Barely Significant

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Using this definition of DS, there was a trend towards a greater adherence to the MeDi being associated with reduced odds of DS, but the association was borderline significant (OR = 0.72, 05% CI [0.46; 1.11] and OR = 0.57, 95% CI [0.36; 0.90], respectively, for moderate and high adherents compared with low adherents; p -value for trend = 0.053) ( Table 4 ). 3.6.2.
Of note, while not significant in the adjusted model, the indirect association between distance traveled to utilized supermarket/large grocery store and fruit and vegetable consumption was approaching significance, and future research should explore this relationship further.
During the past three decades, from 1990 to 2019, there was an overall decreasing trend in the prevalence of vitamin A deficiency and iodine deficiency but an increasing trend in the prevalence of protein-energy malnutrition worldwide although great differences existed across different regions and populations [ 7 , 8 , 9 ].