Food insecurity and hypertension in the Eastern Caribbean

东加勒比地区的粮食不安全和高血压

• 批准号: 10452523
• 负责人: Carol Renee Oladele
• 金额: $ 15.95万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-08-15 至 2024-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10452523
• 关键词: Address; Adherence; Adult; Affect; Age; Baseline Surveys; Biological; Calories; Cardiovascular Diseases; Caribbean region; Characteristics; Chronic Disease; Classification; Clinical assessments; Cohort Studies; Communities; Consumption; Coping Skills; Data; Data Set; Development; Diabetes Mellitus; Diagnosis; Diet; Dietary Factors; Economic Conditions; Economics; Emergency Situation; Epidemic; Ethnic group; Food; Gender; Geography; Goals; Health; Health Professional; Hypertension; Incidence; Individual; Intervention; Intervention Studies; Interview; Investigation; Island; Latin America; Latin American; Maps; Mediating; Methodology; Methods; Modeling; Morbidity - disease rate; Obesity; Outcome; Outcomes Research; Participant; Pathway interactions; Patient Self-Report; Persons; Pharmaceutical Preparations; Physicians; Population; Prevalence; Process; Public Health; Research; Research Training; Risk Factors; Role; Site; Social Conditions; Sodium; Stress; Stroke; System; Visit; West Indies; base; blood pressure elevation; cohort; comorbidity; dietary; effective intervention; food environment; food insecurity; hazard; hypertension control; low and middle-income countries; mortality; nutrition; racial and ethnic; recruit; social

Project Abstract Hypertension (HTN) is a leading cause of morbidity and mortality worldwide. It affects almost 850 million people worldwide and is a primary risk factor for strokes and other cardiovascular diseases. The burden of hypertension is greatest in low-and middle-income countries, and is disproportionately increased in the Caribbean region. Food insecurity (FI), an economic or social condition of limited or uncertain access to adequate food, has recently emerged as a contributing factor in the development and poor management of chronic diseases in US and Latin American populations. Studies demonstrate a relationship between FI and poor dietary quality, obesity, diabetes and stress. However, few studies have included food insecurity in investigations of hypertension, and among those that have, results are mixed. FI is a major public health problem in the Caribbean region and may be particularly relevant to investigations of hypertension. People with FI consume cheap, calorie dense foods that are ultra-processed and high in sodium. Persons with FI and diet sensitive conditions have poorer control, more emergency visits, and complications. The proposed study leverages data from the Eastern Caribbean Health Outcomes Research Network Cohort Study (ECS), a first of its kind community-dwelling cohort across four Caribbean islands, to determine whether food insecurity influences the development and management of hypertension in the Caribbean.

项目摘要 高血压（HTN）是全球发病率和死亡率的主要原因。它几乎影响 全球8.5亿人，是中风和其他心血管的主要危险因素 疾病。在中低收入国家，高血压负担最大，是 加勒比地区的不成比例增加。粮食不安全（FI），经济或 最近出现了有限或不确定获得足够食物的社会状况 为我们和 拉丁美洲人口。研究表明，FI和饮食不良之间的关系 质量，肥胖，糖尿病和压力。但是，很少有研究包括粮食不安全感 对高血压的调查，以及在有结果的研究中，结果混合了。 FI是主要的 加勒比地区的公共卫生问题，可能与调查特别相关 高血压。 FI的人消费廉价，卡路里密集的食物 钠高。 FI和饮食敏感条件的人控制较差，更多 紧急就诊和并发症。拟议的研究利用了东部的数据 加勒比健康结果研究网络队列研究（ECS），这是其中的第一个 跨四个加勒比群岛的社区居民队列，以确定粮食不安全感是否不安全 影响加勒比海高血压的发展和管理。