Water insecurity is associated with sugar-sweetened beverage consumption in a small-scale population in Lowland Bolivia experiencing lifestyle changes.
Siddhi M Deshpande, Tomas Huanca, Esther Conde, Asher Y Rosinger
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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.
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.