Banca de QUALIFICAÇÃO: ANA BEATRIZ RODRIGUES PINHEIRO

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : ANA BEATRIZ RODRIGUES PINHEIRO
DATE: 01/12/2022
TIME: 14:00
LOCAL: Departamento de Nutrição da UFRN
TITLE:

FOOD AND NUTRITIONAL INSECURITY AND PRE-DIABETES IN ADULTS AND ELDERLY – BRAZUCA NATAL STUDY

KEY WORDS:

Pre diabetes; Insulin Resistance; Food Insecurity; Lipid profile.

PAGES: 53
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

Introduction: Food and nutrition insecurity (FIN) is understood as the lack of access to food in adequate quantity and quality, which already affects more than 2.3 billion people worldwide. Evidence points to strong correlations between the consumption of unhealthy diets, stress and the development of chronic non-communicable diseases, such as diabetes and pre-diabetes and periods of IAN. Objectives: To evaluate the association of Food and Nutritional Insecurity with the development of pre-diabetes in adults and elderly participants 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 – lipid profile, glycemia and fasting insulin to calculate HOMA-IR. Those with HOMA-IR were considered to have prediabetes>2,7. To verify the presence of IAN, the Brazilian Food Insecurity Scale (EBIA) 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, whose score was classified as low, medium or high adhering to the Guide. Normality was tested by Kolmogorov-Smirnov. Friedman, Mann-Whitney and Kruskal-Wallis nonparametric tests were used to identify differences in the distribution of the dependent variable (prediabetes) and the independent variables. Measures of central tendency and dispersion were used for the continuous variables; proportion for categorical variables. Bivariate Poisson analysis was performed to identify the ratios of gross prevalence (PR), in addition to controlling the confounding variables. After bivariate analysis, the independent variables with less than 20% association (p<0.20) entered the multivariate analysis by Poisson regression with robust variance, remaining in the final model only variables with 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;95%CI 0.98-1.26). 50.4% were prediabetic, of these 55.5% had some degree of IAN (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. Conclusion: There is a high prevalence of individuals with IAN and prediabetes. This relationship demonstrates that the most vulnerable individuals are the most affected in the development of the disease. Thus, it is evident the need for public policies for access to foods of good nutritional quality and promotion of healthy lifestyles, which promote the reduction of prediabetes and consequently dm2

COMMITTEE MEMBERS:
Externa ao Programa - 2374737 - INGRID WILZA LEAL BEZERRA - nullExterna ao Programa - 2307522 - NILA PATRÍCIA FREIRE PEQUENO - nullExterno à Instituição - SAVIO MARCELINO GOMES - UFPB
Presidente - 1452705 - SEVERINA CARLA VIEIRA CUNHA LIMA