Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country
Sickle cell anemia (SCA) is a genetic and hemolytic disease globally characterized by social vulnerability. Food consumption has been insufficiently analyzed in SCA. Secondary iron overload is often observed. This leads to unreliable recommendations for dietary iron restriction. We assessed food con...
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| Format: | Article |
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MDPI AG
2023-03-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/15/6/1478 |
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| author | Tamara Vilhena Teixeira Ana Carolina Feldenheimer Da Silva Cláudia dos Santos Cople Rodrigues Flávia dos Santos Barbosa Brito Daniela Silva Canella Marta Citelli |
| author_facet | Tamara Vilhena Teixeira Ana Carolina Feldenheimer Da Silva Cláudia dos Santos Cople Rodrigues Flávia dos Santos Barbosa Brito Daniela Silva Canella Marta Citelli |
| author_sort | Tamara Vilhena Teixeira |
| collection | DOAJ |
| description | Sickle cell anemia (SCA) is a genetic and hemolytic disease globally characterized by social vulnerability. Food consumption has been insufficiently analyzed in SCA. Secondary iron overload is often observed. This leads to unreliable recommendations for dietary iron restriction. We assessed food consumption and iron intake among adults with SCA. Considering the guidelines for healthy eating, foods were grouped according to the NOVA classification. This transversal study included 74.4% of eligible patients who were registered in the reference center for SCA treatment in Rio de Janeiro, Brazil, in 2019. Data on food consumption were collected through 24 h recall. The monthly household income of 82.3% of patients was less than $770. The consumption of fresh or minimally processed foods was directly associated with monthly household income (<i>p</i> < 0.0001; η<sub>2</sub> = 0.87). Ultra-processed foods provided more than one-third of the total energy intake (35.2%). The prevalence of inadequate iron intake was about 40% among women, while that of iron intake above the tolerable upper limit was 0.8%. People from lower socioeconomic classes had the lowest iron intake. Strategies to encourage the consumption of fresh or minimally processed foods are needed considering the requirement of an antioxidant diet in SCA. These findings highlight the need for health equity to ensure food security and healthy eating in SCA. |
| first_indexed | 2024-03-11T06:04:01Z |
| format | Article |
| id | doaj.art-411f1c10e3cf4409925073e18320009b |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-11T06:04:01Z |
| publishDate | 2023-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-411f1c10e3cf4409925073e18320009b2023-11-17T13:06:21ZengMDPI AGNutrients2072-66432023-03-01156147810.3390/nu15061478Food Consumption of People with Sickle Cell Anemia in a Middle-Income CountryTamara Vilhena Teixeira0Ana Carolina Feldenheimer Da Silva1Cláudia dos Santos Cople Rodrigues2Flávia dos Santos Barbosa Brito3Daniela Silva Canella4Marta Citelli5Nutrition Institute, Rio de Janeiro State University, São Francisco Xavier Street, 524, Rio de Janeiro 20550-900, BrazilNutrition Institute, Rio de Janeiro State University, São Francisco Xavier Street, 524, Rio de Janeiro 20550-900, BrazilNutrition Institute, Rio de Janeiro State University, São Francisco Xavier Street, 524, Rio de Janeiro 20550-900, BrazilNutrition Institute, Rio de Janeiro State University, São Francisco Xavier Street, 524, Rio de Janeiro 20550-900, BrazilNutrition Institute, Rio de Janeiro State University, São Francisco Xavier Street, 524, Rio de Janeiro 20550-900, BrazilNutrition Institute, Rio de Janeiro State University, São Francisco Xavier Street, 524, Rio de Janeiro 20550-900, BrazilSickle cell anemia (SCA) is a genetic and hemolytic disease globally characterized by social vulnerability. Food consumption has been insufficiently analyzed in SCA. Secondary iron overload is often observed. This leads to unreliable recommendations for dietary iron restriction. We assessed food consumption and iron intake among adults with SCA. Considering the guidelines for healthy eating, foods were grouped according to the NOVA classification. This transversal study included 74.4% of eligible patients who were registered in the reference center for SCA treatment in Rio de Janeiro, Brazil, in 2019. Data on food consumption were collected through 24 h recall. The monthly household income of 82.3% of patients was less than $770. The consumption of fresh or minimally processed foods was directly associated with monthly household income (<i>p</i> < 0.0001; η<sub>2</sub> = 0.87). Ultra-processed foods provided more than one-third of the total energy intake (35.2%). The prevalence of inadequate iron intake was about 40% among women, while that of iron intake above the tolerable upper limit was 0.8%. People from lower socioeconomic classes had the lowest iron intake. Strategies to encourage the consumption of fresh or minimally processed foods are needed considering the requirement of an antioxidant diet in SCA. These findings highlight the need for health equity to ensure food security and healthy eating in SCA.https://www.mdpi.com/2072-6643/15/6/1478food consumptionNOVA classificationsickle cell anemia |
| spellingShingle | Tamara Vilhena Teixeira Ana Carolina Feldenheimer Da Silva Cláudia dos Santos Cople Rodrigues Flávia dos Santos Barbosa Brito Daniela Silva Canella Marta Citelli Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country Nutrients food consumption NOVA classification sickle cell anemia |
| title | Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country |
| title_full | Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country |
| title_fullStr | Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country |
| title_full_unstemmed | Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country |
| title_short | Food Consumption of People with Sickle Cell Anemia in a Middle-Income Country |
| title_sort | food consumption of people with sickle cell anemia in a middle income country |
| topic | food consumption NOVA classification sickle cell anemia |
| url | https://www.mdpi.com/2072-6643/15/6/1478 |
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