a Department of Nursing, Faculty of Health Science , University of Alicante , Alicante , Spain.
b Research Group on Food and Nutrition (ALINUT) , University of Alicante , Alicante , Spain.
Int J Food Sci Nutr. 2019 Mar;70(2):232-239. doi: 10.1080/09637486.2018.1492523. Epub 2018 Jul 30.
The objective was to investigate how socio-economic changes have modified body mass index values and dietary patterns in the Spanish population. A comparative cross-sectional analysis of the last two iterations of the Spanish National Health Survey (SNSH) was done. The independent variables were sex, age, education level, employment situation, and social class. Outcome variables were: poor diet quality and obesity. Economic crisis increases the probability to become obese and to have a poor diet and employment situation is the variable that showed the greatest differences between years. While in 2006 to be unemployed did not represent a risk to have a poor diet [odds ratio (OR): 0.74; p<.005], in 2012 it did (OR: 1.27; p<.005). Economic changes can modify diet quality and nutritional status, increasing the risk to have a poor diet or to be obese.
目的在于研究社会经济变化如何改变西班牙人口的体重指数值和饮食模式。对西班牙国家健康调查（SNSH）最近两次迭代的对比横断面分析进行了研究。自变量为性别、年龄、教育水平、就业状况和社会阶层。因变量为：饮食质量差和肥胖。经济危机增加了肥胖的可能性，就业状况是两年间差异最大的变量。2006 年失业并不代表饮食不良的风险[比值比（OR）：0.74；p<.005]，但 2012 年则是（OR：1.27；p<.005）。经济变化可能会改变饮食质量和营养状况，增加饮食不良或肥胖的风险。
