接受医疗补助的糖尿病前期和 2 型糖尿病成人两年内食物不安全与饮食质量、体重和血糖变化的关系

IF 4.6 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM
Kristine D. Gu, Jessica Cheng, Vicki Fung, Douglas E. Levy, Sydney McGovern, Jessica L. McCurley, Cheryl R. Clark, Anne N. Thorndike
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引用次数: 0

摘要

人们对食品不安全(FI)与糖尿病前期和 2 型糖尿病(T2D)患者的饮食、体重和血糖之间的纵向关系知之甚少。在对马萨诸塞州波士顿市医疗补助医疗中心的糖尿病前期或 T2D 患者(N = 188)进行的二次分析中,我们研究了食品安全(FS)与饮食质量、体重和高血糖之间的关系。在基线、1 年和 2 年的随访中确定了食品安全状况(美国农业部食品安全状况 10 项模块),并将其分为持续安全、间歇性不安全或持续不安全。使用多变量广义线性模型评估了FS类别与2020健康饮食指数(HEI-20)、体重指数(BMI)和血红蛋白A1c(A1c)从基线到第2年的变化之间的关系。参与者的中位(p25,p75)年龄为 52(42,57)岁;71.8% 为女性,62.8% 为西班牙裔。在随访过程中,32.4%的人持续有食物保障,33.0%的人间歇性无保障,34.5%的人持续无保障。基线平均(标清)HEI-20、BMI 和 A1c 分别为 55.8 (14.5)、35.9 (8.7) kg/m2、7.1% (1.6),且不因食物安全类别而异。FS 类别与 2 年后 HEI-20、BMI 和 A1c 的变化无关(所有 p > 0.05)。结果表明,参加医疗补助计划的成人糖尿病前期或 T2D 患者,无论其 FS 状况如何,都将受益于饮食和体重管理干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Association of food insecurity with changes in diet quality, weight, and glycemia over two years in adults with prediabetes and type 2 diabetes on medicaid

Association of food insecurity with changes in diet quality, weight, and glycemia over two years in adults with prediabetes and type 2 diabetes on medicaid

Little is known about longitudinal associations between food insecurity (FI) and diet, weight, and glycemia in people with prediabetes and type 2 diabetes (T2D). In a secondary analysis of Medicaid-enrolled health center patients with prediabetes or T2D in Boston, Massachusetts (N = 188), we examined associations between food security (FS) and measures of diet quality, weight, and hyperglycemia. FS (10-item USDA FS module) was ascertained at baseline, 1-year, and 2-year follow-up and categorized as persistently secure, intermittently insecure, or persistently insecure. Associations between FS category and changes in Healthy Eating Index-2020 (HEI-20), body mass index (BMI), and hemoglobin A1c (A1c) from baseline to year 2 were assessed using multivariate generalized linear models. Participants had median (p25, p75) age of 52 (42, 57); 71.8% were female and 62.8% Hispanic. Over follow-up, 32.4% were persistently food secure, 33.0% intermittently insecure, and 34.5% persistently insecure. Baseline mean (SD) HEI-20, BMI, and A1c were 55.8 (14.5), 35.9 (8.7) kg/m2, 7.1% (1.6) and did not differ by FS category. FS category was not associated with changes in HEI-20, BMI, and A1c at 2 years (all p > 0.05). Results suggest that Medicaid-enrolled adults with prediabetes or T2D, regardless of FS status, would benefit from dietary and weight management interventions.

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来源期刊
Nutrition & Diabetes
Nutrition & Diabetes ENDOCRINOLOGY & METABOLISM-NUTRITION & DIETETICS
CiteScore
9.20
自引率
0.00%
发文量
50
审稿时长
>12 weeks
期刊介绍: Nutrition & Diabetes is a peer-reviewed, online, open access journal bringing to the fore outstanding research in the areas of nutrition and chronic disease, including diabetes, from the molecular to the population level.
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