0250/2022 - PATTERNS OF ENERGY BALANCE-RELATED BEHAVIORS AND FOOD INSECURITY IN PREGNANT WOMEN PADRÕES DE COMPORTAMENTOS RELACIONADOS AO BALANÇO DE ENERGIA CORPORAL E INSEGURANÇA ALIMENTAR EM GESTANTES
Os comportamentos relacionados ao balanço de energia corporal (CRBEC) durante a gestação podem estar associados às repercussões de curto e longo prazo. Este estudo objetivou identificar os padrões de CRBEC e sua associação com a insegurança alimentar (IA) em gestantes em acompanhamento pré-natal em unidades públicas de saúde de Colombo (PR), Brasil em 2018/2019. Padrões de CRBEC foram identificados por análise fatorial e os escores foram comparados de acordo com os níveis de IA (IA leve, IA M/G moderado/grave) por meio de regressão quantílica. Quatro padrões de CRBEC foram identificados entre 535 gestantes: Fator 1- atividades domésticas/cuidados, exercícios/esporte e inatividade física; Fator 2- frutas e vegetais; Fator 3 - trabalho remunerado e deslocamento; Fator 4 - refrigerantes e bebidas açucaradas, doces e guloseimas. Após análise ajustada as mulheres com IA leve apresentaram maiores escores para o Fator 1 (?=0,192 IC 95% 0,058; 0,326) e menores escores para o Fator 3 (?=-0,238 IC 95% -0,360; -0,117). Maiores escores foram observados entre as mulheres com IA leve no Fator 4 (p25) na regressão quantílica simultânea. IA M/G foi associada a escores mais baixos para o Fator 3 (p75). Padrões mistos com fatores negativa e positivamente associados ao balanço de energia foram identificados entre as gestantes com IA.
The behaviors related to caloric balance during pregnancy can lead to short- and long-term repercussion over the life course. This study aimed to identify patterns of energy balance-related behavior (EBRB) and its association with food insecurity (FI) in pregnant women. Cross-sectional, with pregnant women undergoing prenatal care in public health units in Colombo, Brazil, in 2018/2019. EBRB patterns were identified by factor analysis, and the scores were compared according to FI levels (mild and moderate/severe (M/S) through quantile regression. Four EBRB patterns were identified among 535 pregnant women: Factor 1- household/caregiving activities, exercise/sport, and physical inactivity; Factor 2 - fruits and vegetables; Factor 3 - paid work and commuting; Factor 4 - soda and sweetened beverage, sweets, and goodies. After adjusted analyses, women with mild FI presented higher scores for Factor 1 (β=0.192 95%CI 0.058; 0.326) and lower scores for Factor 3 (β=-0.238 95%CI -0.360; -0.117). Higher scores for Factor 4 (p25) were observed among women with mild FI in simultaneous quantile regression. M/S FI was associated with lower scores for Factor 3 (p75). Mixed patterns with factors negatively and positively associated with energy balance were identified among pregnant women with FI.
Keywords:
Social Inequality; Food Security; Energy; Cross-Sectional Studies.
PADRÕES DE COMPORTAMENTOS RELACIONADOS AO BALANÇO DE ENERGIA CORPORAL E INSEGURANÇA ALIMENTAR EM GESTANTES
Resumo (abstract):
The behaviors related to caloric balance during pregnancy can lead to short- and long-term repercussion over the life course. This study aimed to identify patterns of energy balance-related behavior (EBRB) and its association with food insecurity (FI) in pregnant women. Cross-sectional, with pregnant women undergoing prenatal care in public health units in Colombo, Brazil, in 2018/2019. EBRB patterns were identified by factor analysis, and the scores were compared according to FI levels (mild and moderate/severe (M/S) through quantile regression. Four EBRB patterns were identified among 535 pregnant women: Factor 1- household/caregiving activities, exercise/sport, and physical inactivity; Factor 2 - fruits and vegetables; Factor 3 - paid work and commuting; Factor 4 - soda and sweetened beverage, sweets, and goodies. After adjusted analyses, women with mild FI presented higher scores for Factor 1 (β=0.192 95%CI 0.058; 0.326) and lower scores for Factor 3 (β=-0.238 95%CI -0.360; -0.117). Higher scores for Factor 4 (p25) were observed among women with mild FI in simultaneous quantile regression. M/S FI was associated with lower scores for Factor 3 (p75). Mixed patterns with factors negatively and positively associated with energy balance were identified among pregnant women with FI.
Palavras-chave (keywords):
Social Inequality; Food Security; Energy; Cross-Sectional Studies.
Fernandes, R.C, Hofelmann, D. A.. PATTERNS OF ENERGY BALANCE-RELATED BEHAVIORS AND FOOD INSECURITY IN PREGNANT WOMEN. Cien Saude Colet [periódico na internet] (2022/Set). [Citado em 10/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/patterns-of-energy-balancerelated-behaviors-and-food-insecurity-in-pregnant-women/18506?id=18506
