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Nutrition Transition in the Post-Economic Crisis of Greece: Assessing the Nutritional Gap of Food-Insecure Individuals. A Cross-Sectional Study

机译:希腊经济危机后的营养转型:评估粮食不安全个体的营养差距。跨部门研究

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摘要

Food insecurity has risen by 40% in Europe’s post-economic crisis, linked to the economic turmoil and austerity. Despite the intensification of efforts to fight all forms of poverty, including the implementation of programs targeted to the most deprived, the study of individuals at risk of food insecurity has been largely neglected. This study aimed to map the nutritional habits and needs of the most deprived in Greece, one of the countries most affected by the economic crisis. Individuals classified as most deprived under the Fund for the European Aid to the Most Deprived (FEAD) criteria ( = 499) from across Greece and an age matched control from the general population ( 500) were interviewed between December 2017 and December 2019. Participants provided information about demographic characteristics, and self-reported anthropometric measures and nutritional intake of the past month via a food frequency questionnaire (FFQ). Protein and energy malnutrition were defined as daily intake <1.950 kcal and ≤0.75 g/kg body-weight accordingly. Protein and energy malnutrition were high among FEAD recipients (52.3% and 18.6% respectively, < 0.001), alongside a high prevalence of overweight and obesity (BMI > 25: 68.4% versus 55.1%; < 0.001). The diet of FEAD recipients included higher amounts of carbohydrates, lower amounts of monounsaturated fat (MUFA) and polyunsaturated fat (PUFA; < 0.001 compared to control), larger amounts of plant-based proteins (5.81 ± 1.7 versus 4.94 ± 1.3% E respectively, < 0.001) and very limited intake of fish (0.07 portions/day). Despite being enrolled in a food assistance program, protein and energy malnutrition is prevalent among Greece’s most deprived who experience not only lower diet quality but also the double burden of malnutrition.
机译:在欧洲的后经济危机中,与经济动荡和紧缩有关的粮食不安全状况增加了40%。尽管加紧了与各种形式的贫困作斗争的努力,包括执行针对最贫困者的计划,但对处于粮食不安全风险中的个人的研究却被大大忽略了。这项研究的目的是绘制希腊最贫穷的人的营养习惯和需求,希腊是受经济危机影响最大的国家之一。在2017年12月至2019年12月期间,采访了来自希腊各地被欧洲最贫困者援助基金(FEAD)标准(= 499)归类为最贫困者和普通人群中年龄匹配的对照(500)。通过食物频率问卷(FFQ)了解有关人口统计特征的信息,以及过去一个月自我报告的人体测量指标和营养摄入量。蛋白质和能量营养不良的定义为每日摄入量<1.950 kcal,体重<0.75 g / kg。 FEAD接受者的蛋白质和能量营养不良较高(分别为52.3%和18.6%,<0.001),超重和肥胖的患病率也很高(BMI> 25:68.4%对55.1%; <0.001)。 FEAD接受者的饮食包括较高的碳水化合物含量,较低的单不饱和脂肪(MUFA)和多不饱和脂肪(PUFA;与对照组相比,<0.001),大量的植物蛋白(分别为5.81±1.7和4.94±1.3%E) ,<0.001)和非常有限的鱼摄入量(每天0.07份)。尽管参加了一项粮食援助计划,但蛋白质和能量营养不良在希腊最贫困的人群中仍然很普遍,他们不仅饮食质量低下,而且营养不良的负担也加倍。

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