Association between socioeconomic factors and fruit and vegetable consumption in Brazilians aged ≥ 50 years: ELSI-Brazil data / Associação entre consumo de frutas, legumes e verduras e fatores socioeconômicos em brasileiros com 50 anos ou mais: dados do ELSI-Brasil

OBJECTIVE: Daily fruit and vegetable consumption is a critical factor in health, especially aging. This study aimed to evaluate the association between socioeconomic factors and daily fruit and vegetable consumption in men and women aged ≥ 50 years. METHODS: This cross-sectional study used 2015-2016 data from the Brazilian longitudinal study of aging (ELSI-Brazil), which included 8665 individuals aged ≥ 50 years. Daily fruit and vegetable consumption was the dependent variable, and income, education, sex, age, and race were the independent variables. Associations between fruit and vegetable consumption and the independent variables were determined using Poisson regression. RESULTS: Individuals who had completed higher education (OR 2.40; 95% CI 2.07-2.78), whose income was > 3 times the minimum wage (OR 2.42; 95% CI 2.18-2.68), and those aged > 80 years (OR 1.44; 95% CI 1.27-1.63) were more likely to consume fruits and vegetables. However, men (OR 0.63; 95% CI 0.58-0.67), Blacks (OR 0.74; 95% CI 0.65-0.84), and people of mixed race (OR 0.68; 95% CI 0.63-0.73), were less likely to consume fruits and vegetables. CONCLUSIONS: The results show inequality in fruit and vegetable consumption among people aged ≥ 50 years, which was lower among men, people of Black or mixed race, people with low income and education, and those with younger age. Interventions are needed to promote fruit and vegetable consumption, and thus healthy aging, among these groups

OBJETIVO: O consumo diário de frutas, legumes e verduras (FLV) é um fator primordial à saúde, especialmente no envelhecimento. Este estudo teve o objetivo de avaliar a associação entre fatores socioeconômicos e o consumo diário de FLV em pessoas com idade de ≥ 50 anos, de ambos os sexos. METODOLOGIA: Trata-se de um estudo transversal, com dados do ELSI-Brasil 2015 - 2016, realizado com 8.665 indivíduos com idade acima de 50 anos. O consumo diário de FLV foi a variável dependente e renda, escolaridade, sexo, idade e cor de pele foram as variáveis independentes. A regressão de Poisson foi usada para verificar a associação entre o consumo de FVL e as variáveis independentes. RESULTADOS: Indivíduos que possuíam ensino superior (odds ratio ­ OR 2,40; intervalo de confiança ­ IC95% 2,07 - 2,78), que recebiam mais que três salários-mínimos (OR 2,42; IC95% 2,18 - 2,68) e com idade superior a 80 anos (OR 1,44; IC95% 1,27 - 1,63) tinham maior probabilidade de consumir FLV. Por outro lado, homens (OR 0,63; IC95% 0,58 - 0,67) de cor de pele parda (OR 0,68; IC95% 0,63 - 0,73) e preta (OR 0,74; IC95% 0,65 - 0,84) tiveram menor chance de consumo de FVL. CONCLUSÕES: Os resultados revelam desigualdades no consumo de FLV entre pessoas com idade acima de 50 anos, com maior magnitude entre os com baixa renda, baixa escolaridade, menor idade, sexo masculino e cor de pele parda e preta, demonstrando, assim, a necessidade de estratégias de intervenção para aumentar o consumo desses alimentos, buscando a promoção do envelhecimento saudável

Association between being underweight and excess body weight before SARS coronavirus type 2 infection and clinical outcomes of coronavirus disease 2019: Multicenter study.

OBJECTIVES: The present study aimed to identify associations between extremes in body weight status (underweight and excess body weight) before a COVID-19 diagnosis and clinical outcomes in patients infected with SARS coronavirus type 2. METHODS: A multicenter cohort study was conducted in eight different states in northeastern Brazil. Demographic, clinical (previous diagnosis of comorbidities), and anthropometric (self-reported weight and height) data about individuals who tested positive for COVID-19 were collected. Outcomes included hospitalization, mechanical ventilation, and death. Multivariable logistic regression models, adjusted based on age, sex and previous comorbidities, were used to assess the effects of extremes in body weight status on clinical outcomes. RESULTS: A total of 1308 individuals were assessed (33.6% were elderly individuals). The univariable analyses showed that only hospitalization was more often observed among underweight (3.2% versus 1.2%) and overweight (68.1% versus 63.3%) individuals. In turn, cardiovascular diseases were more often observed in all clinical outcomes (hospitalization: 19.7% versus 4.8%; mechanical ventilation: 19.9% versus 13.5%; death: 21.8% versus 14.1%). Based on the multivariable analysis, body weight status was not associated with risk of hospitalization (underweight: odds ratio [OR]: 1.10; 95% confidence interval [CI] 95%, 0.50-2.41 and excess body weight: OR: 0.81; 95 CI, 0.57-1.14), mechanical ventilation (underweight: OR: 0.92; 95% CI, 0.52-1.62 and excess weight: OR: 0.90; 95% CI, 0.67-1.19), and death (underweight: OR: 0.61; 95% CI, 0.31-1.20 and excess body weight: OR 0.88; 95% CI, 0.63-1.23). CONCLUSIONS: Being underweight and excess body weight were not independently associated with clinical outcomes in patients with COVID-19 in the herein analyzed cohort. This finding indicates that the association between these variables may be confounded by both age and comorbidities.

Visceral adiposity indicators and cardiovascular risk in hemodialytic patients

ABSTRACT Objective: Cardiovascular diseases represent the main cause of death in chronic kidney disease (CKD). We aimed to evaluate the prevalence and association of the hypertriglyceridemia-waist phenotype (HWP) and visceral adiposity index (VAI) with cardiometabolic risk factors (CR) in patients with CKD on hemodialysis (HD). Materials and methods: The study is based on a cross-sectional design with 265 HD patients in two cities in northeastern Brazil. The VAI was calculated considering the variables body mass index (BMI), waist circumference (WC), triglycerides (TG) and high density lipoprotein cholesterol (HDL-c). HWP was defined as the concomitant elevation of WC and TG. The Poisson Regression Model with robust variance estimation was adjusted considering a hierarchical approach for explanatory variables. Prevalence ratios (PR) were also estimated. The level of significance adopted was 5%. Results: In our study HWP and VAI prevalence's were 29.82% and 58.49%, respectively. In the final model, there was an association between VAI and female gender (PR = 1.46; p < 0.0001) and high body fat (% BF) (PR = 1.33; p < 0.0019). HWP was associated with females (PR = 1.80; p = 0.002), alcohol consumption (PR = 1.58; p = 0.033), obesity (PR = 1.89; p = 0.0001), high %BF (PR = 1.76; p = 0.012) and reduced HDL-c (PR = 1.48; p = 0.035). Conclusion: The HWP stood out as the association with more CR factors, representing a promising method for tracking cardiometabolic risk in HD patients, mainly female.

Visceral adiposity indicators and cardiovascular risk in hemodialytic patients.

OBJECTIVE: Cardiovascular diseases represent the main cause of death in chronic kidney disease (CKD). We aimed to evaluate the prevalence and association of the hypertriglyceridemia-waist phenotype (HWP) and visceral adiposity index (VAI) with cardiometabolic risk factors (CR) in patients with CKD on hemodialysis (HD). METHODS: The study is based on a cross-sectional design with 265 HD patients in two cities in northeastern Brazil. The VAI was calculated considering the variables body mass index (BMI), waist circumference (WC), triglycerides (TG) and high density lipoprotein cholesterol (HDL-c). HWP was defined as the concomitant elevation of WC and TG. The Poisson Regression Model with robust variance estimation was adjusted considering a hierarchical approach for explanatory variables. Prevalence ratios (PR) were also estimated. The level of significance adopted was 5%. RESULTS: In our study HWP and VAI prevalence's were 29.82% and 58.49%, respectively. In the final model, there was an association between VAI and female gender (PR = 1.46; p < 0.0001) and high body fat (% BF) (PR = 1.33; p < 0.0019). HWP was associated with females (PR = 1.80; p = 0.002), alcohol consumption (PR = 1.58; p = 0.033), obesity (PR = 1.89; p = 0.0001), high %BF (PR = 1.76; p = 0.012) and reduced HDL-c (PR = 1.48; p = 0.035). CONCLUSION: The HWP stood out as the association with more CR factors, representing a promising method for tracking cardiometabolic risk in HD patients, mainly female.