Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women.
Food insecurity and perceived stress but not HIV infection are independently associated with lower energy intakes among lactating Ghanaian women.
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DOI：
10.1111/j.1740-8709.2009.00229.x
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发表时间：
2011-01
影响因子：
3.4
通讯作者：
Harding KB
中科院分区：
文献类型：
--
作者：
Addo AA;Marquis GS;Lartey AA;Pérez-Escamilla R;Mazur RE;Harding KB
生活在低收入社区的艾滋病毒血清反应阳性妇女可能难以满足与哺乳和艾滋病毒感染有关的增加的能量需求。家庭粮食安全和产妇的社会人口特征，感知压力，人体测量学，报告的疾病，饮食摄入量和偏好，并暴露于营养教育的数据收集从70名哺乳期妇女（16血清阳性（HP），27血清阴性（HN），27人拒绝接受检测，艾滋病毒状况不明（HU））。通过三次24小时召回（一次市场日、一次周末日和一次非市场工作日）评估饮食。在产后8.4（SD=4.7）个月时收集数据。大多数妇女（74.3%）报告在研究时身体健康。三天平均能量摄入量不因HIV状态而异（HP：12000 kJ（SD=3600），HN：12600 kJ（SD=5100）和HU：12300 kJ（SD= 4800）; p=0.94）。蛋白质、脂肪、维生素A、硫胺素、核黄素、烟酸、维生素C、钙、铁和锌的摄入量也没有组间差异（p>0.10）。与粮食安全家庭相比，粮食不安全家庭中压力水平高的妇女比例更高（55.6%对26.5%; p=0.01）。能量摄入与食物不安全（高：11300 kJ（SD=3500）与低：13400 kJ（SD=5400）; p=0.050）和压力（高：10800 kJ（SD=2800）与低：13400 kJ（SD=5300），p=0.021）独立呈负相关。这些结果表明，有必要整合多层面的干预措施，解决经济和心理健康方面的制约因素，这些因素可能会限制一些妇女满足其饮食需求的能力。
HIV seropositive women living in low-income communities may have difficulty meeting the increased energy requirements that are associated with both lactation and HIV infection. Data on household food security and maternal socio-demographic characteristics, perceived stress, anthropometry, reported illness, dietary intakes and preferences, and exposure to nutrition education were collected from 70 lactating women (16 seropositive (HP), 27 seronegative (HN), and 27 who refused to be tested and had unknown HIV status (HU)). Diet was assessed with three 24-hr recalls (one market day, one weekend day, and one non-market weekday). Data were collected at 8.4 (SD=4.7) months postpartum. Most women (74.3%) reported being in good health at the time of study. Three-day mean energy intakes did not differ by HIV status (HP: 12000 kJ (SD=3600), HN: 12600 kJ (SD=5100), and HU: 12300 kJ (SD= 4800); p=0.94). Protein, fat, vitamin A, thiamin, riboflavin, niacin, vitamin C, calcium, iron, and zinc intakes also did not differ by group (p>0.10). There was a higher proportion of women with high stress levels in food insecure households compared to food secure households (55.6% vs. 26.5%; p=0.01). Energy intake was independently negatively associated with food insecurity (high: 11300 kJ (SD=3500) vs. low: 13400 kJ (SD=5400), respectively; p=0.050) and stress (high: 10800 kJ (SD=2800) vs. low: 13400 kJ (SD=5300), p=0.021). These results suggest the need to integrate multi-dimensional interventions that address economic and mental health constraints which may limit some women’s ability to meet their dietary needs.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
7.1
作者：
HALLBERG, L;BRUNE, M;ROSSANDER, L
通讯作者：
ROSSANDER, L
影响因子：
5.2
作者：
Kesa, H;Oldewage-Theron, W
通讯作者：
Oldewage-Theron, W
影响因子：
4.2
作者：
Hamelin, AM;Habicht, JP;Beaudry, M
通讯作者：
Beaudry, M
影响因子：
7.1
作者：
Grinspoon, S;Corcoran, C;Klibanski, A
通讯作者：
Klibanski, A