幼儿期粮食不安全与青年期心血管健康。

IF 14.1 1区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

JAMA cardiology Pub Date : 2025-05-14 DOI:10.1001/jamacardio.2025.1062

Emily L Lam,Abigail M Gauen,Namratha R Kandula,Daniel A Notterman,Noreen Goldman,Donald M Lloyd-Jones,Norrina B Allen,Nilay S Shah

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引用次数: 0

摘要

粮食不安全是一个社会风险因素，可能与整个生命过程中的心血管健康有关。目的评估儿童早期食物不安全与成年后心血管健康（CVH）的关系，以及儿童期参加补充营养援助计划（SNAP）是否会改变这种关系。设计、环境和参与者家庭的未来-年轻人心血管健康队列研究在美国20个城市进行，纳入1071名出生时（1998年2月至2000年9月）的个体，在儿童期（3-5岁）进行评估，并随访至青年期(2021年9月至2023年9月；平均[SD]参与者年龄22.3[0.7]岁)。家庭食品不安全（由美国农业部食品不安全调查评估）和3至5岁的SNAP参与情况和CVH（由美国心脏协会生命基本8 [LE8]评分、成分LE8评分和临床CVH危险因素评估）。结果在1071名参与者中，570名是女性（53%），422名（39%）生活在粮食不安全的家庭，475名（44%）参加了SNAP。儿童早期的食物不安全与青年时期较低的LE8评分相关（β, -2.2 [95% CI, -4.0至-0.4]）。在LE8评分和临床CVH危险因素中，食品不安全与较低的身体质量指数(BMI；β, -4.9 [95% CI, -9.6至-0.3])，BMI≥30的几率更高（校正优势比，1.40 [95% CI, 1.07-1.84]）。与参加SNAP的家庭（β, 1.0 [95% CI, -1.6至3.7]）相比，未参加SNAP的家庭（β, -4.9 [95% CI, -7.6至-2.3]）的食物不安全与较低的LE8评分有更强的关联。结论和意义本研究表明，儿童早期食物不安全与青年期较高的BMI相关，这与较差的整体LE8评分相关，特别是在家庭未参与SNAP的儿童中。促进儿童粮食安全的政策可以促进整个生命过程中健康的身体质量指数和更好的CVH。

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Early Childhood Food Insecurity and Cardiovascular Health in Young Adulthood.

Importance Food insecurity is a social risk factor that may be associated with cardiovascular health across the life course. Objective To evaluate the association of food insecurity in early childhood with cardiovascular health (CVH) in young adulthood and whether associations are modified by participation during childhood in the Supplemental Nutrition Assistance Program (SNAP). Design, Setting, and Participants The Future of Families-Cardiovascular Health Among Young Adults cohort study was conducted in 20 US cities among 1071 individuals enrolled at birth (February 1998 to September 2000), evaluated in childhood (age, 3-5 years), and followed up to young adulthood (September 2021 to September 2023; mean [SD] participant age, 22.3 [0.7] years). Main Outcomes and Measures Household food insecurity (assessed by the US Department of Agriculture Food Insecurity survey) and SNAP participation at ages 3 to 5 years and CVH (assessed by the American Heart Association Life's Essential 8 [LE8] score, component LE8 scores, and clinical CVH risk factors). Results Of the 1071 participants, 570 were female (53%), 422 (39%) lived in households with food insecurity, and 475 (44%) participated in SNAP. Early childhood food insecurity was associated with having a lower LE8 score in young adulthood (β, -2.2 [95% CI, -4.0 to -0.4]). Among component LE8 scores and clinical CVH risk factors, food insecurity was associated with a lower LE8 score for body mass index (BMI; β, -4.9 [95% CI, -9.6 to -0.3]) and higher odds of having a BMI of 30 or more (adjusted odds ratio, 1.40 [95% CI, 1.07-1.84]). Food insecurity was more strongly associated with a lower LE8 score among those whose households did not participate in SNAP (β, -4.9 [95% CI, -7.6 to -2.3]) compared with those whose households participated in SNAP (β, 1.0 [95% CI, -1.6 to 3.7]). Conclusions and Significance This study suggests that early childhood food insecurity is associated with a higher BMI in young adulthood, which is associated with a worse overall LE8 score, especially among children whose families did not participate in SNAP. Policies to promote food security among children may promote healthy BMIs and better CVH across the life course.

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来源期刊

JAMA cardiology Medicine-Cardiology and Cardiovascular Medicine

CiteScore

45.80

自引率

1.70%

发文量

264

期刊介绍： JAMA Cardiology, an international peer-reviewed journal, serves as the premier publication for clinical investigators, clinicians, and trainees in cardiovascular medicine worldwide. As a member of the JAMA Network, it aligns with a consortium of peer-reviewed general medical and specialty publications. Published online weekly, every Wednesday, and in 12 print/online issues annually, JAMA Cardiology attracts over 4.3 million annual article views and downloads. Research articles become freely accessible online 12 months post-publication without any author fees. Moreover, the online version is readily accessible to institutions in developing countries through the World Health Organization's HINARI program. Positioned at the intersection of clinical investigation, actionable clinical science, and clinical practice, JAMA Cardiology prioritizes traditional and evolving cardiovascular medicine, alongside evidence-based health policy. It places particular emphasis on health equity, especially when grounded in original science, as a top editorial priority.