Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.

This study assessed the prevalence of food insecurity (FI) in patients with Chagas Disease (CD) and its association with anthropometric measurements, comorbidities, and quality of life (QoL). This cross-sectional study included CD patients of both sexes. The FI was evaluated using the Brazilian FI s...

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Main Authors: Celson Júnio do Nascimento Costa, Paula Simplício da Silva, Roberto Magalhães Saraiva, Luiz Henrique Conde Sangenis, Marcelo Teixeira de Holanda, Gilberto Marcelo Sperandio da Silva, Fernanda de Souza Nogueira Sardinha Mendes, Isis Gabrielli Gomes Xavier, Henrique Silveira Costa, Tatiana Rehder Gonçalves, Luiz Fernando Rodrigues Junior, Cristiane da Cruz Lamas, Grazielle Vilas Boas Huguenin, Alejandro Marcel Hasslocher-Moreno, Daniel Arthur Barata Kasal, Mauro Felippe Felix Mediano
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0328466
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author Celson Júnio do Nascimento Costa
Paula Simplício da Silva
Roberto Magalhães Saraiva
Luiz Henrique Conde Sangenis
Marcelo Teixeira de Holanda
Gilberto Marcelo Sperandio da Silva
Fernanda de Souza Nogueira Sardinha Mendes
Isis Gabrielli Gomes Xavier
Henrique Silveira Costa
Tatiana Rehder Gonçalves
Luiz Fernando Rodrigues Junior
Cristiane da Cruz Lamas
Grazielle Vilas Boas Huguenin
Alejandro Marcel Hasslocher-Moreno
Daniel Arthur Barata Kasal
Mauro Felippe Felix Mediano
author_facet Celson Júnio do Nascimento Costa
Paula Simplício da Silva
Roberto Magalhães Saraiva
Luiz Henrique Conde Sangenis
Marcelo Teixeira de Holanda
Gilberto Marcelo Sperandio da Silva
Fernanda de Souza Nogueira Sardinha Mendes
Isis Gabrielli Gomes Xavier
Henrique Silveira Costa
Tatiana Rehder Gonçalves
Luiz Fernando Rodrigues Junior
Cristiane da Cruz Lamas
Grazielle Vilas Boas Huguenin
Alejandro Marcel Hasslocher-Moreno
Daniel Arthur Barata Kasal
Mauro Felippe Felix Mediano
author_sort Celson Júnio do Nascimento Costa
collection DOAJ
description This study assessed the prevalence of food insecurity (FI) in patients with Chagas Disease (CD) and its association with anthropometric measurements, comorbidities, and quality of life (QoL). This cross-sectional study included CD patients of both sexes. The FI was evaluated using the Brazilian FI scale. Anthropometric measurements included weight, height, and waist circumference. Comorbidities included hypertension, diabetes, dyslipidemia, and obesity. Lipids and plasma glucose were collected. QoL was assessed using the Portuguese version of WHOQOL-Bref questionnaire. Linear and logistic regression models were fitted to evaluate the association between FI status and outcomes. From the 359 included participants (55.9% women, median age 62 years), 22.5% had mild, 5.6% moderate, and 2.5% had severe FI. In the adjusted models, mild FI was significantly associated with an increased odds of obesity (OR=1.83, 95%CI = 1.03 to 3.25). Moreover, significant associations were observed between FI and all QoL domains, including physical health (low FI: β = -8.43 95%CI -12.36 to -4.49; moderate/severe FI: β = -8.02 95%CI -14.11 to -1.94), psychological (low FI β = -5.54 95%CI -9.11 to -1.96; moderate/severe FI β = -7.22 95%CI -12.76 to -1.68), social relationship (low FI: β = -6.62 95%CI -10.37 to -2.88), environment (low FI: β = -8.79 95%CI -11.99 to -5.60; moderate/severe FI β = -13.56 95%CI -18.51 to -8.62), and overall (low FI β = -8.10 95%CI -12.15 to -4.06; moderate/severe FI: β = -16.82 95%CI -23.08 to -10.57). FI was consistently associated with poor QoL in patients with chronic CD.
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spelling doaj-art-68caef2a7a6542ed9372079d176c663f2025-08-20T03:28:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01207e032846610.1371/journal.pone.0328466Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.Celson Júnio do Nascimento CostaPaula Simplício da SilvaRoberto Magalhães SaraivaLuiz Henrique Conde SangenisMarcelo Teixeira de HolandaGilberto Marcelo Sperandio da SilvaFernanda de Souza Nogueira Sardinha MendesIsis Gabrielli Gomes XavierHenrique Silveira CostaTatiana Rehder GonçalvesLuiz Fernando Rodrigues JuniorCristiane da Cruz LamasGrazielle Vilas Boas HugueninAlejandro Marcel Hasslocher-MorenoDaniel Arthur Barata KasalMauro Felippe Felix MedianoThis study assessed the prevalence of food insecurity (FI) in patients with Chagas Disease (CD) and its association with anthropometric measurements, comorbidities, and quality of life (QoL). This cross-sectional study included CD patients of both sexes. The FI was evaluated using the Brazilian FI scale. Anthropometric measurements included weight, height, and waist circumference. Comorbidities included hypertension, diabetes, dyslipidemia, and obesity. Lipids and plasma glucose were collected. QoL was assessed using the Portuguese version of WHOQOL-Bref questionnaire. Linear and logistic regression models were fitted to evaluate the association between FI status and outcomes. From the 359 included participants (55.9% women, median age 62 years), 22.5% had mild, 5.6% moderate, and 2.5% had severe FI. In the adjusted models, mild FI was significantly associated with an increased odds of obesity (OR=1.83, 95%CI = 1.03 to 3.25). Moreover, significant associations were observed between FI and all QoL domains, including physical health (low FI: β = -8.43 95%CI -12.36 to -4.49; moderate/severe FI: β = -8.02 95%CI -14.11 to -1.94), psychological (low FI β = -5.54 95%CI -9.11 to -1.96; moderate/severe FI β = -7.22 95%CI -12.76 to -1.68), social relationship (low FI: β = -6.62 95%CI -10.37 to -2.88), environment (low FI: β = -8.79 95%CI -11.99 to -5.60; moderate/severe FI β = -13.56 95%CI -18.51 to -8.62), and overall (low FI β = -8.10 95%CI -12.15 to -4.06; moderate/severe FI: β = -16.82 95%CI -23.08 to -10.57). FI was consistently associated with poor QoL in patients with chronic CD.https://doi.org/10.1371/journal.pone.0328466
spellingShingle Celson Júnio do Nascimento Costa
Paula Simplício da Silva
Roberto Magalhães Saraiva
Luiz Henrique Conde Sangenis
Marcelo Teixeira de Holanda
Gilberto Marcelo Sperandio da Silva
Fernanda de Souza Nogueira Sardinha Mendes
Isis Gabrielli Gomes Xavier
Henrique Silveira Costa
Tatiana Rehder Gonçalves
Luiz Fernando Rodrigues Junior
Cristiane da Cruz Lamas
Grazielle Vilas Boas Huguenin
Alejandro Marcel Hasslocher-Moreno
Daniel Arthur Barata Kasal
Mauro Felippe Felix Mediano
Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.
PLoS ONE
title Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.
title_full Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.
title_fullStr Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.
title_full_unstemmed Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.
title_short Food insecurity is associated with decreased quality of life in patients with chronic Chagas disease.
title_sort food insecurity is associated with decreased quality of life in patients with chronic chagas disease
url https://doi.org/10.1371/journal.pone.0328466
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