Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020

Background: The socioeconomic position of people acts as a social determinant in the health-disease processes, thus generating an impact on the diet quality (DQ) and the nutritional status (NE) of subjects. Objective:  To analyze the DQ and NE, according...

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Autores principales: Haluszka, E, Montenegro, A, Raposo, MN, Zuñíga, MA, Aballay, LR, Niclis, C
Formato: Artículo revista
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/36044
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id I10-R327-article-36044
record_format ojs
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
format Artículo revista
topic Diet quality
Healthy eating index
nutritional status
Socioeconomic level
Calidad de la dieta
índice de alimentación saludable
estado nutricional
nivel Socioeconómico
.
spellingShingle Diet quality
Healthy eating index
nutritional status
Socioeconomic level
Calidad de la dieta
índice de alimentación saludable
estado nutricional
nivel Socioeconómico
.
Haluszka, E
Montenegro, A
Raposo, MN
Zuñíga, MA
Aballay, LR
Niclis, C
Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020
topic_facet Diet quality
Healthy eating index
nutritional status
Socioeconomic level
Calidad de la dieta
índice de alimentación saludable
estado nutricional
nivel Socioeconómico
.
author Haluszka, E
Montenegro, A
Raposo, MN
Zuñíga, MA
Aballay, LR
Niclis, C
author_facet Haluszka, E
Montenegro, A
Raposo, MN
Zuñíga, MA
Aballay, LR
Niclis, C
author_sort Haluszka, E
title Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020
title_short Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020
title_full Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020
title_fullStr Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020
title_full_unstemmed Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020
title_sort diet quality and nutritional status by socio-economical level in córdoba city, during 2020
description Background: The socioeconomic position of people acts as a social determinant in the health-disease processes, thus generating an impact on the diet quality (DQ) and the nutritional status (NE) of subjects. Objective:  To analyze the DQ and NE, according to the socioeconomic level (SES), in the population of Córdoba city, during 2020. Materials and methods: A population-based, descriptive-correlational observational study was carried out with 410 subjects. Participants answered a survey that includes sociodemographic data and a validated food frequency questionnaire. The NE according to body mass index was classified as low weight, normal weight, pre-obesity and obesity; and the SES was categorized as high, medium and low, based on a combination between occupation and education level of the main breadwinner in the household. In addition, a Healthy Eating Index (HEI) was calculated, assigning a score to each individual according to the degree of compliance with the recommendations of the Argentinian Dietary Guidelines. Each food group constitutes a component of the index, and the sum of the scores obtained represented the global score of the HEI for each individual, then categorized as unhealthy: <45; needs changes: 45-72; healthy:> 72. A multinomial multiple logistic regression model was adjusted, with the HEI categories as the response variable. The SES, NE and others were included as covariates.Results: The prevalence of pre-obesity was 29% and obesity 22%. According to the HEI, 85% of the population needs changes in their diet. People with obesity were 4 times more likely to have an unhealthy score (OR = 4.36; 95% CI 1.54-12.37). The medium and high SES showed a lower chance of having an unhealthy HEI than the low SES (OR = 0.42; 95% CI 0.17-1.00; OR = 0.33; 95% CI 0.11-1, 00, respectively).Conclusion: DQ and NE differ in the different SES. Hence, actions based on the promotion of health and healthy eating habits should be focused and oriented to the particular needs of each socioeconomic situation.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/36044
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spelling I10-R327-article-360442024-04-15T16:19:09Z Diet quality and nutritional status by socio-economical level in Córdoba city, during 2020 Calidad de la dieta y estado nutricional según estratos socioeconómicos en la Ciudad de Córdoba, en el año 2020 . Haluszka, E Montenegro, A Raposo, MN Zuñíga, MA Aballay, LR Niclis, C Diet quality Healthy eating index nutritional status Socioeconomic level Calidad de la dieta índice de alimentación saludable estado nutricional nivel Socioeconómico . Background: The socioeconomic position of people acts as a social determinant in the health-disease processes, thus generating an impact on the diet quality (DQ) and the nutritional status (NE) of subjects. Objective:  To analyze the DQ and NE, according to the socioeconomic level (SES), in the population of Córdoba city, during 2020. Materials and methods: A population-based, descriptive-correlational observational study was carried out with 410 subjects. Participants answered a survey that includes sociodemographic data and a validated food frequency questionnaire. The NE according to body mass index was classified as low weight, normal weight, pre-obesity and obesity; and the SES was categorized as high, medium and low, based on a combination between occupation and education level of the main breadwinner in the household. In addition, a Healthy Eating Index (HEI) was calculated, assigning a score to each individual according to the degree of compliance with the recommendations of the Argentinian Dietary Guidelines. Each food group constitutes a component of the index, and the sum of the scores obtained represented the global score of the HEI for each individual, then categorized as unhealthy: <45; needs changes: 45-72; healthy:> 72. A multinomial multiple logistic regression model was adjusted, with the HEI categories as the response variable. The SES, NE and others were included as covariates.Results: The prevalence of pre-obesity was 29% and obesity 22%. According to the HEI, 85% of the population needs changes in their diet. People with obesity were 4 times more likely to have an unhealthy score (OR = 4.36; 95% CI 1.54-12.37). The medium and high SES showed a lower chance of having an unhealthy HEI than the low SES (OR = 0.42; 95% CI 0.17-1.00; OR = 0.33; 95% CI 0.11-1, 00, respectively).Conclusion: DQ and NE differ in the different SES. Hence, actions based on the promotion of health and healthy eating habits should be focused and oriented to the particular needs of each socioeconomic situation. Resumen:  Introducción: La posición socioeconómica de las personas actúa como un determinante social en los procesos de salud-enfermedad, generando un impacto sobre la calidad de la alimentación, y con ello, sumado a otras condiciones, sobre el estado nutricional (EN) de los sujetos. Objetivo: Analizar la calidad de la dieta y estado nutricional, de acuerdo al nivel socioeconómico (NSE) de pertenencia, en la ciudad de Córdoba, en el año 2020.  Materiales y métodos: Se realizó un estudio observacional de base poblacional, descriptivo-correlacional, con 410 participantes. Los participantes respondieron una encuesta validada que incluye datos sociodemográficos y un cuestionario de frecuencia alimentaria. Se analizó el EN clasificado según índice de masa corporal en bajo peso, normopeso, preobesidad y obesidad, y el NSE fue categorizado en alto, medio y bajo, basado en la combinación entre ocupación y nivel de instrucción del principal sostén del hogar. Además, se construyó un Índice de Alimentación Saludable (IAS), asignando un puntaje a cada individuo acorde al grado de cumplimiento de las recomendaciones de las Guías Alimentarias. Cada grupo de alimentos conformó un componente del índice, y la suma de los puntajes obtenidos constituyó el escore global del IAS para cada individuo, luego categorizado en: poco saludable:<45; necesita cambios: 45-72; saludable:>72. Se ajustó un modelo de regresión logística múltiple multinomial cuya variable respuesta fueron las categorías del IAS e incluyendo el NSE, EN y covariables de interés.  Resultados: La prevalencia de preobesidad fue de 29% y de obesidad 22%. Según el IAS, el 85% de la población necesita cambios en su alimentación. Las personas con obesidad tuvieron 4 veces más chances de tener escore poco saludable (OR=4,36; IC95% 1,54-12,37). El NSE medio y alto mostraron menor chance de presentar un IAS poco saludable en relación al NSE bajo (OR=0,42; IC95% 0,17-1,00; OR=0,33; IC95% 0,11-1,00, respectivamente).  Conclusión: La calidad alimentaria y EN difieren en los distintos estratos socioeconómicos, indicando que las acciones basadas en la promoción de la salud y de hábitos alimentarios saludables deben ser focalizadas, y orientadas a necesidades particulares de cada situación socioeconómica. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-05 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/36044 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0