Signs and strategies to deal with food insecurity and consumption of ultra-processed foods among Amazonian mothers

Sato, Priscila de Morais; Ulian, Mariana Dimitrov; Oliveira, Mayara Sanay da Silva; Cardoso, Marly Augusto; Wells, Jonathan C. K.; Devakumar, Delan; Lourenço, Bárbara Hatzlhoffer; Scagliusi, Fernanda Baeza

doi:10.1080/17441692.2020.1749694

Cited by 10 publications

(9 citation statements)

References 33 publications

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“…Household food insecurity status most clearly differentiated individuals in terms of their consumption of ultra-processed foods, a variable that has rarely been examined in relation to food insecurity. A positive association between food insecurity and the consumption of highly processed foods has also been reported in the USA (21) , but studies in Brazil have yielded mixed results (74,75) , perhaps reflecting differences in context, study design and measurements. The strong positive association between severity of household food insecurity and the proportion of energy derived from ultra-processed foods observed in our study among both adults and children is consistent with research pointing to the lower cost, higher satiety and greater availability of these foods (58,76) .…”

Section: Discussionmentioning

confidence: 93%

The relationship between diet quality and the severity of household food insecurity in Canada

Hutchinson

Tarasuk

2021

Public Health Nutr.

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Objective: To examine the relationship between the dietary quality of Canadian children and adults and household food insecurity status. Design: Dietary intake was assessed with one 24-h recall. Households were classified as food secure or marginally, moderately or severely food insecure based on their responses to the Household Food Security Survey Module. We applied multivariable analyses of variance to determine whether % energy from ultra-processed foods, fruit and vegetable intake, Healthy Eating Index (HEI) scores, macronutrient composition, and micronutrient intakes per 1000 kcal differed by food insecurity status after accounting for income, education and region. Analyses were run separately for children 1-8 years and 9-18 years and men and women 19-64 years of age. Setting: 10 provinces in Canada Participants: Respondents to the 2015 Canadian Community Health Survey-Nutrition, aged 1-64 years, with complete food insecurity data and non-zero energy intakes. N=15909 Results: Among adults and children, % energy from ultra-processed foods was strongly related to severity of food insecurity, but no significant trend was observed for fruit and vegetable intake or HEI score. Carbohydrate, total sugar, fat, and saturated fat intake/1000 kcal did not differ by food insecurity status, but there was a significant negative trend in protein/1000 kcal among older children, a positive trend in sodium/1000 kcal among younger children, and inverse associations between food insecurity severity and several micronutrients/1000 kcal among adults and older children. Conclusions: With more severe household food insecurity, ultra-processed food consumption was higher and diet quality was generally lower among both adults and children.

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Section: Discussionmentioning

confidence: 93%

The relationship between diet quality and the severity of household food insecurity in Canada

Hutchinson

Tarasuk

2021

Public Health Nutr.

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“…. 6,33 . As mentioned in some studies, modernization in the food markets and shops is dominated by PF and UPF products, sold with several engaging marketing related to price and packaging 5,6 .…”

Section: Ultra-processed Food As a Potential Mediator Of Food Securit...mentioning

confidence: 99%

“…However, a study reported that the energy contribution from UPF among Jakarta's adults is less than one-fifth of total energy intake 12 . Therefore, many other factors must also mediate food security status to overweight or obesity 20,26,33,34 . As found by previous research, the total diet quality score did not mediate food insecurity status to obesity, even after adjusting with covariates 20 .…”

Section: Ultra-processed Food As a Potential Mediator Of Food Securit...mentioning

confidence: 99%

“…Secondly were sociodemographic factors, including gender, age, marital status, and living conditions 34 . Regarding gender differences, some researchers suggested that the food-insecure group had a greater prevalence of obesity, which is evident more in married women 20,33,34 . Those findings could be attributed to motherhood, related to the mother's role in the community or society to feed the family first.…”

Section: Ultra-processed Food As a Potential Mediator Of Food Securit...mentioning

confidence: 99%

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Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review

Faza

Bafani²,

Fikha³

2023

AMNT

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Background: The ultra-processed food (UPF) contributed 20-85% of total daily calories. The consumption of UPF can be triggered by food security status. Many studies revealed that UPF consumption has a direct negative impact on health, mainly in overweight and obesity. Objectives: To review published studies assessing food security, UPF consumption, and overweight or obesity and find the possible links between those three factors. Methods: A literature review of scientific articles about food security, UPF consumption, and overweight or obesity, selected systematically according to the PRISMA Diagram. All articles were gathered through medical search engines, including PubMed, ScienceDirect, and Scopus, from December 2021 to February 2022. The bias risk of each selected paper was assessed using the checklist from The Joanna Briggs Institute (JBI) Critical Appraisal. Peer review and group discussions were performed to assess the quality of all articles gathered as objectively as possible using the STROBE Checklist. A narrative synthesis approach was opted to unify all findings across included studies systematically. Results: Nineteen (19) scientific published papers were filtered. The association between food security status and UPF consumption showed inconsistent findings. However, UPF consumption revealed a consistent association with overweight/obesity, where the higher the UPF intake, the greater odds of being overweight/obese. The relationship between food security status and overweight or obesity tended to have a similar pattern. In high-income countries, the association was negative (the more food insecure, the higher overweight or obesity), while in low- and middle-income countries showed the opposite. The pathway could be: (1) food-insecure adults have higher UPF intake, hence gaining body weight, or (2) food-secure adults have higher UPF intake, hence gaining body weight. Conclusions: UPF consumption is indicated as a potential mediator for food security status and nutritional status (overweight/obesity) through two pathways involving socio-demographic factors, psychological factors, social protections, and food choice motives.

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“…Their nutritional status is shaped both by their ability to pursue these goals, and by the environments to which they are exposed and which therefore impact their agency. Individuals may employ substantial creativity, to try to balance their competing goals [ 116 ]. Poverty exacerbates such trade-offs and drives more severe deficits in health, by forcing agency to be targeted at satisfying basic economic needs.…”

Section: Agencymentioning

confidence: 99%

The future of human malnutrition: rebalancing agency for better nutritional health

et al. 2021

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The major threat to human societies posed by undernutrition has been recognised for millennia. Despite substantial economic development and scientific innovation, however, progress in addressing this global challenge has been inadequate. Paradoxically, the last half-century also saw the rapid emergence of obesity, first in high-income countries but now also in low- and middle-income countries. Traditionally, these problems were approached separately, but there is increasing recognition that they have common drivers and need integrated responses. The new nutrition reality comprises a global ‘double burden’ of malnutrition, where the challenges of food insecurity, nutritional deficiencies and undernutrition coexist and interact with obesity, sedentary behaviour, unhealthy diets and environments that foster unhealthy behaviour. Beyond immediate efforts to prevent and treat malnutrition, what must change in order to reduce the future burden? Here, we present a conceptual framework that focuses on the deeper structural drivers of malnutrition embedded in society, and their interaction with biological mechanisms of appetite regulation and physiological homeostasis. Building on a review of malnutrition in past societies, our framework brings to the fore the power dynamics that characterise contemporary human food systems at many levels. We focus on the concept of agency, the ability of individuals or organisations to pursue their goals. In globalized food systems, the agency of individuals is directly confronted by the agency of several other types of actor, including corporations, governments and supranational institutions. The intakes of energy and nutrients by individuals are powerfully shaped by this ‘competition of agency’, and we therefore argue that the greatest opportunities to reduce malnutrition lie in rebalancing agency across the competing actors. The effect of the COVID-19 pandemic on food systems and individuals illustrates our conceptual framework. Efforts to improve agency must both drive and respond to complementary efforts to promote and maintain equitable societies and planetary health.

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Signs and strategies to deal with food insecurity and consumption of ultra-processed foods among Amazonian mothers

Cited by 10 publications

References 33 publications

The relationship between diet quality and the severity of household food insecurity in Canada

The relationship between diet quality and the severity of household food insecurity in Canada

Ultra-Processed Food can be a Mediator between Food Security Status and Overweight or Obesity among Adults: A Literature Review

The future of human malnutrition: rebalancing agency for better nutritional health

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