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18岁以下人群粮食不安全与超重或肥胖风险之间的关系：一项系统综述和荟萃分析

The Relationship between Food Insecurity and Risk of Overweight or Obesity in under 18 Years Individuals: A Systematic Review and Meta-Analysis.

作者信息

Pourmotabbed Ali, Moosavian Seyedeh Parisa, Hadi Amir, Mohammadi Hamed, Dadfarma Alireza, Rezaei Shahabeddin, Babaei Atefeh, Moradi Sajjad, Mirzaei Khadijah

机构信息

Department of Physiology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Department of Clinical Nutrition, School of Nutrition and Food Science, Food Security Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2020 Sep 22;11:158. doi: 10.4103/ijpvm.IJPVM_463_19. eCollection 2020.

DOI:10.4103/ijpvm.IJPVM_463_19
PMID:33312467
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7716614/
Abstract

OBJECTIVE

Food insecurit (FI) has been considered as reason for childhood and adolescent overweight/obesity (OW/OB). Hence, this study was undertaken to assess these relationships.

DESIGN

Related articles were found by searching the Web of Science, Scopus, PubMed and Embase databases until October 2019. Odds ratio (OR) was analized by a random-effects model. Standard methods were used for assessment of heterogeneity and publication bias. Data were available from 32 studies. The risk ratios of 139,762 participants were pooled from these articles for the meta-analysis.

RESULTS

This study domenstrated that children and adolescents in food-insecure condition are not at risk of OW/OB (OR = 1.02 95% CI: 0.99, 1.05). However, subgroup analysis indicated that FI related with inhanced risk of OW/OB in adolescents living in developed countries (OR = 1.14; 95% CI: 1.02, 1.27). Other subgroup analysis indicated that severe FI increased the risk of OW/OB among adolescents (OR = 1.24 95% CI: 1.03-1.49). In addition, we found that lower economic development significantly decreased risk of OW/OB among under 6 year children (OR = 0.88; 95% CI: 0.84, 0.93).

CONCLUSIONS

Our results showed that higher FI degrees were related with more risks of OW/OB among adolescents (12-18 years). Moreover, the country economic levels had effect on the association between FI and risk of OW/OB.

摘要

目的

粮食不安全（FI）被认为是儿童和青少年超重/肥胖（OW/OB）的原因。因此，本研究旨在评估这些关系。

设计

通过检索科学网、Scopus、PubMed和Embase数据库，查找截至2019年10月的相关文章。采用随机效应模型分析比值比（OR）。使用标准方法评估异质性和发表偏倚。有32项研究的数据可用。从这些文章中汇总了139762名参与者的风险比，用于荟萃分析。

结果

本研究表明，处于粮食不安全状况的儿童和青少年不存在超重/肥胖风险（OR = 1.02，95%CI：0.99，1.05）。然而，亚组分析表明，在发达国家生活的青少年中，粮食不安全与超重/肥胖风险增加相关（OR = 1.14；95%CI：1.02，1.27）。其他亚组分析表明，严重粮食不安全会增加青少年超重/肥胖的风险（OR = 1.24，95%CI：1.03 - 1.49）。此外，我们发现经济发展水平较低会显著降低6岁以下儿童超重/肥胖的风险（OR = 0.88；95%CI：0.84，0.93）。

结论

我们的结果表明，较高的粮食不安全程度与青少年（12 - 18岁）超重/肥胖的更多风险相关。此外，国家经济水平对粮食不安全与超重/肥胖风险之间的关联有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/b003c09704e2/IJPVM-11-158-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/13d7933cef79/IJPVM-11-158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/3c13fbe6a9a5/IJPVM-11-158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/4e1ed8dd2bbb/IJPVM-11-158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/d9491588318d/IJPVM-11-158-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/5be8d99d2efa/IJPVM-11-158-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/97d95a05d81e/IJPVM-11-158-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/b003c09704e2/IJPVM-11-158-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/13d7933cef79/IJPVM-11-158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/3c13fbe6a9a5/IJPVM-11-158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/4e1ed8dd2bbb/IJPVM-11-158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/d9491588318d/IJPVM-11-158-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/5be8d99d2efa/IJPVM-11-158-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/97d95a05d81e/IJPVM-11-158-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b5b/7716614/b003c09704e2/IJPVM-11-158-g007.jpg

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