Fatty Liver Disease and Food Insecurity: Excess in Scarcity.

IF 4.6 3区 医学 Q1 NUTRITION & DIETETICS Current Nutrition Reports Pub Date : 2023-09-01 DOI:10.1007/s13668-023-00478-9
Sujani Yadlapati, Vikram J Christian, Apeksha Shah
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引用次数: 1

Abstract

Purpose of review: Nonalcoholic fatty liver disease (NAFLD) is widely prevalent in the U.S and is the primary cause of chronic liver disease. Existing evidence shows that food insecurity may be an independent risk factor for fatty liver disease and is associated with poor health outcomes. Understanding the role of food insecurity in these patients can help develop mitigation strategies to address the growing prevalence of NAFLD.

Recent findings: Food insecurity is associated with increased overall mortality and health care utilization among patients with NAFLD and advanced fibrosis. Individuals from low-income households with diabetes and obesity are particularly susceptible. Trends in prevalence of NAFLD mirror that of obesity and other cardiometabolic risk factors. Several studies in both adult and adolescent population have described an independent association between food insecurity and NAFLD. Concentrated efforts to lessen food insecurity may improve health outcomes in this group of patients. High-risk patients with NAFLD should be linked with local and federal supplemental food assistance programs. Programs directed at addressing NAFLD-related mortality and morbidity should focus on improving food quality, access to these foods, and promote healthy eating habits.

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脂肪肝疾病和粮食不安全:过度短缺。
综述目的:非酒精性脂肪性肝病(NAFLD)在美国广泛流行,是慢性肝病的主要原因。现有证据表明,粮食不安全可能是脂肪肝疾病的一个独立风险因素,并与健康状况不佳有关。了解粮食不安全在这些患者中的作用可以帮助制定缓解策略,以解决NAFLD日益流行的问题。最近的研究发现:粮食不安全与NAFLD和晚期纤维化患者的总体死亡率和医疗保健使用率增加有关。患有糖尿病和肥胖症的低收入家庭的个人尤其容易受到影响。NAFLD患病率的趋势反映了肥胖和其他心脏代谢危险因素的趋势。几项针对成人和青少年人群的研究描述了粮食不安全和NAFLD之间的独立关联。集中努力减少粮食不安全可能会改善这组患者的健康结果。NAFLD高危患者应与当地和联邦补充食品援助计划联系起来。针对nafld相关死亡率和发病率的项目应侧重于改善食品质量、获取这些食品的途径,并促进健康的饮食习惯。
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来源期刊
Current Nutrition Reports
Current Nutrition Reports Agricultural and Biological Sciences-Food Science
CiteScore
7.70
自引率
2.00%
发文量
59
期刊介绍: This journal aims to provide comprehensive review articles that emphasize significant developments in nutrition research emerging in recent publications. By presenting clear, insightful, balanced contributions by international experts, the journal intends to discuss the influence of nutrition on major health conditions such as diabetes, cardiovascular disease, cancer, and obesity, as well as the impact of nutrition on genetics, metabolic function, and public health. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 25 internationally diverse members reviews the annual table of contents, suggests topics of special importance to their country/region, and ensures that topics and current and include emerging research.
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