scholarly journals Factors Associated With Dietary Quality During Initial and Later Stages of the COVID-19 Pandemic in Mexico

2021 ◽  
Vol 8 ◽  
Author(s):  
Carolina Batis ◽  
Laura Irizarry ◽  
Analí Castellanos-Gutiérrez ◽  
Tania C. Aburto ◽  
Sonia Rodríguez-Ramírez ◽  
...  

Background: The COVID-19 pandemic disrupted the global economy and modified lifestyles. The aim of our study was to identify factors associated with dietary quality, and their frequency, in Mexican adults at the initial and later stages of the pandemic.Methods: Two online surveys were conducted between June and July 2020 (n = 3,131) and between November and December 2020 (n = 1,703 including non-participants from 1st round). A diet quality score was estimated using a short instrument to measure the consumption of several healthy/unhealthy food items. Linear regression models were used to identify the association between pandemic related factors and the diet quality score, adjusted by sociodemographic characteristics. The 2nd round was weighted to represent the 1st round.Results: During the 1st and 2nd rounds only ~12% of the sample perceived that their intake of healthy food decreased, relative to before the pandemic; ~20% perceived that their intake of unhealthy foods increased. Diet quality remained similar between the 1st and 2nd round. The following factors were negatively associated with diet quality: Eating food prepared away-from-home; going out to work ≥4 times/week; decreased time for food preparation; decreased interest in eating healthy; eating more due to anxiety, depression, or boredom; food insecurity; and stockpiling junk food. Purchasing food using a mixed modality of both in-store and home delivery was positively associated with diet quality. With the exception of eating more due to anxiety (reported by 47% of participants), all these factors were reported by a minority of participants during the first round (≤15%). During the 2nd round, there was an increase in the frequency of participants who reported eating food prepared away-from-home, going out to work ≥4 times/week, having less time to prepare food, being more interested in eating healthfully, and a decrease in participants eating more due to anxiety, depression or boredom, or stockpiling junk food.Conclusions: Most participants perceived that their dietary intake improved during both initial and later stages of the pandemic. This might be related to factors associated with higher dietary quality, such as not going out to work, eating homemade food, and online grocery shopping.

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 248-248
Author(s):  
Ana Moyeda Carabaza ◽  
Phrashiah Githinji ◽  
Bong Nguyen ◽  
Mary Murimi

Abstract Objectives To assess factors that contribute to the total diet quality and the associated body mass index (BMI) among adults. Methods A cross-sectional study was conducted to assess dietary quality using the Healthy Eating Index (HEI)-2015 among faculty and staff (N = 152) of a public university. The Food Frequency Questionnaire from the Health and Retirement Study was administered via Qualtrics. Dietary quality was determined using the HEI-2015. Weight, height, number of meals consumed away-from-home per week were self-reported. Descriptive statistics were used to analyze demographic characteristics, number of meals consumed away-from-home, dietary intake, and associated HEI score was calculated. Linear regression models were used to measure associations between the total diet quality, nutrient intakes and the number of away-from-home meals consumed with BMI. Results The average age of participants was 34.3 ± 12.3 years. A majority were female and white Americans (74.3%) and had post-secondary education (79.6%). Approximately, one-third of participants (32.2%) reported having a BMI equal or greater than 30 kg/m2. More than half of the participants exceeded the recommended limit for the consumption of saturated fats (69.7%), and sodium (52.6%); and a majority did not meet the minimum recommended intakes of dietary fiber (96.1%). The average HEI score was 66.34 on a 100-point scale. Only 14.5% had a good dietary quality with a HEI score equal or higher than 80. The number of away-from-home meals consumed per week were associated with an increased intake of trans fatty acids (P < .05), while, increased the consumption of trans fatty acids was associated with an increase in BMI (P < .001) in this study. On the contrary, an increase in the HEI score was associated with a reduction in BMI (P < .05). Conclusions This study found that a high percentage of participants had a low diet quality that was characterized by excessive intake of both saturated fats and sodium and inadequate intake of dietary fiber. In addition, the consumption of meals away-from-home was associated with an increase in the amount of trans fatty acids consumed. Concurrently, the consumption of trans fatty acids was associated with an increase in BMI. These results underscore the importance of eating meals prepared at home in an effort to control weight gain. Funding Sources TTU Transdisciplinary Research Academy.


2021 ◽  
Vol 12 ◽  
Author(s):  
Han Lin ◽  
Mingxing Liu ◽  
Dongmei Zhong ◽  
Ernest Hung Yu Ng ◽  
Jianping Liu ◽  
...  

Increasing evidence shows that polycystic ovary syndrome (PCOS) patients are particularly vulnerable to anxiety/depression-like behaviors. This study sought to determine the prevalence of anxiety/depression-like behaviors among women with PCOS and to identify factors associated with these behaviors. This study was a secondary analysis of three studies performed on Chinese women who were aged 18 to 40 and diagnosed with PCOS according to the modified Rotterdam criteria. We obtained 802 useable responses for the self-rating anxiety scale and 798 responses for the self-rating depression scale. The prevalence of anxiety-like and depression-like behaviors among women with PCOS was 26.1% (209/802) and 52.0% (415/798), respectively. Anxiety-like behaviors were associated with age, body image-related factors (including body mass index and waist-to-hip ratio), and hyperandrogenism-related factors (including free androgen index and hirsutism). Depression-like behaviors were associated with age, body image-related factors, hyperandrogenism-related factors, and metabolic factors (including fasting insulin, fasting plasma glucose, and homeostatic model assessment of insulin resistance). Body image-related factors and hyperandrogenism-related factors were related to both anxiety-like behaviors and depression-like behaviors in both infertile and fertile PCOS patients.


2019 ◽  
Author(s):  
Abebaw Gedef Azene ◽  
Abiba Mihret Aragaw ◽  
Mihretie Gedefaw

Abstract Objective: The aim of this study was to identify socio-demographic and health related factors associated with caesarean section in Ethiopia. Results: A total of 256 mothers undergoing to CS among 7193 delivery. Average maternal age of a participant was 29.26 years and 80% of mothers having two and more children. A woman delivered in private institution was 30% (AOR=1.29; 95% CI: 1.25, 1.32) more likely undergoing CS as compared to home delivery. Factors associated with CS were higher education level (AOR= 1.09, 95% CI: 1.07, 1.12), preceding birth interval (AOR= 1.01; 95% CI: 1.00. 1.03), multiple pregnancy (AOR=1.11; 95% CI 1.08, 1.15), multiple parity (AOR=0.98; 95% CI:0.97, 0.99), large size the child (AOR=1.01; 95% CI: 1.001, 1.02), richest households (AOR = 0.98; 95% CI: 0.97, 0.99), rural residence (AOR = 0.98 95% CI:0.96, 0.99) and Addis Ababa (AOR=1.06; 95% CI: 1.04,1.09). As a conclusion and recommendation, the prevalence of CS higher in private institutions and Addis Ababa, so professionals should apply CS alone medical indication.


2013 ◽  
Vol 8 (1) ◽  
pp. 71
Author(s):  
Nurul Muslihah ◽  
Sri Winarsih ◽  
Soemardini Soemardini ◽  
AS. Zakaria ◽  
Zainudiin Zainudiin

The objective of study was to assess the diet quality and its relation to nutrition knowledge, body mass index (BMI), and socio economic status (SES) among adults person. The cross sectional study was conducted with 100 adults aged ≥25 years old from Kedung Kandang sub district, Malang. Dietary quality was assessed using two non-consecutive 24-h dietary recalls and semi quantitative FFQ. Nutrition knowledge questionnaire was modified from Parmenter and Wardle. The most subjects were middle SES and the BMI were normal and overweight. The average of diet quality score was 7.14±1.96 with dietary diversity score 1.93±0.43; micronutrient adequacy score 2.3±1.4; prevention NCD score 2.87±0.92. Nutrition knowledge score was 43.3±24.6 with dietary recommendation 9.3±3.6; sources of nutrients 14±11.5; choosing foods 6.3±4.9; diet-disease relationships 13.7±8.6. Nutrition knowledge score was no correlation with BMI, dietary diversity, prevention NCD score, but positively associated with SES, quality diet, micronutrient adequacy score. SES was no associated with BMI and quality diet index. Dietary diversity score was associated with BMI. Diet quality score was associated with nutrition knowledge but no correlation with BMI and SES. The conclusion is diet quality and nutrition knowledge was still poor and not correlated with BMI and SES, but only nutrition knowledge score.<br /><br />


2013 ◽  
Vol 17 (7) ◽  
pp. 1565-1569 ◽  
Author(s):  
Dara W Ford ◽  
Terryl J Hartman ◽  
Christopher Still ◽  
Craig Wood ◽  
Diane Mitchell ◽  
...  

AbstractObjectiveTo assess the association of diet-related practices and BMI with diet quality in rural adults aged ≥74 years.DesignCross-sectional. Dietary quality was assessed by the twenty-five-item Dietary Screening Tool (DST). Diet-related practices were self-reported. Multivariate linear regression models were used to analyse associations of DST scores with BMI and diet-related practices after controlling for gender, age, education, smoking and self- v. proxy reporting.SettingGeisinger Rural Aging Study (GRAS) in Pennsylvania, USA.SubjectsA total of 4009 (1722 males, 2287 females; mean age 81·5 years) participants aged ≥74 years.ResultsIndividuals with BMI < 18·5 kg/m2 had a significantly lower DST score (mean 55·8, 95 % CI 52·9, 58·7) than those individuals with BMI = 18·5–24·9 kg/m2 (mean 60·7, 95 % CI 60·1, 61·5; P = 0·001). Older adults with higher, more favourable DST scores were significantly more likely to be food sufficient, report eating breakfast, have no chewing difficulties and report no decline in intake in the previous 6 months.ConclusionsThe DST may identify potential targets for improving diet quality in older adults including promotion of healthy BMI, breakfast consumption, improving dentition and identifying strategies to decrease concern about food sufficiency.


2021 ◽  
pp. 1-20
Author(s):  
Alissa J Burnett ◽  
Karen E Lamb ◽  
Alison C Spence ◽  
Kathleen E Lacy ◽  
Anthony Worsley

Objective: To examine associations between parenting style and changes in dietary quality score across childhood. Design: This longitudinal analysis included the child’s frequency of consumption for twelve food and drink items reported by mothers (at child ages 4-8 years) and children (at ages 10-14 years) during face-to-face interviews biennially. These items were combined into dietary scores based on the Australian Dietary Guidelines. Parenting styles were classified at baseline as authoritative, authoritarian, permissive and disengaged. Multilevel modelling was used to examine changes in diet quality score over time by maternal parenting styles. Setting: The Longitudinal Study of Australian Children Participants: A total of 4282 children aged 4 to 14 years. Results: Children’s diet quality score declined over time between ages 4 and 14 years (β=-0.10, 95% CI [-0.11, -0.08]). There was strong evidence to suggest that change in diet quality differed dependent on baseline maternal parenting style, although diet quality declined for all groups. Children with authoritative mothers had the greatest decline in diet quality score over time (β=-0.13; 95% CI [-0.18, -0.08]) while children with disengaged mothers had the lowest decline (-0.03; 95% CI [-0.07, 0.01]). However, it is important to note that children with authoritative mothers had a better dietary quality score than children of permissive or disengaged mothers for most of their childhood. Conclusion: These findings question the previous assumptions that early exposure to an authoritative parenting style has lasting positive effects on the dietary intake of children.


2019 ◽  
Author(s):  
Abebaw Gedef Azene ◽  
Abiba Mihret Aragaw ◽  
Mihretie Gedefaw

Abstract Objective: The aim of this study was to identify socio-demographic and health related factors associated with caesarean section in Ethiopia. Results: A total of 256 mothers undergoing to CS among 7193 delivery. Average maternal age of a participant was 29.26 years and 80% of mothers having two and more children. A woman delivered in private institution was 30% (AOR=1.29; 95% CI: 1.25, 1.32) more likely undergoing CS as compared to home delivery. Factors associated with CS were higher education level (AOR= 1.09, 95% CI: 1.07, 1.12), preceding birth interval (AOR= 1.01; 95% CI: 1.00. 1.03), multiple pregnancy (AOR=1.11; 95% CI 1.08, 1.15), multiple parity (AOR=0.98; 95% CI:0.97, 0.99), large size the child (AOR=1.01; 95% CI: 1.001, 1.02), richest households (AOR = 0.98; 95% CI: 0.97, 0.99), rural residence (AOR = 0.98 95% CI:0.96, 0.99) and Addis Ababa (AOR=1.06; 95% CI: 1.04,1.09). As a conclusion and recommendation, the prevalence of CS higher in private institutions and Addis Ababa, so professionals should apply CS alone medical indication.


Kidney360 ◽  
2020 ◽  
pp. 10.34067/KID.0004552020
Author(s):  
Celestin Missikpode ◽  
Ana C. Ricardo ◽  
Ramon A. Durazo-Arvizu ◽  
Anjella Manoharan ◽  
Josiemer Mattei ◽  
...  

Background: Recent studies suggest an association between diet quality and incident chronic kidney disease. However, Hispanics/Latinos were under-represented in these studies. We examined the relationship of diet quality with change in kidney function in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL). Methods: Individuals who participated in HCHS/SOL Visits 1 (2008-2011) and 2 (2014-2017) were analyzed (n=9921). Alternate Healthy Eating Index 2010 (AHEI-2010), Dietary Approaches to Stop Hypertension (DASH), and Mediterranean Diet (MeDS) scores were used as measures of dietary quality and were calculated from two 24-hour dietary recalls administered at Visit 1 and categorized into quartiles of each dietary score (higher quartiles correspond to a healthier diet). Kidney function was assessed at both visits using estimated glomerular filtration rate (eGFR), and urine albumin-to-creatinine ratio (UACR). Annualized change was computed as the difference in eGFR or UACR between visits divided by follow-up time in years. Linear regression models were used to examine the association between quartiles of each dietary quality index and annualized change in eGFR and UACR adjusted for potential confounders. Results: At Visit 1, mean (SD) age was 41 (SD=0.28) years and 56% were female. The baseline mean eGFR was 107.1 mL/min/1.73 m2 and baseline median UACR was 6.1 mg/g. On average, eGFR declined by 0.65 mL/min/1.73 m2 per year and UACR increased by 0.79 mg/g per year over a 6-year period. Lower AHEI-2010 quartiles were associated with eGFR decline in a dose-response manner (p trend=0.02). Higher AHEI-2010 quartiles showed trend toward lower annualized change in UACR, but the result was not significant. Neither MeDS nor DASH scores were associated with eGFR decline or change in UACR. Conclusions: Unhealthy diet assessed by AHEI-2010 was associated with kidney function decline. Improving the quality of the foods/nutrients comprised within the AHEI-2010 may help maintain kidney function in the Hispanic/Latino community


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Abebaw Gedef Azene ◽  
Abiba Mihret Aragaw ◽  
Mihretie Gedefaw Birlie

Abstract Objective The aim of this study was to identify socio-demographic and health related factors associated with caesarean section in Ethiopia. Results A total of 256 mothers undergoing to CS among 7193 delivery. Average maternal age of a participant was 29.26 years and 80% of mothers having two and more children. A woman delivered in private institution was 30% (AOR = 1.29; 95% CI 1.25, 1.32) more likely undergoing CS as compared to home delivery. Factors associated with CS were higher education level (AOR = 1.09, 95% CI 1.07, 1.12), preceding birth interval (AOR = 1.01; 95% CI 1.00. 1.03), multiple pregnancy (AOR = 1.11; 95% CI 1.08, 1.15), multiple parity (AOR = 0.98; 95% CI 0.97, 0.99), large size the child (AOR = 1.01; 95% CI 1.001, 1.02), richest households (AOR = 0.98; 95% CI 0.97, 0.99), rural residence (AOR = 0.98 95% CI 0.96, 0.99) and Addis Ababa (AOR = 1.06; 95% CI 1.04,1.09). As a conclusion and recommendation, the prevalence of CS higher in private institutions and Addis Ababa, so professionals should apply CS alone medical indication.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Dan Chaltiel ◽  
Moufidath Adjibade ◽  
Valérie Deschamps ◽  
Mathilde Touvier ◽  
Serge Hercberg ◽  
...  

AbstractIntroductionThe food-based dietary guidelines having been revised in March 2017, it appeared necessary to update the National Nutrition Health Program - Guidelines Score (PNNS-GS), the diet quality score developed according to the 2001 recommendations. This study was therefore aimed at developing and validating the PNNS-GS2, the diet quality score based on the new recommendations.Material and methodsOur sample included 80,965 French adults enrolled in the prospective NutriNet-Santé cohort. Collected data included 24-hour dietary records over two years, socio-demographic data, and (in a sub-sample of 16,938 individuals) clinical and biological indicators. The cut-offs and weights of the components of the PNNS-GS2 were developed collegially by nutrition experts who were involved in the update of the recommendations. The score has 13 components for a theoretical value ranging from -∞ to 13.5 points. Nutritional, socio-demographic, clinical, and biological data were described according to the PNNS-GS2 quintile. The face, content, construct and criterion validities were also evaluated.ResultsIn our sample, mean PNNS-GS2 was 2.1 (SD = 3.1) in women and -0.3 (SD = 3.6) in men. A high PNNS-GS2 (and therefore a better adherence to the new recommendations) was positively associated with (mean difference Q5-Q1) a high age (Δwomen = + 8.4 / Δmen = + 4.7 years), higher educational level (Δwomen = + 3.9 / Δmen = + 7.4% with a university level), more physical activity (Δwomen = + 13.3 / Δmen = + 3.5% with ≥ 60 min/day) and a larger proportion of non-smokers (Δwomen = + 9.7 / Δmen = + 13.7%). A high PNNS-GS2 was also positively associated with a higher fiber intake (Δwomen = + 8.7 / Δmen = + 10.7 g/d) or vitamin C (Δwomen = + 36.6 / Δmen = + 43.8 mg/d), and negatively with mean arterial pressure (Δwomen = -3.0 / Δmen = -2.8 mmHg) and plasma LDL-cholesterol concentrations (Δwomen = -0.07 / Δmen = -0.06 g/L) and triglycerides (Δwomen = -0.1 / Δmen = -0.16 g/L). All tests were significant (p < 0.05).DiscussionAssociations observed between the PNNS-GS2 and socio-demographic, nutritional and clinico-biological factors are consistent and corroborate its validity. Further studies will be needed to estimate its association with mortality and morbidity.


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