Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil
Abstract Objective: To analyse the direct and indirect associations of experience of racial discrimination on dietary patterns (DP), obesity and abdominal obesity. Design: This is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination (...
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Format: | Article |
Language: | English |
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Cambridge University Press
2024-01-01
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Series: | Public Health Nutrition |
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Online Access: | https://www.cambridge.org/core/product/identifier/S1368980024000338/type/journal_article |
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author | Marcos Fanton Ylana Elias Rodrigues Ilaine Schuch Caroline Marques de Lima Cunha Marcos Pascoal Pattussi Raquel Canuto |
author_facet | Marcos Fanton Ylana Elias Rodrigues Ilaine Schuch Caroline Marques de Lima Cunha Marcos Pascoal Pattussi Raquel Canuto |
author_sort | Marcos Fanton |
collection | DOAJ |
description |
Abstract
Objective:
To analyse the direct and indirect associations of experience of racial discrimination on dietary patterns (DP), obesity and abdominal obesity.
Design:
This is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination (Experiences of Discrimination scale). The mediator variables were the DP: healthy, Brazilian traditional, sugar and carbohydrates, and fast food. The outcomes were obesity (BMI ≥ 30 kg/m2) and abdominal obesity (waist circumference ≥ 88 cm for women; ≥ 102 cm for men). Structural equation modelling was applied.
Setting:
Porto Alegre, Brazil.
Participants:
Totally, 400 adults aged between 20 and 70 years were participated.
Results:
The mean age of participants was 47·2 years (s
d = 13·9), and 75 % were women. Experiencing racial discrimination had a positive direct effect on obesity (healthy DP: β = 0·153, P < 0·05; Brazilian DP: β = 0·156, P < 0·05; sugar and carbohydrates DP: β = 0·156, P < 0·05; and fast-food DP: β = 0·153, P < 0·05) and abdominal obesity (healthy DP: β = 0·206, P < 0·01; Brazilian DP: β = 0·210, P < 0·01; sugar and carbohydrates DP: β = 0·204, P < 0·01; and fast-food DP: β = 0·204, P < 0·01). The experience of racial discrimination did not have a direct effect on DP, nor did it exert an indirect effect on obesity and abdominal obesity through any DP.
Conclusions:
A higher experience of racial discrimination is associated with obesity and abdominal obesity, independent of diet.
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first_indexed | 2024-03-07T22:52:13Z |
format | Article |
id | doaj.art-461086d257bc40d9871ecc68f92c77ec |
institution | Directory Open Access Journal |
issn | 1368-9800 1475-2727 |
language | English |
last_indexed | 2024-03-07T22:52:13Z |
publishDate | 2024-01-01 |
publisher | Cambridge University Press |
record_format | Article |
series | Public Health Nutrition |
spelling | doaj.art-461086d257bc40d9871ecc68f92c77ec2024-02-23T08:15:17ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980024000338Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern BrazilMarcos Fanton0Ylana Elias Rodrigues1Ilaine Schuch2Caroline Marques de Lima Cunha3Marcos Pascoal Pattussi4Raquel Canuto5https://orcid.org/0000-0002-4042-1913Postgraduate Program in Philosophy. Universidade Federal de Santa Maria. Santa Maria, RS, BrazilPostgraduate Program in Nutrition Sciences. Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilPostgraduate Program in Food, Nutrition and Health, Faculty of Medicine, Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brazil Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, BrazilPostgraduate Program in Food, Nutrition and Health, Faculty of Medicine, Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, BrazilPostgraduate Program in Collective Health, Universidade do Vale do Rio dos Sinos, São Leopoldo, RS, BrazilPostgraduate Program in Food, Nutrition and Health, Faculty of Medicine, Universidade Federal do Rio Grande do Sul. Porto Alegre, RS, Brazil Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, RS, Brazil Abstract Objective: To analyse the direct and indirect associations of experience of racial discrimination on dietary patterns (DP), obesity and abdominal obesity. Design: This is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination (Experiences of Discrimination scale). The mediator variables were the DP: healthy, Brazilian traditional, sugar and carbohydrates, and fast food. The outcomes were obesity (BMI ≥ 30 kg/m2) and abdominal obesity (waist circumference ≥ 88 cm for women; ≥ 102 cm for men). Structural equation modelling was applied. Setting: Porto Alegre, Brazil. Participants: Totally, 400 adults aged between 20 and 70 years were participated. Results: The mean age of participants was 47·2 years (s d = 13·9), and 75 % were women. Experiencing racial discrimination had a positive direct effect on obesity (healthy DP: β = 0·153, P < 0·05; Brazilian DP: β = 0·156, P < 0·05; sugar and carbohydrates DP: β = 0·156, P < 0·05; and fast-food DP: β = 0·153, P < 0·05) and abdominal obesity (healthy DP: β = 0·206, P < 0·01; Brazilian DP: β = 0·210, P < 0·01; sugar and carbohydrates DP: β = 0·204, P < 0·01; and fast-food DP: β = 0·204, P < 0·01). The experience of racial discrimination did not have a direct effect on DP, nor did it exert an indirect effect on obesity and abdominal obesity through any DP. Conclusions: A higher experience of racial discrimination is associated with obesity and abdominal obesity, independent of diet. https://www.cambridge.org/core/product/identifier/S1368980024000338/type/journal_articleObesityAbdominal obesityDietary patternsRacial discriminationRacism |
spellingShingle | Marcos Fanton Ylana Elias Rodrigues Ilaine Schuch Caroline Marques de Lima Cunha Marcos Pascoal Pattussi Raquel Canuto Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil Public Health Nutrition Obesity Abdominal obesity Dietary patterns Racial discrimination Racism |
title | Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil |
title_full | Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil |
title_fullStr | Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil |
title_full_unstemmed | Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil |
title_short | Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil |
title_sort | direct and indirect associations of experience of racial discrimination dietary patterns and obesity in adults from southern brazil |
topic | Obesity Abdominal obesity Dietary patterns Racial discrimination Racism |
url | https://www.cambridge.org/core/product/identifier/S1368980024000338/type/journal_article |
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