Ultra-processed food consumption and metabolic syndrome: a cross-sectional study in Quilombola communities of Alagoas, Brazil.

Autor: Barbosa LB; Postgraduate Program in Health Sciences of the Institute of Biological and Health Sciences, Federal University of Alagoas, Campus A. C. Simões, BR 104, km 14, Tabuleiro dos Martins, Maceió, Alagoas, 57072-970, Brazil.; Faculty of Nutrition of the Federal University of Alagoas, Campus A. C. Simões, BR 104, km 14, Tabuleiro dos Martins, Maceió, Alagoas, 57072-970., Brazil., Vasconcelos NBR; Postgraduate Program in Health Sciences of the Institute of Biological and Health Sciences, Federal University of Alagoas, Campus A. C. Simões, BR 104, km 14, Tabuleiro dos Martins, Maceió, Alagoas, 57072-970, Brazil., Dos Santos EA; Faculty of Medicine of the Federal University of Alagoas, Campus A. C. Simões, BR 104, km 14, Tabuleiro dos Martins, Maceió, Alagoas, 57072-970., Brazil., Dos Santos TR; Postgraduate Program in Health Sciences of the Institute of Biological and Health Sciences, Federal University of Alagoas, Campus A. C. Simões, BR 104, km 14, Tabuleiro dos Martins, Maceió, Alagoas, 57072-970, Brazil., Ataide-Silva T; Faculty of Nutrition of the Federal University of Alagoas, Campus A. C. Simões, BR 104, km 14, Tabuleiro dos Martins, Maceió, Alagoas, 57072-970., Brazil., Ferreira HDS; Faculty of Nutrition of the Federal University of Alagoas, Campus A. C. Simões, BR 104, km 14, Tabuleiro dos Martins, Maceió, Alagoas, 57072-970., Brazil. haroldo.ufal@gmail.com.
Jazyk: angličtina
Zdroj: International journal for equity in health [Int J Equity Health] 2023 Jan 17; Vol. 22 (1), pp. 14. Date of Electronic Publication: 2023 Jan 17.
DOI: 10.1186/s12939-022-01816-z
Abstrakt: Background: The processing of food can cause changes that turn them into risk factors for chronic diseases. A higher degree of food processing is associated with the development of chronic non-communicable diseases (NCDs), including the metabolic syndrome (MetS). The objective of this study was to analyze the relationship between ultra-processed food (UPF) consumption and the prevalence of MetS and its risk factors, focusing on a population group especially subjected to precarious living conditions and food insecurity.
Method: Cross-sectional population-based study with women (19 to 59 years) from Quilombola communities of Alagoas. The socioeconomic, demographic, anthropometric, health status, lifestyle, and food intake (24-h recall) variables were analyzed. The dependent variable was the MetS, defined using the harmonization criteria of the Joint Interim Statement, and its components. The foods consumed were categorized according to the Nova Classification, assuming the highest UPF consumption as risk exposure. The measure of association was the prevalence ratio (PR) and respective 95%CI, calculated by Poisson regression with robust variance. We also analyzed the association with the Nova score of UPF consumption.
Results: We investigated 895 women (38.9 ± 11.0 years), of whom 48.3% had MetS. On average, 15.9% of the total energy intake came from UPF. Lower Nova scores were associated with a lower prevalence of diabetes and low HDL. Higher UPF consumption was associated with a 30% higher prevalence of hypertension (PR = 1.30; 95%CI: 1.06-1.61).
Conclusion: The highest UPF consumption was positively associated with the prevalence of hypertension, while a lower Nova score was a protective factor against diabetes and low HDL. UPF consumption in Quilombola communities is important but lower than that observed in the Brazilian population in general. It is suggested that public health programs be implemented to promote healthy eating while valuing the existing eating habits and traditions among the remaining Brazilian Quilombola people.
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje