Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children
Background: Food insecurity, vitamin D deficiency and lower respiratory tract infections are highly prevalent conditions among Inuit children. However, the relationship between these conditions has not been examined in this population. Objective: The objective of this study was to examine the relati...
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Taylor & Francis Group
2016
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ftdoajarticles:oai:doaj.org/article:06adc7fc0bae47318f0ad971c74857dd 2023-05-15T15:15:17+02:00 Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children Sze Man Tse Hope Weiler Tom Kovesi 2016-02-01T00:00:00Z https://doi.org/10.3402/ijch.v75.29954 https://doaj.org/article/06adc7fc0bae47318f0ad971c74857dd EN eng Taylor & Francis Group http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/29954/pdf_68 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v75.29954 https://doaj.org/article/06adc7fc0bae47318f0ad971c74857dd International Journal of Circumpolar Health, Vol 75, Iss 0, Pp 1-8 (2016) food security vitamin D Inuit bronchiolitis lower respiratory tract infections crowding Arctic medicine. Tropical medicine RC955-962 article 2016 ftdoajarticles https://doi.org/10.3402/ijch.v75.29954 2022-12-31T07:20:53Z Background: Food insecurity, vitamin D deficiency and lower respiratory tract infections are highly prevalent conditions among Inuit children. However, the relationship between these conditions has not been examined in this population. Objective: The objective of this study was to examine the relationship between food insecurity and severe respiratory infections before age 2 years and health centre visits for a respiratory problem in the past year. We also explored the relationship between serum vitamin D status and respiratory outcomes in this population. Design: We included children aged 3–5 years who participated in a cross-sectional survey of the health of preschool Inuit children in Nunavut, Canada, from 2007 to 2008 (n=388). Parental reports of severe respiratory infections in the first 2 years of life and health care visits in the past 12 months were assessed through a questionnaire. Child and adult food security were assessed separately and serum 25-hydroxyvitamin D3 levels were measured in a subgroup of participants (n=279). Multivariate logistic regression was performed to assess the association between food security, vitamin D and each of the 2 respiratory outcomes. Results: Child and adult food insecurity measures were not significantly associated with adverse respiratory outcomes. Household crowding [odds ratio (OR)=1.51, 95% confidence interval (CI) 1.09–2.09, p=0.01 for the child food security model] and higher birth weight (OR=1.21, 95% CI: 1.02–1.43, p=0.03) were associated with reported severe chest infections before age 2 years while increasing age was associated with decreased odds of reported health care visits for a respiratory problem (OR=0.66, 95% CI: 0.48–0.91, p=0.02). Neither vitamin D insufficiency nor deficiency was associated with these respiratory outcomes. Conclusions: Using a large cross-sectional survey of Inuit children, we found that household crowding, but not food security or vitamin D levels, was associated with adverse respiratory outcomes. Further studies are warranted to ... Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health inuit Nunavut Directory of Open Access Journals: DOAJ Articles Arctic Nunavut Canada International Journal of Circumpolar Health 75 1 29954 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
food security vitamin D Inuit bronchiolitis lower respiratory tract infections crowding Arctic medicine. Tropical medicine RC955-962 |
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food security vitamin D Inuit bronchiolitis lower respiratory tract infections crowding Arctic medicine. Tropical medicine RC955-962 Sze Man Tse Hope Weiler Tom Kovesi Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children |
topic_facet |
food security vitamin D Inuit bronchiolitis lower respiratory tract infections crowding Arctic medicine. Tropical medicine RC955-962 |
description |
Background: Food insecurity, vitamin D deficiency and lower respiratory tract infections are highly prevalent conditions among Inuit children. However, the relationship between these conditions has not been examined in this population. Objective: The objective of this study was to examine the relationship between food insecurity and severe respiratory infections before age 2 years and health centre visits for a respiratory problem in the past year. We also explored the relationship between serum vitamin D status and respiratory outcomes in this population. Design: We included children aged 3–5 years who participated in a cross-sectional survey of the health of preschool Inuit children in Nunavut, Canada, from 2007 to 2008 (n=388). Parental reports of severe respiratory infections in the first 2 years of life and health care visits in the past 12 months were assessed through a questionnaire. Child and adult food security were assessed separately and serum 25-hydroxyvitamin D3 levels were measured in a subgroup of participants (n=279). Multivariate logistic regression was performed to assess the association between food security, vitamin D and each of the 2 respiratory outcomes. Results: Child and adult food insecurity measures were not significantly associated with adverse respiratory outcomes. Household crowding [odds ratio (OR)=1.51, 95% confidence interval (CI) 1.09–2.09, p=0.01 for the child food security model] and higher birth weight (OR=1.21, 95% CI: 1.02–1.43, p=0.03) were associated with reported severe chest infections before age 2 years while increasing age was associated with decreased odds of reported health care visits for a respiratory problem (OR=0.66, 95% CI: 0.48–0.91, p=0.02). Neither vitamin D insufficiency nor deficiency was associated with these respiratory outcomes. Conclusions: Using a large cross-sectional survey of Inuit children, we found that household crowding, but not food security or vitamin D levels, was associated with adverse respiratory outcomes. Further studies are warranted to ... |
format |
Article in Journal/Newspaper |
author |
Sze Man Tse Hope Weiler Tom Kovesi |
author_facet |
Sze Man Tse Hope Weiler Tom Kovesi |
author_sort |
Sze Man Tse |
title |
Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children |
title_short |
Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children |
title_full |
Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children |
title_fullStr |
Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children |
title_full_unstemmed |
Food insecurity, vitamin D insufficiency and respiratory infections among Inuit children |
title_sort |
food insecurity, vitamin d insufficiency and respiratory infections among inuit children |
publisher |
Taylor & Francis Group |
publishDate |
2016 |
url |
https://doi.org/10.3402/ijch.v75.29954 https://doaj.org/article/06adc7fc0bae47318f0ad971c74857dd |
geographic |
Arctic Nunavut Canada |
geographic_facet |
Arctic Nunavut Canada |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health inuit Nunavut |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health inuit Nunavut |
op_source |
International Journal of Circumpolar Health, Vol 75, Iss 0, Pp 1-8 (2016) |
op_relation |
http://www.circumpolarhealthjournal.net/index.php/ijch/article/view/29954/pdf_68 https://doaj.org/toc/2242-3982 2242-3982 doi:10.3402/ijch.v75.29954 https://doaj.org/article/06adc7fc0bae47318f0ad971c74857dd |
op_doi |
https://doi.org/10.3402/ijch.v75.29954 |
container_title |
International Journal of Circumpolar Health |
container_volume |
75 |
container_issue |
1 |
container_start_page |
29954 |
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1766345653690040320 |