Association between food insecurity and food intake

Association between food insecurity and food intake
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DOI:
10.1016/j.nut.2018.02.023
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发表时间:
2018-10-01
期刊:
影响因子:
4.4
通讯作者:
Souza Lopes, Aline Cristine
Souza Lopes, Aline Cristine
中科院分区:
医学3区
文献类型:
--
作者:
de Araujo, Melissa Luciana;Mendonca, Raquel de Deus;Souza Lopes, Aline Cristine

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背景:我们的目标是确定粮食不安全的流行率,并确定粮食不安全与粮食摄入量之间的关系。背景:这项研究包括2013年至2014年巴西贝洛奥里藏特的一家初级医疗服务机构的用户。使用问卷和巴西食品不安全量表收集了社会经济、健康和食物摄入量数据。研究对象:20岁及以上个人(n=2817)。结果:18岁以下家庭食物不安全的患病率为41.0%,其他家庭为26.4%。在调整了潜在的混杂因素后,18岁以下成员处于粮食不安全状态的家庭,水果蔬菜(RP=0.70,95%IC:0.58~0.84)和水果(RP=0.74,95%IC:0.59~0.93)的消费量较低,豆类(RP=1.49,95%IC:1.06~2.09)的消费量高于粮食安全家庭。18岁以下无成员家庭的水果蔬菜(RP=0.68,95%IC:0.58~0.79)、水果(RP=0.61,95%IC:0.50~0.74)、豆类(RP=0.78,95%IC:0.63~0.97)的消费量较低,块茎(RP=1.36,95%IC:1.03~1.79)的消费量较高。但不同年龄、性别、婚姻状况、受教育程度和就业状况对超加工食品消费无显著影响。结论:食品不安全对两类家庭的水果和蔬菜消费均有负面影响。有儿童和青少年家庭的豆类消费量较高,无儿童和青少年家庭的块茎消费量较高。然而,粮食不安全并没有改变人们对超加工食品的摄入量。(C)2018 Elsevier Inc.保留所有权利。
Background: We aim to identify the prevalence of food insecurity and to ascertain the association between food insecurity and food intake.Method: A cross-sectional survey. Setting: The study included users of a primary healthcare service in Belo Horizonte, Brazil, from 2013 to 2014. Socioeconomic, health, and food intake data were gathered using a questionnaire and the Brazilian Food Insecurity Scale. Subjects: Individuals 20 years old or older (n = 2817).Results: The prevalence of food insecurity among families with individuals under 18 years was 41.0%, and 26.4% in other households. After adjusting for potential confounders, the households in food insecurity with members under 18 years old, the consumption of fruits and vegetables (RP = 0.70, 95%IC: 0.58-0.84), and fruits (RP = 0.74, 95%IC: 0.59-0.93) was lower; and consumption of beans was higher (RP = 1.49, 95%IC: 1.06-2.09) compared to those with food security. In households without members under 18 years old, the consumption of fruits and vegetables (RP = 0.68, 95%IC: 0.58-0.79), fruits (RP = 0.61, 95%IC: 0.50-0.74), and beans (RP = 0.78, 95%IC: 0.63-0.97) was lower; and the consumption of tubers (RP = 1.36, 95%IC: 1.03-1.79) was higher. However, the state of food insecurity did not affect the consumption of ultra processed foods, independently of age, sex, marital status, educational level, and employed status.Conclusion: Food insecurity negatively affected the fruit and vegetable consumption in both types of families tested. The consumption of beans was higher in households with children and adolescents, and the consumption of tubers was higher in households without children and adolescents. However, food insecurity did not change the intake of ultraprocessed foods. (C) 2018 Elsevier Inc. All rights reserved.