Cardiometabolic risk profile and diet quality among internal migrants in Brazil: a population-based study

Author(s)

Ferreira Carioca, Antonio Augusto ^{[1, 2]} ; Gorgulho, Bartira ^{[2, 3]} ; Fontanelli, Mariane de Mello ^[2] ; Fisberg, Regina Mara ^[2] ; Marchioni, Dirce Maria ^[2]

Affiliation

^[1] Univ Fortaleza UNIFOR, Nutr Course, Fortaleza, Ceara - Brazil

^[2] Univ Sao Paulo, Dept Nutr, Sch Publ Hlth, Av Dr Arnaldo 715, BR-01246904 Sao Paulo - Brazil

^[3] Univ Fed Mato Grosso, Dept Alimentos & Nutr, Fac Nutr, Cuiaba - Brazil

• Document type: Journal article
• Source: EUROPEAN JOURNAL OF NUTRITION; v. 60, n. 2 MAY 2020.
• Web of Science Citations: 2

Abstract

Purpose Studies of migrants can improve understanding of the environmental influence on the risk of chronic diseases. In continental countries, internal migration has been associated with changes in diet and health status. The objective of this study is to assess differences in diet quality and the cardiometabolic risk profile between migrants and the host population. Methods A cross-sectional, population-based study was conducted in the city of Sao Paulo. The study population included internal migrants, defined as individuals born outside Sao Paulo city who had lived in the city for ten years or longer. The final population (n = 537) was divided into three groups: natives of Sao Paulo (45.5%), migrants from the Southeast (26.9%) and migrants from the Northeast (27.5%). The joint interim statement consensus criteria were used for diagnosing MetSyn. Diet quality was estimated using the revised version of the Brazilian Healthy Eating Index (BHEI-R). Comparisons between the data of BHEI-R, cardiometabolic risk factors and MetSyn in migrants and natives were performed using generalized linear models adjusted for confounding factors, respectively. Results Southeastern and Northeastern migrants younger than 60 years had a higher average of for whole fruit and oil components, respectively. Northeastern migrants older than 60 years had higher systolic and diastolic blood pressure, atherogenic ratio concentrations, lower HDL-C and were more likely to present metabolic syndrome compared to those born in Sao Paulo of the same age group. Conclusion Native and internal migrants from Brazil resident in Sao Paulo exhibited differences in diet quality and cardiometabolic risk factors. (AU)

• FAPESP's process: 14/16347-2 - Metabolic signature on migrants and their relationship to patterns of consumption and metabolic syndrome: an epidemiological approach to elucidate the effects of diet
• Grantee: Antonio Augusto Ferreira Carioca
• Support Opportunities: Scholarships in Brazil - Doctorate
• FAPESP's process: 09/15831-0 - Dietary factors, homocystein, MTHFR gene polymorphisms, and cardiovascular risk in adults and the elderly: a population-based study - ISA - Capital
• Grantee: Regina Mara Fisberg
• Support Opportunities: Regular Research Grants