Monroy Torres Rebeca, Castillo-Chávez Angela Marcela, Ruíz-González Susana
Laboratorio de Nutrición Ambiental y Seguridad Alimentaria. Departamento de Medicina y Nutrición. Ciencias de la Salud, Campus León.
Observatorio Universitario de Seguridad Alimentaria y Nutricional del Estado de Guanajuato.
Nutr Hosp. 2021 Apr 19;38(2):388-395. doi: 10.20960/nh.03389.
Objective: we conducted a systematic review of the main scientific evidence that associates food insecurity with a higher frequency of obesity and cardiometabolic risks in Mexican women. Design: a systematic review. Data sources: MEDLINE, Embase, CINAHL Plus, Web of Science, CAB Abstracts and PAIS Index. Selection criteria: articles that met the journal quality criteria and integrated food status with health insecurity, in which the situation of vulnerability in the current statistics for cardiometabolic diseases and risks that are associated with food insecurity was shown in women and their homes. Data analysis: relevance and quality of the results regarding food security, the presence of overweight and obesity, and socio-environmental indicators in women. Results: households headed by women who are at higher risk of having some degree of food insecurity or food assistance associated with the presence of obesity and overweight (RR = 1.28 to 2.97; 95 % CI: 1.08-1.44 to 1.52-6.14) as well as the development of cardiometabolic diseases such as diabetes mellitus (with a history of pregnancy as risk factor for developing diabetes and hypertension) presenting premature labor, shorter stature in the adult stage, a deficiency in micronutrients such as iron and antioxidant vitamins. Conclusion: the evidence found shows an association of food insecurity as found in women and their homes with a greater risk of being overweight and obese, as well as the development of a cardiometabolic disease (diabetes, hypertension), in addition to anemia and vitamin deficiency.
我们对将粮食不安全与墨西哥女性肥胖及心血管代谢风险较高频率相关联的主要科学证据进行了系统综述。设计：系统综述。数据来源：MEDLINE、Embase、CINAHL Plus、Web of Science、CAB文摘库和PAIS索引。入选标准：符合期刊质量标准且将食物状况与健康不安全状况相结合的文章，其中展示了女性及其家庭中心血管代谢疾病当前统计数据中的脆弱状况以及与粮食不安全相关的风险。数据分析：关于粮食安全、女性超重和肥胖情况以及社会环境指标的结果的相关性和质量。结果：由女性当家的家庭，存在某种程度粮食不安全或粮食援助的风险较高，这与肥胖和超重情况相关（相对风险 = 1.28至2.97；95%置信区间：1.08 - 1.44至1.52 - 6.14），以及心血管代谢疾病的发生，如糖尿病（有妊娠史作为患糖尿病和高血压的风险因素）、早产、成年期身材较矮、铁和抗氧化维生素等微量营养素缺乏。结论：所发现的证据表明，女性及其家庭中存在的粮食不安全与超重和肥胖风险增加以及心血管代谢疾病（糖尿病、高血压）的发生有关，此外还与贫血和维生素缺乏有关。
