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Sumary of Food insecurity: A growing pain in the United States:

  • Siddarth Singh, MD, gastroenterologist and assistant professor of medicine at University of California, San Diego Health, and colleagues noted factors such as lack of social networks or social cohesion can lead to adverse health outcomes..
  • Stacy Cavagnaro, RD, a registered dietician for the Inflammatory Bowel Disease Medical Home at Cleveland Clinic, said food insecurity can lead to a higher risk for developing malnutrition..
  • “Food insecurity is surprisingly pervasive, with one in eight Americans being food insecure and it extends to patients with IBD,”.
  • “IBD can be an expensive disease with significant financial toxicity and patients may have to choose between healthy food and paying bills and costly medications..
  • Conversely, there is increasing evidence on the role of processed food and unhealthy eating habits, more likely to be consumed by people who are food insecure, in causing IBD.”.
  • Healio Gastroenterology spoke with experts on the lack of research on food insecurity in the United States, the current impact of COVID-19 and what needs to be done to decrease it..
  • Research on food insecurity in IBD lacking In an interview with Healio Gastroenterology, Stacy Cavagnaro, RD, a registered dietitian for the Inflammatory Bowel Disease Medical Home at Cleveland Clinic, said studies have been performed that looked at food insecurity relating to obesity, diabetes, hypertension and metabolic syndrome;.
  • however, there has not been a lot of research done on food security as it relates to IBD, autoimmune disease, liver disease, cancer, etc..
  • “Researchers may want to look at the ability to obtain food for patients on specialized diets (costs, accessibility, social constraints, etc) for conditions such as IBD, gastroparesis, celiac disease, IBS, epilepsy, heart disease and diabetes,”.
  • Stephen Lupe Stephen Lupe, PsyD, psychologist for Inflammatory Bowel Disease Medical Home, Digestive Disease &.
  • Surgery Institute at Cleveland Clinic, said there hasn’t been a good explanation for why food insecurity is frequently seen in IBD populations..
  • “There hasn’t been a lot of research done in food insecurity in IBD populations and there really should be because nutrition is an important aspect of caring for patients who have been diagnosed with an IBD condition,”.
  • Siddarth Singh “Food insecurity is pervasive and can pose unique challenges to patients with GI conditions,”.
  • “Patients with several GI diseases like irritable bowel syndrome, IBD, celiac disease, cirrhosis may need to significantly modify their diet to alleviate symptoms and manage disease.”.
  • Malnutrition is correlated with increased risk for disease complications, surgical complications, and increased length of hospital stay..
  • Food insecurity drives mental health Food insecurity contributes to nonadherence to treatment and care recommendations, Sheri Weiser, MD, professor of medicine in the division of HIV, infectious diseases and global medicine at the University of California, San Francisco, said in an interview with Healio Gastroenterology..
  • They often have little choice by to eat less expensive proinflammatory foods such as sugars, fat and processed food that create more inflammation compared with fruits and vegetables, healthy fats and protein, according to Weiser..
  • “There a large body of literature showing that food insecurity is a key driver of many different mental health conditions,”.
  • “Food insecurity has been associated with stress, depression, anxiety, post-traumatic stress disorder and other mental health conditions..
  • Poor mental health can have many negative effects that would be relevant to people with IBD and other conditions.”.
  • For example, poor mental health can interfere with adherence to treatment and care and be a driver for inflammation, she said..
  • Deepak Palakshappa Deepak Palakshappa, MD, is an assistant professor and practices general internal medicine and pediatrics, at Wake Forest Baptist Health in North Carolina, told Healio Gastroenterology, that patients with GI conditions who have food insecurity are often faced with competing demands..
  • Therefore, patients with food insecurity may skip medications or delay preventive care, which leads to worsening of underlying health conditions, Palakshappa said..
  • “There certainly a large disparity in terms of food insecurity and we find racial and ethnic minority groups being overrepresented among the food insecure.”.
  • She also mentioned access to health care services, reliable transportation, social support and socioeconomic status..
  • Food insecurity can worsen health among people who have COVID-19 because it may impact conditions such as diabetes, asthma and lung disease, according to Weiser..
  • According to the survey, food insecurity in households with children under 18 years increased by approximately 130% from 2018 to now..
  • “The huge rise in food insecurity is not going to go away overnight, we’re going to be here for a long time,”.
  • “Unfortunately, food insecurity also increases the risk of chronic medical diseases like obesity, diabetes, hypertension, etc, which have been associated with worse outcomes in patients with COVID-19.”…

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