0213/2021 - Physical intimate partner violence and dietary patterns in pregnancy: a Brazilian cohort Violência física por parceiro íntimo e padrão de alimentação na gestação: uma coorte brasileira
Contexto: Pouco se sabe sobre as repercussões da violência por parceiro íntimo (VPI) nos desfechos nutricionais da gravidez, principalmente no que diz respeito à dieta. O objetivo foi investigar se a ocorrência de VPI física na gestação está associada aos padrões alimentares gestacionais. Métodos: 161 gestantes adultas participaram de um estudo prospectivo no Rio de Janeiro, Brasil. A VPI física geral e grave foi medida para avaliar a VPI a qualquer momento durante a gravidez. Três padrões alimentares gestacionais (“Saudável”, “Brasileiro Comum” e “Processado”) foram estabelecidos pela análise de componentes principais. O efeito da VPI física foi testado em relação ao escore de adesão a cada um dos padrões alimentares. Resultados: A ocorrência de VPI física geral e grave em qualquer momento da gestação foi de 20,4% e 6,8%, respectivamente. Mulheres que viviam em relacionamentos íntimos em que ocorreu VPI física geral e grave tiveram um aumento médio de 0,604 unidades (IC 95% 0,149-1,058) e 1,347 unidades (IC 95% 0,670-2,024), respectivamente, no escore de adesão ao padrão alimentar processado. Não foi observada associação com os padrões alimentares “Saudável” e “Brasileiro Comum”. Conclusões: A VPI física foi associada à maior adesão a um padrão alimentar de menor qualidade nutricional na gestação.
Palavras-chave:
Nutrição; Violência por Parceiro Íntimo; Gravidez; Estudos de coorte
Abstract:
Background: Little is known about the repercussions of intimate partner violence (IPV) on nutritional outcomes in pregnancy, especially regarding diet. The aim was to investigate whether the occurrence of physical IPV at any time during pregnancy is associated with gestational dietary patterns. Methods: 161 adult pregnant women were enrolled in a prospective cohort study in Rio de Janeiro, Brazil. Overall and severe physical IPV were measured to evaluate IPV at any time during pregnancy. Three gestational dietary patterns (“Healthy”, “Common-Brazilian”, and “Processed”) were established by principal component analysis. The effect of physical IPV was tested in relation to the score of adherence to each of the dietary patterns. Results: The occurrence of overall and severe physical IPV at any time during pregnancy was 20.4% and 6.8%, respectively. Women living in intimate relationships in which overall and severe physical IPV occurred had an average increase of 0.604 units (95% CI 0.149- 1.058) and 1.347 units (95% CI 0.670-2.024), respectively, in the Processed dietary pattern adherence score. No association with “Healthy” and “Common-Brazilian” dietary patterns was observed. Conclusions: Physical IPV was associated with greater adherence to a dietary pattern of lower nutritional quality.
Violência física por parceiro íntimo e padrão de alimentação na gestação: uma coorte brasileira
Resumo (abstract):
Background: Little is known about the repercussions of intimate partner violence (IPV) on nutritional outcomes in pregnancy, especially regarding diet. The aim was to investigate whether the occurrence of physical IPV at any time during pregnancy is associated with gestational dietary patterns. Methods: 161 adult pregnant women were enrolled in a prospective cohort study in Rio de Janeiro, Brazil. Overall and severe physical IPV were measured to evaluate IPV at any time during pregnancy. Three gestational dietary patterns (“Healthy”, “Common-Brazilian”, and “Processed”) were established by principal component analysis. The effect of physical IPV was tested in relation to the score of adherence to each of the dietary patterns. Results: The occurrence of overall and severe physical IPV at any time during pregnancy was 20.4% and 6.8%, respectively. Women living in intimate relationships in which overall and severe physical IPV occurred had an average increase of 0.604 units (95% CI 0.149- 1.058) and 1.347 units (95% CI 0.670-2.024), respectively, in the Processed dietary pattern adherence score. No association with “Healthy” and “Common-Brazilian” dietary patterns was observed. Conclusions: Physical IPV was associated with greater adherence to a dietary pattern of lower nutritional quality.
Vaz, J. S., Souza, M. E. M. C. de, Valério, I. D., Silva, M. T. da, Freitas Vilela, A. A., Bierhals, I.O., Hasselmann, M. H., Kac, G.. Physical intimate partner violence and dietary patterns in pregnancy: a Brazilian cohort. Cien Saude Colet [periódico na internet] (2021/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/physical-intimate-partner-violence-and-dietary-patterns-in-pregnancy-a-brazilian-cohort/18112?id=18112
