Marcos Fanton, Ylana Elias Rodrigues, Ilaine Schuch, Caroline Marques de Lima Cunha, Marcos Pascoal Pattussi, Raquel Canuto
{"title":"巴西南部成年人种族歧视经历、饮食模式和肥胖的直接和间接关联。","authors":"Marcos Fanton, Ylana Elias Rodrigues, Ilaine Schuch, Caroline Marques de Lima Cunha, Marcos Pascoal Pattussi, Raquel Canuto","doi":"10.1017/S1368980024000338","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyse the direct and indirect associations of experience of racial discrimination on dietary patterns (DP), obesity and abdominal obesity.</p><p><strong>Design: </strong>This is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination (Experiences of Discrimination scale). The mediator variables were the DP: healthy, Brazilian traditional, sugar and carbohydrates, and fast food. The outcomes were obesity (BMI ≥ 30 kg/m<sup>2</sup>) and abdominal obesity (waist circumference ≥ 88 cm for women; ≥ 102 cm for men). Structural equation modelling was applied.</p><p><strong>Setting: </strong>Porto Alegre, Brazil.</p><p><strong>Participants: </strong>Totally, 400 adults aged between 20 and 70 years were participated.</p><p><strong>Results: </strong>The mean age of participants was 47·2 years (sd = 13·9), and 75 % were women. Experiencing racial discrimination had a positive direct effect on obesity (healthy DP: <i>β</i> = 0·153, <i>P</i> < 0·05; Brazilian DP: <i>β</i> = 0·156, <i>P</i> < 0·05; sugar and carbohydrates DP: <i>β</i> = 0·156, <i>P</i> < 0·05; and fast-food DP: <i>β</i> = 0·153, <i>P</i> < 0·05) and abdominal obesity (healthy DP: <i>β</i> = 0·206, <i>P</i> < 0·01; Brazilian DP: <i>β</i> = 0·210, <i>P</i> < 0·01; sugar and carbohydrates DP: <i>β</i> = 0·204, <i>P</i> < 0·01; and fast-food DP: <i>β</i> = 0·204, <i>P</i> < 0·01). The experience of racial discrimination did not have a direct effect on DP, nor did it exert an indirect effect on obesity and abdominal obesity through any DP.</p><p><strong>Conclusions: </strong>A higher experience of racial discrimination is associated with obesity and abdominal obesity, independent of diet.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":null,"pages":null},"PeriodicalIF":3.0000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10897576/pdf/","citationCount":"0","resultStr":"{\"title\":\"Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil.\",\"authors\":\"Marcos Fanton, Ylana Elias Rodrigues, Ilaine Schuch, Caroline Marques de Lima Cunha, Marcos Pascoal Pattussi, Raquel Canuto\",\"doi\":\"10.1017/S1368980024000338\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To analyse the direct and indirect associations of experience of racial discrimination on dietary patterns (DP), obesity and abdominal obesity.</p><p><strong>Design: </strong>This is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination (Experiences of Discrimination scale). The mediator variables were the DP: healthy, Brazilian traditional, sugar and carbohydrates, and fast food. The outcomes were obesity (BMI ≥ 30 kg/m<sup>2</sup>) and abdominal obesity (waist circumference ≥ 88 cm for women; ≥ 102 cm for men). Structural equation modelling was applied.</p><p><strong>Setting: </strong>Porto Alegre, Brazil.</p><p><strong>Participants: </strong>Totally, 400 adults aged between 20 and 70 years were participated.</p><p><strong>Results: </strong>The mean age of participants was 47·2 years (sd = 13·9), and 75 % were women. Experiencing racial discrimination had a positive direct effect on obesity (healthy DP: <i>β</i> = 0·153, <i>P</i> < 0·05; Brazilian DP: <i>β</i> = 0·156, <i>P</i> < 0·05; sugar and carbohydrates DP: <i>β</i> = 0·156, <i>P</i> < 0·05; and fast-food DP: <i>β</i> = 0·153, <i>P</i> < 0·05) and abdominal obesity (healthy DP: <i>β</i> = 0·206, <i>P</i> < 0·01; Brazilian DP: <i>β</i> = 0·210, <i>P</i> < 0·01; sugar and carbohydrates DP: <i>β</i> = 0·204, <i>P</i> < 0·01; and fast-food DP: <i>β</i> = 0·204, <i>P</i> < 0·01). The experience of racial discrimination did not have a direct effect on DP, nor did it exert an indirect effect on obesity and abdominal obesity through any DP.</p><p><strong>Conclusions: </strong>A higher experience of racial discrimination is associated with obesity and abdominal obesity, independent of diet.</p>\",\"PeriodicalId\":20951,\"journal\":{\"name\":\"Public Health Nutrition\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2024-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10897576/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Public Health Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1017/S1368980024000338\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Nutrition","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S1368980024000338","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Direct and indirect associations of experience of racial discrimination, dietary patterns and obesity in adults from southern Brazil.
Objective: To analyse the direct and indirect associations of experience of racial discrimination on dietary patterns (DP), obesity and abdominal obesity.
Design: This is a cross-sectional population-based study. The main exposure was self-reported experiences of racial discrimination (Experiences of Discrimination scale). The mediator variables were the DP: healthy, Brazilian traditional, sugar and carbohydrates, and fast food. The outcomes were obesity (BMI ≥ 30 kg/m2) and abdominal obesity (waist circumference ≥ 88 cm for women; ≥ 102 cm for men). Structural equation modelling was applied.
Setting: Porto Alegre, Brazil.
Participants: Totally, 400 adults aged between 20 and 70 years were participated.
Results: The mean age of participants was 47·2 years (sd = 13·9), and 75 % were women. Experiencing racial discrimination had a positive direct effect on obesity (healthy DP: β = 0·153, P < 0·05; Brazilian DP: β = 0·156, P < 0·05; sugar and carbohydrates DP: β = 0·156, P < 0·05; and fast-food DP: β = 0·153, P < 0·05) and abdominal obesity (healthy DP: β = 0·206, P < 0·01; Brazilian DP: β = 0·210, P < 0·01; sugar and carbohydrates DP: β = 0·204, P < 0·01; and fast-food DP: β = 0·204, P < 0·01). The experience of racial discrimination did not have a direct effect on DP, nor did it exert an indirect effect on obesity and abdominal obesity through any DP.
Conclusions: A higher experience of racial discrimination is associated with obesity and abdominal obesity, independent of diet.
期刊介绍：
Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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