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Front. Public Health | doi: 10.3389/fpubh.2018.00348

Evaluation of Food Insecurity in Adults and Children with Cystic Fibrosis: Community Case Study

  • 1St. Luke's Cystic Fibrosis Center of Idaho, United States
  • 2Idaho State University, United States
  • 3St. Luke's Children's Hospital, United States
  • 4Boise State University, United States

Advances in the care and treatment of cystic fibrosis (CF) have led to improved mortality rates; therefore, considerably more individuals with CF are living into adulthood. With an increased number of CF patients advancing into adulthood, there is the need for more research that surrounds the aging adult CF patient. It is important to conduct research and collect results on the aging CF population to help better prepare the CF patient, who is dealing with the heavy treatment and financial burden of their disease, build autonomy and increase their quality of life. Of note, research has found that social, behavioral, and physical factors influence the ability of those with CF to follow dietary recommendations. A primary treatment goal in CF is a high calorie, high protein, and high fat diet. A socio-economic factor that has not been adequately investigated with regards to dietary compliance of individuals with CF is food insecurity. The aim of this community case study was to document the experiences and estimate the prevalence of food insecurity among CF patients residing in Idaho. The correlation between food insecurity and health outcomes (lung function and body mass index) was also examined. Participants included adult patients and parents of pediatric patients with CF. Food insecurity rates among CF patients of all ages were found to be significantly higher than that seen in the overall community; however, no specific correlation between food insecurity and body mass index (BMI) or lung function emerged. This case study highlights the need for continued research around food access issues in this patient population. The data resulting from this study shows the value of CF advocacy organizations promoting efforts to build resources and provide education around food insecurity issues.

Keywords: Cystic Fibrosis, food insecuirty, Body Mass Index, BMI, Pulmonary Function, Advocacy research, Assistance program

Received: 07 Sep 2018; Accepted: 08 Nov 2018.

Edited by:

Andrzej Klimczuk, Warsaw School of Economics, Poland

Reviewed by:

Mayura Shinde, Harvard Pilgrim Health Care, United States
Sankalp Das, Baptist Health South Florida, United States  

Copyright: © 2018 Brown Jr, Durham, Tivis, Stamper, Waldren, Toevs, Gordon and Robb. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mrs. Dixie Durham, St. Luke's Cystic Fibrosis Center of Idaho, Boise, 83712, Idaho, United States, durhamd@slhs.org