Feeding the Need: A Study on Food Security Among People With Cystic Fibrosis in Turkey.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Pulmonology Pub Date : 2025-05-01 DOI:10.1002/ppul.71101

Damla Kocaman, Ceren Ayça Yıldız, Neval Metin Çakar, Burcu Uzunoğlu, Gamze Taştan, Mine Yüksel Kalyoncu, Merve Selçuk Balcı, Şeyda Karabulut, Pınar Ergenekon, Yasemin Gökdemir, Ela Erdem Eralp, Fazilet Karakoç, Bülent Karadağ

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引用次数: 0

Abstract

Background: 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.

Methods: 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.

Results: 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).

Conclusion: 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.

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满足需求：土耳其囊性纤维化患者的粮食安全研究。

背景：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，导致营养缺乏。粮食不安全（FI）对CF患者构成了重大挑战，影响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患者的FI和饮食模式。方法：在2023年4月至2024年2月期间，对来自马尔马拉大学Selim Çöremen囊性纤维化中心的290名pwCF进行了横断面研究。“美国家庭食品安全调查模块”和“你目前的生活状况”调查被用来评估FI和参与者的社会经济地位。记录营养数据，包括BMI、FEV1值和膳食摄入量。结果：患者中女性占52.7%，平均年龄13.3±8.1岁。46.8%的pwCF中检测到FI， 18%的pwCF面临非常低的粮食安全。较高的收入水平与较好的粮食安全相关（p = 0.008）。甚至在食物安全的人群中也观察到营养不足，特别是在食用豆类、坚果和鱼类方面。极低FS组BMI和BMI百分位值明显低于高FS组（p = 0.03和p = 0.02）。结论：保证充足的营养和热量摄入对pwCF至关重要。我们的研究强调了土耳其pwCF中显著的FI，收入水平影响粮食安全状况。即使在那些被列为粮食安全的人群中，营养不足的问题仍然存在。根据这些发现，将向那些需要改善整体健康和福祉的人提供有针对性的营养支持。

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

Pediatric Pulmonology 医学-呼吸系统

CiteScore

6.00

自引率

12.90%

发文量

468

审稿时长

3-8 weeks

期刊介绍： Pediatric Pulmonology (PPUL) is the foremost global journal studying the respiratory system in disease and in health as it develops from intrauterine life though adolescence to adulthood. Combining explicit and informative analysis of clinical as well as basic scientific research, PPUL provides a look at the many facets of respiratory system disorders in infants and children, ranging from pathological anatomy, developmental issues, and pathophysiology to infectious disease, asthma, cystic fibrosis, and airborne toxins. Focused attention is given to the reporting of diagnostic and therapeutic methods for neonates, preschool children, and adolescents, the enduring effects of childhood respiratory diseases, and newly described infectious diseases. PPUL concentrates on subject matters of crucial interest to specialists preparing for the Pediatric Subspecialty Examinations in the United States and other countries. With its attentive coverage and extensive clinical data, this journal is a principle source for pediatricians in practice and in training and a must have for all pediatric pulmonologists.