Pereira Ingrid Freitas da Silva, Vale Diôgo, Bezerra Mariana Silva, Lima Kenio Costa de, Roncalli Angelo Giuseppe, Lyra Clélia de Oliveira
Programa de Pós-Graduação em Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN). Av. Senador Salgado Filho 1787, Lagoa Nova. 59056-000, Natal, RN, Brasil.
Departamento de Odontologia, UFRN. Natal, RN, Brasil.
Cien Saude Colet. 2020 Mar;25(3):1091-1102. doi: 10.1590/1413-81232020253.01202018. Epub 2018 Jul 21.
The study sought to identify dietary patterns and associated factors of elderly Brazilians. It involved a cross-sectional study based on data from the National Health Survey ("PNS/2013") of 11,177 elderly individuals, whose dietary patterns were identified by cluster analysis. Poisson regression with robust variance was used for the analysis of associated factors. The cluster analysis produced 2 clusters of dietary patterns, one healthy (55.4%), with greater consumption of raw and cooked vegetables and legumes, chicken, fruits, natural fruit juices and milk. And an unhealthy cluster (44.6%), with greater consumption of red meat and soft drinks or artificial juices. The prevalence of the healthy dietary pattern was greater for females (PR = 1.32, 95% CI 1.25- 1.40), Caucasian (PR = 1.09, 95% CI 1.02-1.15), elderly individuals with graduate or post-graduate degree (PR=1.56, 95% CI 1.41-1.72), living in the Southeast (PR = 1.54, 95% CI, 1.33-1.79) and South (PR = 1.51, 95% CI 1.30-1.76), non-smokers (PR = 1.19, 95% CI, 1.07-1.31) and physically active (PR = 1.24, 95% CI, 1.17-1.32). These results indicated an association between better social conditions and beneficial life habits with the consumption of healthy foods, reinforcing the hypothesis of social determination and the coexistence of health behaviors.
该研究旨在确定巴西老年人的饮食模式及相关因素。它是一项基于来自全国健康调查(“PNS/2013”)的11177名老年人数据的横断面研究,通过聚类分析确定其饮食模式。采用稳健方差的泊松回归分析相关因素。聚类分析产生了两种饮食模式类别,一种是健康型(55.4%),其特点是更多地食用生熟蔬菜、豆类、鸡肉、水果、天然果汁和牛奶;另一种是不健康型(44.6%),其特点是更多地食用红肉以及软饮料或人工果汁。健康饮食模式在女性(PR = 1.32,95% CI 1.25 - 1.40)、白种人(PR = 1.09,95% CI 1.02 - 1.15)、拥有研究生或更高学历的老年人(PR = 1.56,95% CI 1.41 - 1.72)、居住在东南部(PR = 1.54,95% CI 1.33 - 1.79)和南部(PR = 1.51,95% CI 1.30 - 1.76)、不吸烟(PR = 1.19,95% CI 1.07 - 1.31)以及身体活跃(PR = 1.24,95% CI 1.17 - 1.32)的人群中更为普遍。这些结果表明,较好的社会条件和有益的生活习惯与健康食品的消费之间存在关联,强化了社会决定因素及健康行为共存的假设。