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Impact of SARS-CoV-2 Pandemic on Food Security in Patients With Chronic Kidney Disease

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Journal J Ren Nutr
Date 2022 Jul 21
PMID 35863603
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Abstract

Objective: The present study aims to determine the degree of Food Insecurity (FI) in adult patients with CKD during the COVID-19 pandemic, as well as the association between FI and food consumption.

Methods: A cross-sectional study was conducted on patients with chronic kidney disease (CKD), with and without substitutive treatment, and older than 18 years of age. Food security was measured using the Mexican Food Security Scale (MFSS). Sociodemographic data and a food frequency questionnaire were obtained. Multinomial logistic regression was performed using the 4 categories of food security (food security as reference); principal component analysis was also performed to assess the relationship between food consumption patterns and sociodemographic characteristics.

Results: The prevalence of FI in patients with CKD was 71.6%, the most prevalent degree of FI was moderate. As FI increased, a greater amount of beans, eggs, sweets/desserts, soft drinks, and artificial juices (P < .001) was consumed. The risk factors of FI were diabetes, hypertension, unpaid occupation, living in the country's capital, having children at home, or a decrease in income due to the pandemic. Four main components were identified that were associated with the different degrees of FI.

Conclusion: The present study allowed us to conclude that more than 70% of CKD patients in the study cohort had some type of FI, which makes it difficult to adhere to treatment and may increase the risk of advanced CKD. A less healthy food pattern is associated with greater FI.

References
1.
Berkowitz S, Seligman H, Meigs J, Basu S . Food insecurity, healthcare utilization, and high cost: a longitudinal cohort study. Am J Manag Care. 2018; 24(9):399-404. PMC: 6426124. View

2.
Wolfson J, Leung C . Food Insecurity and COVID-19: Disparities in Early Effects for US Adults. Nutrients. 2020; 12(6). PMC: 7352694. DOI: 10.3390/nu12061648. View

3.
Niles M, Bertmann F, Belarmino E, Wentworth T, Biehl E, Neff R . The Early Food Insecurity Impacts of COVID-19. Nutrients. 2020; 12(7). PMC: 7400862. DOI: 10.3390/nu12072096. View

4.
Starr M, Wightman A, Munshi R, Li A, Hingorani S . Association of Food Insecurity and Acute Health Care Utilization in Children With End-stage Kidney Disease. JAMA Pediatr. 2019; 173(11):1097-1099. PMC: 6735494. DOI: 10.1001/jamapediatrics.2019.3086. View

5.
Calvo M, Sherman R, Uribarri J . Dietary Phosphate and the Forgotten Kidney Patient: A Critical Need for FDA Regulatory Action. Am J Kidney Dis. 2019; 73(4):542-551. DOI: 10.1053/j.ajkd.2018.11.004. View