Risk factors associated with eating behavior in climacteric women assisted in Primary Health Care
DOI:
https://doi.org/10.33448/rsd-v11i13.35185Keywords:
Menopause; Climacteric; Feeding behavior; Women’s health; Family Health Strategy.Abstract
The purpose of this study was to analyze the risk factors associated with eating behavior in climacteric women assisted in Primary Health Care. Methods: This is a cross-sectional study with a random sample composed of 874 women aged between 40 and 65 years assisted in Family Health Strategies units in Montes Claros, Minas Gerais, Brazil. The following variables were investigated: sociodemographic, menopausal and behavioral characteristics. The outcome was food consumption, a score was created and dichotomized into healthy and unhealthy, with the cut-off point being the mean value. Descriptive analyzes of all variables were performed, as well as bivariate analyzes using the chi-square test. After being selected for multiple analysis, the Poisson regression model with robust variance was used, in a hierarchical manner consisting of blocks of variables at distal, intermediate and proximal levels. At the distal level, income below one minimum wage (PR=1.33) was associated with unhealthy eating behavior. At the intermediate level, the variables that remained associated with the outcome after adjustment were perimenopausal climacteric (PR=0.75) and no menstruation in the last 12 months (PR=0.68). At the proximal level, alcoholism (PR=1.35) and sedentary lifestyle (PR=1.52) remained significantly associated with food consumption. Climacteric women showed a relevant prevalence of unhealthy eating behavior associated with sociodemographic, climacteric and lifestyle characteristics.
References
Albuquerque, G. P. M., Abrão, F. M. S., Almeida, A. M., Alves, D. L. R., Andrade, P. O. N. & Costa, A. M. (2019). Quality of life in the climacteric of nurses working in primary care. Revista Brasileira de Enfermagem, 72(suppl 3), 154–161. https://doi.org/10.1590/0034-7167-2018-0306
Assumpção, D., Domene, S. M. Á., Fisberg, R. M., Canesqui, A. M. & Barros, M. B. A. (2017). Diferenças entre homens e mulheres na qualidade da dieta: estudo de base populacional em Campinas, São Paulo. Ciência & Saúde Coletiva, 22(2), 347–358. https://doi.org/10.1590/1413-81232017222.16962015
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F. & Oja, P. (2003). International Physical Activity Questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
Flor-Alemany, M., Marín-Jiménez, N., Nestares, T., Borges-Cosic, M., Aranda, P. & Aparicio, V. A. (2020). Mediterranean diet, tobacco consumption and body composition during perimenopause: the Flamenco Project. Maturitas, 137, 30–36. https://doi.org/10.1016/j.maturitas.2020.04.002
França, A. P., Marucci, M. F. N., Silva, M. L. N. & Roediger, M. A. (2018). Fatores associados à obesidade geral e ao percentual de gordura corporal em mulheres no climatério da cidade de São Paulo, Brasil. Ciência & Saúde Coletiva, 23(11), 3577–3586. https://doi.org/10.1590/1413-812320182311.26492016
Gonçalves, J. T. T., Silveira, M. F., Campos, M. C. C. & Costa, L. H. R. (2016). Sobrepeso e obesidade e fatores associados ao climatério. Ciência & Saúde Coletiva, 21(4), 1145–1156. https://doi.org/10.1590/1413-81232015214.16552015
Hajj, A. E., Wardy, N., Haidar, S., Bourgi, D., Haddad, M. E., Chammas, D. E., Osta, N. E., Khabbaz, L. R. & Papazian, T. (2020). Menopausal symptoms, physical activity level and quality of life of women living in the Mediterranean region. Plos One, 15(3), e0230515. https://doi.org/10.1371/journal.pone.0230515
Hoffmann, M., Mendes, K. G., Canuto, R., Garcez, A. S., Theodoro, H., Rodrigues, A. D. & Olinto, M. T. A. (2015). Padrões alimentares de mulheres no climatério em atendimento ambulatorial no Sul do Brasil. Ciência & Saúde Coletiva, 20(5), 1565–1574. https://doi.org/10.1590/1413-81232015205.07942014
Kapoor, E., Faubion, S. S. & Kling, J. M. (2019). Obesity update in Women. Journal of Women’s Health, 28(12), 1601–1605. https://doi.org/10.1089/jwh.2019.8041
Kupperman, H. S., Blatt, M. H. G., Wiesbader, H. & Filler, W. (1953). Comparative clinical evaluation of estrogenic preparations by the menopausal and amenorrheal indices. The Journal of Clinical Endocrinology & Metabolism, 13(6), 688–703. https://doi.org/10.1210/jcem-13-6-688
Lumsden, M. A. & Sassarini, J. (2019). The evolution of the human menopause. Climacteric, 22(2), 111–116. https://doi.org/10.1080/13697137.2018.1547701
Martinez, J. A., Wertheim, B. C., Thomson, C. A., Bea, J. W., Wallace, R., Allison, M., Snetselaar, L., Chen, Z., Nassir, R. & Thompson, P. A. (2017). Physical activity modifies the association between dietary protein and lean mass of postmenopausal women. Journal of the Academy of Nutrition and Dietetics, 117(2), 192-203.e1. https://doi.org/10.1016/j.jand.2016.10.009
Matsudo, S., Araújo, T., Matsudo, V., Andrade, D., Andrade, E., Oliveira, L. C. & Braggion, G. (2001). Questionário internacional de atividade física (IPAQ): estudo de validade e reprodutibilidade no Brasil. Revista Brasileira de Atividade Física, 6(2), 5–18. https://doi.org/https://doi.org/10.12820/rbafs.v.6n2p5-18
Menezes, D. V. & Oliveira, M. E. (2016). Evaluation of life’s quality of women in climacteric in the city of Floriano, Piauí. Fisioterapia em Movimento, 29(2), 219–228. https://doi.org/10.1590/0103-5150.029.002.AO01
Milic, J., Glisic, M., Voortman, T., Borba, L. P., Asllanaj, E., Rojas, L. Z., Troup, J., Jong, J. C. K., Beeck, E. V., Muka, T. & Franco, O. H. (2018). Menopause, ageing, and alcohol use disorders in women. Maturitas, 111, 100–109. https://doi.org/10.1016/j.maturitas.2018.03.006
Minkin, M. J. (2019). Menopause: hormones, lifestyle and optimizing aging. Obstetrics and Gynecology Clinics of North America, 46(3), 501–514. https://doi.org/10.1016/j.ogc.2019.04.008
Noll, P. R. E. S., Campos, C. A. S., Leone, C., Zangirolami-Raimundo, J., Noll, M., Baracat, E. C., Soares Júnior, J. M. & Sorpreso, I. C. E. (2021). Dietary intake and menopausal symptoms in postmenopausal women: a systematic review. Climacteric, 24(2), 128–138. https://doi.org/10.1080/13697137.2020.1828854
Organización Mundial de la Salud. (1996). Investigaciones sobre la menopausia en los años noventa: informe de un grupo cientítico de la OMS. Genebra: OMS. Recuperado de https://apps.who.int/iris/bitstream/handle/10665/41984/WHO_TRS_866_spa.pdf?sequence=1&isAllowed=y
Peltier, M. R., Verplaetse, T. L., Roberts, W., Moore, K., Burke, C., Marotta, P. L., Phillips, S., Smith, P. H. & McKee, S. A. (2020). Changes in excessive alcohol use among older women across the menopausal transition: a longitudinal analysis of the Study of Women’s Health Across the Nation. Biology of Sex Differences, 11(1), 37. https://doi.org/10.1186/s13293-020-00314-7
Pereira, M. D. C. & Cárdenas, M. H. (2019). Visión filosófica del cuidado humano en la mujer en el etapa del climatério. Enfermería: Cuidados Humanizados, 8(1), 22–34. https://doi.org/10.22235/ech.v8i1.1795
Pinheiro, F. & Costa, E. (2020). Menopausa: preditores da satisfação conjugal. Psicologia, Saúde & Doença, 21(02), 322–342. https://doi.org/10.15309/20psd210208
Proietto, J. (2017). Obesity and weight management at menopause. Australian Family Physician, 46(6), 368–370. Recuperado de https://pubmed.ncbi.nlm.nih.gov/28609591/
Santos, M. A., Vilerá, A. N., Wysocki, A. D., Pereira, F. H., Oliveira, D. M. & Santos, V. B. (2021). Sleep quality and its association with menopausal and climacteric symptoms. Revista Brasileira de Enfermagem, 74(suppl 2), e20201150. https://doi.org/10.1590/0034-7167-2020-1150
Silva, T. R., Oppermann, K., Reis, F. M. & Spritzer, P. M. (2021). Nutrition in Menopausal Women: A Narrative Review. Nutrients, 13(7), 2149. https://doi.org/10.3390/nu13072149.
Soares, C., Souza, D. C., Santos, M. S. dos, Freitas, F. M. N. O. & Ferreira, J. C. de S. (2022). Alimentação e nutrição no período do climatério: revisão de literatura. Research, Society and Development, 11(6), e44111629411. https://doi.org/10.33448/rsd-v11i6.29411
Sorpreso, I. C. E., Figueiredo, F. W. S., Silva, A. T. M., Zangirolami-Raimundo, J., Silva, B. K. R., Adami, F., Zuchelo, L. T. S., Baracat, E. C., Soares Júnior, J. M. & Abreu, L. C. (2020). Diagnosis and referral flow in the single health system for climacteric women. Revista da Associação Médica Brasileira, 66(8), 1036–1042. https://doi.org/10.1590/1806-9282.66.8.1036
Souza, B. B., Cembranel, F., Hallal, A. L. C., & D’Orsi, E. (2019). Consumo de frutas, legumes e verduras e associação com hábitos de vida e estado nutricional: um estudo prospectivo em uma coorte de idosos. Ciência & Saúde Coletiva, 24(4), 1463–1472. https://doi.org/10.1590/1413-81232018244.03782017
Ternus, D. L., Henn, R. L., Bairros, F., Costa, J. S., & Olinto, M. T. A. (2019). Padrões alimentares e sua associação com fatores sociodemográficos e comportamentais: Pesquisa Saúde da Mulher 2015, São Leopoldo (RS). Revista Brasileira de Epidemiologia, 22, e190026. https://doi.org/10.1590/1980-549720190026
The North American Menopause Society. (2013). Guia da Menopausa (7a ed). Associação Brasileira do Climatério. Recuperado de www.menopause.org
Victora, C. G., Huttly, S. R., Fuchs, S. C., & Olinto, M. T. A. (1997). The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. International Journal of Epidemiology, 26(1), 224–227. https://doi.org/10.1093/IJE/26.1.224
Viera, S. & Hossne, W. S. (2015). Metodologia científica para a área da saúde. Guanabara Koogan.
World Health Organization. (1998). Obesity: preventing and managing the global epidemic. Geneva: WHO.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Priscila Valéria Santos de França Antunes; Josiane Santos Brant Rocha; Mauro Ramalho Silva; Lucinéia de Pinho; Harriman Aley Morais
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
