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FAMILY FOOD INSECURITY AND NUTRITIONAL RISK IN ADOLESCENTS FROM A LOW-INCOME AREA OF RIO DE JANEIRO, BRAZIL

Published online by Cambridge University Press:  14 November 2012

TAÍS S. LOPES ,
ROSELY SICHIERI ,
ROSANA SALLES-COSTA ,
GLORIA V. VEIGA  and
ROSANGELA A. PEREIRA
TAÍS S. LOPES
Affiliation:
Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Brazil
ROSELY SICHIERI
Affiliation:
Departament of Epidemiology, Institute of Social Medicine, University of the State of Rio de Janeiro, Brazil
ROSANA SALLES-COSTA
Affiliation:
Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Brazil
GLORIA V. VEIGA
Affiliation:
Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Brazil
ROSANGELA A. PEREIRA
Affiliation:
Department of Social and Applied Nutrition, Federal University of Rio de Janeiro, Brazil
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Summary

The study objective was to analyse the association between food insecurity and the weight and height status of adolescents from a low-income area in the metropolitan region of Rio de Janeiro, Brazil. The population-based cross-sectional survey included 523 adolescents aged 12–18 years, selected by a three-stage cluster sample. Dietary intake was ascertained with a food frequency questionnaire and family food insecurity was assessed with a validated questionnaire. The analysis estimated weighted means of energy and nutrient intakes by families' socioeconomic characteristics and the association between dietary intake with overweight and stunting. The prevalence of mild family food insecurity was 36%, and 24% of the families reported moderate or severe food insecurity. Overweight prevalence was 24%, and the prevalence of stunting was 9%, with no significant differences between sex or age groups. Family food insecurity was associated with unfavourable socioeconomic characteristics, but there was no association between socioeconomic characteristics (including family food insecurity) and overweight or stunting. Moderate or severe family food insecurity was inversely associated with intake of protein and calcium. In addition, stunting was associated with low calcium and iron intake. The co-existence of family food insecurity with overweight and stunting implies a high nutritional risk for adolescents from poor areas of Rio de Janeiro. Nevertheless, the observed absence of a statistical association between family food insecurity and weight status attests to the complexity of this issue.

Type
Articles
Information
Journal of Biosocial Science , Volume 45 , Issue 5 , September 2013 , pp. 661 - 674
Copyright
Copyright © Cambridge University Press 2012 

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References

Adams, E. J., Grummer-Strawn, L. & Chavez, G. (2003) Food insecurity is associated with increased risk of obesity in California women. Journal of Nutrition 133, 1070–1074.CrossRefGoogle ScholarPubMed
Alaimo, K., Olson, C. M. & Frongillo, E. A. Jr (2001) Low family income and food insufficiency in relation to overweight in US children: is there a paradox? Archives of Pediatrics and Adolescent Medicine 155, 1161–1167.CrossRefGoogle Scholar
Basiotis, P. & Lino, M. (2003) Food insufficiency and prevalence of overweight among adult women. Family Economics and Nutrition Review 15, 55–57.Google Scholar
Brasil Ministério da Saúde (2006) Estudos avaliam o impacto dos programas Bolsa-Alimentação e Bolsa Família na vida dos beneficiários. [Studies evaluate the impact of Bolsa alimentação and Bolsa Família Programmes in the beneficiaries' life.] URL: http://189.28.128.100/nutricao/docs/pbf_informes/pbfinfo27.pdf (accessed 5th August 2012).Google Scholar
Carneiro, F. F., Netto, G. F., Corvalan, C., Freitas, C. M. & Sales, L. B. F. (2012) Environmental health and inequalities: building indicators for sustainable development [in Portuguese]. Ciência & Saúde Coletiva 17, 1419–1425.CrossRefGoogle ScholarPubMed
Casey, P. H., Simpson, P. M., Gossett, J. M., Bogle, M. L., Champagne, C. M., Connell, C.et al. (2006) The association of child and household food insecurity with childhood overweight status. Pediatrics 118, e1406–1413.CrossRefGoogle ScholarPubMed
Casey, P. H., Szeto, K., Lensing, S., Bogle, M. & Weber, J. (2001) Children in food insufficient, low-income families: prevalence, health, and nutritional status. Archives of Pediatrics and Adolescent Medicine 155, 508–514.CrossRefGoogle Scholar
Correa, A. M. S. (2007) Food insecurity as measured by individual perceptions. Estudos Avançados 21, 143–154.Google Scholar
De Onis, M. & Habicht, J. P. (1997) Anthropometric reference data for international use: recommendations from a WHO Expert Committee. Food and Nutrition Bulletin 18, 179–189.CrossRefGoogle Scholar
de Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C. & Siekmann, J. (2007) Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization 85, 660–667.CrossRefGoogle ScholarPubMed
de Vasconcelos Chaves, V. L., Freese, E., Lapa, T. M., Cesse, E. A. & de Vasconcelos, A. L. (2010) Temporal evolution of overweight and obesity among Brazilian male adolescents, 1980–2005 [in Portuguese]. Cadernos de Saúde Pública 26, 1303–1313.Google ScholarPubMed
Dinour, L. M., Bergen, D. & Yeh, M. C. (2007) The food insecurity–obesity paradox: a review of the literature and the role food stamps may play. Journal of the American Dietetic Association 107, 1952–1961.CrossRefGoogle ScholarPubMed
Drewnowski, A. & Specter, S. E. (2004) Poverty and obesity: the role of energy density and energy costs. American Journal of Clinical Nutrition 79, 6–16.CrossRefGoogle ScholarPubMed
FIVIMS (Food Insecurity and Vulnerability Information and Mapping System) (2002) Summary of Proceedings: Measurement and Assessment of Food Deprivation and Undernutrition. International Scientific Symposium, 26–28th June 2002. Food and Agriculture Organization of the United Nations, Rome.Google Scholar
Gordon, C. C., Chumlea, W. C. & Roche, A. F. (1988) Stature, recumbent length, and weight. In Lohman, T. G., Roche, A. F. & Martorell, R. (eds) Anthropometric Standardization Reference Manual. Human Kinetics Books, Champaign, Illinois, pp. 3–8.Google Scholar
Gundersen, C., Garasky, S. & Lohman, B. J. (2009) Food insecurity is not associated with childhood obesity as assessed using multiple measures of obesity. Journal of Nutrition 139, 1173–1178.CrossRefGoogle Scholar
Gundersen, C., Lohman, B. J., Eisenmann, J. C., Garasky, S. & Stewart, S. D. (2008) Child-specific food insecurity and overweight are not associated in a sample of 10- to 15-year-old low-income youth. Journal of Nutrition 138, 371–378.CrossRefGoogle ScholarPubMed
Habicht, J. P. (1974) Estandarización de métodos epidemiológicos sobre el terreno. Boletín de la Oficina Sanitaria Panamericana 76, 375–381.Google Scholar
Hackett, M., Melgar-Quiñonez, H., Pérez-Escamilla, R. & Segall-Corrêa, A. M. (2008) Gender of respondent does not affect the psychometric properties of the Brazilian Household Food Security Scale. International Journal of Epidemiology 37, 766–774.CrossRefGoogle Scholar
IBGE (Instituto Brasileiro de Geografia e Estatística) (2010a) Pesquisa Nacional Por Amostra de Domicílios 2004/2009: Segurança alimentar. [National Survey of Households 2004/2009: Food security]. IBGE, Rio de Janeiro.Google Scholar
IBGE (Instituto Brasileiro de Geografia e Estatística) (2010b) Pesquisa de Orçamentos Familiares 2008–2009: Antropometria e Estado Nutricional de Crianças, Adolescentes e Adultos no Brasil. [Household Budget Survey 2008–2009: Anthropometry and Nutritional Status of Children, Adolescents and Adults in Brazil.] IBGE, Rio de Janeiro.Google Scholar
IBGE (Instituto Brasileiro de Geografia e Estatística) (2011) Pesquisa de Orçamentos Familiares, 2008–2009: Análise do Consumo Alimentar Pessoal no Brasil. [Household Budget Survey 2008–2009: Analyses of Individual Food Consumption in Brazil.] IBGE, Rio de Janeiro.Google Scholar
IOM (Institute of Medicine) (2011). Dietary Reference Intakes for Calcium and Vitamin D. National Academies Press, Washington, DC.Google Scholar
Isanaka, S., Mora-Plazas, M., Lopez-Arana, S., Baylin, A. & Villamor, E. (2007) Food insecurity is highly prevalent and predicts underweight but not overweight in adults and school children from Bogotá, Colombia. Journal of Nutrition 137, 2747–2755.CrossRefGoogle Scholar
Kirkpatrick, S. I. & Tarasuk, V. (2008) Food insecurity is associated with nutrient inadequacies among Canadian adults and adolescents. Journal of Nutrition 138, 604–612.CrossRefGoogle ScholarPubMed
Lignani, J. B., Sichieri, R., Burlandy, L. & Salles-Costa, R. (2011) Changes in food consumption among the Programa Bolsa Familia participant families in Brazil. Public Health Nutrition 14, 785–792.CrossRefGoogle Scholar
Lohman, B. J., Stewart, S., Gundersen, C., Garasky, S. & Eisenmann, J. C. (2009) Adolescent overweight and obesity: links to food insecurity and individual, maternal, and family stressors. Journal of Adolescent Health 45, 230–237.CrossRefGoogle ScholarPubMed
Mark, S., Lambert, M., O'Loughlin, J. & Gray-Donald, K. (2012) Household income, food insecurity and nutrition in Canadian youth. Canadian Journal of Public Health 103, 94–99.CrossRefGoogle ScholarPubMed
Matheson, D. M., Varady, J., Varady, A. & Killen, J. D. (2002) Household food security and nutritional status of Hispanic children in the fifth grade. American Journal of Clinical Nutrition 76, 210–217.CrossRefGoogle ScholarPubMed
NEPA (Núcleo de Estudos e Pesquisas em Alimentação) (2006) Tabela brasileira de composição de alimentos [Brazilian Food Composition Table]/NEPA-UNICAMP (2nd edn). NEPA-UNICAMP, Campinas, SP, Brazil, p. 113. URL: http://www.unicamp.br/nepa/taco/contar/taco_versao2.pdf (accessed July 2010).Google Scholar
Oliveira, J. S., Lira, P. I. C., Veras, I. C. L., Maia, S. R., Lemos, M. C. C., Andrade, S. L. L. S.et al. (2009) Nutritional status and food insecurity of adolescents and adults in two cities with a low human development index [in Portuguese]. Revista de Nutrição 22, 453–465.CrossRefGoogle Scholar
Ortiz-Hernández, L., Acosta-Gutiérrez, M. N., Núñez-Pérez, A. E., Peralta-Fonseca, N. & Ruiz-Gómez, Y. (2007) Food insecurity and obesity are positively associated in Mexico City schoolchildren. Revista de Investigacion Clinica 59, 32–41.Google ScholarPubMed
Pate, R. R., Freedson, P. S., Sallis, J. F., Taylor, W. C., Sirard, J., Trost, S. G. & Dowda, M. (2002) Compliance with physical activity guidelines: prevalence in a population of children and youth. Annals of Epidemiology 12, 303–308.CrossRefGoogle Scholar
Perez-Escamilla, R. & Segall-Correa, A. M. (2008) Food insecurity measurement and indicators. Revista de Nutrição 21 (Supplement), 15–26s.CrossRefGoogle Scholar
Pérez-Escamilla, R., Segall-Corrêa, A. M., Kurdian Maranha, L., Sampaio, Md. Mde. F., Marín-León, L. & Panigassi, G. (2004) An adapted version of the US Department of Agriculture food insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. Journal of Nutrition 134, 1923–1928.CrossRefGoogle ScholarPubMed
Ramakrishnan, U. (2004) Nutrition and low birth weight: from research to practice. American Journal of Clinical Nutrition 79, 17–21.CrossRefGoogle ScholarPubMed
Rocha, S. & Albuquerque, R. C. (2003) Geografia da pobreza extrema e vulnerabilidade à fome. [Geography of the extreme poverty and hunger.] INAE – Instituto Nacional de Altos Estudos: Seminário Especial Fome e Pobreza, Estudos e Pesquisas, Vol. 54.Google Scholar
Salles-Costa, R., Pereira, R. A., Vasconcellos, M. T. L., Veiga, G. V., Marins, V. M. R., Jardim, B. C.et al. (2008) Association between socioeconomic factors and food insecurity: a population-based study in the Rio de Janeiro metropolitan area, Brazil. Revista de Nutrição 21 (Supplement), 99–109s.CrossRefGoogle Scholar
Sichieri, R. & Everhart, J. E. (1998) Validity of a Brazilian food frequency questionnaire against dietary recalls and estimated energy intake. Nutrition Research 18, 1649–1659.CrossRefGoogle Scholar
Smith, C. & Richards, R. (2008) Dietary intake, overweight status, and perceptions of food insecurity among homeless Minnesotan youth. American Journal of Human Biology 20, 550–563.CrossRefGoogle ScholarPubMed
USDA (2010) National Nutrient Database for Standard Reference. URL: http://www.nal.usda.gov/fnic/foodcomp (accessed July 2010).Google Scholar
Willett, W. & Stampfer, M. (1998) Implications of Total Energy Intake for Epidemiologic Analysis. In Willett, W. (ed.) Nutritional Epidemiology (2nd edn). Oxford University Press, New York, pp. 273–301.CrossRefGoogle Scholar
WHO (2005) Nutrition in Adolescence – Issues and Challenges for the Health Sector. Issues in Adolescent Health and Development. WHO Discussion Papers on Adolescence. WHO, Geneva.Google Scholar