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孕产妇因素和社会人口学因素影响孕妇对超加工食品和最低限度加工食品的消费。

Maternal and Sociodemographic Factors Influence the Consumption of Ultraprocessed and Minimally-Processed Foods in Pregnant Women.

机构信息

Graduate Program in Nutrition and Health, Department of Integrated Health Education, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.

Graduate Program in Collective Health, Universidade Federal do Espírito Santo, Vitória, ES, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2020 Jul;42(7):380-389. doi: 10.1055/s-0040-1712996. Epub 2020 Jun 19.

Abstract

OBJECTIVE

To analyze the consumption of minimally-processed and ultraprocessed foods in relation with sociodemographic variables, maternal habits, educational activity received during prenatal care and clinical history.

METHODS

A cross-sectional, analytical and descriptive study with 1,035 pregnant women who lives in the municipalities of the metropolitan region of Grande Vitória, Espírito Santo, Brazil (RMGV-ES), and who were hospitalized in establishments of the Unified Health System (SUS) due to childbirth (April-September 2010). The food frequency questionnaire, pregnant woman's card and information from the medical records of the health facility unit were analyzed. The Chi-square test and the binary logistic regression model were used to investigate the association between the independent variables and the consumption of ultraprocessed foods.

RESULTS

It was identified that pregnant women ≤19 years of age were 2.9 times more likely to consume ultraprocessed foods (confidence interval [CI] 95% 1.683-5.168,  < 0.001), while those ≥35 years old were less likely to consume them (odds ratio [OR] 0.265, 95% CI 0.105-0.666,  = 0.005). Maternal smoking increased the odds of consumption of ultraprocessed foods by 2.2 times (95% CI 1.202-4.199,  = 0.011) and pregnant women who did not obtain information on healthy food during prenatal care presented 54.1% less chances of consuming minimally-processed foods (OR 0.459, 95% CI 0.307-0.687,  < 0.001).

CONCLUSION

Smoking during the gestational period and being a teenager are factors that influence the consumption of ultraprocessed foods of pregnant women. Race/color, head of household, age group, receiving of information about feeding in the prenatal period and not having smoked in gestation determined the consumption of minimally-processed foods.

摘要

目的

分析与社会人口学变量、产妇习惯、产前保健期间接受的教育活动以及临床病史有关的最低限度加工和超加工食品的消费情况。

方法

本研究是一项横断面、分析性和描述性研究,共纳入了 1035 名居住在巴西圣埃斯皮里图州大维多利亚大都市地区(RMGV-ES)的孕妇,她们因分娩而在公立卫生系统(SUS)的医疗机构住院(2010 年 4 月至 9 月)。对食物频率问卷、孕妇卡片和医疗机构病历中的信息进行了分析。采用卡方检验和二元逻辑回归模型来研究独立变量与超加工食品消费之间的关系。

结果

研究发现,年龄≤19 岁的孕妇更有可能食用超加工食品(95%置信区间[CI] 1.683-5.168,  < 0.001),而年龄≥35 岁的孕妇食用超加工食品的可能性较小(比值比[OR] 0.265,95% CI 0.105-0.666,  = 0.005)。产妇吸烟使食用超加工食品的几率增加了 2.2 倍(95% CI 1.202-4.199,  = 0.011),而在产前保健期间未获得健康食品信息的孕妇食用最低限度加工食品的几率降低了 54.1%(OR 0.459,95% CI 0.307-0.687,  < 0.001)。

结论

妊娠期间吸烟和青少年是影响孕妇食用超加工食品的因素。种族/肤色、家庭户主、年龄组、在产前期间接受喂养信息以及妊娠期间未吸烟决定了最低限度加工食品的消费。

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