Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon
Household food insecurity is associated with a higher burden of obesity and risk of dietary inadequacies among mothers in Beirut, Lebanon
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DOI：
10.1186/s12889-017-4317-5
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发表时间：
2017-06-12
影响因子：
4.5
通讯作者：
Hwalla, Nahla
中科院分区：
文献类型：
--
作者：
Jomaa, Lamis;Naja, Farah;Hwalla, Nahla
背景资料：在中低收入国家，特别是妇女中，家庭粮食不安全（HFIS）与肥胖之间的关系存在混合证据。本研究旨在衡量HFIS的社会经济相关性，并探讨其与饮食摄入量和肥胖的母亲在黎巴嫩，一个中等收入国家正在经历营养transition.Methods的几率：一个横断面研究中进行了一个有代表性的样本家庭（n = 378）在贝鲁特，黎巴嫩。对18岁以下儿童的母亲进行了调查。HFIS使用当地验证的阿拉伯语翻译的家庭粮食不安全获取量表（HFIAS）进行测量。饮食摄入量采用多遍24小时回忆法进行评估。HFIS（粮食与粮食不安全）和社会人口特征之间的关联使用粗和调整后的比值比进行报告。消费的几率= 30公斤/平方米）和风险腰围（腰围= 80厘米）mothers.Results：HFIS中发现50%的研究样本，并与家庭收入和母亲的教育水平呈负相关，即使调整其他社会经济变量（p < 0.01）。食物不安全家庭的母亲报告说，他们消耗的乳制品，水果和坚果显着减少，但更多的面包和糖果;
Background: Mixed evidence exists with respect to the association between household food insecurity (HFIS) and obesity in low-to-middle income countries (LMICs), particularly among women. This study aimed to measure socioeconomic correlates of HFIS and explores its association with dietary intake and odds of obesity among mothers in Lebanon, a middle-income country undergoing nutrition transition.Methods: A cross-sectional study was conducted among a representative sample of households (n = 378) in Beirut, Lebanon. Surveys were completed with mothers of children < 18 years. HFIS was measured using a locally-validated, Arabic-translated Household Food Insecurity Access Scale (HFIAS). Dietary intake was assessed using the multiple pass 24-h recall method. Associations between HFIS (food vs food insecure) and socio-demographic characteristics were reported using crude and adjusted odds ratios. The odds of consuming = 30 kg/m2) and at risk waist circumference (WC = 80 cm) among mothers.Results: HFIS was found among 50% of study sample and was inversely associated with household income and mother's educational level, even after adjusting for other socioeconomic variables (p < 0.01). Mothers in food insecure households reported consuming significantly less dairy products, fruits, and nuts yet more breads and sweets; and they had higher odds of consuming