Association of eating frequency with anthropometric indices and blood pressure in children and adolescents: the CASPIAN-IV Study

Kelishadi, Roya; Qorbani, Mostafa; Motlagh, Mohammad Esmaeil; Heshmat, Ramin; Ardalan, Gelayol; Bahreynian, Maryam

doi:10.1016/j.jped.2015.05.009

Cited by 24 publications

(24 citation statements)

References 27 publications

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“…There is another argument that C&S introduces yet another eating occasion for primary school children and number of eating occasions has been positively associated with obesity in some studies among adults 14 and children, 15 although findings to date are mixed and the relationship equivocal. [16][17][18][19] Nonetheless, qualitative data from this study showed that there was a positive impact in terms of children bringing fewer packaged and processed fruit products to school, at least for the C&S breaks. This observation together with the numerous other benefits observed in this study and in other evaluations, 5,13,20,21 such as sustained focus in class and increased child awareness of and preferences for fruit and vegetables, indicates that the benefits of the C&S program most likely outweigh any potential negatives, providing that equitable reach can be achieved.…”

Section: Box 1 Example Quotes From the Post-intervention Key School mentioning

confidence: 66%

Achieving equity in Crunch&Sip^®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Hector

Edwards

Gale

et al. 2017

Health Prom J of Aust

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Issue addressed Anecdotal evidence from teachers in Western Sydney Local Health District (WSLHD) indicated that many primary school children are regularly unable to participate in the Crunch&Sip (C&S) program (breaks during class time to eat fruit and/or vegetables and drink water) as they do not bring produce from home. Actual reach of the program may therefore be currently overestimated, and inequitable. This study examined the feasibility, acceptability and efficacy of providing school children supplementary, fresh free produce in supporting equitable participation in C&S. Methods Free fruit and vegetables were provided for 10 weeks to four schools in a socioeconomically-disadvantaged area in Western Sydney. WSLHD sourced the produce at a discounted rate and storage and distribution was arranged in partnership with industry. Schools determined methods of allocation to children who did not have fruit or vegetables for the C&S break. Pre- and late-intervention (Week 9) classroom surveys provided quantitative data of intervention efficacy. Qualitative methods were used with key school persons to explore barriers and enablers to implementation. Results Participation of children in C&S increased significantly from 46.7% pre-intervention to 92.0% in Week 9. The proportion of children bringing fruit or vegetables from home also increased significantly, from 46.7% to 54.0%. Schools perceived the supplementary strategy to be highly feasible and acceptable. Conclusion Expansion of this equity strategy warrants consideration, although issues of sustainability would need to be addressed. The criteria for 'full implementation' should include high proportional participation by students in participating classes. So what? Establishing a system by which schools in disadvantaged areas can supplement their C&S program would effectively increase access to fruit and vegetables among those children most at need.

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Section: Box 1 Example Quotes From the Post-intervention Key School mentioning

confidence: 66%

Achieving equity in Crunch&Sip^®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Hector

Edwards

Gale

et al. 2017

Health Prom J of Aust

View full text Add to dashboard Cite

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“…Similarly, Gómez--Martinez et al [19] observed that adolescents in Spain who ate breakfast regularly had lower means of waist circumference and skinfold measurements. The results of international studies have indicated an inverse association between the number of daily meals and the risk of excess abdominal adiposity [9,20].…”

Section: The Association Between Meal Consumption Habits and Body Commentioning

confidence: 99%

“…However, an aspect that has not yet been explored in the literature is the possible relationship between the presence of parents at meals and the nutritional status of adolescents. The influence of socioeconomic factors on the association between eating habits and adiposity indicators is also being newly considered in studies in Brazil [9,13,17] and in other countries [15,[18][19][20].…”

Section: Introductionmentioning

confidence: 99%

Meal habits and anthropometric indicators in adolescents from public and private schools of the metropolitan region of Rio de Janeiro

et al. 2018

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Objective To describe meal consumption habits and assess their associations with anthropometric indicators. Methods A cross-sectional study was performed on 1,749 elementary and high school students from public and private schools in the city of Rio de Janeiro, Brazil (mean age=15.3 years), who were selected for the baseline of the Longitudinal Study for Nutritional Assessment of Adolescents. Meal habits and meals consumed in the company of parents were assessed using a self-administered questionnaire. The consumption of the main meals was categorized as regular (daily) or irregular (≤6 times a week). The meal consumption profile was considered either satisfactory (breakfast, lunch, and dinner consumed on a daily basis) or unsatisfactory. Body Mass Index, waist-to-height ratio, and body fat percentage were calculated. The association between meal consumption habits and anthropometric indicators was estimated using multivariate logistic regression models, adjusted for age and sex and stratified according to the type of school. Results Regular lunch consumption was more frequent among private schools students, who also had higher frequency of eating dinner irregularly. Among students from private schools, the unsatisfactory meal consumption profile and irregular meal habits were associated with being overweight, having a high waist-to-height ratio, and increased body fat percentage. Among students from public schools, it was observed association between being overweight with irregular breakfast habits. Conclusion In adolescents, the association between meal habits and weight status may be modulated by socioeconomic condition.

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“…A existência de uma transição alimentar da infância para a adolescência, caracterizada por mudanças relevantes que podem impactar na saúde dos indivíduos, como a diminuição da frequência de refeições, incremento no tamanho das porções, aumento do consumo de alimentos com alta densidade energética e pobre em nutrientes, ingestão de alimentos fora de casa, refeições realizadas na ausência da família, entre outras, têm se destacado por representarem comportamentos de risco para o excesso de peso e outras complicações (ALBAR et al, 2014;GARCIA-CONTINENTE et al, 2015;HAGHIGHATDOOST et al, 2017). (RITCHIE, 2012;JAASKELAINEN et al, 2013, HOUSE et al, 2015KELISHADI et al, 2016). -NETO et al, 2016).…”

Section: Discussionunclassified

“…Estudos brasileiros populacionais demonstram significativa variação na prevalência de dislipidemia entre crianças e adolescentes, que pode ser observada de 10 até 47%, dependendo da região e critério utilizado (GIULIANO et al, 2005;DE FRANCA;ALVES, 2006;FARIA-NETO et al, 2016). (FRANKO et al, 2008;MOTA et al, 2008;KOLETZKO;TOSCHKE, 2010;JÄÄSKELÄINEN et al, 2013;HOUSE et al, 2015;KELISHADI et al, 2016;SILVA et al, 2017 Os adolescentes que realizavam um maior número de refeições diárias, ou seja, seis refeições ou mais, apresentaram associação inversa para obesidade abdominal, de acordo com a razão cintura/estatura, comparado àqueles que realizavam três ou menos (OR 0,33 -IC 95% 0,13; 0,81). Além disso, encontrou-se um p de tendência significativo (p=0,04), indicando menor chance de obesidade abdominal conforme o aumento da frequência de refeições.…”

Section: Dislipidemiaunclassified

Frequência de refeições e associação com estado nutricional e marcadores cardiometabólicos em adolescentes de escolas públicas de João Pessoa, Paraíba

Moraschi¹

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Introduction: The increasing prevalence of obesity among younger and younger populations has been observed in several parts of the world and is a condition associated with the presence of central risk factors for the development of cardiovascular diseases. Epidemiological studies in adolescents have shown an inverse relationship between meal frequency and body weight and abdominal adiposity. Recently, this effect has also been observed in relation to serum lipid concentrations, but the data are still inconsistent. Objective: to analyze the association of meal frequency with nutritional status and cardiometabolic markers of adolescents from public schools in the city of João Pessoa, Paraíba. Methodology: This is a cross-sectional study, based on data from the LONCAAFS study, with a representative sample of adolescents of both sexes, sixth-year students from public schools in the city of João Pessoa, PB, totaling 1,438 individuals. Food consumption was assessed through the 24-hour Reminder. Anthropometric measurements (weight, height, waist circumference) were performed to classify the nutritional status through BMI, waist / height ratio and conicity index. To evaluate the lipid profile, blood was collected in a subsample (n = 808) and serum levels of total cholesterol, high density lipoprotein, low density lipoprotein and plasma triglycerides were measured. Adolescents were stratified into two groups, according to the median energy consumption (2040.5kcal). To evaluate the association of meal frequency with nutritional status and lipid profile, logistic regression models were used. The level of significance was set at p <0.05. Results: The percentage of overweight in the study population was 32%. Among adolescents who performed blood collection, approximately 77% had dyslipidemia. In the stratified analysis, the highest number of meals was inversely associated with abdominal obesity in the group with energy consumption below the median. In individuals with energy consumption above the median, there was a tendency to the higher the number of meals, the lower the chance of low HDL-c (p = 0.03). There was no significant association between number of meals and the other variables of cardiometabolic risk. Conclusion: Meal frequency was significantly associated with abdominal obesity in subjects with energy consumption below the median ingestion of the population and with HDL-c in subjects with energy consumption above the median.

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Association of eating frequency with anthropometric indices and blood pressure in children and adolescents: the CASPIAN-IV Study

Cited by 24 publications

References 27 publications

Achieving equity in Crunch&Sip^®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Achieving equity in Crunch&Sip^®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Meal habits and anthropometric indicators in adolescents from public and private schools of the metropolitan region of Rio de Janeiro

Frequência de refeições e associação com estado nutricional e marcadores cardiometabólicos em adolescentes de escolas públicas de João Pessoa, Paraíba

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Association of eating frequency with anthropometric indices and blood pressure in children and adolescents: the CASPIAN-IV Study

Cited by 24 publications

References 27 publications

Achieving equity in Crunch&Sip®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Achieving equity in Crunch&Sip®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Meal habits and anthropometric indicators in adolescents from public and private schools of the metropolitan region of Rio de Janeiro

Frequência de refeições e associação com estado nutricional e marcadores cardiometabólicos em adolescentes de escolas públicas de João Pessoa, Paraíba

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Achieving equity in Crunch&Sip^®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms

Achieving equity in Crunch&Sip^®: a pilot intervention of supplementary free fruit and vegetables in NSW classrooms