Water insecurity is associated with sugar-sweetened beverage consumption in a small-scale population in Lowland Bolivia experiencing lifestyle changes.

IF 3.5 2区 医学 Q2 NUTRITION & DIETETICS
Siddhi M Deshpande, Tomas Huanca, Esther Conde, Asher Y Rosinger
{"title":"Water insecurity is associated with sugar-sweetened beverage consumption in a small-scale population in Lowland Bolivia experiencing lifestyle changes.","authors":"Siddhi M Deshpande, Tomas Huanca, Esther Conde, Asher Y Rosinger","doi":"10.1016/j.jand.2025.01.010","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Emerging evidence indicates water insecurity (WI) is detrimental to nutritional outcomes and dietary choices.</p><p><strong>Objective: </strong>This study measured WI experiences alongside market and traditional sugar-sweetened beverage (SSB) consumption in a small-scale society experiencing early stages of the nutrition transition (i.e., lifestyle and dietary changes away from traditional foods) to test how they are associated.</p><p><strong>Design: </strong>The twelve-item Household Water Insecurity Experiences (HWISE) Scale was implemented along with a cross-sectional retrospective survey of beverage intake and sociodemographics across five communities at varying distance to a market town.</p><p><strong>Participants/setting: </strong>Tsimane' forager-horticulturalist adults aged ≥16 years (n=455; 47% women) in Lowland Bolivia, April-May, 2019.</p><p><strong>Main outcome measure: </strong>Sugar-sweetened beverage and traditional beverage consumption.</p><p><strong>Statistical analyses performed: </strong>Multivariate logistic and poisson regressions adjusting for possible confounding variables, including age, gender, income, household water needs, and community residence.</p><p><strong>Results: </strong>Using logistic regressions, each point higher WI (HWISE) score was associated with 23% (95% CI: 1.01-1.50; P=0.035) and 27% (95% CI: 1.06-1.52; P=0.008) higher odds of consuming an SSB in the past week for men and women, respectively. For men, each point higher HWISE score was associated with 13% (95% CI: 1.10-1.16; P<0.001) higher odds of drinking chicha fuerte (a traditional, homemade fermented beverage with antibacterial properties) and 16% (95% CI: 1.02-1.32; P=0.022) higher odds of consuming liquor. SSB consumption was highest in the closest communities to the market town and declined significantly with distance; while traditional beverages such as chicha dulce (a sugar-sweetened, unfermented homemade chicha) were lowest in the close communities and increased with distance to the market town.</p><p><strong>Conclusions: </strong>Among Tsimane' adults living in the Bolivian Amazon experiencing the nutrition transition, WI was associated with greater SSB intake. Distance to the main market town shaped access and preferences as it was associated with SSB and traditional beverage consumption.</p>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":" ","pages":""},"PeriodicalIF":3.5000,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Academy of Nutrition and Dietetics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jand.2025.01.010","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Emerging evidence indicates water insecurity (WI) is detrimental to nutritional outcomes and dietary choices.

Objective: This study measured WI experiences alongside market and traditional sugar-sweetened beverage (SSB) consumption in a small-scale society experiencing early stages of the nutrition transition (i.e., lifestyle and dietary changes away from traditional foods) to test how they are associated.

Design: The twelve-item Household Water Insecurity Experiences (HWISE) Scale was implemented along with a cross-sectional retrospective survey of beverage intake and sociodemographics across five communities at varying distance to a market town.

Participants/setting: Tsimane' forager-horticulturalist adults aged ≥16 years (n=455; 47% women) in Lowland Bolivia, April-May, 2019.

Main outcome measure: Sugar-sweetened beverage and traditional beverage consumption.

Statistical analyses performed: Multivariate logistic and poisson regressions adjusting for possible confounding variables, including age, gender, income, household water needs, and community residence.

Results: Using logistic regressions, each point higher WI (HWISE) score was associated with 23% (95% CI: 1.01-1.50; P=0.035) and 27% (95% CI: 1.06-1.52; P=0.008) higher odds of consuming an SSB in the past week for men and women, respectively. For men, each point higher HWISE score was associated with 13% (95% CI: 1.10-1.16; P<0.001) higher odds of drinking chicha fuerte (a traditional, homemade fermented beverage with antibacterial properties) and 16% (95% CI: 1.02-1.32; P=0.022) higher odds of consuming liquor. SSB consumption was highest in the closest communities to the market town and declined significantly with distance; while traditional beverages such as chicha dulce (a sugar-sweetened, unfermented homemade chicha) were lowest in the close communities and increased with distance to the market town.

Conclusions: Among Tsimane' adults living in the Bolivian Amazon experiencing the nutrition transition, WI was associated with greater SSB intake. Distance to the main market town shaped access and preferences as it was associated with SSB and traditional beverage consumption.

水不安全与玻利维亚低地一小部分人口的含糖饮料消费有关,他们的生活方式正在发生变化。
背景:越来越多的证据表明,水不安全(WI)不利于营养结果和饮食选择。目的:本研究在一个经历营养转型早期阶段(即生活方式和饮食改变,远离传统食品)的小规模社会中,测量了WI体验以及市场和传统含糖饮料(SSB)消费,以测试它们之间的关系。设计:12项家庭用水不安全体验量表(HWISE)与横向回顾性调查一起实施,调查对象是距离集镇不同距离的五个社区的饮料摄入量和社会人口统计学。参与者/环境:年龄≥16岁的Tsimane采摘-园艺师(n=455;2019年4月至5月,玻利维亚低地,女性占47%。主要结果测量:含糖饮料和传统饮料的消费量。进行了统计分析:多变量逻辑回归和泊松回归调整了可能的混杂变量,包括年龄、性别、收入、家庭用水需求和社区居住。结果:采用logistic回归分析,WI (HWISE)评分每高1分与23%相关(95% CI: 1.01-1.50;P=0.035)和27% (95% CI: 1.06-1.52;P=0.008),男性和女性在过去一周内分别摄入SSB的几率更高。对于男性,HWISE评分每高1分与13%相关(95% CI: 1.10-1.16;结论:生活在玻利维亚亚马逊地区经历营养转变的Tsimane成年人中,WI与更多的SSB摄入量有关。与主要集镇的距离决定了人们的选择和偏好,因为它与SSB和传统饮料消费有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
7.20
自引率
10.40%
发文量
649
审稿时长
68 days
期刊介绍: The Journal of the Academy of Nutrition and Dietetics is the premier source for the practice and science of food, nutrition, and dietetics. The monthly, peer-reviewed journal presents original articles prepared by scholars and practitioners and is the most widely read professional publication in the field. The Journal focuses on advancing professional knowledge across the range of research and practice issues such as: nutritional science, medical nutrition therapy, public health nutrition, food science and biotechnology, foodservice systems, leadership and management, and dietetics education.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信