Morais Dayane de Castro, Dutra Luiza Veloso, Franceschini Sylvia do Carmo Castro, Priore Silvia Eloiza
Cien Saude Colet. 2014 May;19(5):1475-88. doi: 10.1590/1413-81232014195.13012013.
The scope of this systematic review was to relate food insecurity, detected using the Brazilian Food Insecurity Scale (EBIA), with anthropometric, dietary and social indicators. The search was conducted in electronic databases (ScieLO, LILACS, MEDLINE), with a selection of studies by titles and abstracts, and later full reading. Studies identified in bibliographic references were included. Of the 215 reviewed, 15 fulfilled inclusion criteria (association between insecurity and anthropometric, dietary or social indicators, detected by the EBIA), whereby three had more than one variable of interest. A relationship was observed between food insecurity and height/age and weight/age of child indices, as well as obesity in women. Lower consumption of regulating, tissue-building food products and iron, and higher carbohydrate intake are associated with food insecurity. There was a relationship between social indicators, such as lower income and education, lack of employment and basic sanitation. The EBIA was associated in some studies with nutritional and social indicators, but should be used in conjunction with other tools in order to cover the multiple dimensions of food and nutrition security.
本系统评价的范围是将使用巴西粮食不安全量表(EBIA)检测到的粮食不安全状况与人体测量、饮食和社会指标联系起来。检索在电子数据库(ScieLO、LILACS、MEDLINE)中进行,通过标题和摘要筛选研究,随后进行全文阅读。纳入在参考文献中识别出的研究。在审查的215项研究中,有15项符合纳入标准(通过EBIA检测到的不安全状况与人体测量、饮食或社会指标之间的关联),其中三项有多个感兴趣的变量。观察到粮食不安全与儿童身高/年龄和体重/年龄指数以及女性肥胖之间存在关联。调节性、组织构建性食品和铁的摄入量较低,碳水化合物摄入量较高与粮食不安全有关。社会指标之间存在关联,如低收入和低教育水平、缺乏就业和基本卫生设施。在一些研究中,EBIA与营养和社会指标相关,但应与其他工具结合使用,以涵盖粮食和营养安全的多个维度。