Stress-related poor diet quality does not explain socioeconomic inequities in health: A structural equation mediation analysis of gender-specific pathways

2021 ◽  
Author(s):  
Dana Lee Olstad ◽  
Sara Nejatinamini ◽  
Sharon I. Kirkpatrick ◽  
Lana Vanderlee ◽  
Katherine M. Livingstone ◽  
...  
Keyword(s):  
Diet Quality ◽  
Mediation Analysis ◽  
Structural Equation ◽  
Poor Diet ◽  
Gender Specific

scholarly journals Does Stress-Related Poor Diet Quality Explain Socioeconomic Inequities in Health? A Structural Equation Mediation Analysis in Women and Men

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 1075-1075
Author(s):  
Dana Olstad ◽  
Sara Nejatinamini ◽  
Sharon Kirkpatrick ◽  
Lana Vanderlee ◽  
Katherine Livingstone ◽  
...  
Keyword(s):  
Educational Attainment ◽  
Social Status ◽  
Diet Quality ◽  
Psychosocial Stress ◽  
Structural Equation ◽  
Health Inequities ◽  
Subjective Social Status ◽  
Poor Diet ◽  
Income Adequacy ◽  
Perceived Income Adequacy

Abstract Objectives Individuals with a lower socioeconomic position (SEP) have poorer health than their more advantaged counterparts. Psychosocial stress and diet quality have been shown to individually mediate associations between SEP and health, however studies have not yet investigated whether psychosocial stress and diet quality jointly mediate these associations. This is an important research question as stress-related unhealthy eating is often invoked as an explanation for diet-related health inequities, particularly among women, seemingly with no empirical justification. This study examined whether psychosocial stress and diet quality jointly mediate associations between SEP and self-rated health (SRH) in women and men. Methods Adults living in Canada who participated in the 2018 or 2019 International Food Policy Study were included (n = 5645). Participants reported SEP using indicators that reflect materialist (educational attainment, perceived income adequacy) and psychosocial pathways (subjective social status) underlying health inequities. Participants also reported psychosocial stress, dietary intake (to estimate diet quality via the Healthy Eating Index-2015) and SRH. Structural equation modelling simultaneously modelled multiple pathways linking the three indicators of SEP (educational attainment, perceived income adequacy, subjective social status) with SRH mediated by psychosocial stress and diet quality, stratified by gender. Results There was no evidence that psychosocial stress and diet quality jointly mediated associations between SEP and SRH in women or men. Diet quality mediated associations between educational attainment and SRH in women and men, and between subjective social status and SRH in men. Psychosocial stress mediated associations between perceived income adequacy and SRH in women and men, and between subjective social status and SRH in women. Conclusions Although often invoked as an explanation for diet-related health inequities, stress-related poor diet quality did not mediate associations between SEP and SRH in women or men. However, psychosocial stress and diet quality individually mediated some of these associations, indicating that SEP was partially embodied via these pathways, with some differences by gender. Funding Sources Canadian Institutes of Health Research.

Homocysteine Levels Show Significant Differences among Mediterranean Dietary Quality Index Variables Compared to Folate and Vitamin B12 Status in Women

2015 ◽  
Vol 85 (3-4) ◽  
pp. 202-210 ◽  
Author(s):  
Ivona Višekruna ◽  
Ivana Rumbak ◽  
Ivana Rumora Samarin ◽  
Irena Keser ◽  
Jasmina Ranilović
Keyword(s):  
Mediterranean Diet ◽  
Diet Quality ◽  
Quality Index ◽  
Fruits And Vegetables ◽  
Reproductive Age ◽  
Dietary Quality ◽  
Vitamin B ◽  
Cross Sectional ◽  
Poor Diet ◽  
The Mediterranean

Abstract. Results of epidemiologic studies and clinical trials have shown that subjects following the Mediterranean diet had lower inflammatory markers such as homocysteine (Hcy). Therefore, the aim of this cross-sectional study was to assess female diet quality with the Mediterranean diet quality index (MDQI) and to determine the correlation between MDQI, homocysteine, folate and vitamin B12 levels in the blood. The study participants were 237 apparently healthy women (96 of reproductive age and 141 postmenopausal) between 25 and 93 years. For each participant, 24-hour dietary recalls for 3 days were collected, MDQI was calculated, and plasma Hcy, serum and erythrocyte folate and vitamin B12 levels were analysed. Total MDQI ranged from 8 to 10 points, which represented a medium-poor diet for the subjects. The strength of correlation using biomarkers, regardless of group type, age, gender and other measured parameters, was ranked from best (0.11) to worst (0.52) for olive oil, fish, fruits and vegetables, grains, and meat, in this order. Hcy levels showed the best response among all markers across all groups and food types. Our study shows significant differences between variables of the MDQI and Hcy levels compared to levels of folate and vitamin B12 in participants with medium-poor diet quality, as evaluated according to MDQI scores.

P2-421: Indicators of Cognitive Reserve Moderate the Adverse Relationship Between Poor Diet Quality and Cognitive Decline in Independent Older Adults: The Nuage Study

2016 ◽  
Vol 12 ◽  
pp. P806-P806
Author(s):  
Matthew D. Parrott ◽  
Alexandra J. Fiocco ◽  
Pierre-Hugues Carmichael ◽  
Nicole D. Anderson ◽  
Danielle Laurin ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Decline ◽  
Diet Quality ◽  
Cognitive Reserve ◽  
Poor Diet

scholarly journals Gender-specific patterns and determinants of spillover between work and family: The role of partner support in dual-earner couples

2020 ◽  
Vol 33 (1) ◽  
pp. 72-98
Author(s):  
Ayhan Adams ◽  
Katrin Golsch
Keyword(s):  
Structural Equation ◽  
Structural Equation Models ◽  
Work And Family ◽  
Partner Support ◽  
Full Time ◽  
Family Conflicts ◽  
Dual Earner ◽  
Different Types ◽  
Gender Specific

Objective: The study investigates how partner support affects different types of work-to-family and family-to-work conflicts in dual-earner couples divided by gender and parenthood. Background: In Germany, as in other Western Countries, interrole conflicts between work and family increase, especially within dual-earner couples. Only few studies focused on the effects of partner support on different types of these conflicts. Method: We use longitudinal data deriving from waves 6 to 10 of the German Family Panel (pairfam) to uncover the extent to which the perception of having a supportive partner reduces time- and strain-based work-to-family and family-to-work conflicts. We conduct longitudinal structural equation models based on information of 1,252 persons, which are full-time employed and live in a dual-earner relationship. Results: Whereas for men partner support helps reduce stress-based work-to-family conflicts, for women perceived partner support is not beneficial. Within a subsample of parents, the experience of work-to-family conflicts is likely irrespective of partner support. Overall, women’s family-to-work conflicts appear to be reduced by their partners’ support whereas for men this detrimental effect only applies in the case of stress-based family-to-work conflicts. Conclusion: To sum up the findings, the differences for men and women in the effect of partner support on different types of interrole conflicts indicate a still existing impact of traditional gender norms that connect femininity to house work and masculinity to employed work.

scholarly journals Visceral adipose tissue is associated with poor diet quality and higher fasting glucose in adults with cystic fibrosis

2019 ◽  
Vol 18 (3) ◽  
pp. 430-435 ◽  
Author(s):  
Moriah P. Bellissimo ◽  
Ivana Zhang ◽  
Elizabeth A. Ivie ◽  
Phong H. Tran ◽  
Vin Tangpricha ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Adipose Tissue ◽  
Visceral Adipose Tissue ◽  
Diet Quality ◽  
Fasting Glucose ◽  
Poor Diet ◽  
Visceral Adipose

scholarly journals Impact of Fortified Ultra-Processed Foods on Risk of Anemia: A New Perspective for Pediatric Nutrition

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 841-841
Author(s):  
Daniel Hoffman ◽  
Paula dos Leffa ◽  
Caroline Sangalli ◽  
Julia Valmórbida ◽  
André Dornelles ◽  
...  
Keyword(s):  
Total Energy ◽  
Energy Intake ◽  
Diet Quality ◽  
Low Income ◽  
Lower Risk ◽  
Total Energy Intake ◽  
Processed Foods ◽  
Double Burden ◽  
Poor Diet ◽  
The Impact

Abstract Objectives Poor diet quality is a major risk factor for the development of anemia. An increased consumption of fortified ultra-processed food (UPF) among children presents a new contributor to micronutrient intake, one that could potentially improve anemia biomarkers despite having a concomitantly low diet quality. Our objective was to investigate the impact of fortified UPF consumption on the prevalence of anemia and diet quality among children from low-income families in Brazil. Methods A cross-sectional analyses from a randomized field trial of children at 3 years of age (n = 432) from Porto Alegre, Brazil. Capillary blood samples were taken to measure hemoglobin concentration (Hb) and used to determine anemia status. Dietary data was assessed using two multiple-pass 24-h recalls and the consumption of UPF was classified according to the NOVA system. Results UPF account for 42.6% of total energy intake. Children in the highest tertile of UPF consumption had significantly lower risk of anemia (Hb < 110 g/L) compared to those in the lowest tertile (tertile 3 vs. tertile 1; OR 0.56 95% CI 0.39 to 0.82). Similarly, a 10% increase in the consumption of UPF was associated with a 22% lower risk of anemia (95% CI 0.64 to 0.94). Conversely, consumption of UPF was negatively associated with consumption of unprocessed/minimally processed foods. Finally, as the contribution of UPF to total energy intake increased, the intake of added sugars, total fats, and sodium increased, whereas the intake of proteins, fiber, and calcium decreased. Conclusions The consumption of fortified UPF was associated with a lower risk of anemia and a poor diet quality in children from a low-income community in Brazil. The co-existence of normal Hb with poor diet quality suggests the need for a more nuanced assessment of dietary patterns in low-income settings to best address this paradoxical situation as the prevalence of the double burden of disease continues to increase throughout the world. Funding Sources Coordination for the Improvement of Higher Education Personnel (CAPES).

MON-P213: Increase in Eating Disorder Scores are Related with Poor Diet Quality in Females

2017 ◽  
Vol 36 ◽  
pp. S256-S257
Author(s):  
M. Gezmen-Karadağ ◽  
H. Yildiran ◽  
Y. Ertaş
Keyword(s):  
Eating Disorder ◽  
Diet Quality ◽  
Poor Diet

scholarly journals Mediation analysis of severity of needs, service performance and outcomes for patients with mental disorders

2016 ◽  
Vol 209 (6) ◽  
pp. 511-516 ◽  
Author(s):  
Paul Roux ◽  
Christine Passerieux ◽  
Marie-Josée Fleury
Keyword(s):  
Quality Of Life ◽  
Mental Disorders ◽  
Mediation Analysis ◽  
Structural Equation ◽  
Negative Impact ◽  
Equation Model ◽  
Service Performance ◽  
Personal Recovery ◽  
Recovery Orientation

BackgroundNeeds and service performance assessment are key components in improving recovery among individuals with mental disorders.AimsTo test the role of service performance as a mediating factor between severity of patients' needs and outcomes.MethodA total of 339 adults with mental disorders were interviewed. A mediation analysis between severity of needs, service performance (adequacy of help, continuity of care and recovery orientation of services) and outcomes (personal recovery and quality of life) was carried out using structural equation modelling.ResultsThe structural equation model provided a good fit with the data. An increase in needs was associated with lower service performance and worse outcomes, whereas higher service performance was associated with better outcomes. Service performance partially mediated the effect of patient needs on outcomes.ConclusionsPoorer service performance has a negative impact on outcomes for patients with the highest needs. Ensuring more efficient services for patients with high needs may help improve their recovery and quality of life.

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