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Variation in dietary intake and body fatness by socioeconomic status among women in the context of Costa Rican nutrition transitions

Published online by Cambridge University Press:  20 June 2019

Traci A. Bekelman Open the ORCID record for Traci A. Bekelman [Opens in a new window] ,
Carolina Santamaría-Ulloa  and
Darna L. Dufour
Traci A. Bekelman*
Affiliation:
Department of Pediatrics/Section of Nutrition, University of Colorado Anschutz Medical Campus, Aurora, USA
Carolina Santamaría-Ulloa
Affiliation:
Instituto de Investigaciones en Salud (INISA), Universidad de Costa Rica, San José, Costa Rica
Darna L. Dufour
Affiliation:
Department of Anthropology, University of Colorado Boulder, Boulder, USA
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Abstract

The Nutrition Transition model posits that vegetable oils, animal source foods (ASFs) and caloric sweeteners contribute to increases in adiposity and hence body mass index. Body mass index (BMI) is increasing more rapidly among Latin American populations of low versus high socioeconomic status (SES). The objectives of this study among Costa Rican women were to: (1) compare indicators of adiposity and dietary intake by SES and (2) evaluate the relationship between intake of foods high in vegetable oils, ASFs or caloric sweeteners and body fatness. This cross-sectional study, conducted in 2014–2015, included 128 low-, middle- and high-SES non-pregnant, non-lactating women aged between 25 and 45 years with 1–4 live births. Anthropometry was used to assess BMI, body composition and body fat distribution. Dietary recalls (n = 379) were used to assess dietary intake. Percentage body fat was greater in low- versus high-SES women (31.5 ± 3.9 vs 28.2 ± 4.7%). Skinfold measurements at four sites on the upper and lower body were greater in low- versus high-SES women. Body mass index did not vary in low- versus high-SES women. Intake frequency of foods high in vegetable oils was greater in low- and middle- (1.8 and 1.8 times/day, respectively) versus high- (1.1 times/day) SES women. For individual foods, intake frequency varied significantly by SES for high-fat condiments, fried vegetables, dairy, sweetened coffee/tea and pastries and desserts. Intake frequency of Nutrition Transition food categories was not associated with percentage body fat after adjustment for energy intake. Indicators of body composition provide additional information beyond BMI that are useful in understanding SES–adiposity associations in Latin America. Approaches to understanding diet and adiposity in Latin America that focus on vegetable oils, ASFs and caloric sweeteners should consider within-country variation in the pace of the Nutrition Transition, especially when explaining variation in adiposity by SES.

Keywords

Nutrition transitionSocioeconomic statusLatin America
Type
Research Article
Information
Journal of Biosocial Science , Volume 52 , Issue 2 , March 2020 , pp. 230 - 247
Copyright
© Cambridge University Press 2019 

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