Food insecurity and hypertension in the Eastern Caribbean

东加勒比地区的粮食不安全和高血压

基本信息

批准号：
9805049
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
项目类别：
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/9805049
关键词：
Address Adherence Adult Affect Age Baseline Surveys Biological Blood Pressure Calories Cardiovascular Diseases Caribbean region Characteristics Chronic Disease Classification Clinical assessments Cohort Studies Communities Comorbidity Consumption Data Data Set Development Diabetes Mellitus Diagnosis Diet Dietary Factors Economic Conditions Economics Emergency Situation Epidemic 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 cohort coping effective intervention food environment food insecurity hazard hypertension control low and middle-income countries mortality nutrition racial and ethnic recruit social

项目摘要

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。