Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da UERJ |
Texto Completo: | http://www.bdtd.uerj.br/handle/1/18352 |
Resumo: | The adoption of a healthy diet helps in the control and mortality from Chronic Non-Communicable Diseases (NCDs). A healthier diet can be achieved by the practice of special diets, which can be adopted due to the diagnosis of some diseases. Knowing the percentage of those on special diets can be useful for monitoring the care and coping with NCDs in Brazil. Thus, the present study aimed to estimate the prevalence of special diet use in the Brazilian population according to types of diet, sociodemographic variables and nutritional status. This is a cross-sectional and descriptive study using data from the National Food Survey (INA) 2017/2018 (n=46,164 individuals aged 10 years and over). Participants were asked if they were on a special diet, and for what purpose. Prevalence of diet practices were obtained according to sociodemographic characteristics, nutritional status, use of salt, sugar and added sweeteners, and nutritional supplements. To calculate the estimates, Software R version 4.1.0 was used, considering the complexity of the sample and the expansion factors. Among the population studied (n=46,164 individuals), 14.3% stated that they were on some type of diet. When compared by sex, the prevalence was higher among women (17.8%) than among men (9.6%), with the diet for high blood pressure being more prevalent in men (3.7%) and the diet for weight loss more prevalent in women (7.4%). Diet use was higher among the elderly (men: 22.4%; women: 31.2%) and obese (men: 13.2%; women: 26.0%), for all types of diets, and lower among individuals with lower income (men: 4.3% vs. 20.4% higher income; women: 10% vs. 26.1% higher income) and less educated (men: 6.7% vs. 23.6% with higher education; women: 11.9% vs. 23.9% with higher education). Individuals who reported dieting, compared with those who did not, had a lower prevalence of salt consumption (men: 12.0% vs. 15.5%; women: 9.6% vs. 12.6%) and sugar addiction (men: 53.1% vs. 85.4%; women: 51.1% vs. 81.9%) and a higher prevalence of consumption of nutritional supplements (men: 32.2% vs. 13.7% ; women: 38.6% vs. 19.2%). The use of diets was higher among women, elderly and obese, and lower among individuals with lower income and lower education for all types of diet. Although CNCDs are more frequent among individuals with lower income and lower education, the use of special diets was less frequent in this group. |
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Verly Junior, EliseuAraújo, Marina CamposParavidino, Vitor BarretoMarchioni, Dirce Maria LoboSouza, Bárbara da Silva Nalin dehttp://lattes.cnpq.br/3062236803594625Bortolot, Beatriz Salaribia_salari@hotmail.com2022-09-09T15:00:56Z2022-03-07BORTOLOT, Beatriz Salari. Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018. 2022. 59 f. Dissertação (Mestrado em Saúde Coletiva) - Instituto de Medicina Social Hesio Cordeiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2022.http://www.bdtd.uerj.br/handle/1/18352The adoption of a healthy diet helps in the control and mortality from Chronic Non-Communicable Diseases (NCDs). A healthier diet can be achieved by the practice of special diets, which can be adopted due to the diagnosis of some diseases. Knowing the percentage of those on special diets can be useful for monitoring the care and coping with NCDs in Brazil. Thus, the present study aimed to estimate the prevalence of special diet use in the Brazilian population according to types of diet, sociodemographic variables and nutritional status. This is a cross-sectional and descriptive study using data from the National Food Survey (INA) 2017/2018 (n=46,164 individuals aged 10 years and over). Participants were asked if they were on a special diet, and for what purpose. Prevalence of diet practices were obtained according to sociodemographic characteristics, nutritional status, use of salt, sugar and added sweeteners, and nutritional supplements. To calculate the estimates, Software R version 4.1.0 was used, considering the complexity of the sample and the expansion factors. Among the population studied (n=46,164 individuals), 14.3% stated that they were on some type of diet. When compared by sex, the prevalence was higher among women (17.8%) than among men (9.6%), with the diet for high blood pressure being more prevalent in men (3.7%) and the diet for weight loss more prevalent in women (7.4%). Diet use was higher among the elderly (men: 22.4%; women: 31.2%) and obese (men: 13.2%; women: 26.0%), for all types of diets, and lower among individuals with lower income (men: 4.3% vs. 20.4% higher income; women: 10% vs. 26.1% higher income) and less educated (men: 6.7% vs. 23.6% with higher education; women: 11.9% vs. 23.9% with higher education). Individuals who reported dieting, compared with those who did not, had a lower prevalence of salt consumption (men: 12.0% vs. 15.5%; women: 9.6% vs. 12.6%) and sugar addiction (men: 53.1% vs. 85.4%; women: 51.1% vs. 81.9%) and a higher prevalence of consumption of nutritional supplements (men: 32.2% vs. 13.7% ; women: 38.6% vs. 19.2%). The use of diets was higher among women, elderly and obese, and lower among individuals with lower income and lower education for all types of diet. Although CNCDs are more frequent among individuals with lower income and lower education, the use of special diets was less frequent in this group.A adoção de uma alimentação saudável auxilia no controle e mortalidade por Doenças Crônicas não Transmissíveis (DCNT). Uma alimentação mais saudável pode ser alcançada pela prática de dietas especiais, que podem ser adotadas devido ao diagnóstico de algumas doenças. Conhecer o percentual de quem faz dietas especiais pode ser útil para o monitoramento do cuidado e enfrentamento das DCNT no Brasil. Assim, o presente trabalho objetivou estimar a prevalência do uso de dieta especial na população brasileira segundo tipos de dieta, variáveis sociodemográficas e estado nutricional. Trata-se de um estudo transversal e descritivo utilizando dados do Inquérito Nacional de Alimentação (INA) 2017/2018 (n=46.164 indivíduos com 10 anos ou mais de idade). Os participantes foram questionados se estavam fazendo alguma dieta especial, e para qual finalidade. Foram obtidas as prevalências de prática de dietas de acordo com características sociodemográficas, estado nutricional, uso de sal, açúcar e adoçante de adição, e suplementos nutricionais. Para o cálculo das estimativas, foi utilizado o Software R versão 4.1.0 considerando a complexidade da amostra e os fatores de expansão. Entre a população estudada (n=46.164 indivíduos), 14,3% afirmaram realizar algum tipo de dieta. Quando comparado por sexo, a prevalência foi maior entre as mulheres (17,8%) do que entre os homens (9,6%), sendo a dieta para pressão alta mais prevalente nos homens (3,7%) e a dieta para emagrecer mais prevalente nas mulheres (7,4%). O uso de dietas foi maior entre idosos (homens: 22,4%; mulheres: 31,2%) e obesos (homens: 13,2%; mulheres: 26,0%), para todos os tipos de dietas, e menor entre indivíduos de menor renda (homens: 4,3% vs. 20,4% maior renda; mulheres: 10% vs. 26,1% maior renda) e menor escolaridade (homens: 6,7% vs. 23,6% com maior escolaridade; mulheres: 11,9% vs. 23,9% com maior escolaridade). Os indivíduos que relataram realizar dieta, comparados com os que não relataram, apresentaram menor prevalência de consumo de sal (homens: 12,0% vs. 15,5%; mulheres: 9,6% vs. 12,6%) e açúcar de adição (homens: 53,1% vs. 85,4%; mulheres: 51,1% vs. 81,9%) e maior prevalência de consumo de suplementos nutricionais (homens: 32,2% vs. 13,7%; mulheres: 38,6% vs. 19,2%). O uso de dietas foi maior entre as mulheres, idosos e obesos, e menor entre indivíduos de menor renda e menor escolaridade para todos os tipos de dieta. Embora as DCNTs sejam mais frequentes entre os indivíduos de menor renda e menor escolaridade, o uso de dietas especiais foi menos frequente neste grupo.Submitted by Marcia CB/C (marciagraziadio@yahoo.com.br) on 2022-09-09T15:00:56Z No. of bitstreams: 1 Dissertação - Beatriz Salari Bortolot - 2022 - Completa.pdf: 684992 bytes, checksum: 4b03d10912d8e7cbc6dee7041b84fdf6 (MD5)Made available in DSpace on 2022-09-09T15:00:56Z (GMT). No. of bitstreams: 1 Dissertação - Beatriz Salari Bortolot - 2022 - Completa.pdf: 684992 bytes, checksum: 4b03d10912d8e7cbc6dee7041b84fdf6 (MD5) Previous issue date: 2022-03-07Conselho Nacional de Desenvolvimento Científico e Tecnológico - CNPqapplication/pdfporUniversidade do Estado do Rio de JaneiroPrograma de Pós-Graduação em Saúde ColetivaUERJBrasilCentro Biomédico::Instituto de Medicina Social Hesio CordeiroSpecial dietNational Food SurveyNutritionDietas especiaisInquérito Nacional de AlimentaçãoNutriçãoCIENCIAS DA SAUDE::SAUDE COLETIVAPerfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018Nutritional and sociodemographic profile of the brazilian population on special diets: II National Food Survey: 2017 - 2018info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UERJinstname:Universidade do Estado do Rio de Janeiro (UERJ)instacron:UERJORIGINALDissertação - Beatriz Salari Bortolot - 2022 - Completa.pdfDissertação - Beatriz Salari Bortolot - 2022 - Completa.pdfapplication/pdf684992http://www.bdtd.uerj.br/bitstream/1/18352/2/Disserta%C3%A7%C3%A3o+-+Beatriz+Salari+Bortolot+-+2022+-+Completa.pdf4b03d10912d8e7cbc6dee7041b84fdf6MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82123http://www.bdtd.uerj.br/bitstream/1/18352/1/license.txte5502652da718045d7fcd832b79fca29MD511/183522024-02-26 20:29:06.546oai:www.bdtd.uerj.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://www.bdtd.uerj.br/PUBhttps://www.bdtd.uerj.br:8443/oai/requestbdtd.suporte@uerj.bropendoar:29032024-02-26T23:29:06Biblioteca Digital de Teses e Dissertações da UERJ - Universidade do Estado do Rio de Janeiro (UERJ)false |
dc.title.por.fl_str_mv |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 |
dc.title.alternative.eng.fl_str_mv |
Nutritional and sociodemographic profile of the brazilian population on special diets: II National Food Survey: 2017 - 2018 |
title |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 |
spellingShingle |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 Bortolot, Beatriz Salari Special diet National Food Survey Nutrition Dietas especiais Inquérito Nacional de Alimentação Nutrição CIENCIAS DA SAUDE::SAUDE COLETIVA |
title_short |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 |
title_full |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 |
title_fullStr |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 |
title_full_unstemmed |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 |
title_sort |
Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018 |
author |
Bortolot, Beatriz Salari |
author_facet |
Bortolot, Beatriz Salari bia_salari@hotmail.com |
author_role |
author |
author2 |
bia_salari@hotmail.com |
author2_role |
author |
dc.contributor.advisor1.fl_str_mv |
Verly Junior, Eliseu |
dc.contributor.advisor-co1.fl_str_mv |
Araújo, Marina Campos |
dc.contributor.referee1.fl_str_mv |
Paravidino, Vitor Barreto |
dc.contributor.referee2.fl_str_mv |
Marchioni, Dirce Maria Lobo |
dc.contributor.referee3.fl_str_mv |
Souza, Bárbara da Silva Nalin de |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3062236803594625 |
dc.contributor.author.fl_str_mv |
Bortolot, Beatriz Salari bia_salari@hotmail.com |
contributor_str_mv |
Verly Junior, Eliseu Araújo, Marina Campos Paravidino, Vitor Barreto Marchioni, Dirce Maria Lobo Souza, Bárbara da Silva Nalin de |
dc.subject.eng.fl_str_mv |
Special diet National Food Survey Nutrition |
topic |
Special diet National Food Survey Nutrition Dietas especiais Inquérito Nacional de Alimentação Nutrição CIENCIAS DA SAUDE::SAUDE COLETIVA |
dc.subject.por.fl_str_mv |
Dietas especiais Inquérito Nacional de Alimentação Nutrição |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::SAUDE COLETIVA |
description |
The adoption of a healthy diet helps in the control and mortality from Chronic Non-Communicable Diseases (NCDs). A healthier diet can be achieved by the practice of special diets, which can be adopted due to the diagnosis of some diseases. Knowing the percentage of those on special diets can be useful for monitoring the care and coping with NCDs in Brazil. Thus, the present study aimed to estimate the prevalence of special diet use in the Brazilian population according to types of diet, sociodemographic variables and nutritional status. This is a cross-sectional and descriptive study using data from the National Food Survey (INA) 2017/2018 (n=46,164 individuals aged 10 years and over). Participants were asked if they were on a special diet, and for what purpose. Prevalence of diet practices were obtained according to sociodemographic characteristics, nutritional status, use of salt, sugar and added sweeteners, and nutritional supplements. To calculate the estimates, Software R version 4.1.0 was used, considering the complexity of the sample and the expansion factors. Among the population studied (n=46,164 individuals), 14.3% stated that they were on some type of diet. When compared by sex, the prevalence was higher among women (17.8%) than among men (9.6%), with the diet for high blood pressure being more prevalent in men (3.7%) and the diet for weight loss more prevalent in women (7.4%). Diet use was higher among the elderly (men: 22.4%; women: 31.2%) and obese (men: 13.2%; women: 26.0%), for all types of diets, and lower among individuals with lower income (men: 4.3% vs. 20.4% higher income; women: 10% vs. 26.1% higher income) and less educated (men: 6.7% vs. 23.6% with higher education; women: 11.9% vs. 23.9% with higher education). Individuals who reported dieting, compared with those who did not, had a lower prevalence of salt consumption (men: 12.0% vs. 15.5%; women: 9.6% vs. 12.6%) and sugar addiction (men: 53.1% vs. 85.4%; women: 51.1% vs. 81.9%) and a higher prevalence of consumption of nutritional supplements (men: 32.2% vs. 13.7% ; women: 38.6% vs. 19.2%). The use of diets was higher among women, elderly and obese, and lower among individuals with lower income and lower education for all types of diet. Although CNCDs are more frequent among individuals with lower income and lower education, the use of special diets was less frequent in this group. |
publishDate |
2022 |
dc.date.accessioned.fl_str_mv |
2022-09-09T15:00:56Z |
dc.date.issued.fl_str_mv |
2022-03-07 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
dc.identifier.citation.fl_str_mv |
BORTOLOT, Beatriz Salari. Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018. 2022. 59 f. Dissertação (Mestrado em Saúde Coletiva) - Instituto de Medicina Social Hesio Cordeiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2022. |
dc.identifier.uri.fl_str_mv |
http://www.bdtd.uerj.br/handle/1/18352 |
identifier_str_mv |
BORTOLOT, Beatriz Salari. Perfil nutricional e sociodemográfico de indivíduos brasileiros que seguem dietas especiais: II Inquérito Nacional de Alimentação: 2017 - 2018. 2022. 59 f. Dissertação (Mestrado em Saúde Coletiva) - Instituto de Medicina Social Hesio Cordeiro, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, 2022. |
url |
http://www.bdtd.uerj.br/handle/1/18352 |
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por |
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por |
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info:eu-repo/semantics/openAccess |
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openAccess |
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Universidade do Estado do Rio de Janeiro |
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Programa de Pós-Graduação em Saúde Coletiva |
dc.publisher.initials.fl_str_mv |
UERJ |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
Centro Biomédico::Instituto de Medicina Social Hesio Cordeiro |
publisher.none.fl_str_mv |
Universidade do Estado do Rio de Janeiro |
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