Survey of health status, nutrition and geography of food selection of chronic liver disease patients.
Ann Hepatol
; 13(5): 533-40, 2014.
Article
en En
| MEDLINE
| ID: mdl-25152986
ABSTRACT
BACKGROUND:
Obesity, a complex disease determined both by genetic and environmental factors, is strongly associated with NAFLD, and has been demonstrated to have a negative impact on HCV and other chronic liver diseases (CLD). RATIONALE This study assessed the association between type and location of food sources and chronic liver disease (CLD) using Geographic Information Systems (GIS).RESULTS:
CLD patients completed surveys [267 subjects, 56.5% female, age 55.8 ± 12.0, type of CLD 36.5% hepatitis C (HCV), 19.9% hepatitis B (HBV), 19.9% non-alcoholic fatty liver disease (NAFLD); primary food source (PFS) 80.8% grocery store, secondary 26.2% bulk food store, tertiary 20.5% restaurants; fresh food (FF) 83%, pre-packaged (PP) 8.7%, already prepared (AP) 8.3%]. FF consumers had significantly fewer UEH servings/month (p = 0.030) and lived further away from convenience stores (1.69 vs. 0.95 km, p = 0.0001). Stepwise regression reveals the lowest FF consumers were NAFLD patients, subjects with UEH or restaurants and ethnic food stores as their PFS (R = 0.557, p = 0.0001). Eating already-packaged foods and utilizing restaurants or ethnic food stores as the PFS positively correlated with NAFLD (R = 0.546, p = 0.0001).CONCLUSIONS:
Environmental food source measures, including type and density, should be included when examining areas hyper-saturated with a variety of food options. In hyper-saturated food environments, NAFLD patients consume more prepared food and less FF. CLD patients with UEH also eat significantly more prepared food and frequent restaurants and ethnic food stores as their PFS.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Estado de Salud
/
Estado Nutricional
/
Hepatitis B Crónica
/
Hepatitis C Crónica
/
Enfermedad del Hígado Graso no Alcohólico
/
Preferencias Alimentarias
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Ann Hepatol
Asunto de la revista:
GASTROENTEROLOGIA
Año:
2014
Tipo del documento:
Article
País de afiliación:
Estados Unidos