0519/2018 - Food insecurity in pregnant women is associated with social determinants and nutritional outcomes: A systematic review and meta-analysis. Associação entre insegurança alimentar, determinantes sociais e desfechos nutricionais em mulheres grávidas: Revisão e metanálise.
O estudo objetiva analisar a associação entre insegurança alimentar, determinantes sociais e estado nutricional de mulheres gestantes por meio de uma revisão sistemática e metanálise. As buscas de artigos ocorreram em cinco bases eletrônicas. Determinantes sociais (raça, escolaridade, participação em programa social) e estado nutricional (IMC pré-gestacional, ganho de peso gestacional, anemia) foram analisados em relação a situação de IA. Para cada estudo, foi coletado a frequência de insegurança alimentar para calcular a medida sumário, razão de prevalência (RP). 26 artigos foram selecionados. Observou-se elevada ocorrência de IA em gestantes negras (RP:1,83; IC 95% 1,08-3.10), naquelas com participação em programas de proteção social (RP= 1.43; 1.02-2.01), e com baixo nível de escolaridade da gestante (RP= 2.73; 1.68-4.43). O fato da gestante possuir companheiro protegeu contra IA (RP=0.61; 0.40-0.95). Observou-se que a experimentação da IA elevou a chance de sobrepeso (PR=1.57; 95% CI= 1.29-1.91) e de obesidade (PR=1.47; 95% CI= 1.15-1.87) em gestantes, assim como o ganho excessivo (PR=1.42; 95% CI= 1.10-1.82) e inadequado (PR=1.47; 95% CI= 1.09-1.97) de peso na gestação. A anemia não foi associada com a IA. Iniquidades sociais estão associadas a IA em gestantes.
Palavras-chave:
Determinantes Sociais da Saúde, Mulheres Grávidas, Segurança Alimentar e Nutricional
Abstract:
The association between FI, social determinants, and nutritional outcomes for pregnant women are analyzed. A systematic review was conducted through a search of articles in five electronic databases. Social determinants (race, education, participation in social programs) and nutritional status (pre-gestational BMI, gestational weight gain, anemia) were analyzed in relation to the FI situation. For each article, the frequency of food insecurity was collected in order to calculate the summary measure, prevalence ratio (PR). 26 articles were ed. An elevated occurrence of FI was associated with black pregnant women (PR: 1.83, 95% CI 1.08-3.10), participation in social protection programs (PR = 1.43, 1.02-2.01), and with low education levels on the part of pregnant women (PR = 2.73, 1.68-4.43). FI increased the chances of being overweight (PR = 1.57, 95% CI = 1.29-1.91) and obese (PR = 1.47, 95% CI = 1.15-1.87) in pregnant women, as well as excessive weight gain (PR = 1.42, 95% CI = 1.10-1.82) and inadequate weight gain (PR = 1.47; 95% CI = 1.09-1.97) during pregnancy. Anemia was not associated with FI. Social inequities are associated with food and nutritional insecurity in pregnant women.
Keywords:
Food and Nutritional Security, Pregnant women, Social Determinants of Health
Associação entre insegurança alimentar, determinantes sociais e desfechos nutricionais em mulheres grávidas: Revisão e metanálise.
Resumo (abstract):
The association between FI, social determinants, and nutritional outcomes for pregnant women are analyzed. A systematic review was conducted through a search of articles in five electronic databases. Social determinants (race, education, participation in social programs) and nutritional status (pre-gestational BMI, gestational weight gain, anemia) were analyzed in relation to the FI situation. For each article, the frequency of food insecurity was collected in order to calculate the summary measure, prevalence ratio (PR). 26 articles were ed. An elevated occurrence of FI was associated with black pregnant women (PR: 1.83, 95% CI 1.08-3.10), participation in social protection programs (PR = 1.43, 1.02-2.01), and with low education levels on the part of pregnant women (PR = 2.73, 1.68-4.43). FI increased the chances of being overweight (PR = 1.57, 95% CI = 1.29-1.91) and obese (PR = 1.47, 95% CI = 1.15-1.87) in pregnant women, as well as excessive weight gain (PR = 1.42, 95% CI = 1.10-1.82) and inadequate weight gain (PR = 1.47; 95% CI = 1.09-1.97) during pregnancy. Anemia was not associated with FI. Social inequities are associated with food and nutritional insecurity in pregnant women.
Palavras-chave (keywords):
Food and Nutritional Security, Pregnant women, Social Determinants of Health
Demetrio, F, Santos, C.A.S.T., Santos, D.S., Pereira-Santos, M. Food insecurity in pregnant women is associated with social determinants and nutritional outcomes: A systematic review and meta-analysis.. Cien Saude Colet [periódico na internet] (2018/dez). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/food-insecurity-in-pregnant-women-is-associated-with-social-determinants-and-nutritional-outcomes-a-systematic-review-and-metaanalysis/17052?id=17052
