Nutrition Disparities and Cardiovascular Health

Mensah, George A.; Brown, Alison; Pratt, Charlotte

doi:10.1007/s11883-020-0833-3

Cited by 16 publications

(21 citation statements)

References 83 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Diet is one of the strongest modifiers of cardiometabolic markers [ 1 , 2 , 3 , 4 ]. However, for much of the American adult population, dietary modification has been a challenge and has not led to significant public health improvements [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Associations between Fasting Duration, Timing of First and Last Meal, and Cardiometabolic Endpoints in the National Health and Nutrition Examination Survey

et al. 2021

View full text Add to dashboard Cite

Background: Research indicates potential cardiometabolic benefits of energy consumption earlier in the day. This study examined the association between fasting duration, timing of first and last meals, and cardiometabolic endpoints using data from the National Health and Nutrition Examination Survey (NHANES). Methods: Cross-sectional data from NHANES (2005–2016) were utilized. Diet was obtained from one to two 24-h dietary recalls to characterize nighttime fasting duration and timing of first and last meal. Blood samples were obtained for characterization of C-reactive protein (CRP); glycosylated hemoglobin (HbA1c %); insulin; glucose; and high-density lipoprotein (HDL), low-density lipoprotein (LDL), and total cholesterol. Survey design procedures for adjusted linear and logistic regression were performed. Results: Every one-hour increase in nighttime fasting duration was associated with a significantly higher insulin and CRP, and lower HDL. Every one-hour increase in timing of the last meal of the day was statistically significantly associated with higher HbA1c and lower LDL. Every one-hour increase in first mealtime was associated with higher CRP (β = 0.044, p = 0.0106), insulin (β = 0.429, p < 0.01), and glucose (β = 0.662, p < 0.01), and lower HDL (β = −0.377, p < 0.01). Conclusion: In this large public health dataset, evidence for the beneficial effect of starting energy consumption earlier in the day on cardiometabolic endpoints was observed.

show abstract

Section: Introductionmentioning

confidence: 99%

Associations between Fasting Duration, Timing of First and Last Meal, and Cardiometabolic Endpoints in the National Health and Nutrition Examination Survey

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Compared with those with a higher income, Americans with a lower income tend to have lower dietary quality and consume fewer vegetables, fruit, and whole grains and more refined grains, saturated fats, and added sugars. 4,25 These differences are related to several individual, socioeconomic, environmental, and structural barriers, including individual…”

Section: Components Of Nutrition Security Availability Accessibility ...mentioning

confidence: 99%

“…Nutrition security is a key social determinant of health for cardiovascular disease risk and chronic disease prevention. 4,15 Conceptually, health care integration is based on the supposition that patients experiencing food insecurity can be identified in the clinical setting by using a screening test (eg, the Hunger Vital Sign) and then referred to a program supporting improved access to nutritious food, and that the resulting improvements in dietary intake and food security will have the downstream effect of improved clinical satisfaction and improved health outcomes. 130 In response, numerous new programs, policies, and initiatives seeking to engage the health care system in efforts to bring more nutritious foods to specific patient populations, often referred to as food as medicine, have been implemented.…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

“…Nutrition security is a key social determinant of health for cardiovascular disease risk and chronic disease prevention. 4,15…”

Section: Health Care Integrationmentioning

confidence: 99%

“…[11][12][13][14][15] Worsening socioeconomic disparities in diet quality are increasingly recognized as drivers of chronic disease disparities. 4,16 These associations are potentially mediated by chronic stress that results from experiencing food insecurity or other adverse social determinants of health and by poor dietary quality related to low consumption of nutritious food and overconsumption of energy-dense, nutrientpoor food. 17 US national data on the prevalence of food insecurity fail to capture the number of Americans who are lacking in adequate nutrition because of low resources or who are nutrition insecure and at risk for nutrition-related chronic disease.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Strengthening US Food Policies and Programs to Promote Equity in Nutrition Security: A Policy Statement From the American Heart Association

Thorndike¹,

Gardner²,

Kendrick³

et al. 2022

Circulation

View full text Add to dashboard Cite

Nutritionally inadequate dietary intake is a leading contributor to chronic cardiometabolic diseases. Differences in dietary quality contribute to socioeconomic and racial and ethnic health disparities. Food insecurity, a household-level social or economic condition of limited access to sufficient food, is a common cause of inadequate dietary intake. Although US food assistance policies and programs are designed to improve food security, there is growing consensus that they should have a broader focus on nutrition security. In this policy statement, we define nutrition security as an individual or household condition of having equitable and stable availability, access, affordability, and utilization of foods and beverages that promote well-being and prevent and treat disease. Despite existing policies and programs, significant gaps remain for achieving equity in nutrition security across the life span. We provide recommendations for expanding and improving current food assistance policies and programs to achieve nutrition security. These recommendations are guided by several overarching principles: emphasizing nutritional quality, improving reach, ensuring optimal utilization, improving coordination across programs, ensuring stability of access to programs across the life course, and ensuring equity and dignity for access and utilization. We suggest a critical next step will be to develop and implement national measures of nutrition security that can be added to the current US food security measures. Achieving equity in nutrition security will require coordinated and sustained efforts at the federal, state, and local levels. Future advocacy, innovation, and research will be needed to expand existing food assistance policies and programs and to develop and implement new policies and programs that will improve cardiovascular health and reduce disparities in chronic disease.

show abstract

The impact of race on olfaction: A systematic review and meta‐analysis

Khan

Gutiérrez

Chapurin

et al. 2023

Int Forum Allergy Rhinol

View full text Add to dashboard Cite

BackgroundMany studies have identified a higher degree of Olfactory Dysfunction (OD) in Black patients compared to White patients. This study aims to analyze olfactory outcomes in different races.MethodsThe PubMed, Scopus, and CINAHL databases were searched from inception to September 5, 2022, for English‐language articles documenting self‐reported and psychophysical OD stratified by race. A meta‐analysis of proportions, comparison of weighted proportions, and comparison of means were performed in MedCalc 20.218. In the quantitative analysis, 79,297 patients were included, comprising 79.3% Whites, 16.1% Blacks, and 4.6% Hispanics.ResultsA total of 14 studies were meta‐analyzed. The prevalence of self‐reported OD in Hispanic, White, and Black patients was 19.5% (95% CI, 16.6% to 22.6%), 17.2% (95% CI, 10.5% to 25.0%), and 13.9% (95% CI, 9.3% to 19.2%), respectively (p < 0.0007). The prevalence of psychophysical OD in Black, White, and Hispanic patients was 30.3% (95% CI, 24.2% to 36.9%), 24.2% (95% CI, 20.1% to 28.5%), and 18.4% (95% CI, 16.3% to 20.7%), respectively (p < 0.0001). Blacks reported a greater extent of unrecognized OD compared to Whites, with a difference of 16.5% (95% CI, 15.0% to 17.9%) versus 5.8% (95% CI, 3.4% to 8.0%), respectively (p < 0.0001). Hispanic rates of self‐reported OD and psychophysical OD were not statistically different.ConclusionsOur findings suggest that Blacks have the highest rate of psychophysical OD and are more likely to underreport their awareness compared to Whites.

show abstract

Nutrition Disparities and Cardiovascular Health

Cited by 16 publications

References 83 publications

Associations between Fasting Duration, Timing of First and Last Meal, and Cardiometabolic Endpoints in the National Health and Nutrition Examination Survey

Associations between Fasting Duration, Timing of First and Last Meal, and Cardiometabolic Endpoints in the National Health and Nutrition Examination Survey

Strengthening US Food Policies and Programs to Promote Equity in Nutrition Security: A Policy Statement From the American Heart Association

The impact of race on olfaction: A systematic review and meta‐analysis

Contact Info

Product

Resources

About