Banca de DEFESA: ANA BEATRIZ RODRIGUES PINHEIRO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANA BEATRIZ RODRIGUES PINHEIRO
DATE: 27/02/2023
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:

Food Insecurity, Diabetes Mellitus; Insulin Resistance; Eating Practices.

PAGES: 65
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

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.

 

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