scholarly journals Food Insecurity during Pregnancy in a Maternal–Infant Cohort in Brazilian Western Amazon

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.

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.


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.


2014 ◽  
Vol 17 (3) ◽  
pp. 705-718 ◽  
Author(s):  
Iara Guimarães Rodrigues ◽  
Gustavo Pereira Fraga ◽  
Marilisa Berti de Azevedo Barros

Purpose: The aim of the present study was to identify factors associated with the occurrence of falls among elderly adults in a population-based study (ISACamp 2008). Methods: A population-based cross-sectional study was carried out with two-stage cluster sampling. The sample was composed of 1,520 elderly adults living in the urban area of the city of Campinas, São Paulo, Brazil. The occurrence of falls was analyzed based on reports of the main accident occurred in the previous 12 months. Data on socioeconomic/demographic factors and adverse health conditions were tested for possible associations with the outcome. Prevalence ratios (PR) were estimated and adjusted for gender and age using the Poisson multiple regression analysis. Results: Falls were more frequent, after adjustment for gender and age, among female elderly participants (PR = 2.39; 95% confidence interval (95%CI) 1.47 - 3.87), elderly adults (80 years old and older) (PR = 2.50; 95%CI 1.61 - 3.88), widowed (PR = 1.74; 95%CI 1.04 - 2.89) and among elderly adults who had rheumatism/arthritis/arthrosis (PR = 1.58; 95%CI 1.00 - 2.48), osteoporosis (PR = 1.71; 95%CI 1.18 - 2.49), asthma/bronchitis/emphysema (PR = 1,73; 95%CI 1.09 - 2.74), headache (PR = 1.59; 95%CI 1.07 - 2.38), mental common disorder (PR = 1.72; 95%CI 1.12 - 2.64), dizziness (PR = 2.82; 95%CI 1.98 - 4.02), insomnia (PR = 1.75; 95%CI 1.16 - 2.65), use of multiple medications (five or more) (PR = 2.50; 95%CI 1.12 - 5.56) and use of cane/walker (PR = 2.16; 95%CI 1.19 - 3,93). Conclusion: The present study shows segments of the elderly population who are more prone to falls through the identification of factors associated with this outcome. The findings can contribute to the planning of public health policies and programs addressed to the prevention of falls.


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.


2017 ◽  
Vol 62 (9) ◽  
pp. 971-979 ◽  
Author(s):  
Dario Novak ◽  
Lovro Štefan ◽  
Arunas Emeljanovas ◽  
Brigita Mieziene ◽  
Ivana Milanović ◽  
...  

2017 ◽  
Vol 21 (2) ◽  
pp. 333-338 ◽  
Author(s):  
Monica Daniela Robles-Ordaz ◽  
Ana Cristina Gallegos-Aguilar ◽  
Rene Urquidez-Romero ◽  
Rolando Giovanni Diaz-Zavala ◽  
Marcos Gerardo Lavandera-Torres ◽  
...  

AbstractObjectiveTo determine the prevalence of and modifiable factors associated with prediabetes in the Comcáac Indians.DesignCross-sectional study where prediabetes was defined using fasting plasma glucose, 2 h plasma glucose and glycated Hb (HbA1c). Physical, anthropometric and biochemical measurements, medical record, socio-economic, dietary and physical activity information were collected. The modifiable factors associated with prediabetes were assessed using multiple logistic regression.SettingsComcáac Indian communities of Punta Chueca and El Desemboque, Sonora, Mexico.SubjectsAdults (n227) aged 20 years or older.ResultsThe sex- and age-adjusted prevalence (95 % CI) of prediabetes was 47·1 (40·8, 53·5) % in the overall population; age-adjusted prevalence was 47·3 (35·6, 59·0) % in men and 46·7 (39·1, 54·3) % in women. The modifiable factors associated with a risk of prediabetes (OR; 95 % CI) were light-intensity physical activity (per 1 h/week increase: 1·04; 1·01, 1·07) and insulin resistance (homeostasis model assessment of insulin resistance score >6·1v. <4·1: 4·62; 1·37, 15·51). Increased consumption of a traditional dietary pattern based on fish and seafood, low-fat cereals, fruits and vegetables was a protective factor (0·49; 0·31, 0·79). All variables were modelled together and adjusted for age and sex.ConclusionsThe high prediabetes prevalence found in the Comcáac community is alarming because it represents a large number of people who are at risk for type 2 diabetes. The identification of modifiable factors associated with prediabetes that are specific to this population may be useful for designing effective strategies to prevent prediabetes.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e12149
Author(s):  
Charles Huamaní ◽  
Lucio Velásquez ◽  
Sonia Montes ◽  
Ana Mayanga-Herrera ◽  
Antonio Bernabé-Ortiz

Background There are several ecological studies, but few studies of the prevalence of SARS-COV-2 at high altitude. We aimed to estimate the population-based seroprevalence of SARS-COV-2 in three settings of Cusco at the end of the first wave among adults. Methods A population-based survey was conducted in September 2020, in three settings in the region of Cusco: (1) Cusco city at 3,300 meters above the sea level (m.a.s.l.), (2) the periphery of Cusco (Santiago, San Jerónimo, San Sebastián, and Wanchaq) at 3,300 m.a.s.l., and (3) Quillabamba city, located at 1,050 m.a.s.l. People aged ≥ 18 years within a family unit were included. The diagnosis of SARS-CoV-2 infection was based on identifying anti- SARS-CoV-2 total antibodies (IgM and IgG) in serum using the Elecsys Anti-SARS-CoV-2 chemiluminescence test. Results We enrolled 1924 participants from 712 families. Of the total, 637 participants were anti-SARS-CoV-2 seropositive. Seroprevalence was 38.8% (95% CI [33.4%–44.9%]) in Cusco city, 34.9% (95% CI [30.4%–40.1%]) in the periphery of Cusco, and 20.3% (95% CI [16.2%–25.6%]) in Quillabamba. In 141 families (19.8%; 95% CI [17.0%–22.8%]) the whole members were positive to the test. Living with more than three persons in the same house, a positive COVID-19 case at home, and a member who died in the last five months were factors associated with SARS-COV-2 seropositivity. Dysgeusia/dysosmia was the symptom most associated with seropositivity (aPR = 2.74, 95% CI [2.41–3.12]); whereas always wearing a face shield (aPR = 0. 73; 95% CI [0.60–0.89]) or a facial mask (aPR = 0.76, 95% CI [0.63–0. 92) reduced that probability. Conclusions A great proportion of Cusco’s city inhabitants presented anti-SARS-CoV-2 antibodies at the end of the first wave, with significant differences between settings. Wearing masks and face shields were associated with lower rate of seropositivity; however, efforts must be made to sustain them over time since there is still a high proportion of susceptible people.


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.


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