Gholami Ali, Moradpour Farhad, Khazaee-Pool Maryam, Mousavi Jahromi Zahra, Vafa Mohammadreza, Abbasi-Ghahramanloo Abbas, Sohrabi Masoudreza, Mahdavi Nader, Moradi Yousef, Baradaran Hamid Reza
Department of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Med J Islam Repub Iran. 2017 Dec 28;31:138. doi: 10.14196/mjiri.31.138. eCollection 2017.
There is mixed evidence about food insecurity and overweight/obesity coexisting, however it is unclear about association between food insecurity and weight status in people with type 2 diabetes. Therefore, the aim of this study was to evaluate the relationship between food insecurity and weight status in individuals with type 2 diabetes in rural areas in Iran. 1847 patients with type 2 diabetes who were residence in rural areas completed Household Food Security Scale (six-item short questionnaire). Logistic regression model was applied to assess the independent effect of food insecurity on weight status. Mean age of the study population was 62.6±11.8 years, and the majority of them were female (70.4%). Most of the study population (70.4%) had unhealthy weight status. Food insecurity affected more than 46% (n=852) of the households of the study population. According to weight status, more than 40% (n=565) of overweight and obese subjects and 60% (n=18) of underweight subjects lived in households with food insecurity. The results of multiple logistic regression model showed that food insecurity was not an independent significant predictor of overweight or obesity in patients with type 2 diabetes. However, low food security (LFS) was an independent significant predictor for underweight in patients with type 2 diabetes (OR=2.35, P=0.041). It is concluded that food insecurity was frequent in all levels of weight status of patients with type 2 diabetes in rural regions. However this association observed in underweight individuals but there was no significant overall relationship between household food insecurity and in overweight and obesity in this group of patients.
关于粮食不安全与超重/肥胖并存的证据不一，然而，2型糖尿病患者中粮食不安全与体重状况之间的关联尚不清楚。因此，本研究的目的是评估伊朗农村地区2型糖尿病患者粮食不安全与体重状况之间的关系。1847名居住在农村地区的2型糖尿病患者完成了家庭粮食安全量表（六项简短问卷）。应用逻辑回归模型评估粮食不安全对体重状况的独立影响。研究人群的平均年龄为62.6±11.8岁，其中大多数为女性（70.4%）。大多数研究人群（70.4%）体重状况不健康。粮食不安全影响了研究人群中超过46%（n=852）的家庭。根据体重状况，超过40%（n=565）的超重和肥胖受试者以及60%（n=18）的体重过轻受试者生活在粮食不安全的家庭中。多元逻辑回归模型的结果表明，粮食不安全不是2型糖尿病患者超重或肥胖的独立显著预测因素。然而，低粮食安全（LFS）是2型糖尿病患者体重过轻的独立显著预测因素（OR=2.35，P=0.041）。研究得出结论，农村地区2型糖尿病患者在所有体重状况水平下粮食不安全情况都很常见。然而，这种关联在体重过轻的个体中观察到，但在这组患者中，家庭粮食不安全与超重和肥胖之间没有显著的总体关系。
