Socioeconomic status and body size among women in Honduran Miskito communities

Socioeconomic status and body size among women in Honduran Miskito communities
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DOI:
10.3109/03014460.2011.564206
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发表时间:
2011-07-01
影响因子:
1.7
通讯作者:
Arps, Shahna
Arps, Shahna
中科院分区:
医学4区
文献类型:
--
作者:
Arps, Shahna

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背景:本研究调查了洪都拉斯东北海岸米斯基托社区妇女营养转变的证据。目的:检验社会经济地位(SES)与体型和肥胖呈正相关的假设;对象和方法:按照标准程序对 200 名非孕妇进行了人体测量调查。使用24小时回忆法收集饮食摄入量和体力活动数据。根据经济和社会属性,女性被分为三个社会经济地位组(高、中、低)。分析了 SES 群体在人体测量、饮食和体力活动方面的差异。结果:样本中超过 70% (n = 142) 的女性超重或肥胖。高 SES 女性的平均身高、体重、皮褶厚度、手臂和小腿围、体脂百分比和上臂脂肪面积显着高于低 SES 女性。社会经济地位高的女性体力活动率较低,肥胖率、食物充足性、肉类消费、牛奶/乳制品摄入量和总体饮食多样性较高。结论:社会经济地位高的女性明显比社会经济地位低的女性更胖;不同群体之间观察到的差异可能与不同的饮食摄入和身体活动模式有关。
Background: This study investigates evidence of the nutrition transition among women in Miskito communities on the northeastern coast of Honduras.Aim: The hypothesis that socioeconomic status (SES) is positively associated with body size and fatness is tested; and dietary and physical activity patterns are examined among SES groups.Subjects and methods: An anthropometric survey was conducted with 200 non-pregnant women following standard procedures. Dietary intake and physical activity data were collected using 24-hour recall methods. Women were categorized into three SES groups (high, medium and low) based on economic and social attributes. Differences in anthropometric measures, diet and physical activity among SES groups were analysed.Results: More than 70% (n = 142) of women in the sample were overweight or obese. Mean height, weight, skin-fold thicknesses, arm and calf circumferences, percentage body fat and upper-arm fat area were significantly greater among high SES women than low SES women. Women with high SES had lower rates of physical activity and higher rates of obesity, perceived food sufficiency, meat consumption, milk/dairy intake and general dietary diversity.Conclusion: High SES women were significantly fatter than low SES women; and variation observed among groups is likely related to different patterns of dietary intake and physical activity.