巴西南部成年人中粮食不安全与新冠长期症状之间的关联：潘帕队列研究结果

Association between food insecurity and long COVID in adults from southern Brazil: findings of the PAMPA cohort.

作者信息

Schröeder Natália, Feter Natan, Caputo Eduardo L, Delpino Felipe M, da Silva Luísa S, Rocha Juliana Q S, Paz Isabel de A, da Silva Carine N, da Cunha Larissa L, Vieira Yohana P, Reichert Felipe F, Silva Marcelo C, Rombaldi Airton J

机构信息

Universidade Federal do Rio Grande do Sul, Clinical Research Center, Hospital de Clínicas de Porto Alegre, Av. Protásio Alves, 211 - Santa Cecília, Porto Alegre, Rio Grande do Sul, RS, 90035-903, Brazil.

Brown University, Center for Evidence Synthesis in Health,121 South Main Street, Providence, RI 02903, USA.

出版信息

J Public Health (Oxf). 2024 Dec 1;46(4):e623-e631. doi: 10.1093/pubmed/fdae134.

DOI:10.1093/pubmed/fdae134

PMID:39079061

Abstract

BACKGROUND

Social and economic factors, such as food insecurity, contribute to long coronavirus disease (COVID). During the pandemic, a significant rise in food insecurity was observed, both in Brazil and worldwide. We aimed to investigate the association between food insecurity and long COVID in Brazilian adults.

METHODS

Cross-sectional study nested within the Prospective study About Mental and Physical Health in Adults (PAMPA) Cohort. Participants completed an online questionnaire in June 2022. We assessed food insecurity using the Brazilian Scale of Food Insecurity. Long COVID was defined as any post-coronavirus disease 2019 symptoms that persisted for at least 3 months after infection.

RESULTS

A total of 956 participants were included (74.0% female, median age 36 (Interquartile Range [IQR] (29-45.7). The prevalence of food insecurity was 29.4%, and 77.8% had long COVID. Food insecurity was associated with an increased probability of long COVID (prevalence ratio [PR]: 1.15, 95% confidence interval [CI]: 1.08-1.22). Participants in food insecurity situations had a higher likelihood of experiencing neurological (PR: 1.19, 95% CI: 1.10-1.28), pulmonary (PR: 1.33, 95% CI: 1.17-1.52) and gastrointestinal (PR: 1.57, 95% CI: 1.31-1.88) symptoms after infection.

CONCLUSIONS

Food insecurity was associated with long COVID. Governments must plan public policies to mitigate the effects of long COVID and food insecurity.

摘要

背景

粮食不安全等社会和经济因素会导致长期新冠病毒病（COVID）。在疫情期间，巴西和全球范围内的粮食不安全情况均显著增加。我们旨在调查巴西成年人中粮食不安全与长期新冠之间的关联。

方法

本研究为嵌套于成人身心健康前瞻性研究（PAMPA）队列中的横断面研究。参与者于2022年6月完成了一份在线问卷。我们使用巴西粮食不安全量表评估粮食不安全情况。长期新冠被定义为2019冠状病毒病感染后持续至少3个月的任何症状。

结果

共纳入956名参与者（74.0%为女性，中位年龄36岁（四分位间距[IQR]为29 - 45.7））。粮食不安全的患病率为29.4%，长期新冠的患病率为77.8%。粮食不安全与长期新冠的患病概率增加相关（患病率比[PR]：1.15，95%置信区间[CI]：1.08 - 1.22）。处于粮食不安全状况的参与者在感染后出现神经（PR：1.19，95% CI：1.10 - 1.28）、肺部（PR：1.33，95% CI：1.17 - 1.52）和胃肠道（PR：1.57，95% CI：1.31 - 1.88）症状的可能性更高。