2014, Number 5
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Ann Hepatol 2014; 13 (5)
Survey of health status, nutrition and geography of food selection of chronic liver disease patients
Leslie T, Pawloski L, Kallman-Price J, Escheik C, Hossain N, Fang Y, Gerber LH, Younossi ZM
Language: English
References: 36
Page: 533-540
PDF size: 135.00 Kb.
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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