman Damla, Yıldız Ceren Ayça, Metin Çakar Neval, Uzunoğlu Burcu, Taştan Gamze, Yüksel Kalyoncu Mine, Selçuk Balcı Merve, Karabulut Şeyda, Ergenekon Pınar, Gökdemir Yasemin, Erdem Eralp Ela, Karakoç Fazilet, Karadağ Bülent
Nutrition and Dietetics, Marmara University School of Medicine, Istanbul, Turkey.
Division of Pediatric Pulmonology, Marmara University School of Medicine, Istanbul, Turkey.
Pediatr Pulmonol. 2025 May;60(5):e71101. doi: 10.1002/ppul.71101.
Cystic fibrosis (CF) is a genetic disorder that necessitates high-calorie, protein-rich diets, leading to nutritional deficiencies. Food insecurity (FI) poses a significant challenge for people with CF (pwCF), impacting their ability to maintain the necessary dietary intake. This study aims to explore FI and dietary patterns among pwCF in Turkey.
A cross-sectional study involving 290 pwCF from the Marmara University Selim Çöremen Cystic Fibrosis Center was conducted between April 2023 and February 2024. The "US Household Food Security Survey Module" and the "Your Current Life Situation" survey were used to assess FI and socioeconomic status among the participants. Nutritional data, including BMI, FEV1 values, and dietary intake, were recorded.
Among the participants, 52.7% were female, with a mean age of 13.3 ± 8.1 years. FI was detected in 46.8% of pwCF, with 18% facing very low food security. Higher income levels were associated with better food security (p = 0.008). Nutritional inadequacies were observed even among food-secure individuals, particularly in the consumption of legumes, nuts, and fish. BMI and BMI percentile values were significantly lower in the very low FS group compared to the high FS group (p = 0.03 and p = 0.02, respectively).
Ensuring adequate nutrition and calorie intake is crucial for pwCF. Our study highlights significant FI among pwCF in Turkey, with income levels influencing food security status. Nutritional inadequacies persist even among those classified as food secure. Based on these findings, targeted nutritional support will be provided to those in need to improve overall health and well-being.
囊性纤维化（CF）是一种遗传性疾病，需要高热量、富含蛋白质的饮食，这会导致营养缺乏。粮食不安全（FI）给囊性纤维化患者（pwCF）带来了重大挑战，影响了他们维持必要饮食摄入量的能力。本研究旨在探讨土耳其pwCF中的粮食不安全状况和饮食模式。
于2023年4月至2024年2月进行了一项横断面研究，纳入了马尔马拉大学塞利姆·乔雷门囊性纤维化中心的290名pwCF。使用“美国家庭粮食安全调查模块”和“你目前的生活状况”调查来评估参与者的粮食不安全状况和社会经济地位。记录了包括体重指数（BMI）、第一秒用力呼气容积（FEV1）值和饮食摄入量在内的营养数据。
参与者中，52.7%为女性，平均年龄为1 = 3.3±8.1岁。46.8%的pwCF存在粮食不安全状况，其中18%面临极低的粮食安全。收入水平越高，粮食安全状况越好（p = 0.008）。即使在粮食安全的个体中也观察到营养不足，尤其是在豆类、坚果和鱼类的消费方面。与高粮食安全组相比，极低粮食安全组的BMI和BMI百分位数显著更低（分别为p = 0.03和p = 0.02）。
确保足够的营养和热量摄入对pwCF至关重要。我们的研究突出了土耳其pwCF中严重的粮食不安全状况，收入水平影响粮食安全状况。即使在被归类为粮食安全的人群中，营养不足问题仍然存在。基于这些发现，将为有需要的人提供有针对性的营养支持，以改善整体健康和福祉。
