scholarly journals Food insecurity during pregnancy in a maternal-infant cohort in Brazilian Western Amazon

2019 ◽  
Author(s):  
Alanderson Alves Ramalho ◽  
Cibely Machado Holanda ◽  
Fernanda Andrade Martins ◽  
Bárbara Teles Cameli Rodrigues ◽  
Andréia Moreira Andrade ◽  
...  

Abstract Background The aim of this study was to determine the prevalence and analyze the factors associated with food insecurity during gestation in a maternal-infant cohort in Rio Branco, Acre, Brazilian Western Amazon.Methods A population-based cross-sectional study was conducted with parturients from a maternal-infant cohort in Rio Branco, located in the western Brazilian Amazon. The dependent variable food insecurity was obtained through the Brazilian Scale of Food Insecurity, and associated factors were identified through multiple logistic regression.Results The prevalence of food insecurity in pregnancy was of 34.8% (IC95% = 32.2% - 37.5%). Regarding severity, the prevalence of mild food insecurity was 24.6% (95% CI = 22.3% - 27.0%), moderate food insecurity was 4.8% (95% CI = 3.6% - 6.0%), and severe food insecurity was 5.4% (95% CI = 4.3% - 6.8%). In the final multiple model, the factors directly associated with food insecurity were the presence of open sewage in the peridomestic environment (OR = 1.64; 95% CI: 1.21 - 2.22); belonging to economic classes C, D and E (OR = 1.99; 95% CI: 1.35 - 2.94); being an income transfer program beneficiary (OR = 1.65; 95% CI: 1.18 - 2.30), while the factors inversely associated with FI were schooling equal to or greater than 8 years (OR = 0.66; 95% CI: 0.49 - 0.90); having a partner (OR = 0.56; 95% CI: 0.39 - 0.79); primigestation (OR = 0.59; 95% CI: 0.44 - 0.78) and regular consumption of fruits and vegetables during pregnancy (OR = 0.63, 95% CI: 0.45 - 0.88).Conclusions Despite the existence of income transfer programs, regular consumption of fruits and vegetables is still relatively low and was associated with food insecurity in pregnant women. These findings reinforce the need for the ratification of actions aimed at the domestic economy in the income transfer programs and the development of actions of food and nutritional education in the gestational period.

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1578
Author(s):  
Alanderson A. Ramalho ◽  
Cibely M. Holanda ◽  
Fernanda A. Martins ◽  
Bárbara T.C. Rodrigues ◽  
Débora M. Aguiar ◽  
...  

The aim of this study was to determine the prevalence and analyze the factors associated with food insecurity during gestation in a maternal–infant cohort in Brazilian Western Amazon. A population-based cross-sectional study was conducted with parturients from a maternal–infant cohort in Rio Branco, located in the Western Brazilian Amazon. The dependent variable food insecurity (FI) was obtained through the Brazilian Scale of Food Insecurity, and associated factors were identified through multiple logistic regression. The prevalence of FI in pregnancy was of 34.8%. Regarding severity, the prevalence of mild food insecurity was 24.6%, moderate food insecurity was 4.8%, and severe food insecurity was 5.4%. The factors directly associated with FI were the presence of open sewage in the peridomestic environment; belonging to the lower economic classes; being an income transfer program beneficiary, while the factors inversely associated with FI were schooling equal to or greater than 8 years; having a partner; primigestation; and regular consumption of fruits and vegetables during pregnancy. These findings reinforce the need for the ratification of actions aimed at the domestic economy in the income transfer programs and the development of actions of food and nutritional education in the gestational period.


2018 ◽  
Vol 26 (1) ◽  
pp. 53-62 ◽  
Author(s):  
Luciano Lima Correia ◽  
Hermano Alexandre Lima Rocha ◽  
Álvaro Jorge Madeiro Leite ◽  
Anamaria Cavalcante e Silva ◽  
Jocileide Sales Campos ◽  
...  

Abstract Background Food insecurity has important effects on human health, particularly in children’s. It continues to increase, with an estimated prevalence of 14.9% in the USA and 35% in Brazil. There have been few studies on the effect of cash transfer programs (CTPs) on the prevalence of food security in Brazil. Objective Evaluate the association between cash transfer programs and reductions in inequity and food insecurity. Method Population-based cross-sectional study in the state of Ceará, Northeast Brazil, with a sample of 8.000 households. Ceará is one of the poorest states. The state population of 8.5 million inhabitants, social security benefits and government grants, “ Bolsa Família”, have become the most stable source of income. The main outcomes measures were food insecurity and CTP participation. Multivariate logistic models were constructed to assess the association between participation in CTPs and food security. Results Participation in CTPs was found to be independently related to the prevalence of food security (APR 2.29 95% CI 1.57-3.33), as are education level, residential setting, and children’s nutritional status. Conclusions CTPs and investment in education are initiatives that might be used to reduce food insecurity.


2013 ◽  
Vol 17 (9) ◽  
pp. 2081-2086 ◽  
Author(s):  
Tze Pin Ng ◽  
Mathew Niti ◽  
Keng Bee Yap ◽  
Wan Cheng Tan

AbstractObjectiveA limited but growing body of evidence supports a significant role of antioxidant and anti-inflammatory micronutrients in pulmonary health. We investigated the associations of dietary and supplemental intakes of vitamins A, C, E and D, Se and n-3 PUFA with pulmonary function in a population-based study.DesignPopulation-based, cross-sectional study and data analysis of fruits and vegetables, dairy products and fish, vitamins A, C, E and D, Se and n-3 PUFA supplemental intakes, pulmonary risk factors and spirometry.SubjectsChinese older adults (n 2478) aged 55 years and above in the Singapore Longitudinal Ageing Studies.ResultsIn multiple regression models that controlled simultaneously for gender, age, height, smoking, occupational exposure and history of asthma/chronic obstructive pulmonary disease, BMI, physical activity, and in the presence of other nutrient variables, daily supplementary vitamins A/C/E (b = 0·044, se = 0·022, P = 0·04), dietary fish intake at least thrice weekly (b = 0·058, se = 0·016, P < 0·0001) and daily supplementary n-3 PUFA (b = 0·068, se = 0·032, P = 0·034) were individually associated with forced expiratory volume in the first second. Supplemental n-3 PUFA was also positively associated with forced vital capacity (b = 0·091, se = 0·045, P = 0·045). No significant association with daily dairy product intake, vitamin D or Se supplements was observed.ConclusionsThe findings support the roles of antioxidant vitamins and n-3 PUFA in the pulmonary health of older persons.


2021 ◽  
Vol 35 (4) ◽  
Author(s):  
Victoria A. Zigmont ◽  
Abigail Linsmeier ◽  
Peggy Gallup

This cross-sectional study explored the health and academic impacts of food insecurity among undergraduates at a public university. A representative campus-wide sample (n=792) found that roughly 30% of students were food insecure, based upon a single validated question about the student’s experience over the past year. Food insecure students had lower GPAs (3.09 vs. 3.25), a higher proportion had a depression diagnosis (22.4 vs. 14.3), and a higher proportion ate fewer than three servings of fruits and vegetables per day (14.4% vs. 7.3%) compared to food secure students. A marginally higher proportion of food insecure students had an anxiety diagnosis (22.8% vs. 14.3%) More research is needed to understand the extent and manifestation of food insecurity so effective interventions can be developed.


2020 ◽  
Vol 35 (3) ◽  
Author(s):  
Elizabeth A. Smith ◽  
Chandra R. Story ◽  
Korissa C. Hobbs ◽  
Tyler Bos ◽  
Garvita Thareja

Food insecurity is a serious public health problem among college students, negatively affecting academic performance and health outcomes. The primary objective of the study involved the exploration of the potential association between food insecurity and carotenoid scan levels. Additionally, the association between food insecurity and coping strategies utilized was investigated. A Qualtrics survey and BioPhotonic Scanner™ were utilized to conduct an exploratory cross-sectional study with students from a mid-size four-year university (n=410). The USDA food security definitions and assessment tools were used for categorization. More than 31% percent of participants were classified as food insecure, with 5.1% considered very low and 26.6% low food security. A statistically significant factor associated with food insecurity was ethnicity (OR= .19). Other factors included: skipped buying textbooks to buy food (OR=.09), avoided buying expensive foods like fruits and vegetables (OR=.24), stretched food by limiting (OR= .09), removed spoiled parts from fruits and vegetables (OR= .73). Carotenoid scan scores were not associated with food insecurity. Coping strategies are often used by food insecure students and should be further examined to pinpoint promising strategies.


2009 ◽  
Vol 12 (9) ◽  
pp. 1494-1503 ◽  
Author(s):  
Maria Léa Corrêa Leite ◽  
Alfredo Nicolosi

AbstractObjectiveTo examine the relationship between dietary patterns and metabolic syndrome.DesignPopulation-based cross-sectional study. The K-means clustering method was used to identify dietary patterns and logistic regression models were used to compare the adjusted prevalence rates of metabolic syndrome factors, stratifying by obesity status.SettingThe 1992–3 Italian Bollate Eye Study, a population-based survey carried out in the town of Bollate (Milan), Italy.SubjectsA total of 1052 non-diabetic Italian subjects, 527 men and 525 women, aged 42–74 years.ResultsFive dietary clusters were identified: common, animal products, starch, vegetal/fat and vitamin/fibre. After adjusting for potential confounders, the starch group showed the highest prevalence of metabolic syndrome (36 %) followed by the animal products group (30 %); the vitamin/fibre (20 %) and vegetal/fat groups (19 %) showed the lowest prevalence. The starch group had more dyslipidaemia (higher TAG and lower HDL cholesterol levels) and the animal products group had a higher prevalence of impaired fasting glucose. The vitamin/fibre group had the lowest prevalence of abdominal obesity. The beneficial effect of the vegetal/fat and vitamin/fibre dietary patterns seemed stronger among the obese.ConclusionsOur results confirm the deleterious effect of a very-low-fat, high-carbohydrate diet and also of high intakes of animal products. The consumption of a diet high in vegetal fats or rich in fruits and vegetables is associated with a healthier metabolic profile. Reducing obesity is essential to prevent metabolic syndrome, but even among the obese dietary habits are important for preserving healthy lipid and glycaemic profiles.


2010 ◽  
Vol 13 (9) ◽  
pp. 1438-1444 ◽  
Author(s):  
Germana H Leyna ◽  
Elia J Mmbaga ◽  
Kagoma S Mnyika ◽  
Akhtar Hussain ◽  
Knut-Inge Klepp

AbstractObjectiveThe purpose of the present paper is to assess the relationship between food insecurity and food consumption patterns, anthropometric measures and serum micronutrient levels in rural Kilimanjaro, Tanzania.DesignA population-based cross-sectional study was carried out between March and May of 2005.SettingRural Kilimanjaro, Tanzania.SubjectsAnalysis was restricted to 1014 adults aged 15–44 years with children and complete data.ResultsA large majority of the participants (91 %) reported some kind of food insecurity. Food insecurity was significantly associated with age, marital status and occupation. Participants reporting food insecurity were significantly less likely to frequently consume animal products, fruits and vegetables compared with participants categorized as food secure. Women categorized as experiencing individual food insecurity had a larger waist circumference than food-secure women (P = 0·026) while the mean BMI of women appeared to decline if they had a child who was food insecure (P = 0·038). There were no observed differences in serum micronutrient levels by food insecurity status.ConclusionsFood insecurity is highly prevalent and associated with food consumption patterns, waist circumference and BMI of women in rural Tanzania. Further studies should apply self-report measures in assessing food insecurity to larger and more diversified populations.


2020 ◽  
Vol 33 ◽  
Author(s):  
Eloise SCHOTT ◽  
Silvia Eloiza PRIORE ◽  
Andréia Queiroz RIBEIRO ◽  
Fabiane Aparecida Canaan REZENDE ◽  
Sylvia do Carmo Castro FRANCESCHINI

ABSTRACT Objective To assess the relationship between food availability, food insecurity and socioeconomic and demographic characteristics of households in the urban area of the state of Tocantins. Methods Population-based, cross-sectional study conducted in 594 households in the urban area of 22 municipalities in the state of Tocantins. A survey was carried out in the households, to collect socioeconomic and data, and assess food insecurity using the Brazilian Food Insecurity Scale. Further a food availability questionnaire was applied by the interviewer with the head of the family, who reported on the food and drinks available at home in the last 30 days. The description of the food available in the households resulted in a total of 142 food items that were grouped according to the NOVA classification of foods. demographic Results It was found that 63.3% of households were in a situation of food insecurity. The median caloric availability found was 2,771.4kcal/per capita/day, with the largest caloric contribution coming from fresh and minimally processed foods, regardless of the degree of food insecurity. Food availability was affected by socioeconomic vulnerability and the situation of food insecurity in the families.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 131-131
Author(s):  
María Guadalupe Hernández-Pineda ◽  
María del Carmen Caamaño ◽  
Dolores Ronquillo ◽  
Hugo Melgar-Quinonez ◽  
Juana Elizabeth Elton-Puente ◽  
...  

Abstract Objectives To evaluate the relationship between food insecurity, food environment and obesity in school-aged children in Queretaro. Methods In this cross-sectional study, weight, height and body fat % (BF%) were measured in 122 school-aged children (8.1 ± 1.5 y) from an urban area in Queretaro, Mexico. Additionally, household food insecurity was assessed using the Latin American and Caribbean Food Security Scale (ELCSA). Geolocation data of both food establishments (FE) and participants’ households (HH) were collected and uploaded into a GIS database. The distance to the closest FE within a 300 m radius from each participant's household was calculated using GIS. FE were categorized as follows: (1) FEPF, which mainly sold processed foods (e.g., convenient stores); and (2) FEnPF, which mainly sold non-processed foods (e.g., fruterías – only fruits and vegetables). Univariate analysis was used to assess the interaction of BF%, food insecurity and FE categories using SPSS v23.0. Results Almost half of the children showed high BF% (48%), while 43% lived in HH with some degree of food insecurity. Children in moderately/severely food insecure HH and who lived close to FEnPF had significantly lower BF% (18.9 ± 4.7%), compared to children in food secure HH (24.4 ± 2.5%) or HH experiencing mild food insecurity (25.0 ± 2.6%) (P &lt; 0.05). However, children in moderately/severely food insecure HH, who lived close to FEPF had significantly higher BF% (29.4 ± 2.7%), compared to those experiencing mild food insecurity (23.7 ± 1.5%), or who were food secure (22.8 ± 1.1%) (P &lt; 0.05). Conclusions Children living in moderately/severely food insecure HH showed an opposite BF% pattern when compared to those in food secure or mildly food insecure HH, depending on how close they live to FE that either mainly sold processed foods or unprocessed foods, indicating the potential relationship of food environment to childhood obesity mediated by food insecurity. Funding Sources Partially funded by FOFI, UAQ.


2021 ◽  
pp. 1-25
Author(s):  
Leonardo Pozza Santos ◽  
Antônio Augusto Schäfer ◽  
Fernanda Oliveira Meller ◽  
Inacio Crochemore-Silva ◽  
Bruno Pereira Nunes ◽  
...  

Abstract Objective: To assess the association between household food insecurity (FI) and major depressive episodes (MDE) amid Covid-19 pandemic in Brazil. Design: Cross-sectional study carried out with data from four consecutive population-based studies. Setting: The study was conducted between May and June 2020, in Bagé, a Brazilian southern city. Household FI was measured using the short-form version of the Brazilian Food Insecurity Scale. Utilizing the Patient Health Questionnaire-9, we used two different approaches to define MDE: the cut-off point of ≥9 and the diagnostic criteria proposed by the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-R). Association between FI and MDE was analysed using crude and adjusted Poisson regression models. Participants: 1550 adults (≥20 years old). Results: The prevalence of household FI was 29.4% (95%C.I 25.0; 34.4). MDE prevalence varied from 4.4% (95%C.I. 3.1 to 6.0), when we used the DSM-IV-R criteria to define this condition, to 9.6% (95%C.I 7.3; 12.5) of the sample, when we used the cut-off point of ≥9 as definition. Prevalence of MDE was more than two times higher in those individuals living with FI, independent of the criteria adopted to define the outcome. Adjustment for potential confounders did not change the association’s magnitude. Conclusion: Household FI has been positively associated with MDE amid Covid-19 pandemic, independent of sociodemographic characteristics of participants. Actions are needed to warrant basic living conditions to avoid food insecurity and hunger and its consequences for the Brazilian population, especially those consequences linked to mental health disorders.


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