Thread by @JMTeakell

People are living in crisis from hunger 🚨 @USDA est that 30 mil in USA (includ 12 mil children) are experiencing food insecurity.
Many Americans are just a job loss, missed paycheck, or 🏥 medical emergency away from experiencing hunger.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
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Food insecurity (FI) is lack of *consistent & socially acceptable* access to enough safe food for an active, healthy life. The COVID-19 pandemic has exacerbated FI for so many.
#HCWvsHunger 🍎 #UrineItToWinIt 🍏
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Why should FI matter to #NephTwitter? It’s a social determinant of health w/ *major* implications 👉 poorer overall levels of health, chronic med conditions, & lower levels of psychosocial/physical functioning.
renalfellow.org/2018/02/13/hun…
@mcstarr1 @RenalFellowNtwk
#HCWvsHunger
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A 2014 cross-sectional analysis of lower-income participants in #NHANES & #HANDLS study showed food insecurity may contrib to disparities in kidney dz, especially among those w/ DM or HTN.
@DrDeidraCrews @thenephrologist @evansmkt @Neil_R_Powe
#HCWvsHunger #UrineItToWinIt
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A 2017 cross-sectional analysis of lower-income #NHANES participants linked to ESRD Registry
👉 FI was an independent risk factor for developing ESKD (controlled for demographics, income, kidney markers, and comorbidities) 🤯 @DrDeidraCrews @Neil_R_Powe Red = FI
#HCWvsHunger
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Several barriers to food security exist in #Pediatric pts w/ kidney disease:
🥫 Not qualifying for support programs
🥫 Identifying/accessing community resources
🥫 Challenges w/ restricted diet & available food
@mcstarr1
#HCWvsHunger #UrineItToWinIt
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I think we have all seen pts who are forced to make the trade-off 👉 forego medications in order to afford food.
Economic disruptions of #COVID19 pandemic have exacerbated this social disparity (FI) which is a/w more rapid progression of CKD.
#HCWvsHunger
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Inequities & structural racism w/in the US food system 👉 greater availability of healthy foods in predominantly white & higher-income neighborhoods 👉 pose challenges for ppl w/ diet-sensitive health conditions (e.g. DM, HTN, & CKD) @DrDeidraCrews @tpurnell1908 @JASN_News
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The burden of pandemic-related disruptions has led to decreased access to healthy foods for many racial/ethnic minorities & socially disadv populations, raising the importance of understanding disparities in kidney failure treatment.
@DrDeidraCrews @tpurnell1908
#HCWvsHunger
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To reduce risk of CKD & CKD progression @KDIGOgo recommends protective measures:
🩺 Maintain controlled blood pressure
🍎 Achieve DM control
🧂 Reduce sodium intake < 2 g/d
⚖️ Body mass index BMI ≤ 25 kg/m2
🏃 Regular physical activity
🚭 Smoking cessation
#HCWvsHunger
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A 2021 cross-sectional analysis of #HANDLS participants found those experiencing social needs achieved *fewer* kidney protective measures.
@tessa_novick @DrLizJacobs @evansmkt @DrDeidraCrews
#HCWvsHunger #KidneyEmoji
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*A*ccess to affordable fresh foods is key 🔑
Part of the *A*BCD’s of Kidney Nutrition Health from @rogosin Institute’s Good Food First campaign (Rogosin Institute campaign for Good Food First)
#HCWvsHunger
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Also check out ⭐ A Slice of Humble Pie: Enhancing Sociocultural Humility in Nephrology ⭐ from the @ASNkidney #KidneyWk 2020 👀
@GorayaNim @tessa_novick Mi-Kyung Song
@EmoryNursing @mcstarr1 Vallabh Shah @UNM @Cervantes_Lily1
asn-ccast.echo360.org/search-results…
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🙏🙏🙏🙏 @NSMCInternship
Great experience w/ #NSMC2021
Now it's your turn! Check out 👉 nsmc.blog
Can't wait to see the work of #NSMC2022 👀
@kidney_boy @Nephro_Sparks @hswapnil @sophia_kidney @whatsthegfr @amyaimei
#UrineItToWinIt