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Laurentino JSL, Brito RCDS, de Oliveira-Silva RT, Soares A, Pereira TDC, de Lima EM, dos Santos ABMV, Palmeira PDA. Association between food insecurity and chronic noncommunicable diseases in Brazil: a systematic review. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2024; 27:e240041. [PMID: 39140578 PMCID: PMC11323874 DOI: 10.1590/1980-549720240041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2024] [Revised: 04/18/2024] [Accepted: 05/07/2024] [Indexed: 08/15/2024] Open
Abstract
OBJECTIVE To analyze the association of food insecurity (FI) with chronic noncommunicable diseases (NCDs) in the Brazilian context. METHODS The review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO). The searches were conducted in LILACS and PubMed databases (September/2022). Observational studies carried out in the Brazilian population published since 2003 were included, in which: (1) the association of FI with NCDs was analyzed; and (2) the Brazilian Food Insecurity Scale was used. Studies on pregnant women and those that associated FI with cancer, sexually transmitted infections, and musculoskeletal and respiratory diseases were excluded. The studies were subjected to methodological quality assessment. RESULTS A total of 27 cross-sectional studies were included; nine used secondary data from national surveys, and the others used primary data. An association between FI and overweight and obesity in different age groups was verified in the studies. CONCLUSION The included articles did not produce evidence on other NCDs of interest to health in Brazil such as diabetes and high blood pressure. However, they corroborate the already-known relationship between obesity and FI. Studies on the topic, with a longitudinal design, should be encouraged.
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Affiliation(s)
| | | | | | - Amanda Soares
- Universidade Federal do Rio Grande do Norte, Graduate Program in Public Health – Natal (RN), Brazil
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2
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Vieira TDS, Freitas FV, Silva Neto LCB, Borçoi AR, Mendes SO, Olinda AS, Moreno IAA, Quaioto BR, de Souza MLM, Barbosa WM, Arpini JK, Sorroche BP, de Assis Pinheiro J, Archanjo AB, dos Santos JG, Arantes LMRB, de Oliveira DR, da Silva AMA. An industrialized diet as a determinant of methylation in the 1F region of the NR3C1 gene promoter. Front Nutr 2024; 11:1168715. [PMID: 38633601 PMCID: PMC11021719 DOI: 10.3389/fnut.2024.1168715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2023] [Accepted: 01/25/2024] [Indexed: 04/19/2024] Open
Abstract
Background Dietary composition can modify gene expression, favoring the development of chronic diseases via epigenetic mechanisms. Objective Our study aimed to investigate the relationship between dietary patterns and NR3C1 gene methylation in users of the Brazilian Public Unified Health System (SUS). Methods We recruited 250 adult volunteers and evaluated their socioeconomic status, psychosocial characteristics, lifestyle, and anthropometrics. Peripheral blood was collected and evaluated for cortisol levels, glycemia, lipid profile, and insulin resistance; methylation of CpGs 40-47 of the 1F region of the NR3C1 gene was also measured. Factors associated with degree of methylation were evaluated using generalized linear models (p < 0.05). Lifestyle variables and health variables were included as confounding factors. Results The findings of our cross-sectional study indicated an association between NR3C1 DNA methylation and intake of processed foods. We also observed relevant associations of average NR3C1 DNA across the segment analyzed, methylation in component 1 (40-43), and methylation in component 2 (44-47) with a pattern of consumption of industrialized products in relation to BMI, serum cortisol levels, and lipid profile. These results may indicate a relationship between methylation and metabolic changes related to the stress response. Conclusion These findings suggest an association of methylation and metabolic alterations with stress response. In addition, the present study highlights the significant role of diet quality as a stress-inducing factor that influences NR3C1 methylation. This relationship is further linked to changes in psychosocial factors, lifestyle choices, and cardiometabolic variables, including glucose levels, insulin resistance, and hyperlipidemia.
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Affiliation(s)
- Tamires dos Santos Vieira
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
| | | | | | - Aline Ribeiro Borçoi
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
| | | | - Amanda Sgrancio Olinda
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
| | - Ivana Alece Arantes Moreno
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
| | - Bárbara Risse Quaioto
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
| | | | - Wagner Miranda Barbosa
- Department of Pharmacy and Nutrition, Federal University of Espírito Santo, Alegre, Brazil
| | | | | | - Julia de Assis Pinheiro
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
| | - Anderson Barros Archanjo
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
| | | | | | | | - Adriana Madeira Alvares da Silva
- Program of Post-Graduation in Biotechnology/Renorbio, Federal University of Espírito Santo, Vitória, Brazil
- Department of Morphology, Federal University of Espirito Santo, Vitória, Brazil
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3
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Hukkanen M, Hsu B, Cossin‐Sevrin N, Crombecque M, Delaunay A, Hollmen L, Kaukonen R, Konki M, Lund R, Marciau C, Stier A, Ruuskanen S. From maternal glucocorticoid and thyroid hormones to epigenetic regulation of offspring gene expression: An experimental study in a wild bird species. Evol Appl 2023; 16:1753-1769. [PMID: 38020869 PMCID: PMC10660793 DOI: 10.1111/eva.13598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 08/23/2023] [Accepted: 08/28/2023] [Indexed: 12/01/2023] Open
Abstract
Offspring phenotype at birth is determined by its genotype and the prenatal environment including exposure to maternal hormones. Variation in both maternal glucocorticoids and thyroid hormones can affect offspring phenotype, but the underlying molecular mechanisms, especially those contributing to long-lasting effects, remain unclear. Epigenetic changes (such as DNA methylation) have been postulated as mediators of long-lasting effects of early-life environment. In this study, we determined the effects of elevated prenatal glucocorticoid and thyroid hormones on handling stress response (breath rate) as well as DNA methylation and gene expression of glucocorticoid receptor (GR) and thyroid hormone receptor (THR) in great tits (Parus major). Eggs were injected before incubation onset with corticosterone (the main avian glucocorticoid) and/or thyroid hormones (thyroxine and triiodothyronine) to simulate variation in maternal hormone deposition. Breath rate during handling and gene expression of GR and THR were evaluated 14 days after hatching. Methylation status of GR and THR genes was analyzed from the longitudinal blood cells sampled 7 and 14 days after hatching, as well as the following autumn. Elevated prenatal corticosterone level significantly increased the breath rate during handling, indicating an enhanced metabolic stress response. Prenatal corticosterone manipulation had CpG-site-specific effects on DNA methylation at the GR putative promoter region, while it did not significantly affect GR gene expression. GR expression was negatively associated with earlier hatching date and chick size. THR methylation or expression did not exhibit any significant relationship with the hormonal treatments or the examined covariates, suggesting that TH signaling may be more robust due to its crucial role in development. This study provides some support to the hypothesis suggesting that maternal corticosterone may influence offspring metabolic stress response via epigenetic alterations, yet their possible adaptive role in optimizing offspring phenotype to the prevailing conditions, context-dependency, and the underlying molecular interplay needs further research.
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Affiliation(s)
- Mikaela Hukkanen
- Institute for Molecular Medicine FinlandUniversity of HelsinkiHelsinkiFinland
| | - Bin‐Yan Hsu
- Department of BiologyUniversity of TurkuTurkuFinland
| | | | | | - Axelle Delaunay
- Institut des Sciences de l'Evolution de Montpellier (ISEM)Université de Montpellier, CNRS, IRD, EPHEMontpellierFrance
| | - Lotta Hollmen
- Department of BiologyUniversity of TurkuTurkuFinland
| | - Riina Kaukonen
- Turku Bioscience CentreUniversity of Turku and Åbo Akademi UniversityTurkuFinland
| | - Mikko Konki
- Turku Bioscience CentreUniversity of Turku and Åbo Akademi UniversityTurkuFinland
- Turku Doctoral Programme of Molecular MedicineUniversity of TurkuTurkuFinland
| | - Riikka Lund
- Turku Bioscience CentreUniversity of Turku and Åbo Akademi UniversityTurkuFinland
| | - Coline Marciau
- Department of BiologyUniversity of TurkuTurkuFinland
- Institute for Marine and Antarctic StudiesUniversity of TasmaniaHobartTasmaniaAustralia
| | - Antoine Stier
- Department of BiologyUniversity of TurkuTurkuFinland
- Institut Pluridisciplinaire Hubert Curien, UMR 7178University of Strasbourg, CNRSStrasbourgFrance
| | - Suvi Ruuskanen
- Department of BiologyUniversity of TurkuTurkuFinland
- Department of Biological and Environmental ScienceUniversity of JyväskyläJyväskyläFinland
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4
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de Souza MLM, Borçoi AR, Dutra BAB, Dos Santos Vieira T, Mendes SO, Nascimento IAA, Quaioto BR, Olinda AS, Cunha ER, Freitas FV, Pinheiro JA, Dos Santos JG, Sorroche BP, Arantes LMRB, Sartório CL, da Silva AMA. Lifestyle and NR3C1 exon 1F gene methylation is associated with changes in glucose levels and insulin resistance. Life Sci 2022; 309:120940. [PMID: 36108769 DOI: 10.1016/j.lfs.2022.120940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 08/03/2022] [Accepted: 09/05/2022] [Indexed: 10/31/2022]
Abstract
AIMS the present study aimed to investigate how glucose and insulin levels may be associated with changes in NR3C1 gene methylation levels in adults. MAIN METHODS 375 volunteers users of the Brazilian Public Unified Health System (SUS) were recruited to assess socioeconomic status, lifestyle, anthropometric data, blood glucose and serum cortisol levels, insulin resistance, and NR3C1 gene methylation assessment. Factors associated with glucose levels and insulin resistance were investigated using multivariate analysis GLzM at 5 % significance (p < 0.05). KEY FINDINGS our results verified that glucose levels and insulin resistance were directly related to NR3C1 gene methylation and age, while not being overweight and obese and no tobacco consumption were indirectly related to glucose levels and insulin resistance. SIGNIFICANCE habits and lifestyle may influence NR3C1 gene regulation, revealing the complexity of environmental impacts on NR3C1 methylation. Furthermore, associated risk factors must be taken into account in epigenetic studies as they directly interfere with blood glucose levels and insulin resistance.
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Affiliation(s)
| | - Aline Ribeiro Borçoi
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, ES, Brazil
| | | | - Tamires Dos Santos Vieira
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, ES, Brazil
| | | | | | - Barbara Risse Quaioto
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, ES, Brazil
| | - Amanda Sgrancio Olinda
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, ES, Brazil
| | - Ester Ribeiro Cunha
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, ES, Brazil
| | - Flávia Vitorino Freitas
- Department of Pharmacy and Nutrition, Universidade Federal do Espírito Santo, Alegre, ES, Brazil
| | - Julia Assis Pinheiro
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, ES, Brazil
| | | | - Bruna Pereira Sorroche
- Molecular Oncology Research Center, Hospital do Câncer de Barretos, Barretos, São Paulo, Brazil
| | | | - Carmem Luíza Sartório
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, ES, Brazil
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5
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Castro MCZ, dos Santos CM, Lucas RE, de Felício CM, Dantas RO. Oral motor function in obesity. J Oral Rehabil 2022; 49:529-534. [DOI: 10.1111/joor.13313] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2021] [Revised: 02/01/2022] [Accepted: 02/08/2022] [Indexed: 11/29/2022]
Affiliation(s)
| | | | | | - Claudia Maria de Felício
- Department of Ophtalmology, Otorhynolaryngology and Head and Neck Surgery Ribeirão Preto Medical School University of São Paulo Ribeirão Preto SP Brazil
| | - Roberto Oliveira Dantas
- Department of Medicine Ribeirão Preto Medical School University of São Paulo Ribeirão Preto SP Brazil
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Borçoi AR, Mendes SO, Moreno IAA, Gasparini Dos Santos J, Freitas FV, Pinheiro JA, Oliveira MMD, Barbosa WM, Arpini JK, Archanjo AB, Hollais AW, Couto CVMDS, David CVC, Risse Quaioto B, Sorroche BP, Louro ID, Arantes LMRB, Silva AMÁD. Food and nutritional insecurity is associated with depressive symptoms mediated by NR3C1 gene promoter 1F methylation. Stress 2021; 24:814-821. [PMID: 33977868 DOI: 10.1080/10253890.2021.1923692] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
The aim of this study was to investigate socioeconomic stressors predictive of depressive symptoms and possible epigenetic changes in the glucocorticoid receptor - NR3C1-1F - an encoding gene involved in depressive symptoms. A total of 321 adult volunteers from southeastern Brazil were recruited to evaluate depressive symptoms, socio-demographic and economic factors, including food and nutritional security (FNS) or insecurity (FNiS) status, and NR3C1-1F region methylation by pyrosequencing. Depressive symptom determinants were investigated using a Poisson regression model with robust variance. Mann-Whitney tests and structural mediation equation models were used to evaluate the relationship between NR3C1 DNA methylation, FNiS, and depressive symptoms. Multivariate Poisson regression with robust variance adjusted for sex and FNiS and NR3C1-1F region methylation predicted risk factors for depressive symptoms. Mediation analysis revealed that NR3C1-1F region methylation mediated the relationship between FNiS exposure and depressive symptoms as an outcome, and depressive volunteers and FNiS individuals exhibited a significant increase in NR3C1 methylation when compared to healthy individuals and FNS volunteers, respectively. Therefore, we suggest that stress caused by FNiS may lead to depressive symptoms and that NR3C1-1F DNA methylation can act as a mediator of both FNiS and depressive symptoms.
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Affiliation(s)
- Aline Ribeiro Borçoi
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Suzanny Oliveira Mendes
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | | | - Flávia Vitorino Freitas
- Department of Pharmacy and Nutrition, Universidade Federal do Espírito Santo, Alegre, Brazil
| | - Júlia Assis Pinheiro
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Mayara Mota de Oliveira
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Wagner Miranda Barbosa
- Department of Pharmacy and Nutrition, Universidade Federal do Espírito Santo, Alegre, Brazil
| | - Juliana Krüger Arpini
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Anderson Barros Archanjo
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | | | | | - Bárbara Risse Quaioto
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | - Iuri Drumond Louro
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
| | | | - Adriana Madeira Álvares-da- Silva
- Biotechnology/Renorbio Postgraduate Program, Universidade Federal do Espírito Santo, Vitória, Brazil
- Department of Morphology, Universidade Federal do Espírito Santo, Vitória, Brazil
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7
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Bjørklund G, Tippairote T, Dadar M, Lizcano F, Aaseth J, Borisova O. The Roles of Dietary, Nutritional and Lifestyle Interventions in Adipose Tissue Adaptation and Obesity. Curr Med Chem 2021; 28:1683-1702. [PMID: 32368968 DOI: 10.2174/0929867327666200505090449] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2019] [Revised: 03/03/2020] [Accepted: 03/28/2020] [Indexed: 11/22/2022]
Abstract
The obesity and the associated non-communicable diseases (NCDs) are globally increasing in their prevalence. While the modern-day lifestyle required less ventilation of metabolic energy through muscular activities, this lifestyle transition also provided the unlimited accession to foods around the clock, which prolong the daily eating period of foods that contained high calorie and high glycemic load. These situations promote the high continuous flux of carbon substrate availability in mitochondria and induce the indecisive bioenergetic switches. The disrupted bioenergetic milieu increases the uncoupling respiration due to the excess flow of the substrate-derived reducing equivalents and reduces ubiquinones into the respiratory chain. The diversion of the uncoupling proton gradient through adipocyte thermogenesis will then alleviate the damaging effects of free radicals to mitochondria and other organelles. The adaptive induction of white adipose tissues (WAT) to beige adipose tissues (beAT) has shown beneficial effects on glucose oxidation, ROS protection and mitochondrial function preservation through the uncoupling protein 1 (UCP1)-independent thermogenesis of beAT. However, the maladaptive stage can eventually initiate with the persistent unhealthy lifestyles. Under this metabolic gridlock, the low oxygen and pro-inflammatory environments promote the adipose breakdown with sequential metabolic dysregulation, including insulin resistance, systemic inflammation and clinical NCDs progression. It is unlikely that a single intervention can reverse all these complex interactions. A comprehensive protocol that includes dietary, nutritional and all modifiable lifestyle interventions, can be the preferable choice to decelerate, stop, or reverse the NCDs pathophysiologic processes.
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Affiliation(s)
- Geir Bjørklund
- Council for Nutritional and Environmental Medicine (CONEM), Mo i Rana, Norway
| | - Torsak Tippairote
- Doctor of Philosophy Program in Nutrition, Faculty of Medicine Ramathibodi Hospital and Institute of Nutrition, Mahidol University, Bangkok, Thailand
| | - Maryam Dadar
- Razi Vaccine and Serum Research Institute, Agricultural Research, Education and Extension Organization (AREEO), Karaj, Iran
| | | | - Jan Aaseth
- Research Department, Innlandet Hospital Trust, Brumunddal, Norway
| | - Olga Borisova
- Odesa I. I. Mechnikov National University, Odessa, Ukraine
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8
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de Assis Pinheiro J, Freitas FV, Borçoi AR, Mendes SO, Conti CL, Arpini JK, Dos Santos Vieira T, de Souza RA, Dos Santos DP, Barbosa WM, Archanjo AB, de Oliveira MM, Dos Santos JG, Sorroche BP, Casali-da-Rocha JC, Trivilin LO, Borloti EB, Louro ID, Arantes LMRB, Alvares-da-Silva AM. Alcohol consumption, depression, overweight and cortisol levels as determining factors for NR3C1 gene methylation. Sci Rep 2021; 11:6768. [PMID: 33762648 PMCID: PMC7990967 DOI: 10.1038/s41598-021-86189-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 03/09/2021] [Indexed: 02/06/2023] Open
Abstract
The NR3C1 glucocorticoid receptor (GR) gene is a component of the stress response system, which can be regulated by epigenetic mechanisms. NR3C1 methylation has been associated with trauma and mental issues, including depression, post-traumatic stress, anxiety, and personality disorders. Previous studies have reported that stressful events are involved in NR3C1 gene methylation, suggesting that its regulation under environmental effects is complex. The present study aimed to analyze associations involving stressors such as socioeconomic status, health conditions, and lifestyle in relation to NR3C1 methylation in adults. This study included 386 individual users of the Brazilian Public Unified Health System (SUS), and evaluated socioeconomic and health conditions, body mass index, cortisol levels, and lifestyle. Data were correlated with NR3C1 methylation, determined using DNA pyrosequencing. The results showed that alcohol consumption, overweight, and high cortisol levels were related to NR3C1 demethylation, while depression was related to its methylation. Habits, lifestyle, and health status may influence NR3C1 gene regulation via methylation, revealing the complexity of environmental impacts on NR3C1 methylation.
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Affiliation(s)
- Júlia de Assis Pinheiro
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | - Flávia Vitorino Freitas
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil.,Department of Pharmacy and Nutrition, Universidade Federal do Espirito Santo, Alegre, ES, Brazil
| | - Aline Ribeiro Borçoi
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | - Suzanny Oliveira Mendes
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | - Catarine Lima Conti
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | - Juliana Krüger Arpini
- Graduate Program in Forest Sciences, Universidade Federal do Espirito Santo, Alegre, ES, Brazil
| | - Tamires Dos Santos Vieira
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | | | | | - Wagner Miranda Barbosa
- Department of Pharmacy and Nutrition, Universidade Federal do Espirito Santo, Alegre, ES, Brazil
| | - Anderson Barros Archanjo
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | - Mayara Mota de Oliveira
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | | | - Bruna Pereira Sorroche
- Molecular Oncology Research Center, Hospital do Câncer de Barretos, Barretos, SP, Brazil
| | | | | | - Elizeu Batista Borloti
- Department of Social and Developmental Psychology, Universidade Federal do Espírito Santo, Vitoria, ES, Brazil
| | - Iuri Drumond Louro
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil
| | | | - Adriana Madeira Alvares-da-Silva
- Biotechnology/Renorbio Graduate Program, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil. .,Department of Morphology, Health Science Center, Universidade Federal do Espirito Santo, Vitoria, ES, Brazil. .,Departamento de Biologia, Universidade Federal do Espirito Santo, Alto Universitário Sem Número, Alegre, ES, 29500000, Brazil.
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9
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Chen JL, Guo J, Mao P, Yang J, Jiang S, He W, Lin CX, Lien K. Are the factors associated with overweight/general obesity and abdominal obesity different depending on menopausal status? PLoS One 2021; 16:e0245150. [PMID: 33539356 PMCID: PMC7861369 DOI: 10.1371/journal.pone.0245150] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2020] [Accepted: 12/22/2020] [Indexed: 11/21/2022] Open
Abstract
Rapid modernization in China has impacted the daily lives and health of women, including a rise in obesity. However, little is known about the impact of menopausal status, behavior, and psychosocial factors on the risk of obesity for rural women in China. The aim of this study is to identify risk factors, including demographic information (education, family history of T2DM, menopausal status), obesity-related behavior, and psychosocial factors associated with overweight/general obesity and abdominal obesity. In a cross-sectional study design, participants had their weight, height, and waist circumference measured and completed questionnaires regarding family demographics, obesity-related health behaviors (physical activity, diet, sleep), and psychosocial information (stress, social support, and self-efficacy related to physical activity and healthy diet). A total of 646 women were included in this study; 46.6% were overweight/generally obese, and 48% had abdominal obesity. Postmenopausal women had a higher prevalence of general and central obesity. Regular physical activity decreased the risk for overweight/general obesity and abdominal obesity (OR = .41 and .31, respectively, p = .04) in premenopausal women. Postmenopausal women who had not breastfed their infants and reported moderate/high-stress had a higher risk for overweight/general obesity (OR = 3.93, and 2, respectively) and those who reported less than 6 hours of sleep per day increased their risk for abdominal obesity (OR = 2.08). Different factors associated with obesity were found in Chinese women, depending on menopausal status. Future studies should examine the impact of menopause on a woman’s risk for obesity, as well as develop tailored interventions to improve health, well-being and reduce the risk of obesity.
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Affiliation(s)
- Jyu-Lin Chen
- Department of Family Health Care Nursing, University of California, San Francisco, California, United States of America
| | - Jia Guo
- Xiangya School of Nursing, Central South University, Changsha, China
- * E-mail:
| | - Ping Mao
- Nursing Department, Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Jundi Yang
- Xiangya School of Nursing, Central South University, Changsha, China
| | - Shan Jiang
- Nursing Department, Zhongda Hospital, Southeast University, Jiangsu, Nanjing, China
| | - Wei He
- Nursing Department, Third Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Chen-Xi Lin
- Department of Family Health Care Nursing, University of California, San Francisco, California, United States of America
| | - Kathy Lien
- Department of Family Health Care Nursing, University of California, San Francisco, California, United States of America
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