Maia Isabel, Oliveira Andreia, Santos Ana Cristina
EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Porto, Portugal.
Laboratório para a Investigação Integrativa e Translacional em Saúde Populacional (ITR), Porto, Portugal.
Food Secur. 2023;15(3):661-671. doi: 10.1007/s12571-023-01366-4. Epub 2023 Apr 10.
The association of food insecurity with the combined effect of lifestyles is still limited. This study evaluated the association between food insecurity and a lifestyle score in middle- and older-aged adults. A cross-sectional study (2013-2016) was performed among 595 individuals (≥ 50 years) from the EPIPorto cohort (Porto, Portugal). Food security status was assessed using the Information on fruit and vegetable consumption (F&V), physical activity (PA) practice, tobacco smoking, and alcohol consumption were included in a lifestyle score. Those with F&V < five portions/day, < 150 min/week of moderate-intensity PA or < 75 min/week of vigorous-intensity PA, current smokers, consumers of > one drink of alcoholic beverages in women, and > two in men were assigned with one point; all the others had nil points. The score could range from 0 to 4, and was further categorised into three categories. Food insecurity was positively associated with an unhealthy lifestyle profile (OR = 2.272; 95%CI:1.079-4.782), independently of the adjustment variables. Analysing each lifestyle component, food insecurity was associated with low PA practice (OR = 2.365; 95%CI:1.020-5.485). Individuals from food insecure households were more likely to have an unhealthy lifestyle profile. Public health strategies should be developed among food insecure individuals to promote healthy lifestyles.
粮食不安全与生活方式综合影响之间的关联仍然有限。本研究评估了中老年成年人粮食不安全与生活方式得分之间的关联。对来自EPIPorto队列（葡萄牙波尔图）的595名年龄≥50岁的个体进行了一项横断面研究（2013 - 2016年）。使用粮食安全状况量表评估粮食安全状况。水果和蔬菜消费量、体育活动、吸烟及饮酒情况等信息纳入生活方式得分。水果和蔬菜摄入量<每天五份、中等强度体育活动每周<150分钟或高强度体育活动每周<75分钟、当前吸烟者、女性酒精饮料饮用量>一杯及男性>两杯的个体得1分；其他个体得0分。该得分范围为0至4分，并进一步分为三类。粮食不安全与不健康的生活方式特征呈正相关（比值比=2.272；95%置信区间：1.079 - 4.782），独立于调整变量。分析每个生活方式组成部分，粮食不安全与体育活动不足相关（比值比=2.365；95%置信区间：1.020 - 5.485）。来自粮食不安全家庭的个体更有可能拥有不健康的生活方式特征。应在粮食不安全个体中制定公共卫生策略以促进健康的生活方式。
