Catherine M Sullivan1, Julie A Pencak2, Darcy A Freedman3, Anne M Huml4, Janeen B León5, Jeanette Nemcek6, Jacqueline Theurer2, Ashwini R Sehgal7. 1. Center for Reducing Health Disparities, The MetroHealth System, Cleveland, Ohio. Electronic address: csullivan1@metrohealth.org. 2. Center for Reducing Health Disparities, The MetroHealth System, Cleveland, Ohio. 3. Prevention Research Center for Healthy Neighborhoods, Cleveland, Ohio; Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio. 4. Center for Reducing Health Disparities, The MetroHealth System, Cleveland, Ohio; Division of Nephrology and Hypertension, Department of Medicine, University Hospitals Case Medical Center, Cleveland, Ohio; Division of Nephrology, Department of Medicine, The MetroHealth System, Cleveland, Ohio. 5. Center for Clinical Informatics Research and Education and Department of Medicine, The MetroHealth System, Case Western Reserve University, Cleveland, Ohio. 6. Centers for Dialysis Care, Cleveland, Ohio. 7. Center for Reducing Health Disparities, The MetroHealth System, Cleveland, Ohio; Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio; Division of Nephrology, Department of Medicine, The MetroHealth System, Cleveland, Ohio; Department of Bioethics, Case Western Reserve University, Cleveland, Ohio.
Abstract
OBJECTIVE: Hemodialysis patients' ability to access food that is both compatible with a renal diet and affordable is affected by the local food environment. Comparisons of the availability and cost of food items suitable for the renal diet versus a typical unrestricted diet were completed using the standard Nutrition Environment Measures Survey and a renal diet-modified Nutrition Environment Measures Survey. DESIGN: Cross-sectional study. SETTING: Twelve grocery stores in Northeast Ohio. MAIN OUTCOME MEASURE: Availability and cost of food items in 12 categories. RESULTS: The mean total number of food items available differed significantly (P ≤ .001) between the unrestricted diet (38.9 ± 4.5) and renal diet (32.2 ± 4.7). The mean total cost per serving did not differ significantly (P = 0.48) between the unrestricted diet ($5.67 ± 2.50) and renal diet ($5.76 ± 2.74). CONCLUSION: The availability of renal diet food items is significantly less than that of unrestricted diet food items, but there is no difference in the cost of items that are available in grocery stores. Further work is needed to determine how to improve the food environment for patients with chronic diseases.
OBJECTIVE: Hemodialysis patients' ability to access food that is both compatible with a renal diet and affordable is affected by the local food environment. Comparisons of the availability and cost of food items suitable for the renal diet versus a typical unrestricted diet were completed using the standard Nutrition Environment Measures Survey and a renal diet-modified Nutrition Environment Measures Survey. DESIGN: Cross-sectional study. SETTING: Twelve grocery stores in Northeast Ohio. MAIN OUTCOME MEASURE: Availability and cost of food items in 12 categories. RESULTS: The mean total number of food items available differed significantly (P ≤ .001) between the unrestricted diet (38.9 ± 4.5) and renal diet (32.2 ± 4.7). The mean total cost per serving did not differ significantly (P = 0.48) between the unrestricted diet ($5.67 ± 2.50) and renal diet ($5.76 ± 2.74). CONCLUSION: The availability of renal diet food items is significantly less than that of unrestricted diet food items, but there is no difference in the cost of items that are available in grocery stores. Further work is needed to determine how to improve the food environment for patients with chronic diseases.
Authors: Donald Rose; Paul L Hutchinson; J Nicholas Bodor; Chris M Swalm; Thomas A Farley; Deborah A Cohen; Janet C Rice Journal: Am J Prev Med Date: 2009-09 Impact factor: 5.043
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