Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal
Introduction: Food and nutritional insecurity (FI) is understood as the lack of access to adequate food in adequate quantity and quality and currently affects more than 2.3 billion people worldwide. Evidence indicates strong correlations between the consumption of less healthy diets, prediabetes...
Na minha lista:
Autor principal: | |
---|---|
Outros Autores: | |
Formato: | Dissertação |
Idioma: | pt_BR |
Publicado em: |
Universidade Federal do Rio Grande do Norte
|
Assuntos: | |
Endereço do item: | https://repositorio.ufrn.br/handle/123456789/55056 |
Tags: |
Adicionar Tag
Sem tags, seja o primeiro a adicionar uma tag!
|
Resumo: | Introduction: Food and nutritional insecurity (FI) is understood as the lack
of access to adequate food in adequate quantity and quality and currently affects more
than 2.3 billion people worldwide. Evidence indicates strong correlations between the
consumption of less healthy diets, prediabetes and periods of FI. Objectives: To
evaluate the association of FIwith the development of prediabetes in adults and the
elderly participating in the Brazuca Natal study. Methodology: We conducted a
population-based cross-sectional study (BRAZUCA-Natal study), with 113 individuals,
aged ≥ 20 years, of both sexes, living in a capital of northeastern Brazil.
Sociodemographic, anthropometric and biochemical data were collected. Those with
HOMA-IR were considered with prediabetes>2,7. To verify the presence of FI, the
Brazilian Food Insecurity Scale was used and participants who answered "yes" to at
least one of the five questions were considered in I. Food intake was evaluated based
on eating practices using a multidimensional scale based on the Brazilian Food Guide
and to assess its relationship with the, the chi-square test was performed. Normality
was tested by Kolmogorov-Smirnov. A bivariate Poisson analysis was performed to
identify the prevalence ratios (PR) gross and adjusted, remaining in the final model
only the variables with a significance level of 5% (p<0,05). The data were analyzed by
the SPSS version 25 program. Results: The individuals had a median age of 62 years.
The majority of the sample (58.4%) were women and non-white (PR=1.10; IC95%0.98-
1.26). 50.4% were pre-diabetic and, of these, 55.5% had some degree of FI (PR 1.13;
CI95%1.01- 1.27), 59.6% were elderly (PR=1.14; CI95%1.02-1.28), 51.8% were
overweight (PR=1.19; CI95%1.06-1.27) and 60.6% hypertriglyceridemia (PR=1.23;
IC95%1.08-1.39). The other variables did not show statistical significance in the
adjusted analysis. Regarding food practices, we highlight the following sentences,
considered healthy eating practices with significant association in the presence of FI:
"I usually eat fruit for breakfast" (p=0.001), "When I choose fruits, vegetables or
vegetables, I give preference to those of local production" (p=0.043), "I usually buy
food at free or street fairs" (p=0.057), "I usually eat my meals sitting at the table"
(p=0.004) "I usually eat fruit for breakfast" (p=0.001), "When I choose fruits, vegetables
or vegetables, I give preference to those of local production" (p=0.043), "When I
choose fruits, vegetables or vegetables, I give preference to those of local production"
(p=0.043), "I usually buy food at free or street fairs" (p=0.057), "I usually eat my meals
sitting at the table" (p=0.004). And unhealthy eating practices: "I usually skip at least
one of the main meals (lunch and dinner) (p=0.054), "I usually eat my meals sitting (a)
on the living room couch or in bed" (p=0.000), "When I drink coffee or tea, I usually put
sugar" (p=0.001), "I have a habit of pinching in the interval between meals (p=0.003)
and "I usually attend fast-food restaurants or snack bars" (p=0.030). Conclusion:
There is a high incidence of individuals with FI and prediabetes. This possible
association confirms that the most vulnerable individuals are the most affected in the
development of Chronic non-communicable diseases, especially prediabetes. Thus, it
is evident the need for public policies to access foods of good nutritional quality and
the promotion of healthy lifestyles, which promote the reduction of prediabetes and
consequently DM2 |
---|