Exploratory analysis of the association between stature, obesity, and food insecurity in adults of the National Dietary Survey 2017-2018

Autores/as

  • Talita Barbosa Domingos Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Departamento de Nutrição Social Aplicada https://orcid.org/0000-0002-7674-5266
  • Rosely Sichieri Universidade do Estado do Rio de Janeiro, Instituto de Medicina Social, Departamento de Epidemiologia https://orcid.org/0000-0001-5286-5354
  • Rosana Salles-Costa Universidade Federal do Rio de Janeiro, Centro de Ciências da Saúde, Instituto de Nutrição Josué de Castro, Departamento de Nutrição Social Aplicada https://orcid.org/0000-0002-2307-4083

Palabras clave:

Adult, Body height, Body mass index, Brazil, Food insecurity, Obesity

Resumen

Objective

Evaluate short stature as a possible explanation for obesity, and identify if consumption of energy, protein, carbohydrate, and lipids were associated to higher risk for obesity in Brazilian adults (20-59 y) living in household food insecurity.

Methods

Cross-sectional study from 2017/2018 Household Budget Survey (N=28,112). Food insecurity was measured with the Brazilian Household Food Insecurity Measurement Scale. Short stature was used as an indicator of malnutrition at the beginning of life, which characterizes metabolic alterations resulting from the presence of food insecurity (cuts off women ≤149cm; men ≤160cm). Body mass index (kg/m2) was estimated from self-reported weight and body height. The average food intake was estimated from a 24-hr recall. The weighted means and standard error of the food security/insecurity categories were assessed according to height, mean energy intake and protein(g), carbohydrate(g) and lipids(g) intake, stratified by gender and nutritional status.

Results

Both men and women with obesity and food insecurity had significantly lower average height in comparison with those in food security status (p-value <0.01). The prevalence of obesity 1 (BMI 30-34.9kg/m2) increased significantly with the food insecurity among women. There was a trend towards short stature among obese women from families with food insecurity, as well as lower intake of energy. Among both men and women, the lowest intakes of protein and the highest intake of carbohydrates were observed in the underweight group (BMI <18.5kg/m2).

Conclusion

In women, the risk of obesity may depend on the metabolic background, since who presents food insecurity and develop obesity have low stature and lower energy intake.

Citas

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Publicado

2024-05-09

Cómo citar

Domingos, T. B., Sichieri, R., & Salles-Costa, R. (2024). Exploratory analysis of the association between stature, obesity, and food insecurity in adults of the National Dietary Survey 2017-2018. Revista De Nutrição, 37. Recuperado a partir de https://periodicos.puc-campinas.edu.br/nutricao/article/view/12762

Número

Sección

Dossiê: Insegurança Alimentar, Fome e Obesidade no Brasil Contemporâneo