How important is school environment in explaining individual variance of health behaviors?

Boing, Antônio Fernando; Subramanian, S. V.; Boing, Alexandra Crispim

doi:10.11606/s1518-8787.2019053001568

Cited by 4 publications

(5 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Um estudo, também realizado com dados da PeNSE de 2015, ao estimar quanto da variação individual na prevalência de comportamentos de saúde é atribuível ao nível escolar, mostrou a importância do contexto escolar na saúde do adolescente e destacou que as intervenções no ambiente escolar podem ser eficazes para promover comportamentos saudáveis 36 . Logo, parece plausível afirmar que regulamentar e restringir o que é vendido nas escolas pode melhorar a alimentação dos adolescentes.…”

Section: Modelos Brutosunclassified

Disponibilidade e consumo de ultraprocessados em escolas do Município de São Paulo, Brasil: resultados do SP-Proso

et al. 2021

View full text Add to dashboard Cite

Alimentos ultraprocessados são marcadores de padrões alimentares não saudáveis e seu consumo é elevado entre os adolescentes. Características do ambiente alimentar escolar se associam a práticas alimentares de estudantes. O objetivo do estudo foi investigar a associação entre a presença de cantinas e a disponibilidade de alimentos ultraprocessados nas cantinas com o consumo destes alimentos, dentro da escola, entre adolescentes do 9º ano do Ensino Fundamental das redes pública e particular do Município de São Paulo, Brasil. Foi realizado um estudo transversal com dados do SP-Proso, em amostra de 2.680 adolescentes. Foram feitos modelos de regressão linear multinível para avaliar as associações entre as exposições presença de cantinas nas escolas e disponibilidade de alimentos ultraprocessados com desfechos de frequência de consumo de ultraprocessados na escola. A presença de cantinas esteve associada à maior frequência de consumo de embutidos (0,46; IC95%: 0,24; 0,68), salgadinhos de pacote (0,50; IC95%: 0,19; 0,80), guloseimas (0,82; IC95%: 0,55; 1,09) e bebidas açucaradas (0,34; IC95%: 0,06; 0,62), bem como um escore de frequência de consumo de ultraprocessados (2,37; IC95%: 1,25; 3,48). A disponibilidade de salgadinhos de pacote, guloseimas e bebidas açucaradas nas cantinas aumentou a frequência de consumo desses alimentos. Foi observado um efeito dose/resposta entre a diversidade de ultraprocessados nas cantinas e a frequência de consumo destes alimentos. Um ambiente alimentar escolar com maior disponibilidade de ultraprocessados está associado ao maior consumo dos mesmos na escola, o que aponta para a necessidade de regulamentar o comércio de alimentos dentro destas instituições.

show abstract

Section: Modelos Brutosunclassified

Disponibilidade e consumo de ultraprocessados em escolas do Município de São Paulo, Brasil: resultados do SP-Proso

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In addition, the adjustments were made for relevant confounders that are not usually controlled in studies on diet and mental health in adolescence, such as whether they study in a public or private school, in urban or rural areas, physical activity, whether they live and have meals with their parents, the number of close friends, self-perceived body image, and whether they had been bullied at school. Considering the importance of these school and family contextual aspects for eating behavior [30,[47][48][49][50][51] and mental health [3,52], our study takes the knowledge a step further by demonstrating that the relationship between UPF consumption and poor mental health is maintained regardless of these factors.…”

Section: Discussionmentioning

confidence: 87%

Increased Consumption of Ultra-Processed Food Is Associated with Poor Mental Health in a Nationally Representative Sample of Adolescent Students in Brazil

et al. 2022

View full text Add to dashboard Cite

The objective of this study was to analyze the association between ultra-processed food (UPF) consumption and mental health symptoms in a nationally representative sample of the Brazilian adolescent student population. Cross-sectional analyses with data from the National School-Based Health Survey (PeNSE 2019) were performed. Self-reported information was obtained for the frequency of five mental health symptoms in the last month and the consumption of thirteen UPFs in the last 24 h. Generalized linear models adjusting for the main confounders were performed for each sex. Of the 94,767 adolescent students (52.4% girls) included, 8.1% of the boys and 27.2% of the girls reported “almost always” or “always” having at least four of the five mental health symptoms. In the fully adjusted models, compared to the boys who consumed ≤3 UPF, those consuming ≥6 UPF reported more frequent symptoms of poor mental health (ß-coefficient = 0.27 [0.03, 0.51]; p-for-trend = 0.005). A similar association was observed in girls (ß-coefficient = 0.31 [0.13, 0.50]; p-for-trend = 0.001). In conclusion, in this large sample of adolescent students from an entire country, the higher the consumption of UPF was, the higher the frequency of reported symptoms of poor mental health. These findings remained significant regardless of sociodemographic and lifestyle factors, self-perceived body image, and bullying victimization.

show abstract

“…In a study by Chac ón-Cuberos et al (52) , adolescents who followed healthy eating habits showed academic benefits, such as better organisational habits, critical thinking, effort and study habits. Boing et al (61) highlight that school environment interventions may be effective for promoting healthy behaviours and reinforce the importance of the school context on adolescent health. School can facilitate the engagement in healthy behaviour by offering and stimulating opportunities to be healthy (e.g.…”

Section: Discussionmentioning

confidence: 99%

“…offer healthy options in the cafeteria, etc) and by promoting barriers to unsafe/unhealthy behaviour (e.g. not selling energy-dense foods in the cafeteria) (61,62) . Aarestrup AK et al (63) found that schools that promote barriers to unsafe/unhealthy behaviours, while having teachers and students who value that policy, show higher rates of programme implementation and acceptance for change.…”

Section: Discussionmentioning

confidence: 99%

Health behaviours as predictors of the Mediterranean diet adherence: a decision tree approach

Bôto

Marreiros

Diogo

et al. 2021

Public Health Nutr.

View full text Add to dashboard Cite

Objective: This study aimed to identify health behaviours that determine adolescent’s adherence to the Mediterranean Diet through a decision tree statistical approach Design: Cross-sectional study, with data collected through a self-fulfilment questionnaire with five sections: 1) eating habits; 2) adherence to the Mediterranean Diet (KIDMED Index); 3) physical activity; 4) health habits; 5) sociodemographic characteristics. Anthropometric and blood pressure data were collected by a trained research team. The Automatic Chi-square Interaction Detection (CHAID) method was used to identify health behaviours that contribute to a better adherence to the Mediterranean Diet. Setting: Eight public secondary schools, in Algarve, Portugal. Participants: Adolescents with ages between 15 and 19 years old (n 325). Results: According to the KIDMED Index, we found a low adherence to MD in 9.0% of the participants, an intermediate adherence in 45.5% and a high adherence in 45.5%. Participants that regularly have breakfast, eat vegetable soup, have a second piece of fruit per day, eat fresh or cooked vegetables one or more times a day, eat oleaginous fruits at least 2 to 3 times a week, and practice sports and leisure physical activities outside school show higher adherence to the MD (P <0.001). Conclusions: The daily intake of two pieces of fruit and vegetables proved to be a determinant health behaviour for high adherence to MD. Strategies to promote the intake of these foods among adolescents must be developed and implemented.

show abstract

How important is school environment in explaining individual variance of health behaviors?

Cited by 4 publications

References 6 publications

Disponibilidade e consumo de ultraprocessados em escolas do Município de São Paulo, Brasil: resultados do SP-Proso

Disponibilidade e consumo de ultraprocessados em escolas do Município de São Paulo, Brasil: resultados do SP-Proso

Increased Consumption of Ultra-Processed Food Is Associated with Poor Mental Health in a Nationally Representative Sample of Adolescent Students in Brazil

Health behaviours as predictors of the Mediterranean diet adherence: a decision tree approach

Contact Info

Product

Resources

About