Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults
BackgroundFood insecurity is a limited or uncertain access to the adequate food and is a significant public health problem. We aimed to assess determinants of food insecurity and the corresponding health impact in Portugal, a southern European country that faced a severe economic crisis.MethodsData...
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Frontiers Media S.A.
2018-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fpubh.2018.00038/full |
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| author | Maria João Gregório Maria João Gregório Maria João Gregório Maria João Gregório Ana M. Rodrigues Ana M. Rodrigues Ana M. Rodrigues Ana M. Rodrigues Pedro Graça Pedro Graça Rute Dinis de Sousa Rute Dinis de Sousa Sara S. Dias Sara S. Dias Sara S. Dias Jaime C. Branco Jaime C. Branco Jaime C. Branco Jaime C. Branco Helena Canhão Helena Canhão Helena Canhão Helena Canhão Helena Canhão |
| author_facet | Maria João Gregório Maria João Gregório Maria João Gregório Maria João Gregório Ana M. Rodrigues Ana M. Rodrigues Ana M. Rodrigues Ana M. Rodrigues Pedro Graça Pedro Graça Rute Dinis de Sousa Rute Dinis de Sousa Sara S. Dias Sara S. Dias Sara S. Dias Jaime C. Branco Jaime C. Branco Jaime C. Branco Jaime C. Branco Helena Canhão Helena Canhão Helena Canhão Helena Canhão Helena Canhão |
| author_sort | Maria João Gregório |
| collection | DOAJ |
| description | BackgroundFood insecurity is a limited or uncertain access to the adequate food and is a significant public health problem. We aimed to assess determinants of food insecurity and the corresponding health impact in Portugal, a southern European country that faced a severe economic crisis.MethodsData were derived from the Epidemiology of Chronic Diseases Cohort Study (EpiDoC), a population-based cohort of 10,661 individuals that were representative of the Portuguese adult population and followed since 2011. A cross-sectional analysis of the third wave of evaluation (EpiDoC 3) was performed between 2015 and 2016. Food insecurity was assessed with the household food insecurity psychometric scale. Socioeconomic, demographic, lifestyle, adherence to Mediterranean diet (MD), self-reported non-communicable disease, health-related quality of life (HRQoL) (EQ-5D-3L), physical function (HAQ score), and health resource consumption information was also collected.ResultsThe estimated proportion of food insecurity was 19.3% among a total of 5,653 participants. Food insecure households had low adherence to the MD (OR = 0.44; 95% IC 0.31–0.62). In addition, diabetes (OR = 1.69; 95% IC 1.20–2.40), rheumatic disease (OR = 1.67; 95% IC 1.07–2.60), and depression symptoms (OR = 1.50; 95% IC 1.09–2.06) were independently associated with food insecurity. On average, food insecure households had a lower HRQoL (OR = 0.18; 95% IC 0.11–0.31) and a higher disability (OR = 2.59; 95% IC 2.04–3.29). A significantly higher proportion of food insecure households reported being hospitalized (OR = 1.57; 95% IC 1.18–2.07) and had more public hospital medical appointments (OR = 1.48; 95% IC 1.12–1.94) in the previous 12 months.ConclusionWe found that food insecurity is highly prevalent in Portugal. Food insecurity was associated with low adherence to the MD, non-communicable chronic diseases, lower quality of life, and higher health resource consumption. Therefore, this study provides valuable insight into the relationship between food security and the diet and health of the population during an economic crisis. |
| first_indexed | 2024-12-10T16:42:22Z |
| format | Article |
| id | doaj.art-d55247724fb94796bdca9f287a029aa6 |
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| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-12-10T16:42:22Z |
| publishDate | 2018-02-01 |
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| series | Frontiers in Public Health |
| spelling | doaj.art-d55247724fb94796bdca9f287a029aa62022-12-22T01:41:10ZengFrontiers Media S.A.Frontiers in Public Health2296-25652018-02-01610.3389/fpubh.2018.00038327663Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese AdultsMaria João Gregório0Maria João Gregório1Maria João Gregório2Maria João Gregório3Ana M. Rodrigues4Ana M. Rodrigues5Ana M. Rodrigues6Ana M. Rodrigues7Pedro Graça8Pedro Graça9Rute Dinis de Sousa10Rute Dinis de Sousa11Sara S. Dias12Sara S. Dias13Sara S. Dias14Jaime C. Branco15Jaime C. Branco16Jaime C. Branco17Jaime C. Branco18Helena Canhão19Helena Canhão20Helena Canhão21Helena Canhão22Helena Canhão23EpiDoC Unit, Centro de Estudos de Doenças Crónicas (CEDOC) da NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisboa, PortugalFaculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, PortugalPrograma Nacional para a Promoção da Alimentação Saudável, Direção-Geral da Saúde, Lisboa, PortugalEpiSaúde Scientific Association, Évora, PortugalEpiDoC Unit, Centro de Estudos de Doenças Crónicas (CEDOC) da NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisboa, PortugalEpiSaúde Scientific Association, Évora, PortugalSociedade Portuguesa de Reumatologia, Lisboa, PortugalRheumatology Research Unit, Instituto de Medicina Molecular, Lisboa, PortugalFaculdade de Ciências da Nutrição e Alimentação da Universidade do Porto, Porto, PortugalPrograma Nacional para a Promoção da Alimentação Saudável, Direção-Geral da Saúde, Lisboa, PortugalEpiDoC Unit, Centro de Estudos de Doenças Crónicas (CEDOC) da NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisboa, PortugalEpiSaúde Scientific Association, Évora, PortugalEpiDoC Unit, Centro de Estudos de Doenças Crónicas (CEDOC) da NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisboa, PortugalEpiSaúde Scientific Association, Évora, PortugalUnidade de Investigação em Saúde (UI), Escola Superior de Saúde do Instituto Politécnico de Leiria, Leiria, PortugalEpiDoC Unit, Centro de Estudos de Doenças Crónicas (CEDOC) da NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisboa, PortugalEpiSaúde Scientific Association, Évora, PortugalSociedade Portuguesa de Reumatologia, Lisboa, PortugalServiço de Reumatologia do Hospital Egas Moniz – Centro Hospitalar Lisboa Ocidental (CHLO-E.P.E.), Lisboa, PortugalEpiDoC Unit, Centro de Estudos de Doenças Crónicas (CEDOC) da NOVA Medical School, Universidade Nova de Lisboa (NMS/UNL), Lisboa, PortugalEpiSaúde Scientific Association, Évora, PortugalSociedade Portuguesa de Reumatologia, Lisboa, PortugalEscola Nacional de Saúde Pública da Universidade Nova de Lisboa, Lisboa, Portugal0Serviço Reumatologia, Centro Hospitalar Lisboa Central-HSM, Lisboa, PortugalBackgroundFood insecurity is a limited or uncertain access to the adequate food and is a significant public health problem. We aimed to assess determinants of food insecurity and the corresponding health impact in Portugal, a southern European country that faced a severe economic crisis.MethodsData were derived from the Epidemiology of Chronic Diseases Cohort Study (EpiDoC), a population-based cohort of 10,661 individuals that were representative of the Portuguese adult population and followed since 2011. A cross-sectional analysis of the third wave of evaluation (EpiDoC 3) was performed between 2015 and 2016. Food insecurity was assessed with the household food insecurity psychometric scale. Socioeconomic, demographic, lifestyle, adherence to Mediterranean diet (MD), self-reported non-communicable disease, health-related quality of life (HRQoL) (EQ-5D-3L), physical function (HAQ score), and health resource consumption information was also collected.ResultsThe estimated proportion of food insecurity was 19.3% among a total of 5,653 participants. Food insecure households had low adherence to the MD (OR = 0.44; 95% IC 0.31–0.62). In addition, diabetes (OR = 1.69; 95% IC 1.20–2.40), rheumatic disease (OR = 1.67; 95% IC 1.07–2.60), and depression symptoms (OR = 1.50; 95% IC 1.09–2.06) were independently associated with food insecurity. On average, food insecure households had a lower HRQoL (OR = 0.18; 95% IC 0.11–0.31) and a higher disability (OR = 2.59; 95% IC 2.04–3.29). A significantly higher proportion of food insecure households reported being hospitalized (OR = 1.57; 95% IC 1.18–2.07) and had more public hospital medical appointments (OR = 1.48; 95% IC 1.12–1.94) in the previous 12 months.ConclusionWe found that food insecurity is highly prevalent in Portugal. Food insecurity was associated with low adherence to the MD, non-communicable chronic diseases, lower quality of life, and higher health resource consumption. Therefore, this study provides valuable insight into the relationship between food security and the diet and health of the population during an economic crisis.http://journal.frontiersin.org/article/10.3389/fpubh.2018.00038/fulleconomic crisisfood insecurityMediterranean dietnon-communicable diseaseshealth-related quality of lifehealth resources consumption |
| spellingShingle | Maria João Gregório Maria João Gregório Maria João Gregório Maria João Gregório Ana M. Rodrigues Ana M. Rodrigues Ana M. Rodrigues Ana M. Rodrigues Pedro Graça Pedro Graça Rute Dinis de Sousa Rute Dinis de Sousa Sara S. Dias Sara S. Dias Sara S. Dias Jaime C. Branco Jaime C. Branco Jaime C. Branco Jaime C. Branco Helena Canhão Helena Canhão Helena Canhão Helena Canhão Helena Canhão Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults Frontiers in Public Health economic crisis food insecurity Mediterranean diet non-communicable diseases health-related quality of life health resources consumption |
| title | Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults |
| title_full | Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults |
| title_fullStr | Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults |
| title_full_unstemmed | Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults |
| title_short | Food Insecurity Is Associated with Low Adherence to the Mediterranean Diet and Adverse Health Conditions in Portuguese Adults |
| title_sort | food insecurity is associated with low adherence to the mediterranean diet and adverse health conditions in portuguese adults |
| topic | economic crisis food insecurity Mediterranean diet non-communicable diseases health-related quality of life health resources consumption |
| url | http://journal.frontiersin.org/article/10.3389/fpubh.2018.00038/full |
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