Dietary patterns of farmers and their relation with sociodemographic, labor, and lifestyle conditions: Brazilian rural population-based study
Abstract Background : The eating habits have changed in the last few decades, but few studies prioritize the food consumption of farmers and the rural population. Therefore, the objective of this study was to define the dietary patterns of farmers in a Brazilian municipality and evaluate their association with sociodemographic, occupational and lifestyle factors. Methods : This is a cross-sectional epidemiological study of 740 farmers (51.5%, n=381 males) from a municipality in Southeastern Brazil. Food intake data were obtained by applying three 24-hour recalls and dietary intake was presented in dietary patterns determined by Principal Component Analysis with varimax orthogonal rotation. Results : Three dietary patterns were identified. The first pattern, “local traditional”, was associated with sociodemographic and labor variables, being considered typical of the region's farmer. The permanence of a “traditional Brazilian” pattern and the occurrence of an “industrialized” pattern were also observed. Individuals aged 50 and over years were 82% less likely (OR 0.18, 95% CI 0.10–0.30) to adhere to “industrialized” pattern than those aged 30 and under. Still, individuals of socioeconomic class D or E were 52% less likely to adhere to this pattern (OR 0.48, 95% CI 0.24–0.96). Farmers who spent R$ 200 or more per capita to buy food were more than twice as likely to adhere to this food pattern (OR 2.22, 95% CI 1.32–3.73), and who had the habit of frequently eating out were 1.62 as likely adhere to “industrialized” pattern (95% CI 1.11–2.36). Conclusions : The findings indicate changes in dietary patterns in rural areas of the country, maintaining a traditional Brazilian pattern, as well as a local and an industrialized pattern. This last pattern demonstrates that the contemporary rural population also opts for a diet with ultra-processed products, being associated with the characteristic habits of a more urbanized rural region.