scholarly journals Dietary Patterns and Unhealthy Behaviors in Brazil: The Current Scenario

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 22s-22s
Author(s):  
J.E. Monteiro dos Santos ◽  
S.P. Crispim ◽  
L.M. De Almeida ◽  
M. De Camargo Cancela
Keyword(s):  
Binge Drinking ◽  
Dietary Patterns ◽  
Physical Inactivity ◽  
Protein Pattern ◽  
Adult Population ◽  
Brazilian Population ◽  
Alcoholic Beverages ◽  
P Value ◽  
Binge Drinker ◽  
Physically Inactive

Background: Along with the epidemiologic transition that Brazil has experiencing in the last decades, the adoption of unhealthy lifestyle habits, such as excessive consumption of alcoholic beverages, diet westernization and physical inactivity, are also observed. It is well known that those factors, alone or combined promote the increase of cancer incidence. Aim: The aim of this study was to identify the main dietary patterns in Brazilian population and to measure their association with unhealthy behaviors as physical inactivity, binge drinking and smoking. Methods: The study was based on the National Health Survey data, representing the adult Brazilian population, conducted in 2013. A questionnaire containing 22 dietary intake questions was applied. Dietary patterns were identified through principal components analyses (PCA). Factor scores were divided into quartiles from lower to higher (Q1-Q4) and included in specific models as dependent variables. Poisson regression with robust error variance model were fitted to perform the association between Q1-Q4 and physical inactivity, binge drinking and smoking. The multivariate models were adjusted for socio-demographic and health-related variables. P value of < 0.05 was considered statically significant. Results: Total of survey's respondents was 60,202 (estimated population size=146,308,458). PCA identified three distinct dietary patterns: so called healthy - fruits, vegetables and natural fruit juice; protein - beans and meats; western - snacks, sweets and sugary beverages. Physically inactive individuals, smokers and binge drinkers were respectively 15%, 27% and 12% significantly less likely to adopt the healthy pattern when compared with active individuals, nonsmokers and nondrinkers. Younger individuals (18-24) were 52% (95% CI: 50%–55%) significantly less likely to adopt this pattern, compared with the oldest (60 and older). Younger individuals were 64% (95% CI: 57%–71%) more likely to adopt the protein pattern compared with their older counterparts (60 and older). Being physically inactive, smoker and binge drinker significantly increased the risk of adopting the protein pattern in 12%, 17%, 13% respectively, when compared with active individuals, nonsmokers and nondrinkers. The western pattern was significantly twice (101%, 95% CI: 92%–110%) more common among individual aged 18-24 than in the elderly (60 and older). Being a binge drinker increased significantly in 16% the likelihood of adopting the western pattern compared with nondrinkers. Being physically inactive and smoker was not significantly associated to this pattern. Conclusion: We identified significant associations between the 3 dietary patterns and unhealthy behaviors in the Brazilian adult population. However, the main risk factor related was younger age and the association was stronger for the western pattern. Our study shows that young adults must be targeted in the context of public health nutrition campaigns.

Food patterns and Mediterranean diet in western and eastern Mediterranean islands

2009 ◽  
Vol 12 (8) ◽  
pp. 1174-1181 ◽  
Author(s):  
Dora Romaguera ◽  
Christina Bamia ◽  
Antoni Pons ◽  
Josep A Tur ◽  
Antonia Trichopoulou
Keyword(s):  
Mediterranean Diet ◽  
Dietary Patterns ◽  
Eastern Mediterranean ◽  
Adult Population ◽  
Meat Products ◽  
Alcoholic Beverages ◽  
Mediterranean Islands ◽  
Animal Products ◽  
A Value ◽  
Fish And Shellfish

AbstractObjectiveTo assess current Mediterranean dietary patterns (MDP) in the western and eastern Mediterranean, i.e. in Balearic islanders (BI) and Greek islanders (GI).Subjects and methodsDietary patterns were assessed using FFQ on a representative sample (n1200) of the BI and GI (n1324) adult population. A Mediterranean Diet Score (MDS) was calculated according to the consumption of nine MDP components: (i) with a beneficial effect on health, i.e. vegetables, fruits and nuts, cereals, legumes, fish and shellfish, MUFA:SFA ratio, and moderate alcohol consumption; and (ii) with a detrimental effect on health, i.e. meat and meat products, and milk and dairy products. Persons with consumption of beneficial components below the median (GI plus BI) received a value of 0 and those with consumption above the median a value of 1. Persons with below-median consumption of detrimental components received a value of 1 and above-median consumption a value of 0. For alcohol, a value of 1 was given to consumptions of 10–50 g/d (men) and 5–25 g/d (women). The range of the MDS was 0–9, with higher scores indicating greater adherence to the MDP.ResultsGI showed higher adherence (mean MDS 5·12 (sd1·42)) to the MDP than BI (mean MDS 3·32 (sd1·23)). BI diet was characterized by a high intake of legumes, nuts, seed oils, sugar and confectionery, and non-alcoholic beverages compared with GI, whereas GI diet was richer in fruit, vegetables, potatoes, olive oil, animal products and alcoholic beverages.ConclusionsThe GI diet seems closer to the traditional MDP than the BI diet.

scholarly journals Alcohol use patterns among Brazilian adults

2009 ◽  
Vol 32 (3) ◽  
pp. 231-241 ◽  
Author(s):  
Ronaldo Laranjeira ◽  
Ilana Pinsky ◽  
Marcos Sanches ◽  
Marcos Zaleski ◽  
Raul Caetano
Keyword(s):  
Alcohol Abuse ◽  
Binge Drinking ◽  
Alcohol Problems ◽  
Brazilian Population ◽  
Alcoholic Beverages ◽  
Alcohol Abusers ◽  
Use Patterns ◽  
Alcohol Related Problem ◽  
High Level ◽  
Alcohol Abuse And Dependence

OBJECTIVE: To describe patterns of alcohol consumption in the adult Brazilian population. METHOD: Multicluster random sample of 2,346 subjects 18 years of age or older, selected nationwide. Interviews were conducted in respondents' homes between November 2005 and April 2006. RESULTS: About 48% of the sample had not drunk alcoholic beverages in the past year, with variations by gender, age, marital status, education, income and region of the country. Among drinkers, 29% reported drinking 5 or more drinks per occasion (men, 38%). Sociodemographic variables are associated with the frequency and amount of drinking, alcohol problems, and alcohol abuse and dependence. Among the whole sample (including drinkers and non drinkers), 28% reported binge drinking, 25% reported at least one kind of alcohol related problem, 3% were alcohol abusers and another 9% were alcohol dependent. DISCUSSION: Abstinence is high in the Brazilian population. However, elevated proportions of those who drink consume alcohol in a high risk pattern (binge-drinking), report a high level of alcohol problems, alcohol abuse and dependence. National public policies must consider these factors, as well as the regional Brazilian differences.

scholarly journals Association of alcohol consumption and dietary patterns in the adult population: data from the ESSE-RF study

2021 ◽  
Vol 20 (4) ◽  
pp. 2883
Author(s):  
N. S. Karamnova ◽  
A. I. Rytova ◽  
O. B. Shvabskaya ◽  
S. A. Shalnova ◽  
S. A. Maksimov ◽  
...  
Keyword(s):  
Alcohol Consumption ◽  
Dietary Patterns ◽  
Dairy Products ◽  
Adult Population ◽  
Red Meat ◽  
Alcoholic Beverages ◽  
Cottage Cheese ◽  
Food Groups ◽  
Female Population ◽  
Fish Products

The alcohol consumption is associated with dietary patterns.  Aim. To study the associations of alcohol consumption and dietary patterns in the adult population.  Material and methods. The analysis was carried out using representative samples of male and female population aged 25-64 years (n=19437; men, 7306; women, 12131 women) from 13 Russian regions.The response rate was 80%. We assessed nutrition by the frequency of consuming basic food groups. The low alcohol intake (LI) category includes women and men who consume <42 g and <84 g, moderate consumption (MI) — 42 g and 84 g, high intake (HI) — 84 g and 168 g ethanol per week, respectively.Results. In comparison with men who do not drink alcohol, MI and HI category representatives more often consume red meat — by 22 and 36%, meat and sausages — by 37 and 48%, and less often: fish products — by 34 and 33%, cottage cheese — by 51 and 53%, respectively. More rare consumption of poultry is significant in the MI group, vegetables/fruits — in the HI group, sweets — in the LI group. Consumption of pickles, cereals, pasta, liquid dairy products, cheese and sour cream does not differ between the groups in men. Compared to women who do not drink alcohol, women in the LI, MI and HI groups significantly more often consume meat and sausages — by 16, 28 and 85%, respectively. Women of the LI and MI groups more often consume red meat — by 15 and 33%, confectionery — by 29 and 24%, less often: cereals — by 9 and 18%, legumes — by 44 and 53% and cottage cheese — by 19 and 44 %, respectively. Women of the LI category more often daily consume milk, kefir and yogurt — by 26%, and less often fish products — by 18%. Women of the HI group are less likely to consume fruits/vegetables. Consumption of poultry, pickles and cheese do not differ between groups among women.Conclusion. People who consume alcoholic beverages have a pronounced nutritional imbalance, characterized by a higher consumption of red meat, especially processed, high-fat dairy products, salt, and in women, confectionery.

scholarly journals Social determinants of dietary patterns, food basket costs and expenditure on alcohol and tobacco amongst Greenland Inuit

2021 ◽  
pp. 1-10
Author(s):  
Peter Bjerregaard ◽  
Christina Viskum Lytken Larsen
Keyword(s):  
Public Health ◽  
Dietary Patterns ◽  
Social Position ◽  
Alcoholic Beverages ◽  
Targeted Interventions ◽  
Balanced Diet ◽  
Nutritious Food ◽  
Food Basket ◽  
Purchase Patterns ◽  
The Cost

Abstract Objective: Dietary transition, obesity and risky use of alcohol and tobacco are challenges to public health among indigenous peoples. The aim of the article was to explore the role of social position in dietary patterns and expenditures on food and other commodities. Design: Countrywide population health survey. Setting: Greenland. Participants: 2436 Inuit aged 15+ years. Results: Less than half of the expenditures on commodities (43 %) were used to buy nutritious food, and the remaining to buy non-nutritious food (21 %), alcoholic beverages (18 %) and tobacco (18 %). Participants were classified according to five dietary patterns. The cost of a balanced diet and an unhealthy diet was similar, but the cost per 1000 kJ was higher and the energy consumption was lower for the balanced diet. Participants with low social position chose the unhealthy pattern more often than those with high social position (40 % v. 24 %; P < 0·0001), whereas those with high social position more often chose the balanced alternative. Participants with low social position spent less money on the total food basket than those with high social position but more on non-nutritious food, alcohol and tobacco. Conclusions: Cost seems to be less important than other mechanisms in the shaping of social dietary patterns and the use of alcohol and tobacco among the Inuit in Greenland. Rather than increasing the price of non-nutritious food or subsidising nutritious food, socially targeted interventions and public health promotion regarding food choice and prevention of excessive alcohol use and smoking are needed to change the purchase patterns.

scholarly journals Obesity trends and determinant factors in Latin America

2003 ◽  
Vol 19 (suppl 1) ◽  
pp. S77-S86 ◽  
Author(s):  
Juliana Kain ◽  
Fernando Vio ◽  
Cecilia Albala
Keyword(s):  
Latin America ◽  
Physical Inactivity ◽  
Adult Population ◽  
Public Health Problem ◽  
Obesity Prevalence ◽  
Determinant Factors ◽  
Nutritional Conditions ◽  
Nutritional Transition ◽  
Obesity Trends ◽  
Prevalence Of Obesity

Obesity rates have increased markedly in Latin America, especially during the last 10-15 years, becoming a public health problem in most countries. Prevalence of obesity among preschool children remains low, while among schoolchildren it has increased considerably. Prevalence is high in the adult population, especially among women with less schooling. In developed populations, obesity occurs more frequently among the poor; the opposite occurs in less developed societies, where in households undergoing nutritional transition, underweight can coexist with obesity. The most important determinant factors involved in the increasing obesity prevalence are fetal and infant nutritional conditions (stunting), education and socioeconomic conditions, dietary changes (especially increased total energy intake), and physical inactivity. Because chronic diseases are the main causes of death in the Region and obesity is one of the main risk factors for these diseases, policies to improve economic and educational levels with the implementation of health promotion and prevention should be a priority in every country.

scholarly journals Addressing physical inactivity in Omani adults: perceptions of public health managers

2013 ◽  
Vol 17 (3) ◽  
pp. 674-681 ◽  
Author(s):  
Ruth M Mabry ◽  
Zakiya Q Al-Busaidi ◽  
Marina M Reeves ◽  
Neville Owen ◽  
Elizabeth G Eakin
Keyword(s):  
Public Health ◽  
Physical Inactivity ◽  
Ecological Model ◽  
Adult Population ◽  
Arabian Gulf ◽  
Sitting Time ◽  
Structured Interviews ◽  
Prolonged Sitting ◽  
Culturally Sensitive Interventions ◽  
Health Managers

AbstractObjectiveTo explore barriers and solutions to addressing physical inactivity and prolonged sitting in the adult population of Oman.DesignQualitative study involving semi-structured interviews that took place from October 2011 to January 2012. Participants were recruited through purposive sampling. Data collection and analysis was an iterative process; later interviews explored emerging themes. Interviews were audio-recorded and transcribed and continued until data saturation; this occurred by the tenth interviewee. Thematic content analysis was carried out, guided by an ecological model of health behaviour.SettingMuscat, Oman.SubjectsTen mid-level public health managers.ResultsBarriers for physical inactivity were grouped around four themes: (i) intrapersonal (lack of motivation, awareness and time); (ii) social (norms restricting women's participation in outdoor activity, low value of physical activity); (iii) environment (lack of places to be active, weather); and (iv) policy (ineffective health communication, limited resources). Solutions focused on culturally sensitive interventions at the environment (building sidewalks and exercise facilities) and policy levels (strengthening existing interventions and coordinating actions with relevant sectors). Participants’ responses regarding sitting time were similar to, but much more limited than those related to physical inactivity, except for community participation and voluntarism, which were given greater emphasis as possible solutions to reduce sitting time.ConclusionsGiven the increasing prevalence of chronic disease in Oman and the Arabian Gulf, urgent action is required to implement gender-relevant public health policies and programmes to address physical inactivity, a key modifiable risk factor. Additionally, research on the determinants of physical inactivity and prolonged sitting time is required to guide policy makers.

scholarly journals Dietary patterns and risk of oral cancer: a case-control study in São Paulo, Brazil

2007 ◽  
Vol 41 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Dirce Maria Lobo Marchioni ◽  
Regina Mara Fisberg ◽  
José Francisco de Góis Filho ◽  
Luiz Paulo Kowalski ◽  
Marcos Brasilino de Carvalho ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Dietary Patterns ◽  
Case Control Study ◽  
Case Control ◽  
Sao Paulo ◽  
Southeastern Brazil ◽  
P Value ◽  
São Paulo ◽  
Factor Scores ◽  
Control Study

OBJECTIVE: To analyze the association between dietary patterns and oral cancer. METHODS: The study, part of a Latin American multicenter hospital-based case-control study, was conducted in São Paulo, Southeastern Brazil, between November 1998 and March 2002 and included 366 incident cases of oral cancer and 469 controls, frequency-matched with cases by sex and age. Dietary data were collected using a food frequency questionnaire. The risk associated with the intake of food groups defined a posteriori, through factor analysis (called factors), was assessed. The first factor, labeled "prudent," was characterized by the intake of vegetables, fruit, cheese, and poultry. The second factor, "traditional," consisted of the intake of rice, pasta, pulses, and meat. The third factor, "snacks," was characterized as the intake of bread, butter, salami, cheese, cakes, and desserts. The fourth, "monotonous," was inversely associated with the intake of fruit, vegetables and most other food items. Factor scores for each component retained were calculated for cases and controls. After categorization of factor scores into tertiles according to the distribution of controls, odds ratios and 95% confidence intervals were calculated using unconditional multiple logistic regression. RESULTS: "Traditional" factor showed an inverse association with cancer (OR=0.51; 95% CI: 0.32; 0.81, p-value for trend 0.14), whereas "monotonous" was positively associated with the outcome (OR=1.78; 95% CI: 1.78; 2.85, p-value for trend <0.001). CONCLUSIONS: The study data suggest that the traditional Brazilian diet, consisting of rice and beans plus moderate amounts of meat, may confer protection against oral cancer, independently of any other risk factors such as alcohol intake and smoking.

scholarly journals CT Scan Evaluation of Prevalence of Paradoxical Middle Turbinate In Adult Population of Bihar

2020 ◽  
Vol 6 (1) ◽  
pp. 01-04
Author(s):  
Raag Reeti ◽  
Md Jawed Akhtar ◽  
Avanish Kumar ◽  
Binod Kumar ◽  
Rajiv Ranjan Sinha
Keyword(s):  
Convex Surface ◽  
Adult Population ◽  
Middle Turbinate ◽  
Lateral Wall ◽  
Anatomical Variations ◽  
Sinus Surgery ◽  
P Value ◽  
Test Results ◽  
Common Cause ◽  
Exact Test

Introduction: Middle turbinate overlying the middle meatus is the most important anatomic area in the lateral wall of the nose. It is a thinsheet of bone which curves in different planes very similar to a dried leaf. Paradoxical Middle Turbinate (PMT) is the abnormal curvatureof middle turbinate, where the convex surface faces laterally instead of its usual medial curvature and may block the drainage pathway ofmiddle meatus. The present study aimed at observing the prevalence of the paradoxical middle turbinate in the adult population of Bihar. Subjects and Methods: This was a retrospective study being conducted on 150 patients who presented to the Department of Radiodiagnosis. Their CT scans were analysed for the presence of paradoxical middle turbinate. The results were analysed as percentage and ‘p’ value was calculated using Fischer’s Exact Test. Results: Prevalence of Paradoxical Middle Turbinate was observed in 28 cases i.e. 18.6% cases; 16 in males and 12 in females. ‘p’ value was 0.677 on applying Fisher’s Exact test. Conclusion: Anatomical variations of the paranasal sinus region like paradoxical middle turbinate are quite common cause of diseases involving paranasal sinuses and they must be searched for by the surgeons planning any endoscopic sinus surgery. This study attempted to provide the prevalence of the paradoxical middle turbinate which will definitely help the FESS surgery and its outcomes.

scholarly journals Digital Subtraction Angiographic Pattern of Extracranial and Intracranial Atherosclerotic Arterial Stenosis among Ischemic Stroke Patients

2017 ◽  
Vol 33 (2) ◽  
pp. 89-95
Author(s):  
Md Alamgir Hossain ◽  
Hasan Zahidur Rahman ◽  
- Md Shahidullah ◽  
Md Rafiqul Islam ◽  
MA Hannan ◽  
...  
Keyword(s):  
Risk Factor ◽  
Ischemic Stroke ◽  
Adult Population ◽  
Intracranial Stenosis ◽  
Arterial Stenosis ◽  
P Value ◽  
Diabetic Patients ◽  
Atherosclerotic Stenosis ◽  
Extracranial Stenosis ◽  
Stenotic Segment

Background: Stroke is the second leading cause of death in adult population throughout the world and is the most common cause of severe adult physical disability. Atherosclerotic stenosis is one of the predominant cause of ischemic stroke. The aim of this study was to evaluate the type, number and severity of intracranial and extracranial atherosclerotic stenosis and its association with different risk factors. Methods: This prospective observational study was conducted in the Department of Neurology, BSMMU, Dhaka, from July 2017 to August 2018. Only patients having significant (≥50%) symptomatic stenosis were included in this study. Results: In total 42 cases, 25 patients had extracranial stenosis, 13 patients had intracranial stenosis and 4 patients had both intracranial and extracranial stenosis. Overall 17 (40.47%) patients have intracranial involvement and 29 (69.04%) patients had extracranial involvement. The most commonly involved intracranial stenotic segment was MCA, present in 8 (32%) out of 25 intracranial segments followed by ICA 7 (28%) and intracranial vertebral artery 4(16%). Most commonly involved extracranial stenotic segment was ICA, present in 37 (77.08%) out of 48 extracranial segments. Diabetes was found to be the most common risk factor of intracranial stenosis (p value 0.022) while hypercholesterolemia was the major risk factor for severe (≥70%) stenosis. Conclusion: Extracranial arterial stenosis is more common than intracranial arterial stenosis. Anterior circulation stenosis is more common than posterior circulation stenosis. Intracranial stenosis is more prevalent in diabetic patients. Hypercholesterolemiaismore commonly seen in severe (e”70%) stenosis. Bangladesh Journal of Neuroscience 2017; Vol. 33 (2): 89-95

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