Diet Quality of Stroke Survivors Versus Neurologically Intact US Adults

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Hannah K. Wilson, Ewan R. Williams, Chris M. Gregory
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引用次数: 0

Abstract

Stroke is a leading cause of disability in the US, often altering one’s ability to access and consume food. The aim of the present study was to characterize and evaluate predictors of stroke survivors’ diet quality (DQ). A cross-sectional evaluation of 2011-2018 National Health and Nutrition Examination Survey data is presented. Stroke survivors (n = 632) were matched for age, gender, and race with neurologically intact controls (n = 913). Food group intake, key nutrient intake, and Healthy Eating Index (HEI)-2015 scores were calculated from two 24-hour recalls and evaluated in relation to history of stroke, education, presence of a partner in the home, and income. Group differences in and predictors of DQ were evaluated with weighted independent samples t-tests and linear regression. Stroke survivors had lower intakes of vegetables, dairy, seafood and plant proteins, and unsaturated fats, and lower total HEI-2015 scores ( P < 0.05). Having more education, a partner in the home, and higher income were overall positive predictors of DQ. DQ factors emphasized in heart-healthy diets were low in stroke survivors. Interventions may better address barriers to healthy eating post-stroke by incorporating educational, financial, and social support components.
中风幸存者与神经系统完好的美国成年人的饮食质量对比
中风是美国致残的主要原因之一,常常会改变人们获取和摄入食物的能力。本研究旨在描述和评估中风幸存者饮食质量(DQ)的预测因素。本研究对 2011-2018 年美国国家健康与营养调查数据进行了横断面评估。中风幸存者(n = 632)与神经功能完好的对照组(n = 913)在年龄、性别和种族方面进行了配对。根据两次 24 小时回忆计算出食物组摄入量、主要营养素摄入量和 2015 年健康饮食指数 (HEI) 分数,并评估其与中风史、教育程度、家中是否有伴侣以及收入的关系。通过加权独立样本 t 检验和线性回归评估了 DQ 的组间差异和预测因素。中风幸存者的蔬菜、奶制品、海鲜、植物蛋白和不饱和脂肪摄入量较低,HEI-2015 总分也较低(P < 0.05)。受教育程度较高、家中有伴侣和收入较高是DQ的总体积极预测因素。中风幸存者的心脏健康饮食中强调的 DQ 因素较低。通过纳入教育、经济和社会支持因素,干预措施可以更好地消除中风后健康饮食的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Lifestyle Medicine
American Journal of Lifestyle Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
15.80%
发文量
119
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