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Okada LM, Azeredo CM, Silva RRV, Silveira MF, Haikal DS, De Pinho L, Pena GDG. Association between health risk behaviors and food consumption in adolescents. PSYCHOL HEALTH MED 2023; 28:2286-2299. [PMID: 36927223 DOI: 10.1080/13548506.2023.2190990] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 03/08/2023] [Indexed: 03/18/2023]
Abstract
The study aims to evaluate the association between substance use and social isolation with food consumption in adolescents. A cross-sectional study was conducted with 2,040 adolescents from a medium-sized city in Brazil. The exposures assessed were the use of alcohol, tobacco, and other substances, and social isolation. The outcomes were the regular consumption (≥5 times/week) of beans, fruit/fruit salad, candies, and soft drinks, and an unhealthy eating score. The association between health risk behaviors and food consumption was assessed through logistic and linear regressions. Regular users of alcohol were more likely to have regular consumption of candies and soft drinks, and those who used tobacco regularly were less likely to have regular bean consumption and more likely to have regular candies consumption. The use of at least one substance was negatively associated with regular bean consumption and positively associated with regular consumption of sweets and soft drinks. Socially isolated adolescents were less likely to have regular bean consumption. Substance use was positively associated with the unhealthy eating score. In conclusion, substance use and social isolation were associated with less regular consumption of healthy food markers and greater regular consumption of unhealthy food markers.
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Affiliation(s)
- Letícia Martins Okada
- Graduate Program in Health Sciences, School of Medicineb Graduate Program in Primary Health Care, Federal University of Uberlandia, Uberlândia, Brazil
| | - Catarina Machado Azeredo
- Graduate Program in Health Sciences, School of Medicineb Graduate Program in Primary Health Care, Federal University of Uberlandia, Uberlândia, Brazil
| | | | | | | | | | - Geórgia das Graças Pena
- Graduate Program in Health Sciences, School of Medicineb Graduate Program in Primary Health Care, Federal University of Uberlandia, Uberlândia, Brazil
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Pereira CC, Pedroso CF, Batista SRR, Guimarães RA. Prevalence and factors associated with multimorbidity in adults in Brazil, according to sex: a population-based cross-sectional survey. Front Public Health 2023; 11:1193428. [PMID: 37342274 PMCID: PMC10278573 DOI: 10.3389/fpubh.2023.1193428] [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: 03/24/2023] [Accepted: 05/12/2023] [Indexed: 06/22/2023] Open
Abstract
Introduction Multimorbidity, defined as the coexistence of two or more chronic diseases in the same individual, represents a significant health challenge. However, there is limited evidence on its prevalence and associated factors in developing countries, such as Brazil, especially stratified by sex. Thus, this study aims to estimate the prevalence and analyze the factors associated with multimorbidity in Brazilian adults according to sex. Methods Cross-sectional population-based household survey carried out with Brazilian adults aged 18 years or older. The sampling strategy consisted of a three-stage conglomerate plan. The three stages were performed through simple random sampling. Data were collected through individual interviews. Multimorbidity was classified based on a list of 14 self-reported chronic diseases/conditions. Poisson regression analysis was performed to estimate the magnitude of the association between sociodemographic and lifestyle factors with the prevalence of multimorbidity stratified by sex. Results A total of 88,531 individuals were included. In absolute terms, the prevalence of multimorbidity was 29.4%. The frequency in men and women was 22.7 and 35.4%, respectively. Overall, multimorbidity was more prevalent among women, the older people, residents of the South and Southeast regions, urban area residents, former smokers, current smokers, physically inactive, overweight, and obese adults. Individuals with complete high school/incomplete higher education had a lower prevalence of multimorbidity than those with higher educational level. The associations between education and multimorbidity differed between sexes. In men, multimorbidity was inversely associated with the strata of complete middle school/incomplete high school and complete high school/incomplete higher education, while in women, the association between these variables was not observed. Physical inactivity was positively associated with a higher prevalence of multimorbidity only in men. An inverse association was verified between the recommended fruit and vegetable consumption and multimorbidity for the total sample and both sexes. Conclusion One in four adults had multimorbidity. Prevalence increased with increasing age, among women, and was associated with some lifestyles. Multimorbidity was significantly associated with educational level and physical inactivity only in men. The results suggest the need to adopt integrated strategies to reduce the magnitude of multimorbidity, specific by gender, including actions for health promotion, disease prevention, health surveillance and comprehensive health care in Brazil.
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Affiliation(s)
| | | | - Sandro Rogério Rodrigues Batista
- Department of Internal Medicine, School of Medicine, Federal University of Goiás, Goiânia, Brazil
- Federal District Health Department, Brasília, Brazil
| | - Rafael Alves Guimarães
- Institute of Tropical Pathology and Public Health, Federal University of Goiás, Goiânia, Brazil
- Faculty of Nursing, Federal University of Goiás, Goiânia, Brazil
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Santin F, Gabe KT, Levy RB, Jaime PC. Food consumption markers and associated factors in Brazil: distribution and evolution, Brazilian National Health Survey, 2013 and 2019. CAD SAUDE PUBLICA 2022; 38Suppl 1:e00118821. [PMID: 35544916 DOI: 10.1590/0102-311x00118821] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 11/04/2021] [Indexed: 11/21/2022] Open
Abstract
This study objective was to describe the distribution of food consumption markers in Brazil per sociodemographic characteristics and its evolution from 2013 to 2019. Healthy food consumption markers (regular consumption of beans, fruits, vegetables, and fish, recommended consumption of red meat, and never replacing meals with snacks) and unhealthy food consumption markers (regular consumption of sweetened beverages and confectionery and excessive salt intake) were studied for adult participants of the Brazilian National Health Survey. The prevalence of food consumption markers was estimated according to sociodemographic characteristics and compared to data of 2013 and 2019. Most of the population regularly consumes beans, fruits, and vegetables, they also follows the recommendation to limit red meat consumption, and never replaces meals with snacks. The percentage of people who regularly consume sweetened beverages and perceive their salt intake as excessive is relatively low. The distribution of food consumption markers was associated with sex, age, income, race/skin color, area of dwelling, and schooling level. From 2013 to 2019, the prevalence of most food consumption markers declined, except for the regular consumption of fruits and recommended consumption of red meat, that increased 8.5% and 18.5%, respectively, and the regular consumption of vegetables, which did not vary. Healthy and unhealthy food consumption markers should be monitored to evaluate the effect of healthy eating policies implemented in the country.
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Affiliation(s)
- Fernanda Santin
- Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde, Universidade de São Paulo, São Paulo, Brasil
| | - Kamila Tiemann Gabe
- Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde, Universidade de São Paulo, São Paulo, Brasil
| | - Renata Bertazzi Levy
- Núcleo de Pesquisas Epidemiológicas em Nutrição e Saúde, Universidade de São Paulo, São Paulo, Brasil
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Siqueira JH, Santana NMT, Pereira TSS, Moreira AD, Benseñor IM, Barreto SM, Velasquez-Melendez G, Molina MDCB. Consumption of alcoholic and non-alcoholic beverages: ELSA-Brasil results. CIENCIA & SAUDE COLETIVA 2021; 26:3825-3837. [PMID: 34468676 DOI: 10.1590/1413-81232021269.2.30682019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2019] [Accepted: 02/07/2020] [Indexed: 11/22/2022] Open
Abstract
The study aims to describe the consumption of alcoholic and non-alcoholic beverages according to sociodemographic, health and location variables. Cross-sectional study with ELSA-Brasil data (2008-2010). A questionnaire was used to collect sociodemographic, food, health data and anthropometry. Descriptive analysis and association with variables of interest were carried out. In the sample, 8% of the total caloric value comes from non-alcoholic beverages (5.6%: sugary drinks), and 4% from alcoholic beverages (2.7%: beer). Consumers of unsweetened and artificially sweetened beverages reported moderate/strong physical activity, former smokers and higher education. The opposite was true for sugary drinks. Eutrophic people reported higher consumption of sugary drinks and those obese, artificially sweetened and beer. Alcohol consumption varied with age (young: beer; elderly: wine/spirits) and education (low education: beer/spirits; higher education: wine). Coffee, natural juice and soda were the most consumed non-alcoholic beverages and beer was the most prevalent alcoholic beverage. Consumption variation was observed according to geographic location. The consumption of sugary and alcoholic beverages is high in Brazil and public health strategies are required.
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Affiliation(s)
- Jordana Herzog Siqueira
- Programa de Pós-Graduação em Saúde Coletiva. Universidade Federal do Espírito Santo. Av. Marechal Campos 1468, Bonfim. 29047-105 Vitória ES Brasil.
| | | | | | - Alexandra Dias Moreira
- Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil
| | - Isabela Martins Benseñor
- Departamento de Clínica Médica, Faculdade de Medicina, Universidade de São Paulo. São Paulo SP Brasil
| | - Sandhi Maria Barreto
- Faculdade de Medicina, Departamento de Medicina Preventiva e Social, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil
| | - Gustavo Velasquez-Melendez
- Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil
| | - Maria Del Carmen Bisi Molina
- Programa de Pós-Graduação em Saúde Coletiva. Universidade Federal do Espírito Santo. Av. Marechal Campos 1468, Bonfim. 29047-105 Vitória ES Brasil.
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Streb AR, Duca GFD, Silva RPD, Benedet J, Malta DC. [Simultaneity of risk behaviors for obesity in adults in the capitals of Brazil]. CIENCIA & SAUDE COLETIVA 2020; 25:2999-3007. [PMID: 32785536 DOI: 10.1590/1413-81232020258.27752018] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2018] [Accepted: 10/14/2018] [Indexed: 12/22/2022] Open
Abstract
The scope of this study was to verify the association between risk behaviors and obesity in adults (18 to 59 years of age) in Brazilian capitals. It involved a cross-sectional population-based study conducted by telephone interview. The self-reported variables were obesity, defined by weight and height (BMI ≥ 30 kg/m²) and risk behaviors: physical inactivity (≤ 149 minutes/week), excess sedentarism (≥ 4 hours/day), frequent consumption of sweets (≥ 5 days/week) and meat with fat and/or chicken with skin (≥ 1 day/week). The simultaneity of risk behaviors was analyzed for reasons of observed and expected prevalence. The Poisson and multinomial logistic regressions were used in crude analyses and adjusted for sociodemographic factors. Among the 35,448 adults, the simultaneous consumption of meat with fat, excess sedentarism and physical inactivity (PR: 1.94, 95% CI: 1.45, 2.60), as well as the presence of the four risk behaviors (PR: 1.72, 95% CI: 1.16, 2.53) were associated with obesity in men. In women, the simultaneous consumption of sweets and meat with fat (PR: 1.77, 95% CI: 1.19, 2.66) was also associated with the outcome. In both sexes, there was an increase in the tendency of obesity according to the sum total of risk behaviors.
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Affiliation(s)
- Anne Ribeiro Streb
- Centro de Desportos, Universidade Federal de Santa Catarina. R. Eng. Agronômico Andrei Cristian Ferreira s/n, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Giovani Firpo Del Duca
- Centro de Desportos, Universidade Federal de Santa Catarina. R. Eng. Agronômico Andrei Cristian Ferreira s/n, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Robert Passos da Silva
- Centro de Desportos, Universidade Federal de Santa Catarina. R. Eng. Agronômico Andrei Cristian Ferreira s/n, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Jucemar Benedet
- Centro de Desportos, Universidade Federal de Santa Catarina. R. Eng. Agronômico Andrei Cristian Ferreira s/n, Trindade. 88040-900 Florianópolis SC Brasil.
| | - Deborah Carvalho Malta
- Departamento de Enfermagem Materno Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte MG Brasil
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Disparities in food consumption between economically segregated urban neighbourhoods. Public Health Nutr 2019; 23:525-537. [PMID: 31839024 DOI: 10.1017/s1368980019003501] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE To examine associations between economic residential segregation and prevalence of healthy and unhealthy eating markers. DESIGN Cross-sectional. A stratified sample was selected in a three-stage process. Prevalence of eating markers and their 95 % CI were estimated according to economic residential segregation: high (most segregated); medium (integrated) and low (less segregated or integrated). Segregation was measured at the census tract and assessed using the Getis-Ord local $G_i^{\rm{\ast}}$ statistic based on the proportion of heads of household in a neighbourhood earning a monthly income of 0-3 minimum wages. Binary logistic regression using generalized estimating equations were used to model the associations. SETTING Belo Horizonte, Brazil. PARTICIPANTS Adults (n 1301) residing in the geographical environment (178 census tracts) of ten units of the Brazilian primary-care service known as the Health Academy Program. RESULTS Of the 1301 participants, 27·7 % lived in highly segregated neighbourhoods, where prevalence of regular consumption of fruit was lower compared with more affluent areas (34·6 v. 53·2 %, respectively). Likewise, regular consumption of vegetables (70·1 v. 87·6 %), fish (23·6 v. 42·3 %) and replacement of lunch or dinner with snacks (0·8 v. 4·7 %) were lower in comparison to more affluent areas. In contrast, regular consumption of beans was higher (91·0 v. 79·5 %). The associations of high-segregated neighbourhood with consumption of vegetables (OR = 0·62; 95 % CI 0·39, 0·98) and beans (OR = 1·85; 95 % CI 1·07, 3·19) remained significant after adjustments. CONCLUSIONS Economic residential segregation was associated with healthy eating markers even after adjustments for individual-level factors and perceived food environment.
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Santin F, Canella D, Borges C, Lindholm B, Avesani CM. Dietary Patterns of Patients with Chronic Kidney Disease: The Influence of Treatment Modality. Nutrients 2019; 11:E1920. [PMID: 31443269 PMCID: PMC6723967 DOI: 10.3390/nu11081920] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2019] [Revised: 07/12/2019] [Accepted: 07/15/2019] [Indexed: 12/19/2022] Open
Abstract
BACKGROUND We analyzed the dietary patterns of Brazilian individuals with a self-declared diagnosis of chronic kidney disease (CKD) and explored associations with treatment modality. METHODS Weekly consumption of 14 food intake markers was analyzed in 839 individuals from the 2013 Brazil National Health Survey with a self-declared diagnosis of CKD undergoing nondialysis (n = 480), dialysis (n = 48), or renal transplant (n = 17) treatment or no CKD treatment (n = 294). Dietary patterns were derived by exploratory factor analysis of food intake groups. Multiple linear regression models, adjusted by sociodemographic and geographical variables, were used to evaluate possible differences in dietary pattern scores between different CKD treatment groups. RESULTS Two food patterns were identified: an "Unhealthy" pattern (red meat, sweet sugar beverages, alcoholic beverages, and sweets and a negative loading of chicken, excessive salt, and fish) and a "Healthy" pattern (raw and cooked vegetables, fruits, fresh fruit juice, and milk). The Unhealthy pattern was inversely associated with nondialysis and dialysis treatment (β: -0.20 (95% CI: -0.33; -0.06) and β: -0.80 (-1.16; -0.45), respectively) and the Healthy pattern was positively associated with renal transplant treatment (β: 0.32 (0.03; 0.62)). CONCLUSIONS Two dietary patterns were identified in Brazilian CKD individuals and these patterns were linked to CKD treatment modality.
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Affiliation(s)
- Fernanda Santin
- Graduate Program in Food, Nutrition and Health, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, Brazil
| | - Daniela Canella
- Department of Applied Nutrition, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, Brazil
| | - Camila Borges
- Department of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, Brazil
| | - Bengt Lindholm
- Division of Renal Medicine and Baxter Novum, Department of Clinical Science, Intervention and Technology, Karolinska Institute, 14186 Stockholm, Sweden
| | - Carla Maria Avesani
- Department of Applied Nutrition, Nutrition Institute, Rio de Janeiro State University, Rio de Janeiro 20559-900, Brazil.
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Santin F, Canella DS, Avesani CM. Food Consumption in Chronic Kidney Disease: Association With Sociodemographic and Geographical Variables and Comparison With Healthy Individuals. J Ren Nutr 2019; 29:333-342. [DOI: 10.1053/j.jrn.2018.10.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 10/11/2018] [Accepted: 10/18/2018] [Indexed: 11/11/2022] Open
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Silva LESD, Claro RM. Tendências temporais do consumo de frutas e hortaliças entre adultos nas capitais brasileiras e Distrito Federal, 2008-2016. CAD SAUDE PUBLICA 2019; 35:e00023618. [DOI: 10.1590/0102-311x00023618] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 01/24/2019] [Indexed: 11/22/2022] Open
Abstract
Resumo: Analisar a tendência temporal do consumo de frutas e hortaliças entre adultos nas capitais brasileiras e no Distrito Federal no período entre 2008 e 2016. Trata-se de um estudo de série temporal, com dados do VIGITEL de 2008 a 2016 (n = 463.817). Analisou-se o percentual de consumo regular (≥ 5 dias/semana) e recomendado (≥ 5x/dia) de frutas e hortaliças, para cada um dos anos, para o conjunto completo da população e segundo sexo, faixa de idade, nível de escolaridade e localidade. A presença de tendência linear (de aumento ou diminuição) na variação dos indicadores foi analisada por meio da regressão Prais-Winsten. Verificou-se aumento significativo (p < 0,05) na prevalência de consumo regular (de 33 a 35,2%, aumento de 1,86%/ano) e de consumo recomendado de frutas e hortaliças (de 20 a 24,4%, aumento de 3,32%/ano). Tendência semelhante foi identificada para o percentual da população atendendo a recomendação de consumo na maior parte dos estratos populacionais, com maior magnitude de aumento entre: homens (4%/ano vs. 3,05%/ano para as mulheres), adultos jovens (3,97%/ano para aqueles com idades entre 18 e 24 anos vs. 2,3%/ano para os que têm de 55-64 anos), aqueles com menor escolaridade (2,97%/ano para aqueles com 0-8 anos de estudos vs. 2,76%/ano para os com 12 anos ou mais) e residentes em regiões menos desenvolvidas (5,02%/ano na Região Norte vs. 2,6%/ano na Região Sudeste). Observou-se aumento do consumo de frutas e hortaliças especialmente entre os grupos com menor nível de consumo no início do período estudado. No entanto, 3 a cada 4 indivíduos permanecem consumindo menos frutas e hortaliças do que o recomendado.
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Velasquez-Melendez G, Felisbino-Mendes MS, Matozinhos FP, Claro R, Gomes CS, Malta DC. Ideal cardiovascular health prevalence in the Brazilian population - National Health Survey (2013). REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2017; 18 Suppl 2:97-108. [PMID: 27008606 DOI: 10.1590/1980-5497201500060009] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2015] [Accepted: 08/05/2015] [Indexed: 11/22/2022] Open
Abstract
Primordial prevention is defined as the initial prevention of risk factors, through the adoption of healthier behaviors. Within this concept, the American Heart Association (AHA) has defined seven metrics, based on evidence, to achieve ideal cardiovascular health. The aim of this study was to evaluate the prevalence of cardiovascular health in the Brazilian population, according to sex, age, and region of residence, using data from the latest National Health Survey (2013). We assessed the risk factors, as recommended by the AHA, combined (number of factors) and individually: four behavioral (smoking, physical activity, body mass index and diet) and three biological factors (blood pressure, blood glucose and cholesterol levels). The Brazilian population has reached very low prevalence (1%), for the sum of 7 factors in ideal level. Individually, 3.2% of the population consumed ideal diet, followed by physical activity (23.6%) and body mass index (43.7%). The subjects aged between 18 and 35 years showed higher prevalence of metrics combined at the optimal levels (0.5%), which was also reached by the population of the Northern region. These results indicate that greater efforts are urgent by public policies at the level of primordial prevention in order to achieve appropriate targets of cardiovascular health in the Brazilian population.
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Affiliation(s)
- Gustavo Velasquez-Melendez
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Mariana Santos Felisbino-Mendes
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Fernanda Penido Matozinhos
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Rafael Claro
- Departamento de Nutrição, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Crizian Saar Gomes
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Deborah Carvalho Malta
- Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde, Secretaria de Vigilância em Saúde, Ministério da Saúde, Brasília, DF, Brazil
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de Azevedo Barros MB, Lima MG, Medina LDPB, Szwarcwald CL, Malta DC. Social inequalities in health behaviors among Brazilian adults: National Health Survey, 2013. Int J Equity Health 2016; 15:148. [PMID: 27852275 PMCID: PMC5112654 DOI: 10.1186/s12939-016-0439-0] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2016] [Accepted: 09/08/2016] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Considering the high socioeconomic inequalities prevailing in Brazil and lifestyle as a strong determinant of morbidity and premature mortality, our purpose was to evaluate the degree of socioeconomic disparities in the prevalence of health behaviors among Brazilian adult population using data from the 2013 Brazilian National Health Survey. METHOD Based on a sample of 49,025 individuals aged 20 to 59 years, we estimated the prevalence of several health behaviors and a score of unhealthy behaviors according to gender, education, race/color and possession of private health insurance. The prevalence ratios adjusted by age and gender were estimated by means of multiple Poisson regression and the analyses took into account the sampling design. RESULTS Significant social inequalities were identified in the Brazilian adults. Higher prevalence of current smoking, leisure-time physical inactivity, sedentary lifestyle, whole milk consumption and low ingestion of greens, vegetables, and fruits were observed among the less educated, in the non-white population, and among those without private health insurance. Higher prevalence of heavy episodic drinking was found in the non-white population, but no difference in the consumption of fatty meat was found according to skin color. Score of unhealthy behavior higher than 6 was more frequent in lower educational strata (PR = 3.74) in the non-white population (PR = 1.39) and among those without private health insurance (PR = 1.78). Compared to women, men had higher prevalence rates of smoking, hazardous alcohol consumption, and fatty meat consumption and lower consumption of greens, vegetables and fruits. CONCLUSION The results of the study emphasize the importance of monitoring social inequalities in health as part of national health policies and the urgent need to prioritize actions to promote healthy behaviors, especially among the most socially vulnerable segments of society.
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Affiliation(s)
| | - Margareth Guimarães Lima
- State University of Campinas – UNICAMP, Campinas, Brazil
- Department of Public Health – UNICAMP - Tessália Vieira de Camargo, 126 - Cidade Universitária Zeferino Vaz, 13083-887 Campinas, SP Brazil
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Maia EG, Gomes FMD, Alves MH, Huth YR, Claro RM. [Watching TV and eating habits: the results from 2006 to 2014 in Brazilian state capitals]. CAD SAUDE PUBLICA 2016; 32:e00104515. [PMID: 27653195 DOI: 10.1590/0102-311x00104515] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Accepted: 02/22/2016] [Indexed: 11/22/2022] Open
Abstract
The objectives were to analyze trends in TV watching in Brazil and to identify the association between this habit and food consumption in the Brazilian adult population from 2006 to 2014. Data were obtained from the Surveillance System for Risk and Protective Factors for Chronic Illnesses Using a Telephone Survey (VIGITEL) for the years 2006 to 2014. The daily habit of watching TV and consumption of fruits, vegetables, beans, meat, milk, sodas, and/or sweetened beverages were analyzed over the period, and their association was investigated using regression models. The proportion of adults that reported watching more than three hours of TV per day did not vary significantly over the years, but these individuals showed declining consumption of healthy foods and increasing consumption of unhealthy foods. This situation was observed in both sexes and in all age and schooling brackets. The habit of watching TV is associated with unhealthy eating.
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Affiliation(s)
| | | | | | - Yara Rubia Huth
- Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Dolinsky M, Agostinho C, Ribeiro D, Rocha GDS, Barroso SG, Ferreira D, Polinati R, Ciarelli G, Fialho E. Effect of different cooking methods on the polyphenol concentration and antioxidant capacity of selected vegetables. JOURNAL OF CULINARY SCIENCE & TECHNOLOGY 2015. [DOI: 10.1080/15428052.2015.1058203] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Tavares LF, Castro IRRD, Levy RB, Cardoso LO, Passos MDD, Brito FDSB. Validade relativa de indicadores de práticas alimentares da Pesquisa Nacional de Saúde do Escolar entre adolescentes do Rio de Janeiro, Brasil. CAD SAUDE PUBLICA 2014; 30:1029-41. [DOI: 10.1590/0102-311x00000413] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2013] [Accepted: 11/04/2013] [Indexed: 01/14/2023] Open
Abstract
Avaliou-se a validade relativa dos indicadores de práticas alimentares do questionário utilizado na Pesquisa Nacional de Saúde do Escolar (PeNSE) entre adolescentes da cidade do Rio de Janeiro, Brasil. Foram estudados 174 alunos. Foram avaliados os indicadores: a ingestão regular (≥ 5 vezes/semana) dos alimentos marcadores de alimentação saudável, marcadores de alimentação não saudável e as rotinas alimentares: realizar refeição com responsável (REFEIÇÃO), realizar o desjejum (DESJEJUM) e comer enquanto estuda ou assiste à TV. Foram comparados os resultados do questionário e dos três recordatórios de 24 horas. Para todos os marcadores de alimentação saudável, não houve diferença na proporção de ingestão regular de acordo com os dois métodos. As frequências geradas pelo questionário foram superiores para os indicadores salgadinhos de pacote e biscoitos salgados e mais baixas para embutidos e REFEIÇÃO. Os indicadores de consumo regular de marcadores de alimentação saudável e aquele referente a DESJEJUM foram os que apresentaram maior acurácia. Os indicadores de práticas alimentares utilizados pela PeNSE apresentaram validade satisfatória.
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