Nutrition transition profiles and obesity burden in Argentina
Nutrition transition profiles and obesity burden in Argentina
复制标题
阿根廷的营养转变概况和肥胖负担
作者：
Natalia Tumas;Constanza Rodríguez Junyent;L. Aballay;G. Scruzzi;S. Pou
摘要目的本研究旨在确定阿根廷（2005-2013年）的营养转变（NT）概况，并评估其与成年人群肥胖的相关性。设计一个大的横断面研究，考虑全国代表性调查的数据集进行。多重对应分析，再加上层次聚类进行检测社会人口和NT指标之间的关联的地理集群。多水平logistic回归模型被用来评估的影响NT档案（上下文顺序的代理变量）肥胖的发生。首先，我们使用了阿根廷成人和儿童人口的地理汇总数据。其次，我们将参加全国慢性病危险因素调查（2013年）的成年人人群定义为研究人群。参与者组成阿根廷领土的24个地理单位和32 365名18岁以上的个人，他们居住在至少5 000人的城镇。结果确定了三个NT概况：“社会营养滞后”（特征为营养不良和社会经济不利条件;概况1）;“营养不良的双重负担”（高度城市化情景中的营养不良和超重;概况2）;和“初期社会营养改善”（营养不良发生率低和更有利的贫困指标值;概况3）。与曲线3相比，曲线1和曲线2与成人肥胖发生的风险显著相关（OR; 95% CI）（分别为1·17; 1·02，1·32和1·44; 1·26，1·64）。结论阿根廷正面临着不同的NT进程，社会人口因素发挥了重要作用，在塑造不同的NT配置文件。大多数确定的特征与成人的肥胖负担有关。
Abstract Objective The present study aimed to identify nutrition transition (NT) profiles in Argentina (2005–2013) and assess their association with obesity in the adult population. Design A large cross-sectional study was performed considering data sets of nationally representative surveys. A multiple correspondence analysis coupled with hierarchical clustering was conducted to detect geographical clusters of association among sociodemographic and NT indicators. Multilevel logistic regression models were used to assess the effect of NT profile (proxy variable of contextual order) on obesity occurrence. Setting First, we used geographically aggregated data about the adult and child populations in Argentina. Second, we defined the population of adults who participated in the National Survey of Chronic Disease Risk Factors (2013) as the study population. Participants Twenty-four geographical units that make up the territory of Argentina and 32 365 individuals over 18 years old living in towns of at least 5000 people. Results Three NT profiles were identified: ‘Socionutritional lag’ (characterized by undernutrition and socio-economically disadvantaged conditions; profile 1); ‘Double burden of malnutrition’ (undernutrition and overweight in highly urbanized scenarios; profile 2); and ‘Incipient socionutritional improvement’ (low prevalence of malnutrition and more favourable poverty indicator values; profile 3). Profiles 1 and 2 were significantly associated (OR; 95 % CI) with a higher risk of obesity occurrence in adults (1·17; 1·02, 1·32 and 1·44; 1·26, 1·64, respectively) compared with profile 3. Conclusions Argentina is facing different NT processes, where sociodemographic factors play a major role in shaping diverse NT profiles. Most of the identified profiles were linked to obesity burden in adults.
影响因子：
7.2
作者：
Sourial, Nadia;Wolfson, Christina;Zhu, Bin;Quail, Jacqueline;Fletcher, John;Karunananthan, Sathya;Bandeen-Roche, Karen;Beland, Francois;Bergman, Howard
通讯作者：
Bergman, Howard
影响因子：
6.1
作者：
Popkin BM;Adair LS;Ng SW
通讯作者：
Ng SW