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...
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pré-diabetes resistência à Insulina insegurança alimentar práticas alimentares |
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pré-diabetes resistência à Insulina insegurança alimentar práticas alimentares Pinheiro, Ana Beatriz Rodrigues Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal |
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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 |
| author2 |
Lima, Severina Carla Vieira Cunha |
| author_facet |
Lima, Severina Carla Vieira Cunha Pinheiro, Ana Beatriz Rodrigues |
| format |
masterThesis |
| author |
Pinheiro, Ana Beatriz Rodrigues |
| author_sort |
Pinheiro, Ana Beatriz Rodrigues |
| title |
Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal |
| title_short |
Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal |
| title_full |
Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal |
| title_fullStr |
Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal |
| title_full_unstemmed |
Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal |
| title_sort |
insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo brazuca natal |
| publisher |
Universidade Federal do Rio Grande do Norte |
| publishDate |
2023 |
| url |
https://repositorio.ufrn.br/handle/123456789/55056 |
| work_keys_str_mv |
AT pinheiroanabeatrizrodrigues insegurancaalimentarenutricionaleprediabetesemadultoseidososestudobrazucanatal |
| _version_ |
1797696792489361408 |
| spelling |
ri-123456789-550562024-03-19T04:07:35Z Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal Pinheiro, Ana Beatriz Rodrigues Lima, Severina Carla Vieira Cunha https://orcid.org/0000-0002-4420-9952 http://lattes.cnpq.br/7411784519638930 https://orcid.org/0000-0001-8268-1986 http://lattes.cnpq.br/8818927353248941 Pequeno, Nila Patrícia Freire https://orcid.org/0000-0003-1279-2554 http://lattes.cnpq.br/7716981037879544 Bezerra, Ingrid Wilza Leal https://orcid.org/0000-0003-4980-6905 http://lattes.cnpq.br/0148928535788097 Gomes, Savio Marcelino https://orcid.org/0000-0002-6320-2502 http://lattes.cnpq.br/9749310071541254 pré-diabetes resistência à Insulina insegurança alimentar práticas alimentares 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 Introdução: A insegurança alimentar e nutricional (IAN) é entendida como a falta de acesso a uma alimentação em quantidade e qualidade adequadas e, atualmente, acomete mais de 2,3 bilhões de pessoas no mundo todo. Evidências apontam fortes correlações entre o consumo de dietas menos saudáveis, pré-diabetes e períodos de IAN. Objetivos: Avaliar a associação da IAN com o desenvolvimento da pré-diabetes em adultos e idosos participantes do estudo Brazuca Natal. Metodologia: Realizamos uma pesquisa do tipo transversal de base populacional (estudo BRAZUCA-Natal), com 113 indivíduos, idade ≥ 20 anos, de ambos os sexos, residentes de uma capital do Nordeste brasileiro. Foram coletados dados sociodemográficos, antropométricos e bioquímicos. Foram considerados com pré-diabetes aqueles com HOMA-IR>2,7. Para verificar a presença de IAN, utilizou-se a Escala Brasileira de Insegurança alimentar (EBIA) e foram considerados em IAN os participantes que responderam “sim” para pelo menos uma das cinco perguntas. O consumo alimentar foi avaliado a partir das práticas alimentares utilizando uma escala multidimensional embasada no Guia Alimentar Brasileiro e para avalaliar sua relação com a IAN, foi realizado o teste qui-quadrado. A normalidade foi testada por Kolmogorov-Smirnov. Foi realizada análise bivariada de Poisson para identificar as razões de prevalência (RP) bruta e ajustada, permanecendo no modelo final apenas as variáveis com nível de significância de 5% (p<0,05). Os dados foram analisados pelo programa SPSS versão 25. Resultados: Os indivíduos apresentaram idade mediana de 62 anos. A maioria da amostra (58,4%) eram mulheres e de raça não branca (RP=1,10; IC95%0,98-1,26). 50,4% estiveram pré-diabéticos e, destes, 55,5% apresentavam algum grau de IAN (RP 1,13; IC95%1,01- 1,27), 59,6% eram idosos (RP=1,14; IC95%1,02-1,28), 51,8% tinham excesso de peso (RP=1,19; IC95%1,06-1,27) e 60,6% hipertrigliceridemia (RP=1,23; IC95%1,08-1,39). As demais variáveis não demonstraram significância estatística na análise ajustada. Quanto às praticas alimentares, destacamos as seguintes sentenças, consideradas práticas alimentares saudáveis com associação significativa na presença de IAN: “Costumo comer fruta no café da manhã” (p=0,001), “Quando escolho frutas, legumes ou verduras, dou preferência àqueles de produção local” (p=0,043), “Costumo comprar alimentos em feiras livres ou de rua” (p=0,057), “Costumo fazer minhas refeições sentado(a) à mesa” (p=0,004) “Costumo comer fruta no café da manhã” (p=0,001), “Quando escolho frutas, legumes ou verduras, dou preferência àqueles de produção local” (p=0,043), “Costumo comprar alimentos em feiras livres ou de rua” (p=0,057), “Costumo fazer minhas refeições sentado(a) à mesa” (p=0,004). E práticas alimentares não saudáveis: “Costumo pular pelo menos uma das refeições principais (almoço e jantar) (p=0,054), “Costumo fazer minhas refeições sentado (a) no sofá da sala ou na cama” (p=0,000), “Quando bebo café ou chá, costumo colocar açúcar” (p=0,001), “Tenho o hábito de beliscar no intervalo entre as refeições (p=0,003) e “Costumo frequentar restaurantes fast-food ou lanchonetes” (p=0,030). Conclusão: Existe uma alta incidência a de indivíduos com IAN e pré-diabetes. Esta possível associação confirma que os indivíduos mais vulneráveis são os mais atingidos no desenvolvimento de DCNT’s, em especial o pré-diabetes. Dessa forma, evidencia-se a necessidade de políticas públicas de acesso a alimentos de boa qualidade nutricional e de promoção de estilos de vida saudáveis, que propiciem a diminuição da pré-diabetes e consequentemente o DM2. 2025-04-27 2023-10-23T17:28:54Z 2023-02-27 masterThesis PINHEIRO, Ana Beatriz Rodrigues. Insegurança alimentar e nutricional e pré-diabetes em adultos e idosos – estudo Brazuca Natal. 2023. 65 f. Orientadora: Severina Carla Vieira Cunha Lima. Dissertação (Mestrado em Nutrição) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2023. https://repositorio.ufrn.br/handle/123456789/55056 pt_BR Acesso Embargado application/pdf Universidade Federal do Rio Grande do Norte Brasil UFRN Programa de Pós-graduação em Nutrição |