Teixeira Marina Galvão, Mill José Geraldo, Pereira Alexandre Costa, Molina Maria Del Carmen Bisi
Universidade Federal do Espírito Santo, Vitória, ES, Brazil.
Universidade de São Paulo, São Paulo, SP, Brazil.
Rev Bras Epidemiol. 2016 Mar;19(1):149-59. doi: 10.1590/1980-5497201600010013.
To quantify the antioxidant consumption (vitamins A, C and E and minerals selenium and zinc) and to identify factors associated to low consumption of these nutrients.
Cross-sectional study with 14,660 participants (35 to 74 years-old) investigated in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) baseline. Consumption of antioxidants and energy was determined by a Food Frequency Questionnaire and analyzed using the NDSR software. Antioxidant consumption was adjusted to total energy and divided in quintiles. A logistic regression analysis was used to identify socioeconomic factors associated with low intake of these nutrients.
Consumption of energy (kcal/day) was higher in men (3,152 ± 1,026 versus 2,613 ± 905; p < 0.001) whereas the consumption of all antioxidants (mainly vitamins A and E and selenium) was higher in females. Low antioxidant consumption was associated to male sex (OR = 3.5; 95%CI 3.11 - 4.0) and to lower education (OR = 3.1; 95%CI 2.42 - 3.87), income (OR = 4.4; 95%CI 3.67 - 5.36) and age (OR = 5.5; 95%CI 4.27 - 7.16), as well as to thinness (OR = 2.7; 95%CI 1.36 - 5.18) and when participants did not reported the use of supplements (OR = 1.95; 95%CI 1.6 - 2.38) or change of eating habits in the last six months (OR = 2.0; 95%CI 1.75 - 2.29).
The greater intake of fruits and vegetables is likely to be involved in the higher consumption of antioxidants in females. General policies to increase the consumption of such nutrients should be directed to groups of lower income, education and age.
量化抗氧化剂的摄入量(维生素A、C、E以及矿物质硒和锌),并确定与这些营养素低摄入量相关的因素。
在巴西成人健康纵向研究(ELSA-Brasil)基线调查中,对14660名参与者(35至74岁)进行横断面研究。通过食物频率问卷确定抗氧化剂和能量的摄入量,并使用NDSR软件进行分析。将抗氧化剂摄入量调整为总能量,并分为五分位数。采用逻辑回归分析确定与这些营养素低摄入量相关的社会经济因素。
男性的能量摄入量(千卡/天)更高(3152±1026对2613±905;p<0.001),而所有抗氧化剂(主要是维生素A、E和硒)的摄入量女性更高。抗氧化剂低摄入量与男性性别(比值比=3.5;95%置信区间3.11-4.0)、较低的教育程度(比值比=3.1;95%置信区间2.42-3.87)、收入(比值比=4.4;95%置信区间3.67-5.36)和年龄(比值比=5.5;95%置信区间4.27-7.16)相关,也与消瘦(比值比=2.7;95%置信区间1.36-5.18)以及参与者未报告使用补充剂(比值比=1.95;95%置信区间1.6-2.38)或在过去六个月内饮食习惯未改变(比值比=2.0;95%置信区间1.75-2.29)有关。
女性摄入更多的水果和蔬菜可能与抗氧化剂摄入量较高有关。增加这些营养素摄入量的总体政策应针对低收入、低教育程度和年龄较大的群体。