Snack consumption is decreasing in Colombia among the youngest, the most educated, and the wealthiest: results of two representative national surveys.

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Oscar Fernando Herran, Eduardo Villamor, Doris Cristina Quintero-Lesmes This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.2.14032/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 19 Dec, 2019 Read the published version in BMC Public Health → Version 1 posted 12 You are reading this latest preprint version Abstract Background: A common recommendation is to reduce the consumption of snack food and replace this consumption with nutrient-dense foods. The objective was to establish whether there were changes in adherence to the consumption of the snack pattern (SP) in Colombian children and adults in the 2010-2015 quinquennium. In addition, this study aimed to establish the relationship between the SP and some biological, socioeconomic, and geographic variables in Colombia, Sur América. Methods: Based on a Food Frequency Questionnaire (FFQ) applied both in 2010 and 2015 in the national nutritional situation surveys, the adherence to the snack consumption pattern was established through factor analysis. The change in the adherence of consumption to the SP was established for the five-year period [2015 minus 2010], using multiple linear regression models. Crude and adjusted differences were estimated by the following covariables: sex, age, marital status, food security, wealth index, ethnicity, education of the head of the household, area and region. In total, 37,981 subjects were analyzed. In 2010, 10,150 children (5 to 17 years old) and 5,145 adults (18 to 64 years old) were included, and in 2015, 13,243 children and 9,443 adults. Results: In children, the adjusted difference in the adherence to SP was -0.37 (95% CI: -0.42, -0.32), p < 0.0001. In adults, the adjusted difference in the adherence to SP was -0.27 (95% CI: -0.31, -0.24), p < 0.0001. In all categories of covariables, consumption decreased, for all p < 0.0001. In children the decrease in consumption was inversely associated with body mass index (BMI) and height and was directly associated with the level of food security in the home and the wealth index. In adults the decrease in consumption was inversely related to age and BMI and directly related to the size, the level of food security of the household, wealth index, and education level. Conclusions: In the quinquennium there is a decrease in the adherence to the SP, the region, the wealthiest, the tallest, the best BMI and the most educated displayed the greatest decrease in the SP. Keywords Food Pattern; Snack Pattern; Intake of Snack; Children; Adults; Colombia. Epidemiology Nutrition & Dietetics Food Pattern Snack Pattern Intake of Snack Children Adults Colombia Figures Figure 1 Background Nutritional epidemiology has studied the relationship between diet and disease from the perspective of nutrients, food, and eating patterns [1–9]. Autochthonous diets recognized for their cardioprotective effects, such as the Mediterranean [10,11] or Eskimo or Inuit [12] diets, are the expression of what we now understand as traditional or ancestral food patterns. Evidence suggests that adhering to traditional dietary patterns - regardless of the geographical context - protects or delays the undesirable effects of ultraprocessed foods and other patterns in health, such as the so-called “western” diet, which consists of a high content of refined foods, sugar, saturated fat, ultraprocessed ingredients and, in general, items considered snack foods [13–16]. In countries with high and medium incomes, snack consumption contributes to between 20–40% of the total energy/day [17–19]. Snack consumption in children and adults has been associated with the development of adiposity, annual changes in body mass index (BMI), and subcutaneous fat (SCF) [20–22]; it is also positively associated with waist circumference and SCF thickness in overweight and obese men and women [23,24]. Contradictory evidence to these associations is apparently the result of reverse causality and the different ways in which snack consumption is defined and measured [21,25,26]. Despite the obvious limitations in defining and measuring snack consumption [25], a common recommendation is to reduce the consumption of snack food and replace this consumption with nutrient-dense foods. Because of a set of actions on the environment and individuals that have been systematically performed during the last 30 years in the United States, the period of 2003–2010 showed a substantial decrease in the consumption of calories derived from sugar sweetened beverages (SSB) and snacks [27]. The objective of this study was to establish whether there were changes in adherence to the consumption of the snack pattern (SP) in Colombian children and adults in the 2010–2015 quinquennium. In addition, this study aimed to establish the relationship between the SP and some biological, socioeconomic, and geographic variables. Methods Population studied During the last 8 years in Colombia, the Colombian Family Welfare Institute (Instituto Colombiano de Bienestar Familiar, ICBF) has performed two national surveys of the nutritional situation (ENSIN, 2010 and 2015) [28,29]. The details of these ENSINs have already been published. In summary, the ENSINs are designed to represent 99% of the population through stratified multistage sampling. All 33 geodemographic units are grouped based on similar geographic and sociodemographic characteristics. The municipalities in these units are randomly selected and compose strata with a probability proportional to the size of the population. Clusters of approximately 10 households are randomly selected within these strata, and members of households are invited to participate. In 2010, the survey included 50,670 households, representing 4,987 clusters of 258 strata. In 2015, the survey included 44,202 households, representing 4,739 clusters of 177 strata. Consent to participate was obtained by the ICBF before the recruitment of the households and subjects. Data sources In both surveys, trained personnel administered questionnaires to the head of the household to obtain sociodemographic information on food security and the level of household wealth. In addition, nutritionists applied in a randomly selected sub-sample a Food Frequency Questionnaire (FFQ). Children under 12 years of age were assisted by their caregivers to respond to the FFQ. The checklist of food and food groups was designed by nutritionists based on the nutrition problems identified in the ENSIN–2005. The response section was adapted from two reproducibility and validity studies of FFQs used in the Colombian population [30,31]. The facial validity of all the items on the checklist was guaranteed. The anthropometric measurements were also taken by trained nutritionists using standardized techniques and calibrated equipment. Height was obtained with stadiometers (Shorr Productions LCC, Olney, MD, USA) and was measured to the nearest millimeter. Weight was obtained with SECA scales (model 872 in 2010 and model 874 in 2015) and was measured to the nearest 100 g. In 2010, the FFQ was applied to 7,138 subjects between 18 and 64 years old; in 2015, it was applied to 11,530 subjects. Of these subjects, we excluded pregnant women (in 2010, n = 1679; in 2015, n = 1134), those who practiced prescribed diets (in 2010, n = 255; in 2015, n = 304), and subjects measuring less than 100 cm or more than 200 cm or weighing less than 40 kg or more than 200 kg. In addition, in 2010, the FFQ was applied to 10,756 subjects between 5 and 17 years old, and in 2015, it was applied to 10,092 subjects. Of these, we excluded pregnant girls (in 2010, n = 257; in 2015, n = 159), those who practiced prescribed diets (in 2010, n = 128; in 2015, n = 126), and subjects measuring less than 80 cm or more than 200 cm or weighing less than 12 kg or more than 200 kg. In total, 37,981 records were analyzed. In 2010, 10,150 children (5 to 17 years old) and 5,145 adults (18 to 64 years old) were included, and in 2015, 13,243 children and 9,443 adults were included. In 2010, the 10 responses in the FFQ regarding the frequency of consumption of 28 food items were converted to a continuous variable: “times/day”. This variable was assessed using a factor analysis, and three consumption patterns were established. The three established patterns were the SP [package foods, sweets, soft drinks (powder, box, bottle), fast food, butter, sausages, chicken starters], fruit-vegetable/dairy [milk, cheese, kumis, yogurt, cream cheese …, raw vegetables, cooked vegetables, whole fruits, fruits in juice, bread, arepa or cookies, whole-grain, chicken, black pudding or beef viscera, low calorie foods (light), tuna or sardines], and traditional/starch [panela, sugar, honey, rice or pasta, fried foods, dry beans, tubers or banana, eggs, beef, veal, pork …, fish or seafood, coffee or tea]. In 2015, similar to 2010, the responses of the frequency of consumption in the FFQ became a continuous variable measured in “times/day”, and the same 28 foods of the FFQ were analyzed factorially to keep the results between the surveys comparable. The standardized scores obtained based on the frequency of consumption and the factorial loads were declared as the adherence that each subject had to each of the three established patterns. The variable of interest was adherence in consumption to the SP - point Z. The primary exposure was the year of conducting the survey (2010 or 2015). In addition, for each survey, other covariables were considered in relation to adherence to the SP, including sex, age, height, BMI (in children, the equivalent value was obtained according to International Obesity Task Force) [32], marital status, state of food security in the home, wealth index, ethnicity, education of the head of the household, the level of urbanism, and the geographical region where the subjects live. The level of urbanism was categorized as those who live in urban areas of large cities and those who live in rural areas. The rural category included suburban population centers close to small cities, principal rural areas distant from small cities and dispersed or very distant populations of rural principal settlements. The food security status of the home was established using the Latin American and Caribbean Scale of Food Security (ELCSA), a modified version of the Community Childhood Hunger Identification Project, which has undergone successive adaptation and validation processes in Colombia [33]. Wealth was established using the index designed for the international population and health survey [34]. This index was constructed in the same way for the two surveys through an analysis of the main components with household information, which included, among others, the type of construction material of the dwelling, the characteristic of the sanitary services, and in general, the goods and services that the household has. The first component was used to create the index as a variable of continuous type (Z score), which is assigned to each subject within the household. The highest values ​​represent the wealthiest subjects. The wealth index was categorized by incorporating the complex design of the sample into quintiles according to the distribution reached among all the participants in each survey. Statistical analysis All analyses were conducted using the analysis routines for complex sample designs of Stata software, version 14.1 [35]. An analysis was conducted to estimate the average adherence to SP in the covariable categories. In addition, using a multiple linear regression with adherence to SP as the dependent variable, we estimated the adjusted differences for each of the categories in all covariates and their 95% confidence intervals (95% CIs). To obtain the adjusted differences, a new term was created as the cross product between the year and each category of the covariates (interaction). The adjusted differences incorporated the complex design of the sample, and the multiple regression model included the following covariates: sex, age, marital status, food security, wealth index, ethnicity, education of the head of household, area, and region. Finally, using a multiple linear regression, crude and adjusted differences and their respective 95% CIs were estimated between the frequency/day of consumption for the main items that compose the SP. Institutional review board The authors declare that all procedures that contributed to this work comply with the ethical standards of the Declaration of Helsinki, revised in 2008. The research ethics committee of the National Institute of Health of Colombia approved the survey protocol, and all participants provided informed consent. The health research ethics committee of the Universidad Industrial de Santander states that anonymized data analyses are exempt from review. Results In children In 2010, 49.3% of the subjects were girls. The mean age ± SE of the subjects was 11.8 ± 0.05 years, which differed by sex (p = 0.041). In 2015, 49.0% of the subjects were girls. The average age of the subjects was 11.0 ± 0.07 years, which differed by sex, with girls being an average of three months older (p = 0.001). The adjusted difference in adherence to the SP was –0.37 (95% CI: –0.42, –0.32, p < 0.0001). In each year, age, height/age, and wealth index were directly associated with consumption. Those who live in urban areas consumed more. In all categories of variables, consumption decreased (p < 0.0001 for all). In this period, the decrease was greater in girls and in those who live in urban areas. The decrease in consumption was inversely associated with BMI and height and was directly associated with the level of food security in the home and the wealth index (Table 1). In adults In 2010, 55.2% of the subjects were women. The mean age ± SE of the subjects was 37.5 ± 0.24 years, which did not differ by sex. In 2015, 55.1% of the subjects were women. The mean age of the subjects was 37.8 ± 0.23 years, which differed by sex, with women being an average of two years older (p < 0.0001). The adjusted difference in adherence to SP was –0.27 (95% CI: –0.31, –0.24, p < 0.0001). In each year, age and BMI were inversely associated with consumption and were directly associated with height and wealth index. Men, married people, and those who live in urban areas consumed more. In all categories of variables, consumption decreased (p < 0.0001 for all). In the period, the decrease was greater in men, single people, and those who live in urban areas. The decrease in consumption was inversely related to age and BMI and directly related to the size, the level of food security of the household, wealth index, and education level (Table 2). Figure 1 illustrates the reduction in the pattern of snack consumption. tables 1 and 2 here Food determinants in the food transition. Table 1S [ Supplementary Material online] shows the weight of each food in the SP based on the factorial loads. Table 2S [ Supplementary Material online] shows the differences in the five-year period in the frequency/day of food consumption. In the SP, the most influential foods that decreased in consumption in children were candy, sweets, and packaged foods. The most influential foods that decreased in consumption in adults were candy, sweets, soda, SSB, and packaged foods. figure 1 here Discussion In the quinquennium studied consumption in the SP decreased by 13.3% (p < 0.0001). The decrease was directly associated with the wealth index and education level of the head of the household. The decrease in SP consumption reflects that an adjustment in the food consumed, in favor of a better diet, is being made by the richest and most educated subjects in society. The decrease in the SP was consistent in all the variables studied and geographical regions. However, according to the World Health Organization (WHO) for the period of 2000–2013 in Colombia, sales of ultra-processed foods had a sustained growth of 1.9% [36]. This increasing trend was shown in 12 countries in the Americas region, except in Argentina, where the decrease in snack consumption is explained by the economic crisis suffered by that country. In this same period (2000–2013), snack sales grew by 6.1% in Asia and the Asian Pacific, 3.1% in Latin America, and 0.2% in the US. According to the WHO, Colombia comprises 16.8% of the global snack market [36]. The previous figures for Colombia do not include the possible effect of messages and media campaigns against snack, sugar, soft drink and SSB consumption that increased and remained visible for the entire population during 2014–2017, which was a result of a failed attempt by the Ministry of Health to taxes the consumption of soft drinks and SSB [37] The results presented here are not contradictory with those reported by the WHO because difficulty in comparison was previously noted when defining what a snack is and how to measure their consumption [25]. In both ENSINs, the decrease in snack consumption was greater in men. The consumption of snacks does not differ by sex, but in adults, snack consumption depends on the emotional state; for example, it increases in women with symptoms of depression, whereas it increases in men when they do not have symptoms of depression [38]. The above discussion is beyond the scope of this study. The greatest decrease was observed in the 18- to 24-year-old age group, which may have occurred because adolescents have the highest consumption of soda and snacks in general [39,40]. In addition, 18 to 24 years is the age group where messages and media actions have traditionally focused [41,42]. Clearly, as food habits are established with age, the decrease in the SP consumption is lower. The finding that the SP consumption decreased more in tall subjects, those with a better BMI, households with food security, and the most educated and wealthiest illustrates several novel phenomena: a) inequality exists when incorporating better decisions regarding the purchase and consumption of foods that are negatively related to the state of health; b) subjects with greater “capacities/resources” translate information into better decisions [43,44]; c) it is possible that the consumption of the SP in the wealthiest and most educated is a result of having a sweet-tooth and therefore dispensable, whereas in the poorest, this consumption is part of the diet and therefore less expendable; d) the wealthy abandon snacks and likely increase their fruit-vegetable/fiber consumption; e) it is possible that in the poorest, the cost of the basic food basket increases significantly, which causes them to substitute snack foods for other foods more dense in nutrients, such as fruits, vegetables or milk, but which are also more expensive [45]; and finally f) the geographic region behaves as a proximal variable or cluster of economic and structural development and illustrates the same findings at the ecological level and the individual level: there is a gradient in the decrease in the SP consumption as the level of human and economic development in the regions increases. Despite the effort made by the transnationals and snack producing and distributing companies to introduce snack consumption in rural areas [46], consumption still predominantly occurs in urban areas, which is why the greatest decrease was observed in those areas. This is corroborated indirectly by the result of snack consumption in the indigenous population (Table 1), which inhabits predominantly rural and dispersed areas. The decrease in SP can be explained in part by a local and mediatic phenomenon derived from the attempt to reduce soda consumption [37] and, in general, by the incorporation of messages against the consumption of sugar, packaged foods, sweets, and candy in favor of a healthy diet, which do not escape globalization. Currently, due to the media, it is impossible to think that we do not have permanent campaigns against and in favor of a healthy diet [47]. The decrease in the consumption of some of the items that comprise the traditional pattern/starch, panela [unrefined whole cane sugar], sugar, honey, and tubers or bananas also suggests that the subjects associate snack and starch consumption with overweight and obesity, which is an association that, among others, was the axis of the aforementioned media campaigns. Implications of change in the SP. The evidence of a food transition that coexists with the nutritional transition allows for a better understanding of the latter [48]. The implications of changes in SP adherence are difficult to anticipate, and their effects require time to be observed. In Chile, for example, the study of food change raises the need to rethink the relationship between industry, government, and the health of the population [49]. In Mexico, the food transition they experience is hypothesized to result in changes in the incidence of mediators of chronic disease such as hypertension [6]. For the first time, the US has substantially decreased the consumption of calories derived from SSB and snacks [27]. In Colombia, the bidirectional relationship between BMI and dietary consumption leads us to believe that the overweight pandemic will not reach the figures or stages known in more developed societies [14]. The food transition established in the SP will allow the establishment of new strategies to control the excess of weight in the subjects and enriches the context of the nutritional transition experienced in the 21st century by developing countries such as Colombia. Scope and limitations of the study The results of this study are unable to establish causal relationships; therefore, the decrease in the consumption of SP, panela, sugar, honey, tubers, and plantains may be due to a systematic information bias. However, given the independence in food patterns and that the results are consistent with other food transitions - where the richest migrate toward consumptions valued as healthy, such as fruits and vegetables, and are coherent with the phenomenon of the nutritional transition that was recently explained for this same population - obesity increases faster in the urban poor and residents [48] - the occurrence of this bias is unlikely. The main strength of this study is that it used data on dietary consumption that were comparable between periods and obtained in two representative national surveys. Conclusions In summary, there are three food consumption patterns in Colombia, and we demonstrate the transition that occurs in the SP. Both at an individual and ecological level, the region, the wealthiest, the tallest, the best BMI and the most educated displayed the greatest decrease in the SP. It is plausible that both local and global media messages and campaigns, which did not obey state policies, have influenced this decrease in SP consumption in Colombia. Identifying the causes and the context in which this decrease occurred can help develop adequate policies and interventions to sustain this decline. List of Abbreviations SP: Snack Pattern FFQ: Food Frequency Questionnaire BMI: Body Mass Index SCF: Subcutaneous Fat SSB: Sugar Sweetened Beverages ICBF: Colombian Family Welfare Institute ENSIN: National Surveys of the Nutritional Situation ELCSA: Latin American and Caribbean Scale of Food Security WHO: World Health Organization Declarations Ethics approval and consent to participate. The research was conducted in accordance with guidelines laid down by the Declaration of Helsinki. Consent for participation in the surveys was obtained by the Colombian Institute of Family Welfare prior to enrollment (Instituto Colombiano de Bienestar Familiar –ICBF). The ethics committee in health research at the Industrial University of Santander determined that the analyzes of these de-identified data were exempt from review. Consent for publication. Not applicable Availability of data and materia. The databases that allowed this analysis are available for public access and can be obtained by requesting them from the Ministry of Public Health of Colombia. The data generated and analyzed for the current study are available at reasonable request to the corresponding author. Competing interests. The authors declare that they have no competing interests Funding. This research received no specific grant from any funding agency, commercial or not-for-profit sectors. Authors’ contribution. OFH designed the study, obtained the databases of the ICBF, prepared the databases and conducted and led statistical analyzes. OFH, EV and DCQ-L interpreted the results, prepared, reviewed and wrote the manuscript finally submitted. All authors reviewed the manuscript and approved the final version. Acknowledgement. Not applicable Authors’ information. Not applicable Transparency Declaration. The lead author affirms that this manuscript is an honest, accurate, and transparent account of the study being reported. The reporting of this work is compliant with STROBE guidelines. The lead author affirms that no important aspects of the study have been omitted. In addition, this study is a product of analysis of secondary information anonymized, public and available in different web pages properly reported within the main text and the references section. References 1.Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. Curr Opin Lipidol 13, 3–9. 2.Willett W (2013). Nutritional Epidemiology, 3 rd ed New York: Oxford University Press. 3.Lozada AL, Flores M, Rodríguez S et al. (2007) [Dietary patterns in Mexican adolescent girls. A comparison of two methods. National Nutrition Survey, 1999]. 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(2014) The associations between emotional eating and consumption of energy-dense snack foods are modified by sex and depressive symptomatology. J Nutr 144, 1264–1273. doi: 10.3945/jn.114.193177 . 39.Herran OF, Villamor E & Quintero-Lesmes DC (2017) Intake of soft drinks and sugar sweetened beverages by Colombian children and adolescents. Rev Bras Saude Mater Infant 17, 491–500. doi: 10.1590/1806–93042017000300005 . 40.Malik VS, Schulze MB & Hu FB (2006) Intake of sugar-sweetened beverages and weight gain: A systematic review. Am J Clin Nutr 84, 274–288. 41.Beets MW, Tilley F, Kim Y et al. (2011) Nutritional policies and standards for snacks served in after-school programmes: a review. Public Health Nutr 14, 1882–1890. doi: 10.1017/S1368980011001145 . 42.Beets MW, Glenn Weaver R, Turner-McGrievy G et al. (2014) Making healthy eating and physical activity policy practice: the design and overview of a group randomized controlled trial in afterschool programs. Contemp Clin Trials 38, 291–303. doi: 10.1016/j.cct.2014.05.013 . 43.Sen A (2002) ¿Por qué la equidad en salud? Rev Panamericana Salud Pública 11, 302–309. 44.Sen A, Rabasco E & Toharia L (2000) Desarrollo y libertad Barcelona: Planeta. 45.Cameron AJ, Thornton LE, McNaughton SA et al. (2013) Variation in supermarket exposure to energy-dense snack foods by socio-economic position. Public Health Nutr 16, 1178–1185. doi: 10.1017/S1368980012002649 . 46.Mahajan V & Warbelow K (2016) Rise of Rural Consumers in Developing Countries : Harvesting 3 Billion Aspirations New York: SAGE Publications Pvt. Ltd. 47.Harris JL & Bargh JA (2009) Television viewing and unhealthy diet: implications for children and media interventions. Health Commun 24, 660–673. doi: 10.1080/10410230903242267 . 48.Kasper NM, Herrán OF & Villamor E (2014) Obesity prevalence in Colombian adults is increasing fastest in lower socio-economic status groups and urban residents: results from two nationally representative surveys. Public Health Nutr 17, 2398–2406. doi: 10.1017/S1368980013003418 . 49.Crovetto M & Uauy R (2012) [Changes in processed food expenditure in the population of Metropolitan Santiago in the last twenty years]. Rev Med Chil 140, 305–312. doi: 10.4067/S0034–98872012000300004 . Tables Table 1 Differences adjusted to the score of adherence to the Snack food consumption pattern (Z score). Colombian children (5 to 17 y) in 2010 and 2015. Variable 2010 2015 Adjusted difference† 2015-2010 P Interaction n* Mean SE P value n* Mean SE P value Sex Male Female 5154 4996 0.66 0.68 0.02 0.02 0.375 6753 6490 0.29 0.35 0.04 0.04 0.014 -0.40 (-0.46, -0.34) -0.34 (-0.40, -0.28) <0.0001 Age group (y) Children (5-10) Teenagers (11-17) 3794 6356 0.53 0.75 0.02 0.02 <0.0001 4627 8616 0.21 0.41 0.04 0.04 <0.0001 -0.36 (-0.43, -0.30) -0.37 (-0.44, -0.31) <0.0001 Age (y) 5-8 9-11 12-15 16-17 2481 1949 3480 1880 0.51 0.57 0.78 0.74 0.02 0.03 0.02 0.03 <0.0001 3274 2090 5064 2815 0.21 0.25 0.44 0.40 0.05 0.04 0.04 0.04 <0.0001 -0.35 (-0.42, -0.28) -0.36 (-0.44, -0.28) -0.38 (-0.46, -0.31) -0.36 (-0.45, -0.28) <0.0001 Stunting (Height/Age) No Yes (Z<-2) 8820 1324 0.69 0.51 0.01 0.04 <0.0001 12010 1227 0.34 0.08 0.04 0.05 <0.0001 -0.37 (-0.42, -030) -0.42 (-0.54, -0.31) <0.0001 Nutritional status (BMI) ‡ No Overweight (≥25) Obesity (≥30) 4190 736 201 0.79 0.74 0.65 0.02 0.05 0.08 0.068 11075 1691 477 0.33 0.27 0.37 0.04 0.03 0.09 0.728 -0.40 (-0.47, -0.33) -0.43 (-0.54, -031) -0.31 (-0.51, -0.10) <0.0001 Household food insecurity No Light Moderate Severe 3004 3768 1973 1393 0.82 0.63 0.56 0.52 0.02 0.02 0.03 0.04 <0.0001 4108 4686 2512 1937 0.37 0.30 0.37 0.31 0.04 0.04 0.04 0.08 0.186 -0.46 (-0.53, -038) -0.36 (-0.43, -0.30) -0.31 (-0.39, -0.22) -0.26 (-0.40, -012) <0.0001 Wealth index quintile 1- poorest 2 3 4 5- wealthiest 3595 2462 1815 1303 975 0.33 0.58 0.82 0.82 0.93 0.02 0.03 0.03 0.03 0.04 <0.0001 2839 2794 2762 2525 2323 -0.05 0.25 0.36 0.45 0.44 0.04 0.05 0.03 0.04 0.05 <0.0001 -0.33 (-0.41, -025) -0.30 (-0.39, -0.20) -0.38 (-0.46, -0.29) -0.35 (-0.43, -0.26) -0.48 (-0.59, -0.37) <0.0001 Ethnicity Mestizo Black/Afro Indigenous 7702 1103 1234 0.68 0.74 0.16 0.02 0.04 0.05 <0.0001 10620 1393 1125 0.32 -0.14 0.55 0.04 0.06 0.06 0.170 -0.38 (-0.43. -0.33) -0.71 (-0.82, -0.59) 0.20 (0.05, 0.35) 0.003 Area Urban Rural § 6549 3601 0.82 0.28 0.02 0.02 <0.0001 9723 3520 0.44 -0.01 0.04 0.03 <0.0001 -0.39 (-0.45, -032) -0.30 (-0.37, -0.22) <0.0001 Region Central Atlantic Oriental Pacific Bogotá National territories 2335 2292 1481 1406 524 2112 0.70 0.76 0.57 0.43 0.94 0.38 0.03 0.03 0.03 0.03 0.04 0.03 0.499 3189 2410 2272 1659 877 2836 0.40 0.36 0.23 0.27 0.37 0.02 0.11 0.05 0.04 0.11 -0.00 0.04 0.287 -0.35 (-0.52, -0.19) -0.45 (-0.54, -0.36) -0.42 (-0.50, -0.33) -0.18 (-0.34, -0.02) -0.58 (-0.66, -0.49) -0.42 (-0.51, -0.33) <0.0001 * In 2010 n may be less than 10150 for missing values. In 2015 n may be less than 13243 for missing values. † Adjusted difference and 95% confidence interval achieved in a linear regression model with the score of adherence (Z score) to the snack pattern as a dependent variable and predictors that include indicator variables for each sociodemographic correlates, year 2015 (2010 as reference) and cross-product (interaction) terms between year and indicator variables of the correlate. In addition, the linear regression model was adjusted by the following covariables; sex, age, food security, wealth index, ethnicity, area and region. The complex sampling survey design was taken into account in all multivariate regression models. ‡ Based on equivalent cut-off points using the IOFT classification. §The rural category included suburban population centers close to small cities, towns in rural areas distant from small towns, and disperses or very distant from rural towns. Table 2 Differences adjusted to the score of adherence to the Snack food consumption pattern (Z score). Colombian adults (18-64y) in 2010 and 2015. Variable 2010 2015 Adjusted difference† 2015-2010 P Interaction n* Mean SE P value n* Mean SE P value Sex Male Female 2303 2842 0.12 -0.06 0.03 0.02 <0.0001 4236 5207 -0.16 -0.28 0.03 0.02 <0.0001 -0.32 (-0.38, -0.26) -0.24 (-0.28, -0.19) <0.0001 Age (years) 18-24 25-34 35-44 45-54 55-64 1124 1283 1150 962 626 0.62 0.17 -0.15 -0.34 -0.44 0.05 0.03 0.02 0.02 0.02 <0.0001 1806 2262 1964 1990 1421 0.14 -0.12 -0.31 -0.42 -0.56 0.04 0.03 0.02 0.02 0.02 <0.0001 -0.52 (-0.63, -0.41) -0.31 (-0.38, -0.23) -0.18 (-0.25, -011) -0.11 (-0.16, -0.05) -0.13 (-0.18, -0.07) <0.0001 Talla (cm) <150 150-159.9 160-169.9 170 + 606 1953 1711 848 -0.30 -0.08 0.06 0.35 0.04 0.02 0.03 0.05 <0.0001 1031 3478 3271 1591 -0.41 -0.28 -0.20 -0.07 0.03 0.02 0.02 0.03 <0.0001 -0.09 (-0.17, -0.01) -0.23 (-0.28, -0.18) -0.30 (-0.36, -0.24) -0.43 (-0.53, -0.33) <0.0001 Body mass index <18 18-24.9 25-29.9 30 + 76 2419 1842 808 0.17 0.14 -0.09 -0.13 0.13 0.03 0.02 0.04 <0.0001 136 3965 3474 1868 0.27 -0.16 -0.29 -0.29 0.23 0.02 0.02 0.03 <0.0001 - -0.33 (-0.39, -0.27) -0.24 (-0.29, -0.19) -0.21 (-0.28, -0.13) <0.0001 Marital status Married/Living together Unmarried/single 3140 2040 -0.12 0.21 0.02 0.03 <0.0001 5663 3780 -0.30 -0.12 0.02 0.02 <0.0001 -0.22 (-0.26, -0.18) -0.35 (-0.41, -0.29) <0.0001 Food security Food secure Mild food insecurity Moderate food insecurity Severe food insecurity 1947 1937 754 505 0.08 -0.01 -0.07 -0.05 0.03 0.03 0.04 0.07 0.003 3559 3389 1544 949 -0.23 -0.25 -0.18 -0.17 0.02 0.02 0.03 0.04 0.124 -0.31 (-0.37, -026) -0.28 (-0.34, -0.23) -0.17 (-0.25, -0.09) -0.17 (-0.32, -0.02) <0.0001 Wealth index quintile 1- poorest 2 3 4 5- wealthiest 1399 1196 1053 819 678 -0.23 -0.04 0.08 0.06 0.16 0.03 0.04 0.04 0.03 0.04 <0.0001 1575 1774 1793 1969 2332 -0.44 -0.33 -0.16 -0.17 -0.20 0.02 0.03 0.03 0.02 0.02 <0.0001 -0.19 (-0.26, -0.13) -0.26 (-0.35, -0.18) -0.24 (-0.31, -0.16) -0.25 (-0.32, -0.17) -0.36 (-0.44, -0.28) <0.0001 Ethnicity Mestizo Black/Afro Indigenous 4033 557 486 0.02 0.12 -0.23 0.02 0.05 0.04 0.151 8054 559 809 -0.23 -0.42 -0.14 0.02 0.06 0.03 0.066 -0.26 (-0.30, -0.23) -0.46 (-0.59, -0.32) -0.02 (-0.11, 0.07) <0.0001 Education of the head Preschool or less Primary Secondary Post-secondary 360 2216 1708 680 -0.27 -0.13 0.14 0.17 0.04 0.02 0.03 0.04 <0.0001 42 6223 2551 566 -0.01 -0.23 -0.16 -0.48 0.02 0.02 0.02 0.02 0.888 -0.13 (-0.36, 0.10) -0.15 (-0.20, -0.11) -0.33 (-0.40, -0.27) -0.44 (-0.54, -0.33) <0.0001 Area Urban Rural ‡ 3643 1502 0.10 -0.26 0.02 0.02 <0.0001 7113 2330 -0.17 -0.42 0.02 0.02 <0.0001 -0.28 (-0.32, -0.24) -0.18 (-0.24, -0.12) <0.0001 Region Central Atlantic Oriental Pacific Bogotá National territories 1363 1133 681 809 328 831 0.06 0.10 -0.06 -0.16 0.14 -0.14 0.03 0.03 0.05 0.03 0.05 0.03 0.228 2298 2136 1726 1203 663 1417 -0.24 -0.16 -0.19 -0.29 -0.24 -0.39 0.04 0.04 0.03 0.05 0.00 0.03 0.076 -0.29 (-0.38, -0.20) -0.31 (-0.38, -0.23) -0.16 (-0.27, -0.05) -0.14 (-0.25, -0.04) -0.40 (-0.49, -0.30) -0.32 (-0.42, -0.22) <0.0001 * In 2010 n may be less than 5145 for missing values. In 2015 n may be less than 9443 for missing values. † Adjusted difference and 95% confidence interval achieved in a linear regression model with the score of adherence (Z score) to the snack pattern as a dependent variable and predictors that include indicator variables for each sociodemographic correlates, year 2015 (2010 as reference) and cross-product (interaction) terms between year and indicator variables of the correlate. In addition, the linear regression model was adjusted by the following covariables; sex, age, marital status, food security, wealth index, ethnicity, education of the head, area and region. The complex sampling survey design was taken into account in all multivariate regression models. ‡ The rural category included suburban population centers close to small cities, towns in rural areas distant from small towns, and disperses or very distant from rural towns. Supplementary Files supplement1.docx supplement2.docx Cite Share Download PDF Status: Published Journal Publication published 19 Dec, 2019 Read the published version in BMC Public Health → Version 1 posted Editorial decision: Major revision 31 Oct, 2019 Review # 2 received at journal 25 Oct, 2019 Review # 1 received at journal 14 Oct, 2019 Reviewer # 4 agreed at journal 13 Oct, 2019 Reviewer # 3 agreed at journal 12 Oct, 2019 Reviewer # 2 agreed at journal 24 Sep, 2019 Reviewer # 1 agreed at journal 22 Sep, 2019 Editor assigned by journal 04 Sep, 2019 Reviewers invited by journal 04 Sep, 2019 Submission checks completed at journal 03 Sep, 2019 Editor invited by journal 09 Aug, 2019 First submitted to journal 04 Jul, 2019 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4731","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research article","associatedPublications":[],"authors":[{"id":147969,"identity":"01c8d722-429f-4f1e-a319-d227d9b65485","order_by":1,"name":"Oscar Fernando Herran","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA6UlEQVRIiWNgGAWjYPCCAxDqAxCzsZOihXEGSAszKVqYecAkAbX8/Icffq5guCNnPvvws8c2v7bJ8zEzMH74mINbi+SMNGPJMwzPjGXOpZkb5/bdNmxjZmCWnLkNtxaDGzwMkg0MhxNn8DCYSef23GYEamFj5sWn5fwZ5p9ALfUzeNi/SVv23LYnrOVADhvIlgQJHh4zaYYftxMJagH6xcyyweCw4QwenjLJ3obbyW3MjM14/QIMscc3GyoOy0vwsG+T+PHntu389uaDHz7i0QJ1HpRmbAOTDYTUI4M/pCgeBaNgFIyCkQIA1NlJSbxKIhQAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0002-2509-8636","institution":"Universidad Industrial de Santander","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Oscar","middleName":"Fernando","lastName":"Herran","suffix":""},{"id":147970,"identity":"c9d76f39-55d3-44a1-b526-179be4f352e8","order_by":2,"name":"Eduardo Villamor","email":"","orcid":"","institution":"University of Michigan School of Public Health","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Eduardo","middleName":"","lastName":"Villamor","suffix":""},{"id":147971,"identity":"70c0a73b-bbe4-4de0-beb9-d7eb365eab88","order_by":3,"name":"Doris Cristina Quintero-Lesmes","email":"","orcid":"","institution":"Fundacion Cardiovascular de Colombia","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Doris","middleName":"Cristina","lastName":"Quintero-Lesmes","suffix":""}],"badges":[],"createdAt":"2019-09-03 12:58:46","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.2.14032/v1","doiUrl":"https://doi.org/10.21203/rs.2.14032/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12889-019-8057-6","type":"published","date":"2019-12-19T12:00:00+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":2624001,"identity":"cb7198e2-bff5-41de-a4a9-ea241ba895af","added_by":"632ae814-b683-400a-b496-915ad8218634","created_at":"2020-09-25 21:00:41","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":53495,"visible":true,"origin":"","legend":"Adherence to Snack food consumption pattern (Z) in Children 5 to 17y (a) and Colombian adults 18-64y (b); in 2010 ____ in 2015","description":"","filename":"figure1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-4731/v1/figure_1.jpg"},{"id":13472986,"identity":"e94e9e58-c8ff-46c3-8ef6-49efb3d906d0","added_by":"auto","created_at":"2021-09-16 21:17:46","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":378872,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4731/v1/0d85e606-45d7-462d-baad-0293954a1cd5.pdf"},{"id":2624000,"identity":"c5cfeba2-e246-4530-9b61-4c41346e1b9f","added_by":"632ae814-b683-400a-b496-915ad8218634","created_at":"2020-09-25 21:00:41","extension":"docx","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":16467,"visible":true,"origin":"","legend":"","description":"","filename":"supplement1.docx","url":"https://assets-eu.researchsquare.com/files/rs-4731/v1/supplement_1.docx"},{"id":2624004,"identity":"517cb6c2-97aa-4d90-a721-f5b69a6bbf80","added_by":"632ae814-b683-400a-b496-915ad8218634","created_at":"2020-09-25 21:00:41","extension":"docx","order_by":2,"title":"","display":"","copyAsset":false,"role":"supplement","size":15515,"visible":true,"origin":"","legend":"","description":"","filename":"supplement2.docx","url":"https://assets-eu.researchsquare.com/files/rs-4731/v1/supplement_2.docx"}],"financialInterests":"","formattedTitle":"Snack consumption is decreasing in Colombia among the youngest, the most educated, and the wealthiest: results of two representative national surveys.","fulltext":[{"header":"Background","content":"\u003cp\u003eNutritional epidemiology has studied the relationship between diet and disease from the perspective of nutrients, food, and eating patterns [1–9]. Autochthonous diets recognized for their cardioprotective effects, such as the Mediterranean [10,11] or Eskimo or Inuit [12] diets, are the expression of what we now understand as traditional or ancestral food patterns. Evidence suggests that adhering to traditional dietary patterns - regardless of the geographical context - protects or delays the undesirable effects of ultraprocessed foods and other patterns in health, such as the so-called “western” diet, which consists of a high content of refined foods, sugar, saturated fat, ultraprocessed ingredients and, in general, items considered snack foods [13–16].\u003c/p\u003e\n\u003cp\u003eIn countries with high and medium incomes, snack consumption contributes to between 20–40% of the total energy/day [17–19]. Snack consumption in children and adults has been associated with the development of adiposity, annual changes in body mass index (BMI), and subcutaneous fat (SCF) [20–22]; it is also positively associated with waist circumference and SCF thickness in overweight and obese men and women [23,24]. Contradictory evidence to these associations is apparently the result of reverse causality and the different ways in which snack consumption is defined and measured [21,25,26]. Despite the obvious limitations in defining and measuring snack consumption [25], a common recommendation is to reduce the consumption of snack food and replace this consumption with nutrient-dense foods. Because of a set of actions on the environment and individuals that have been systematically performed during the last 30 years in the United States, the period of 2003–2010 showed a substantial decrease in the consumption of calories derived from sugar sweetened beverages (SSB) and snacks [27].\u003c/p\u003e\n\u003cp\u003eThe objective of this study was to establish whether there were changes in adherence to the consumption of the snack pattern (SP) in Colombian children and adults in the 2010–2015 quinquennium. In addition, this study aimed to establish the relationship between the SP and some biological, socioeconomic, and geographic variables.\u003c/p\u003e\n"},{"header":"Methods","content":"\u003ch3\u003ePopulation studied\u003c/h3\u003e\n\u003cp\u003eDuring the last 8 years in Colombia, the Colombian Family Welfare Institute (Instituto Colombiano de Bienestar Familiar, ICBF) has performed two national surveys of the nutritional situation (ENSIN, 2010 and 2015) [28,29]. The details of these ENSINs have already been published. In summary, the ENSINs are designed to represent 99% of the population through stratified multistage sampling. All 33 geodemographic units are grouped based on similar geographic and sociodemographic characteristics. The municipalities in these units are randomly selected and compose strata with a probability proportional to the size of the population. Clusters of approximately 10 households are randomly selected within these strata, and members of households are invited to participate. In 2010, the survey included 50,670 households, representing 4,987 clusters of 258 strata. In 2015, the survey included 44,202 households, representing 4,739 clusters of 177 strata. Consent to participate was obtained by the ICBF before the recruitment of the households and subjects.\u003c/p\u003e\n\n\u003ch3\u003eData sources\u003c/h3\u003e\n\u003cp\u003eIn both surveys, trained personnel administered questionnaires to the head of the household to obtain sociodemographic information on food security and the level of household wealth. In addition, nutritionists applied in a randomly selected sub-sample a Food Frequency Questionnaire (FFQ). Children under 12 years of age were assisted by their caregivers to respond to the FFQ. The checklist of food and food groups was designed by nutritionists based on the nutrition problems identified in the ENSIN–2005. The response section was adapted from two reproducibility and validity studies of FFQs used in the Colombian population [30,31]. The facial validity of all the items on the checklist was guaranteed. The anthropometric measurements were also taken by trained nutritionists using standardized techniques and calibrated equipment. Height was obtained with stadiometers (Shorr Productions LCC, Olney, MD, USA) and was measured to the nearest millimeter. Weight was obtained with SECA scales (model 872 in 2010 and model 874 in 2015) and was measured to the nearest 100 g.\u003c/p\u003e\n\u003cp\u003eIn 2010, the FFQ was applied to 7,138 subjects between 18 and 64 years old; in 2015, it was applied to 11,530 subjects. Of these subjects, we excluded pregnant women (in 2010, \u003cem\u003en\u003c/em\u003e = 1679; in 2015, \u003cem\u003en\u003c/em\u003e = 1134), those who practiced prescribed diets (in 2010, \u003cem\u003en\u003c/em\u003e = 255; in 2015, \u003cem\u003en\u003c/em\u003e = 304), and subjects measuring less than 100 cm or more than 200 cm or weighing less than 40 kg or more than 200 kg. In addition, in 2010, the FFQ was applied to 10,756 subjects between 5 and 17 years old, and in 2015, it was applied to 10,092 subjects. Of these, we excluded pregnant girls (in 2010, \u003cem\u003en\u003c/em\u003e = 257; in 2015, \u003cem\u003en\u003c/em\u003e = 159), those who practiced prescribed diets (in 2010, \u003cem\u003en\u003c/em\u003e = 128; in 2015, \u003cem\u003en\u003c/em\u003e = 126), and subjects measuring less than 80 cm or more than 200 cm or weighing less than 12 kg or more than 200 kg. In total, 37,981 records were analyzed. In 2010, 10,150 children (5 to 17 years old) and 5,145 adults (18 to 64 years old) were included, and in 2015, 13,243 children and 9,443 adults were included.\u003c/p\u003e\n\u003cp\u003eIn 2010, the 10 responses in the FFQ regarding the frequency of consumption of 28 food items were converted to a continuous variable: “times/day”. This variable was assessed using a factor analysis, and three consumption patterns were established. The three established patterns were the SP [package foods, sweets, soft drinks (powder, box, bottle), fast food, butter, sausages, chicken starters], fruit-vegetable/dairy [milk, cheese, kumis, yogurt, cream cheese …, raw vegetables, cooked vegetables, whole fruits, fruits in juice, bread, arepa or cookies, whole-grain, chicken, black pudding or beef viscera, low calorie foods (light), tuna or sardines], and traditional/starch [panela, sugar, honey, rice or pasta, fried foods, dry beans, tubers or banana, eggs, beef, veal, pork …, fish or seafood, coffee or tea]. In 2015, similar to 2010, the responses of the frequency of consumption in the FFQ became a continuous variable measured in “times/day”, and the same 28 foods of the FFQ were analyzed factorially to keep the results between the surveys comparable. The standardized scores obtained based on the frequency of consumption and the factorial loads were declared as the adherence that each subject had to each of the three established patterns.\u003c/p\u003e\n\u003cp\u003eThe variable of interest was adherence in consumption to the SP - point Z. The primary exposure was the year of conducting the survey (2010 or 2015). In addition, for each survey, other covariables were considered in relation to adherence to the SP, including sex, age, height, BMI (in children, the equivalent value was obtained according to International Obesity Task Force) [32], marital status, state of food security in the home, wealth index, ethnicity, education of the head of the household, the level of urbanism, and the geographical region where the subjects live. The level of urbanism was categorized as those who live in urban areas of large cities and those who live in rural areas. The rural category included suburban population centers close to small cities, principal rural areas distant from small cities and dispersed or very distant populations of rural principal settlements. The food security status of the home was established using the Latin American and Caribbean Scale of Food Security (ELCSA), a modified version of the Community Childhood Hunger Identification Project, which has undergone successive adaptation and validation processes in Colombia [33]. Wealth was established using the index designed for the international population and health survey [34]. This index was constructed in the same way for the two surveys through an analysis of the main components with household information, which included, among others, the type of construction material of the dwelling, the characteristic of the sanitary services, and in general, the goods and services that the household has. The first component was used to create the index as a variable of continuous type (Z score), which is assigned to each subject within the household. The highest values ​​represent the wealthiest subjects. The wealth index was categorized by incorporating the complex design of the sample into quintiles according to the distribution reached among all the participants in each survey.\u003c/p\u003e\n\n\u003ch3\u003eStatistical analysis\u003c/h3\u003e\n\u003cp\u003eAll analyses were conducted using the analysis routines for complex sample designs of Stata software, version 14.1 [35]. An analysis was conducted to estimate the average adherence to SP in the covariable categories. In addition, using a multiple linear regression with adherence to SP as the dependent variable, we estimated the adjusted differences for each of the categories in all covariates and their 95% confidence intervals (95% CIs). To obtain the adjusted differences, a new term was created as the cross product between the year and each category of the covariates (interaction). The adjusted differences incorporated the complex design of the sample, and the multiple regression model included the following covariates: sex, age, marital status, food security, wealth index, ethnicity, education of the head of household, area, and region. Finally, using a multiple linear regression, crude and adjusted differences and their respective 95% CIs were estimated between the frequency/day of consumption for the main items that compose the SP.\u003c/p\u003e\n\n\u003ch3\u003eInstitutional review board\u003c/h3\u003e\n\u003cp\u003eThe authors declare that all procedures that contributed to this work comply with the ethical standards of the Declaration of Helsinki, revised in 2008. The research ethics committee of the National Institute of Health of Colombia approved the survey protocol, and all participants provided informed consent. The health research ethics committee of the Universidad Industrial de Santander states that anonymized data analyses are exempt from review.\u003c/p\u003e\n"},{"header":"Results","content":"\u003ch3\u003eIn children\u003c/h3\u003e\n\u003cp\u003eIn 2010, 49.3% of the subjects were girls. The mean age ± SE of the subjects was 11.8 ± 0.05 years, which differed by sex (p = 0.041). In 2015, 49.0% of the subjects were girls. The average age of the subjects was 11.0 ± 0.07 years, which differed by sex, with girls being an average of three months older (p = 0.001).\u003c/p\u003e\n\u003cp\u003eThe adjusted difference in adherence to the SP was –0.37 (95% CI: –0.42, –0.32, p \u0026lt; 0.0001). In each year, age, height/age, and wealth index were directly associated with consumption. Those who live in urban areas consumed more. In all categories of variables, consumption decreased (p \u0026lt; 0.0001 for all). In this period, the decrease was greater in girls and in those who live in urban areas. The decrease in consumption was inversely associated with BMI and height and was directly associated with the level of food security in the home and the wealth index (Table 1).\u003c/p\u003e\n\u003ch3\u003eIn adults\u003c/h3\u003e\n\u003cp\u003eIn 2010, 55.2% of the subjects were women. The mean age ± SE of the subjects was 37.5 ± 0.24 years, which did not differ by sex. In 2015, 55.1% of the subjects were women. The mean age of the subjects was 37.8 ± 0.23 years, which differed by sex, with women being an average of two years older (p \u0026lt; 0.0001).\u003c/p\u003e\n\u003cp\u003eThe adjusted difference in adherence to SP was –0.27 (95% CI: –0.31, –0.24, p \u0026lt; 0.0001). In each year, age and BMI were inversely associated with consumption and were directly associated with height and wealth index. Men, married people, and those who live in urban areas consumed more. In all categories of variables, consumption decreased (p \u0026lt; 0.0001 for all). In the period, the decrease was greater in men, single people, and those who live in urban areas. The decrease in consumption was inversely related to age and BMI and directly related to the size, the level of food security of the household, wealth index, and education level (Table 2). Figure 1 illustrates the reduction in the pattern of snack consumption.\u003c/p\u003e\n\u003cp\u003etables 1 and 2 here\u003c/p\u003e\n\n\u003ch3\u003eFood determinants in the food transition.\u003c/h3\u003e \u003cp\u003eTable 1S [\u003cem\u003eSupplementary Material online]\u003c/em\u003e shows the weight of each food in the SP based on the factorial loads. Table 2S [\u003cem\u003eSupplementary Material online]\u003c/em\u003e shows the differences in the five-year period in the frequency/day of food consumption. In the SP, the most influential foods that decreased in consumption in children were candy, sweets, and packaged foods. The most influential foods that decreased in consumption in adults were candy, sweets, soda, SSB, and packaged foods.\u003c/p\u003e\u003cp\u003efigure 1 here\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eIn the quinquennium studied consumption in the SP decreased by 13.3% (p \u0026lt; 0.0001). The decrease was directly associated with the wealth index and education level of the head of the household. The decrease in SP consumption reflects that an adjustment in the food consumed, in favor of a better diet, is being made by the richest and most educated subjects in society.\u003c/p\u003e\n\u003cp\u003eThe decrease in the SP was consistent in all the variables studied and geographical regions. However, according to the World Health Organization (WHO) for the period of 2000–2013 in Colombia, sales of ultra-processed foods had a sustained growth of 1.9% [36]. This increasing trend was shown in 12 countries in the Americas region, except in Argentina, where the decrease in snack consumption is explained by the economic crisis suffered by that country. In this same period (2000–2013), snack sales grew by 6.1% in Asia and the Asian Pacific, 3.1% in Latin America, and 0.2% in the US. According to the WHO, Colombia comprises 16.8% of the global snack market [36]. The previous figures for Colombia do not include the possible effect of messages and media campaigns against snack, sugar, soft drink and SSB consumption that increased and remained visible for the entire population during 2014–2017, which was a result of a failed attempt by the Ministry of Health to taxes the consumption of soft drinks and SSB [37] The results presented here are not contradictory with those reported by the WHO because difficulty in comparison was previously noted when defining what a snack is and how to measure their consumption [25].\u003c/p\u003e\n\u003cp\u003eIn both ENSINs, the decrease in snack consumption was greater in men. The consumption of snacks does not differ by sex, but in adults, snack consumption depends on the emotional state; for example, it increases in women with symptoms of depression, whereas it increases in men when they do not have symptoms of depression [38]. The above discussion is beyond the scope of this study. The greatest decrease was observed in the 18- to 24-year-old age group, which may have occurred because adolescents have the highest consumption of soda and snacks in general [39,40]. In addition, 18 to 24 years is the age group where messages and media actions have traditionally focused [41,42]. Clearly, as food habits are established with age, the decrease in the SP consumption is lower.\u003c/p\u003e\n\u003cp\u003eThe finding that the SP consumption decreased more in tall subjects, those with a better BMI, households with food security, and the most educated and wealthiest illustrates several novel phenomena: a) inequality exists when incorporating better decisions regarding the purchase and consumption of foods that are negatively related to the state of health; b) subjects with greater “capacities/resources” translate information into better decisions [43,44]; c) it is possible that the consumption of the SP in the wealthiest and most educated is a result of having a sweet-tooth and therefore dispensable, whereas in the poorest, this consumption is part of the diet and therefore less expendable; d) the wealthy abandon snacks and likely increase their fruit-vegetable/fiber consumption; e) it is possible that in the poorest, the cost of the basic food basket increases significantly, which causes them to substitute snack foods for other foods more dense in nutrients, such as fruits, vegetables or milk, but which are also more expensive [45]; and finally f) the geographic region behaves as a proximal variable or cluster of economic and structural development and illustrates the same findings at the ecological level and the individual level: there is a gradient in the decrease in the SP consumption as the level of human and economic development in the regions increases.\u003c/p\u003e\n\u003cp\u003eDespite the effort made by the transnationals and snack producing and distributing companies to introduce snack consumption in rural areas [46], consumption still predominantly occurs in urban areas, which is why the greatest decrease was observed in those areas. This is corroborated indirectly by the result of snack consumption in the indigenous population (Table 1), which inhabits predominantly rural and dispersed areas.\u003c/p\u003e\n\u003cp\u003eThe decrease in SP can be explained in part by a local and mediatic phenomenon derived from the attempt to reduce soda consumption [37] and, in general, by the incorporation of messages against the consumption of sugar, packaged foods, sweets, and candy in favor of a healthy diet, which do not escape globalization. Currently, due to the media, it is impossible to think that we do not have permanent campaigns against and in favor of a healthy diet [47]. The decrease in the consumption of some of the items that comprise the traditional pattern/starch, \u003cem\u003epanela\u003c/em\u003e [unrefined whole cane sugar], sugar, honey, and tubers or bananas also suggests that the subjects associate snack and starch consumption with overweight and obesity, which is an association that, among others, was the axis of the aforementioned media campaigns.\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eImplications of change in the SP.\u003c/em\u003e The evidence of a food transition that coexists with the nutritional transition allows for a better understanding of the latter [48]. The implications of changes in SP adherence are difficult to anticipate, and their effects require time to be observed. In Chile, for example, the study of food change raises the need to rethink the relationship between industry, government, and the health of the population [49]. In Mexico, the food transition they experience is hypothesized to result in changes in the incidence of mediators of chronic disease such as hypertension [6]. For the first time, the US has substantially decreased the consumption of calories derived from SSB and snacks [27]. In Colombia, the bidirectional relationship between BMI and dietary consumption leads us to believe that the overweight pandemic will not reach the figures or stages known in more developed societies [14]. The food transition established in the SP will allow the establishment of new strategies to control the excess of weight in the subjects and enriches the context of the nutritional transition experienced in the 21st century by developing countries such as Colombia.\u003c/p\u003e\n\n\u003ch3\u003eScope and limitations of the study\u003c/h3\u003e\n\u003cp\u003eThe results of this study are unable to establish causal relationships; therefore, the decrease in the consumption of SP, \u003cem\u003epanela,\u003c/em\u003e sugar, honey, tubers, and plantains may be due to a systematic information bias. However, given the independence in food patterns and that the results are consistent with other food transitions - where the richest migrate toward consumptions valued as healthy, such as fruits and vegetables, and are coherent with the phenomenon of the nutritional transition that was recently explained for this same population - obesity increases faster in the urban poor and residents [48] - the occurrence of this bias is unlikely. The main strength of this study is that it used data on dietary consumption that were comparable between periods and obtained in two representative national surveys.\u003c/p\u003e"},{"header":"Conclusions","content":"\u003cp\u003eIn summary, there are three food consumption patterns in Colombia, and we demonstrate the transition that occurs in the SP. Both at an individual and ecological level, the region, the wealthiest, the tallest, the best BMI and the most educated displayed the greatest decrease in the SP. It is plausible that both local and global media messages and campaigns, which did not obey state policies, have influenced this decrease in SP consumption in Colombia. Identifying the causes and the context in which this decrease occurred can help develop adequate policies and interventions to sustain this decline.\u003c/p\u003e"},{"header":"List of Abbreviations","content":"\u003cp\u003e\u003cem\u003eSP:\u003c/em\u003e Snack Pattern\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eFFQ:\u003c/em\u003e Food Frequency Questionnaire\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eBMI:\u003c/em\u003e Body Mass Index\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSCF:\u003c/em\u003e Subcutaneous Fat\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eSSB:\u003c/em\u003e Sugar Sweetened Beverages\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eICBF:\u003c/em\u003e Colombian Family Welfare Institute\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eENSIN:\u003c/em\u003e National Surveys of the Nutritional Situation\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eELCSA:\u003c/em\u003e Latin American and Caribbean Scale of Food Security\u003c/p\u003e\n\u003cp\u003e\u003cem\u003eWHO:\u003c/em\u003e World Health Organization\u003c/p\u003e"},{"header":"Declarations","content":"\u003ch3 data-xsweet-outline-level=\"1\"\u003eEthics approval and consent to participate.\u003c/h3\u003e\n\u003cp data-xsweet-outline-level=\"1\"\u003eThe research was conducted in accordance with guidelines laid down by the Declaration of Helsinki. Consent for participation in the surveys was obtained by the Colombian Institute of Family Welfare prior to enrollment (Instituto Colombiano de Bienestar Familiar –ICBF). The ethics committee in health research at the Industrial University of Santander determined that the analyzes of these de-identified data were exempt from review.\u003c/p\u003e\n\n\u003ch3\u003eConsent for publication.\u003c/h3\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\n\u003ch3\u003eAvailability of data and materia.\u003c/h3\u003e\n\u003cp\u003eThe databases that allowed this analysis are available for public access and can be obtained by requesting them from the Ministry of Public Health of Colombia. The data generated and analyzed for the current study are available at reasonable request to the corresponding author.\u003c/p\u003e\n\n\u003ch3\u003eCompeting interests.\u003c/h3\u003e\n\u003cp\u003eThe authors declare that they have no competing interests\u003c/p\u003e\n\n\u003ch3\u003eFunding.\u003c/h3\u003e\n\u003cp\u003eThis research received no specific grant from any funding agency, commercial or not-for-profit sectors.\u003c/p\u003e\n\n\u003ch3\u003eAuthors’ contribution.\u003c/h3\u003e\n\u003cp\u003eOFH designed the study, obtained the databases of the ICBF, prepared the databases and conducted and led statistical analyzes. OFH, EV and DCQ-L interpreted the results, prepared, reviewed and wrote the manuscript finally submitted. All authors reviewed the manuscript and approved the final version.\u003c/p\u003e\n\n\u003ch3\u003eAcknowledgement.\u003c/h3\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\n\u003ch3\u003eAuthors’ information.\u003c/h3\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\n\u003ch3\u003eTransparency Declaration.\u003c/h3\u003e\n\u003cp\u003eThe lead author affirms that this manuscript is an honest, accurate, and transparent account of the study being reported. The reporting of this work is compliant with STROBE guidelines. The lead author affirms that no important aspects of the study have been omitted. In addition, this study is a product of analysis of secondary information anonymized, public and available in different web pages properly reported within the main text and the references section.\u003c/p\u003e"},{"header":"References","content":"\u003cp\u003e1.Hu FB (2002) Dietary pattern analysis: a new direction in nutritional epidemiology. \u003cem\u003eCurr Opin Lipidol\u003c/em\u003e \u003cem\u003e13,\u003c/em\u003e 3–9.\u003c/p\u003e\n\u003cp\u003e2.Willett W (2013). \u003cem\u003eNutritional Epidemiology,\u003c/em\u003e 3\u003csup\u003erd\u003c/sup\u003e ed New York: Oxford University Press.\u003c/p\u003e\n\u003cp\u003e3.Lozada AL, Flores M, Rodríguez S \u003cem\u003eet al.\u003c/em\u003e (2007) [Dietary patterns in Mexican adolescent girls. A comparison of two methods. 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Ltd.\u003c/p\u003e\n\u003cp\u003e47.Harris JL \u0026amp; Bargh JA (2009) Television viewing and unhealthy diet: implications for children and media interventions. \u003cem\u003eHealth Commun\u003c/em\u003e \u003cem\u003e24,\u003c/em\u003e 660–673. doi: \u003ca href=\"http://dx.doi.org/10.1080/10410230903242267\"\u003e10.1080/10410230903242267\u003c/a\u003e.\u003c/p\u003e\n\u003cp\u003e48.Kasper NM, Herrán OF \u0026amp; Villamor E (2014) Obesity prevalence in Colombian adults is increasing fastest in lower socio-economic status groups and urban residents: results from two nationally representative surveys. \u003cem\u003ePublic Health Nutr\u003c/em\u003e \u003cem\u003e17,\u003c/em\u003e 2398–2406. doi: \u003ca href=\"http://dx.doi.org/10.1017/s1368980013003418\"\u003e10.1017/S1368980013003418\u003c/a\u003e.\u003c/p\u003e\n\u003cp\u003e49.Crovetto M \u0026amp; Uauy R (2012) [Changes in processed food expenditure in the population of Metropolitan Santiago in the last twenty years]. \u003cem\u003eRev Med Chil\u003c/em\u003e \u003cem\u003e140,\u003c/em\u003e 305–312. doi: \u003ca href=\"http://dx.doi.org/10.4067/s0034-98872012000300004\"\u003e10.4067/S0034–98872012000300004\u003c/a\u003e.\u003c/p\u003e"},{"header":"Tables","content":"\u003cp style=\"text-indent: -32.0pt; line-height: 150%; text-autospace: none; margin: 0in 0in .0001pt 32.0pt;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 8.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003eTable 1\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 8.0pt; line-height: 150%; font-family: 'Times New Roman',serif;\"\u003e Differences adjusted to the score of adherence to the Snack food consumption pattern (Z\u0026nbsp; score). Colombian children (5 to 17 y) in 2010 and 2015.\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"line-height: normal; margin: 0in -33.0pt .0001pt 0in;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border-collapse: collapse;\" width=\"101%\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" rowspan=\"2\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eVariable \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 26.92%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"4\" width=\"26%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2010\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 27.86%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"4\" width=\"27%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2015\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" rowspan=\"2\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eAdjusted difference\u0026dagger;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2015-2010\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" rowspan=\"2\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eP\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eInteraction\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 5.34%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003en*\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eMean\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eSE\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eP\u003c/span\u003e\u003c/em\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e value\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.3%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003en*\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eMean\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eSE\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eP\u003c/span\u003e\u003c/em\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e value\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eSex\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Male\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Female\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.34%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e5154\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e4996\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.66\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.68\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.375\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.3%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e6753\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e6490\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.29\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.35\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.014\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.40 (-0.46, -0.34)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.34 (-0.40, -0.28)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eAge group (y)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Children (5-10)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Teenagers (11-17)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.34%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3794\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e6356\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.53\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.75\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.3%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e4627\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e8616\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.21\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.41\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.36 (-0.43, -0.30)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.37 (-0.44, -0.31)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eAge (y)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 5-8\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 9-11\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 12-15\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 16-17\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.34%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2481\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1949\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3480\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1880\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.51\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.57\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.78\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.74\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.3%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3274\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2090\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e5064\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2815\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.21\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.25\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.44\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.40\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.05\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.35 (-0.42, -0.28)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.36 (-0.44, -0.28)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.38 (-0.46, -0.31)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.36 (-0.45, -0.28)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eStunting (Height/Age)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Yes (Z\u0026lt;-2)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.34%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e8820\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1324\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.69\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.51\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.01\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.3%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e12010\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1227\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.34\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.08\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.05\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.37 (-0.42, -030)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.42 (-0.54, -0.31)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eNutritional status (BMI) \u0026Dagger; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Overweight (\u0026ge;25)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Obesity (\u0026ge;30)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.34%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e4190\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e736\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e201\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.79\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.74\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.65\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.05\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.08\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.068\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.3%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e11075\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1691\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e477\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.33\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.27\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.37\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.09\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.728\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.40 (-0.47, -0.33)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.43 (-0.54, -031)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.31 (-0.51, -0.10)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eHousehold food insecurity\u0026nbsp;\u0026nbsp;\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; No\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Light\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Moderate \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Severe \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.34%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3004\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3768\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1973\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1393\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.82\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.63\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.56\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.52\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.3%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e4108\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e4686\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2512\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1937\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.37\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.30\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.37\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.31\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.08\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.186\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.46 (-0.53, -038)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.36 (-0.43, -0.30)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.31 (-0.39, -0.22)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.26 (-0.40, -012)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eWealth index quintile\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 1- poorest\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 4 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 5- wealthiest\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.34%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3595\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2462\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1815\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1303\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e975\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.84%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.33\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.58\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.82\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.82\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.93\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.94%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; 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text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.27\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.37\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.8%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.11\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.05\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.11\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.00\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.92%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.287\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 15.26%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"15%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.35 (-0.52, -0.19)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.45 (-0.54, -0.36)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.42 (-0.50, -0.33)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.18 (-0.34, -0.02)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.58 (-0.66, -0.49)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.42 (-0.51, -0.33)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 9.8%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"9%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 100.0%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"11\" width=\"100%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e* In 2010 \u003cem\u003en\u003c/em\u003e may be less than 10150 for missing values. In 2015 \u003cem\u003en\u003c/em\u003e may be less than 13243 for missing values. \u0026dagger; Adjusted difference and 95% confidence interval achieved in a linear regression model with the score of adherence (Z score) to the snack pattern as a dependent variable and predictors that include indicator variables for each sociodemographic correlates, year 2015 (2010 as reference) and cross-product (interaction) terms between year and indicator variables of the correlate. In addition, the linear regression model was adjusted by the following covariables; sex, age, food security, wealth index, ethnicity, area and region. The complex sampling survey design was taken into account in all multivariate regression models. \u0026Dagger; Based on equivalent cut-off points using the IOFT classification. \u0026sect;The rural category included suburban population centers close to small cities, towns in rural areas distant from small towns, and disperses or very distant from rural towns.\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style=\"line-height: normal; margin: 0in -40.05pt .0001pt 0in;\"\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-size: 8.0pt; line-height: 115%;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 8.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003eTable 2\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 8.0pt; line-height: 115%; font-family: 'Times New Roman',serif;\"\u003e Differences adjusted to the score of adherence to the Snack food consumption pattern (Z\u0026nbsp; score). Colombian adults (18-64y) in 2010 and 2015.\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width: 100.0%; border-collapse: collapse;\" width=\"100%\"\u003e\n\u003ctbody\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" rowspan=\"2\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eVariable \u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 25.06%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"4\" width=\"25%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2010\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 24.78%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"4\" width=\"24%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2015\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 16.16%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" rowspan=\"2\" width=\"16%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eAdjusted difference\u0026dagger;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2015-2010\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" rowspan=\"2\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eP\u003c/span\u003e\u003c/em\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eInteraction\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 5.5%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003en*\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.16%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eMean\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eSE\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.36%; border-top: solid windowtext 1.0pt; border-left: none; border-bottom: solid windowtext 1.0pt; border-right: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eP\u003c/span\u003e\u003c/em\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e value\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.86%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003en*\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.06%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eMean\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eSE\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 7.82%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"7%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cem\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eP\u003c/span\u003e\u003c/em\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e value\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eSex\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Male\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Female\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.5%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2303\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2842\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.16%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.12\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.06\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.36%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.86%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e4236\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e5207\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.06%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.16\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.28\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 7.82%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"7%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 16.16%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"16%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.32 (-0.38, -0.26)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.24 (-0.28, -0.19)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eAge (years)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 18-24\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 25-34\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 35-44\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 45-54\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 55-64\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.5%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1124\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1283\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1150\u0026nbsp; \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 962 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp; 626\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.62\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;0.17\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.15\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.34\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.44\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.05 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.36%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.86%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1806\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2262\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1964\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1990\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1421\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.06%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.14 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.12 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.31 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.42 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.56\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 7.82%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"7%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 16.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"16%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.52 (-0.63, -0.41)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.31 (-0.38, -0.23)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.18 (-0.25, -011)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.11 (-0.16, -0.05)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.13 (-0.18, -0.07)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eTalla (cm)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; \u0026lt;150\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; 150-159.9\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; 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text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.23\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 7.82%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"7%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 16.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"16%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif; background: lime;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.33 (-0.39, -0.27)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.24 (-0.29, -0.19)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.21 (-0.28, -0.13)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eMarital status\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Married/Living together\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Unmarried/single\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.5%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3140\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2040\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.12\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.21\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.36%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.86%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e5663\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3780\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.06%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.30\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.12\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 7.82%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"7%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 16.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"16%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.22 (-0.26, -0.18)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.35 (-0.41, -0.29)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eFood security\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Food secure\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Mild food insecurity\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Moderate food insecurity\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; Severe food insecurity\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.5%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1947\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1937\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e754\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e505\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.08\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.01\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.07\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.05\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.07\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.36%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.003\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.86%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3559\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e3389\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1544\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e949\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.06%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.23\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.25\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.18\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.17\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 7.82%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"7%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.124\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 16.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"16%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.31 (-0.37, -026)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.28 (-0.34, -0.23)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.17 (-0.25, -0.09)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.17 (-0.32, -0.02)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eWealth index quintile\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 1- poorest\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 2\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 3\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 4 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp; 5- wealthiest\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.5%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1399\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1196\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1053\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e819\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e678\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.23\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;0.08\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;0.06\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;0.16\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.04\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 8.36%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"8%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.86%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1575\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1774\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1793\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e1969\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e2332\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 6.06%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"6%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.44 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.33 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.16 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.17 \u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.20\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.04%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.03\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e0.02\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 7.82%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"7%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 16.16%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"16%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.19 (-0.26, -0.13)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.26 (-0.35, -0.18)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.24 (-0.31, -0.16)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.25 (-0.32, -0.17)\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.36 (-0.44, -0.28)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 20.48%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"20%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003eEthnicity\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Mestizo\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;Black/Afro\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;Indigenous\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.5%; 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line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;Secondary\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;Post-secondary\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 5.5%; padding: 0in 5.4pt 0in 5.4pt;\" width=\"5%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e360\u003c/span\u003e\u003c/p\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; 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text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e-0.32 (-0.42, -0.22)\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003ctd style=\"width: 13.52%; border: none; border-bottom: solid windowtext 1.0pt; padding: 0in 5.4pt 0in 5.4pt;\" width=\"13%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; text-align: center; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e\u0026lt;0.0001\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003ctr\u003e\n\u003ctd style=\"width: 100.0%; border: none; padding: 0in 5.4pt 0in 5.4pt;\" colspan=\"11\" width=\"100%\"\u003e\n\u003cp style=\"margin-bottom: .0001pt; line-height: normal;\"\u003e\u003cspan style=\"font-size: 8.0pt; font-family: 'Times New Roman',serif;\"\u003e* In 2010 \u003cem\u003en\u003c/em\u003e may be less than 5145 for missing values. In 2015 \u003cem\u003en\u003c/em\u003e may be less than 9443 for missing values. \u0026dagger; Adjusted difference and 95% confidence interval achieved in a linear regression model with the score of adherence (Z score) to the snack pattern as a dependent variable and predictors that include indicator variables for each sociodemographic correlates, year 2015 (2010 as reference) and cross-product (interaction) terms between year and indicator variables of the correlate. In addition, the linear regression model was adjusted by the following covariables; sex, age, marital status, food security, wealth index, ethnicity, education of the head, area and region. The complex sampling survey design was taken into account in all multivariate regression models. \u0026Dagger; The rural category included suburban population centers close to small cities, towns in rural areas distant from small towns, and disperses or very distant from rural towns.\u003c/span\u003e\u003c/p\u003e\n\u003c/td\u003e\n\u003c/tr\u003e\n\u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp\u003e\u003cspan style=\"font-size: 8.0pt; line-height: 115%;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"bmc-public-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"pubh","sideBox":"Learn more about [BMC Public Health](http://bmcpublichealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/pubh/default.aspx","title":"BMC Public Health","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Food Pattern, Snack Pattern, Intake of Snack, Children, Adults, Colombia","lastPublishedDoi":"10.21203/rs.2.14032/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.2.14032/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eBackground: A common recommendation is to reduce the consumption of snack food and replace this consumption with nutrient-dense foods. The objective was to establish whether there were changes in adherence to the consumption of the snack pattern (SP) in Colombian children and adults in the 2010-2015 quinquennium. In addition, this study aimed to establish the relationship between the SP and some biological, socioeconomic, and geographic variables in Colombia, Sur América. \u003c/p\u003e\u003cp\u003eMethods: Based on a Food Frequency Questionnaire (FFQ) applied both in 2010 and 2015 in the national nutritional situation surveys, the adherence to the snack consumption pattern was established through factor analysis. The change in the adherence of consumption to the SP was established for the five-year period [2015 minus 2010], using multiple linear regression models. Crude and adjusted differences were estimated by the following covariables: sex, age, marital status, food security, wealth index, ethnicity, education of the head of the household, area and region. In total, 37,981 subjects were analyzed. In 2010, 10,150 children (5 to 17 years old) and 5,145 adults (18 to 64 years old) were included, and in 2015, 13,243 children and 9,443 adults. \u003c/p\u003e\u003cp\u003eResults: In children, the adjusted difference in the adherence to SP was -0.37 (95% CI: -0.42, -0.32), p \u0026lt; 0.0001. In adults, the adjusted difference in the adherence to SP was -0.27 (95% CI: -0.31, -0.24), p \u0026lt; 0.0001. In all categories of covariables, consumption decreased, for all p \u0026lt; 0.0001. In children the decrease in consumption was inversely associated with body mass index (BMI) and height and was directly associated with the level of food security in the home and the wealth index. In adults the decrease in consumption was inversely related to age and BMI and directly related to the size, the level of food security of the household, wealth index, and education level. \u003c/p\u003e\u003cp\u003eConclusions: In the quinquennium there is a decrease in the adherence to the SP, the region, the wealthiest, the tallest, the best BMI and the most educated displayed the greatest decrease in the SP. Keywords Food Pattern; Snack Pattern; Intake of Snack; Children; Adults; Colombia.\u003c/p\u003e","manuscriptTitle":"Snack consumption is decreasing in Colombia among the youngest, the most educated, and the wealthiest: results of two representative national surveys.","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2019-09-07 19:24:50","doi":"10.21203/rs.2.14032/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Major revision","date":"2019-10-31T12:00:00+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2019-10-25T12:00:00+00:00","index":2,"fulltext":"Form responses:\n---\n* Are the methods appropriate and well described?: **Yes**\n* Does the work include the necessary controls?: **Yes**\n* Are the conclusions drawn adequately supported by the data shown?: **Yes**\n* Are you able to assess any statistics in the manuscript or would you recommend an additional statistical review?: **I am able to assess the statistics**\n* Quality of written English: **Needs some language corrections before being published**\n* Declaration of competing interests: **I declare that I have no competing interests**\n* Does the work include the necessary controls?\nIf not, please specify which controls are required in your comments to the authors.\tYes: **Are the conclusions drawn adequately supported by the data shown?\nIf not, please explain in your comments to the authors.\tYes**\n"},{"type":"editorInvitedReview","content":"","date":"2019-10-14T12:00:00+00:00","index":1,"fulltext":"Form responses:\n---\n* Are the methods appropriate and well described?: **No**\n* Does the work include the necessary controls?: **Yes**\n* Are the conclusions drawn adequately supported by the data shown?: **Yes**\n* Are you able to assess any statistics in the manuscript or would you recommend an additional statistical review?: **I am able to assess the statistics**\n* Quality of written English: **Acceptable**\n* Declaration of competing interests: **I declare that I have no competing interests**\n* Does the work include the necessary controls?\nIf not, please specify which controls are required in your comments to the authors.\tYes: **Are the conclusions drawn adequately supported by the data shown?\nIf not, please explain in your comments to the authors.\tYes**\n"},{"type":"reviewerAgreed","content":"","date":"2019-10-13T12:00:00+00:00","index":4,"fulltext":""},{"type":"reviewerAgreed","content":"","date":"2019-10-12T12:00:00+00:00","index":3,"fulltext":""},{"type":"reviewerAgreed","content":"","date":"2019-09-24T12:00:00+00:00","index":2,"fulltext":""},{"type":"reviewerAgreed","content":"","date":"2019-09-22T12:00:00+00:00","index":1,"fulltext":""},{"type":"editorAssigned","content":"","date":"2019-09-04T12:00:00+00:00","index":"","fulltext":""},{"type":"reviewersInvited","content":"","date":"2019-09-04T12:00:00+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2019-09-03T12:00:00+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2019-08-09T12:00:00+00:00","index":"","fulltext":""},{"type":"submitted","content":"","date":"2019-07-04T12:00:00+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"bmc-public-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"pubh","sideBox":"Learn more about [BMC Public Health](http://bmcpublichealth.biomedcentral.com/)","snPcode":"","submissionUrl":"https://www.editorialmanager.com/pubh/default.aspx","title":"BMC Public Health","twitterHandle":"@BMC_series","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"em","reportingPortfolio":"BMC Series","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"50d84401-7dcf-477d-9751-067f94908595","owner":[],"postedDate":"September 7th, 2019","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":24988,"name":"Epidemiology"},{"id":24989,"name":"Nutrition \u0026 Dietetics"}],"tags":[],"updatedAt":"","versionOfRecord":{"articleIdentity":"rs-4731","link":"https://doi.org/10.1186/s12889-019-8057-6","journal":{"identity":"bmc-public-health","isVorOnly":false,"title":"BMC Public Health"},"publishedOn":"2019-12-19 12:00:00","publishedOnDateReadable":"December 19th, 2019"},"versionCreatedAt":"2019-09-07 19:24:50","video":"","vorDoi":"10.1186/s12889-019-8057-6","vorDoiUrl":"https://doi.org/10.1186/s12889-019-8057-6","workflowStages":[]},"version":"v1","identity":"rs-4731","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"identity":"rs-4731","version":["v1"]},"buildId":"cBFmMYwuxLRRLfASyISRj","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}