1. Household Food Insecurity, Lung Function, and COPD in US Adults.
- Author
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de Castro Mendes F, Ducharme-Smith K, Mora-Garcia G, Alqahtani SA, Ruiz-Diaz MS, Moreira A, Villegas R, and Garcia-Larsen V
- Subjects
- Adult, Body Mass Index, Diet, Healthy, Ethnicity, Female, Forced Expiratory Volume, Humans, Male, Middle Aged, Nutrition Surveys, Pulmonary Disease, Chronic Obstructive physiopathology, Respiratory Function Tests, Smoking epidemiology, Spirometry, United States epidemiology, Vital Capacity, Food Insecurity, Lung physiopathology, Pulmonary Disease, Chronic Obstructive epidemiology
- Abstract
Increasing epidemiological evidence suggests that optimal diet quality helps to improve preservation of lung function and to reduce chronic obstructive pulmonary disease (COPD) risk, but no study has investigated the association of food insecurity (FI) and lung health in the general population. Using data from a representative sample of US adults who participated in the National Health and Nutrition Examination Survey (NHANES) 2007-2012 cycles, we investigated the association between FI with lung function and spirometrically defined COPD in 12,469 individuals aged ≥ 18 years of age. FI (high vs. low) was defined using the US Department of Agriculture's Food Security Scale). Population-weighted adjusted regression models were used to investigate associations between FI, and forced expiratory volume in 1 s (FEV
1 ), forced vital capacity (FVC), their ratio, and spirometrically defined restriction (FVC below the lower limit of normal) and airflow obstruction (COPD). The prevalence of household FI was 13.2%. High household FI was associated with lower FVC (adjusted β-coefficient -70.9 mL, 95% CI -116.6, -25.3), and with higher odds (OR) of spirometric restriction (1.02, 95% CI 1.00, 1.03). Stratified analyses showed similar effect sizes within specific ethnic groups. High FI was associated with worse lung health in a nationally representative sample of adults in the US.- Published
- 2021
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