Association between food insecurity and obesity in an agricultural community of women from El Jadida, Morocco

IF 0.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL AIMS Medical Science Pub Date : 2021-01-01 DOI:10.3934/medsci.2021016
Sanaa El-Jamal, M. Mziwira, Houda Elfane, Khadija Sahel, Imane Barakat, Adil Kalili, Kaoutar Naciri, N. Mahri, R. Moustakim, Rachida El Ouafi, L. Idrissi, R. Belahsen
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引用次数: 1

Abstract

Background Food insecurity (FI) has received much attention in the last decades due to its strong association with obesity. Indeed, it has begun to be a serious concern, especially in developing countries undergoing a nutritional transition. Objective The aim of this study was to examine the association between FI, food intake and the risk of obesity in an agricultural community of women from El Jadida Province in Morocco. Materials and methods The survey included a sample of 214 women. Weight and height were measured, and the body mass index was calculated. FI was measured using a household FI access scale. Food intake was evaluated using two 24-hour dietary recalls. Variance tests and Chi-square tests are applied for means ± standard deviations comparisons and proportions with percentages of continuous and categorical variables, respectively. Results The female population surveyed had an average age of 44 ± 13 years, 42% were obese, 36% were overweight, and 86% were centrally obese (CO). FI was observed in 78% of the sample, and it is found to be associated with both overweight, general obesity (GO) and CO (P ≤ 0.001). The risk of GO was extremely high in women with mild FI (unadjusted OR = 31.33, 95% CI: 7.01, 140.06). This association remained high after adjustment for socio-demographic variables (adjusted OR = 24.98, 95% CI: 5.36, 116.35). Compared with food secure women, the risk of CO was significantly higher in women with moderate FI (unadjusted OR = 16.44, 95% CI: 3.56, 75.91). This association remained significant after adjustment for socio-demographic variables (OR adjusted = 36.51, 95% CI: 4.81, 276.7). FI was associated with high daily energy (P Conclusion There is a high prevalence of FI associated with overweight, GO and CO and with high energy intake among the rural female population. Hence, intervention programs must consider food security in the fight against obesity and its associated problems, by ensuring women's access to a variety of high quality foods and the achievement of a balanced diet at the local and national levels.
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摩洛哥El Jadida农业社区妇女的粮食不安全与肥胖之间的关系
近几十年来,粮食不安全(FI)因与肥胖密切相关而受到广泛关注。事实上,它已经开始成为一个严重的问题,特别是在正在经历营养转型的发展中国家。目的本研究的目的是检查来自摩洛哥El Jadida省的农业社区妇女的FI、食物摄入量和肥胖风险之间的关系。材料与方法调查对象为214名女性。测量体重和身高,计算体重指数。FI使用家庭FI接入量表进行测量。通过两次24小时饮食回顾来评估食物摄入量。方差检验和卡方检验分别用于均值±标准差比较和连续变量和分类变量的百分比比例。结果受访女性平均年龄为44±13岁,肥胖者占42%,超重者占36%,中心性肥胖(CO)者占86%。在78%的样本中观察到FI,并且发现它与超重、一般肥胖(GO)和CO相关(P≤0.001)。轻度FI患者发生GO的风险极高(未校正OR = 31.33, 95% CI: 7.01, 140.06)。在调整社会人口变量后,这种相关性仍然很高(调整后OR = 24.98, 95% CI: 5.36, 116.35)。与食物安全的妇女相比,中度FI妇女CO的风险明显更高(未经调整的OR = 16.44, 95% CI: 3.56, 75.91)。在调整社会人口变量后,这种关联仍然显著(OR调整= 36.51,95% CI: 4.81, 276.7)。结论在农村女性人群中,FI与超重、GO和CO以及高能量摄入相关的患病率较高。因此,干预方案必须在抗击肥胖及其相关问题的过程中考虑粮食安全问题,确保妇女获得各种高质量食品,并在地方和国家层面实现均衡饮食。
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来源期刊
AIMS Medical Science
AIMS Medical Science MEDICINE, RESEARCH & EXPERIMENTAL-
自引率
14.30%
发文量
20
审稿时长
12 weeks
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