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巴西亚马孙地区 6 至 59 月龄雅诺马马族原住民儿童的食物构成,按食物加工程度划分:一项横断面研究。

Food profile of Yanomami indigenous children aged 6 to 59 months from the Brazilian Amazon, according to the degree of food processing: a cross-sectional study.

机构信息

Postgraduate Program in Nutrition and Food, Federal University of Pelotas, Pelotas, RS, Brazil.

Postgraduate Program in Public Health, Federal University of Maranhão, São Luis, MA, Brazil.

出版信息

Public Health Nutr. 2023 Jan;26(1):208-218. doi: 10.1017/S1368980022001306. Epub 2022 May 27.

Abstract

OBJECTIVE

The current study aimed to characterise the food profile of Yanomami indigenous children according to the degree of food processing and its associated factors.

DESIGN

This is a cross-sectional study with Yanomami indigenous children aged 6 to 59 months. Socio-demographic, maternal and infant data were collected through a standardised questionnaire. The food profile was obtained by using a list of thirty-four foods to verify the child's consumption of these foods on the day preceding the interview. Foods were classified according to the degree of processing based on the NOVA system (in natura or minimally processed, processed culinary ingredients, processed and ultra-processed). In natura and minimally processed foods were subdivided into 'regional' and 'urban' foods. Poisson regression analysis was applied to estimate the associated factors according to the 90 % CI.

SETTING

Three villages (Auaris, Maturacá and Ariabú) in the Yanomami indigenous territory, in the Brazilian Amazon.

PARTICIPANTS

In total, 251 Yanomami children aged 6 to 59 months were evaluated.

RESULTS

The prevalence of consumption of 'regional' and 'urban' in natura or minimally processed foods was 93 % and 56 %, respectively, and consumption of ultra-processed foods was 32 %. Ultra-processed food consumption was 11·6 times higher in children of Maturacá and 9·2 times higher in Ariabú when compared with the children of Auaris and 31 % lower in children who had mothers with shorter stature.

CONCLUSION

Despite the high frequency of consumption of in natura and minimally processed foods, the consumption of ultra-processed foods was substantial and was associated with demographic and maternal factors in Yanomani indigenous children under 5 years of age.

摘要

目的

本研究旨在根据食物加工程度描述雅诺马米原住民儿童的食物结构,并分析其相关因素。

设计

这是一项横断面研究,研究对象为年龄在 6 至 59 个月的雅诺马米原住民儿童。通过标准化问卷收集社会人口学、母婴数据。采用 34 种食物清单获取儿童前一天的食物摄入情况,根据 NOVA 系统(天然或最低限度加工、加工烹饪原料、加工和超加工)对食物进行分类。天然和最低限度加工的食物进一步分为“地区”和“城市”食物。应用泊松回归分析估计相关因素及其 90%置信区间。

地点

巴西亚马孙地区雅诺马米原住民领地的三个村庄(Auaris、Maturacá 和 Ariabú)。

参与者

共有 251 名年龄在 6 至 59 个月的雅诺马米儿童接受评估。

结果

“地区”和“城市”天然或最低限度加工食物的消费率分别为 93%和 56%,超加工食物的消费率为 32%。与 Auaris 儿童相比,Maturacá 儿童的超加工食物消费率高 11.6 倍,Ariabú 儿童的超加工食物消费率高 9.2 倍;母亲身材较矮小的儿童的超加工食物消费率低 31%。

结论

尽管天然和最低限度加工食物的消费率较高,但雅诺马米 5 岁以下儿童的超加工食物消费率仍较高,且与人口统计学和母婴因素有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f37b/11077455/3ed9695cae4c/S1368980022001306_fig1.jpg

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