Health behavior patterns of sugar-sweetened beverage consumption among Brazilian adolescents in a nationally representative school-based study

Rocha, Luana Lara; Pessoa, Milene Cristine; Gratão, Lúcia Helena Almeida; Carmo, Ariene Silva do; Cunha, Cristiane de Freitas; Oliveira, Tatiana Rezende Prado Rangel de; Mendes, Larissa Loures

doi:10.1371/journal.pone.0245203

Cited by 12 publications

(13 citation statements)

References 54 publications

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“…It is important to emphasize that actions alone are not sufficient to deal with the decrease in SSB consumption. The consumption of these beverages is associated with many complex factors, which involve not only the food environment, but also the culture, food preferences, social circle, and other factors (50)(51)(52)(53). Therefore, only the implementation of the PNAE will not be enough to reduce the consumption of sweetened beverages, and other measures are necessary, such as the implementation of regulatory measures, food and nutritional education actions, and support from parents and family (20,23,26,54).…”

Section: Discussionmentioning

confidence: 99%

Characteristics of the School Food Environment Affect the Consumption of Sugar-Sweetened Beverages Among Adolescents

et al. 2021

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Sugar-sweetened beverages are widely available and accessible in school environment, and their presence and characteristics of this environment can influence their consumption. This study examines the association of drinking fountains per 100 students, soft drink sales, soft drink advertising, and the presence of street vendors and sugar-sweetened beverages consumption among adolescents in Brazil. This cross-sectional study was carried out using data from the Study of Cardiovascular Risk in Adolescents that was conducted between March 2013 and December 2014. The sample comprised 71,475 adolescents aged 12–17 years from 1,247 public and private schools in Brazilian cities. Sugar-sweetened beverages consumption was the dependent variable. The main effect was the school food environment, which was evaluated based on drinking fountains per 100 students, soft drink sales, soft drink advertising, and the presence of street vendors. Public and private schools that sold soft drinks were associated with higher average sugar-sweetened beverages consumption among adolescents. Our study highlights the importance of creating healthy school food environments by banning sugar-sweetened beverages in schools accordingly.

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Section: Discussionmentioning

confidence: 99%

Characteristics of the School Food Environment Affect the Consumption of Sugar-Sweetened Beverages Among Adolescents

et al. 2021

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“…Possible confounders were selected a priori due to reported associations with sleep and/or beverage consumption among adolescents (1,17,18) and included sex, age, BMI-for-age Z-scores (19) , maternal education, physical activity, screen time and smoking status (ever/never). Trained research assistants measured height in cm (BAME Model 420; Catalogo Medico) and weight in kg (BAME Model 420; Catalogo Medico).…”

Section: Covariatesmentioning

confidence: 99%

Relationships of beverage consumption and actigraphy-assessed sleep parameters among urban-dwelling youth from Mexico

Jansen

Corcoran

Perng

et al. 2021

Public Health Nutr.

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Objective: To examine whether usual beverage intake was associated with sleep timing, duration and fragmentation among adolescents. Design: Usual beverage intake was assessed with a FFQ. Outcomes included sleep duration, midpoint (median of bed and wake times) and fragmentation, assessed with 7-d actigraphy. Sex-stratified linear regression was conducted with sleep characteristics as separate outcomes and quantiles of energy-adjusted beverage intake as exposures, accounting for age, maternal education, physical activity and smoking. Setting: Mexico City. Participants: 528 adolescents residing in Mexico City enrolled in a longitudinal cohort. Results: The mean age (sd) was 14·4 (2·1) years; 48 % were male. Among males, milk and water consumption were associated with longer weekday sleep duration (25 (95 % CI 1, 48) and 26 (95 % CI 4, 47) more minutes, in the 4th compared to the 1st quartile); and higher 100 % fruit juice consumption was related to earlier weekday sleep timing (−22 (95 % CI −28, 1) minutes in the 1st compared to the last quantile; P = 0·03). Among females, soda was associated with higher sleep fragmentation (1·6 (95 % CI 0·4, 2·8) % in the 4th compared to the 1st), and coffee/tea consumption was related to shorter weekend sleep duration (−23 (95 % CI −44, 2) minutes in the 4th compared to the 1st). Conclusions: Among females, adverse associations with sleep were observed for caffeinated drinks, while males with higher consumption of healthier beverage options (water, milk and 100 % juice) had evidence of longer and earlier-timed sleep. Potential mechanisms involving melatonin and tryptophan should be further investigated.

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“…The advantage of assessing behaviors as lifestyle patterns is to allow a broader approach to the problem and the synergy of different behaviors [ 32 ]. The adjustments applied to the statistical model for sociodemographic variables and nutritional status, consolidate the magnitude of the association between the investigated patterns and the outcome variable (CMD), and point to the urgency of a health promoting policy with a more comprehensive potential.…”

Section: Discussionmentioning

confidence: 99%

“…Second, the 24-hour dietary recall has limitations inherent to the method, related to memory bias and the use of only one 24-hour dietary recall. Despite the large sample, it does not allow analysis of usual consumption in the same way that it has been analyzed in other studies [ 32 , 50 ]. However, the Multiple Pass Method was applied to reduce the underreporting of food consumption.…”

Section: Discussionmentioning

confidence: 99%

“…We applied the varimax orthogonal rotation method and the Kaiser-Meyer-Olkin index (KMO) was used to assess the factorability of the data, adopting values between 0.5 and 1.0 as acceptable for this index [ 30 ]. In the analysis of standardized estimates, we considered factor loads greater than |0.3| and p < 0.05 for the construction of latent variables, as an indication that the correlation between the observed variable and the constructor was moderately high in magnitude [ 31 , 32 ].…”

Section: Methodsmentioning

confidence: 99%

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Lifestyle patterns associated with common mental disorders in Brazilian adolescents: Results of the Study of Cardiovascular Risks in Adolescents (ERICA)

2021

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The association between lifestyle factors and mental health has been evaluated in isolation; however, there has been a lack of information about lifestyle patterns and Common Mental Disorders (CMD) in adolescents. Therefore, the present study aims to assess the association between sets of lifestyle patterns and the occurrence of CMD in Brazilian adolescents evaluated in a national school-based cross-sectional survey. The outcome variable considered was presence of CMD. Lifestyle patterns were identified from the Principal Component Analysis. Consumption of foods, water and alcoholic beverages, sleep, physical activity, and smoking were used to identify patterns as explanatory variables. Sociodemographic characteristics, administrative dependence of the school and, nutritional status, were considered adjustment factors in the regression model. A total of 70,427 adolescents were evaluated. The principal component analysis identified three lifestyle patterns: high consumption of ultra-processed foods and low consumption of unprocessed or minimally processed foods (pattern 1); high consumption of alcoholic beverages and tobacco in the last 30 days (pattern 2); and high consumption of water and high level of physical activity (pattern 3). In the adjusted model, in patterns 1 and 2, the third tertile presented greater chance of CMD (OR 1.68; CI 95% 1.51–1.87 and OR 1.38; CI 95% 1.19–1.60, respectively). In pattern 3, the second (OR 0.88; CI 95% 0.80–0.96) and the third (OR 0.80; CI 95% 0.72–0.88) tertiles presented lower chances of CMD among the adolescents evaluated. Therefore, we suggest that health-promoting practices aimed at adolescents include multiple behaviors, with the objective of ensuring physical, mental, and social well-being.

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Health behavior patterns of sugar-sweetened beverage consumption among Brazilian adolescents in a nationally representative school-based study

Cited by 12 publications

References 54 publications

Characteristics of the School Food Environment Affect the Consumption of Sugar-Sweetened Beverages Among Adolescents

Characteristics of the School Food Environment Affect the Consumption of Sugar-Sweetened Beverages Among Adolescents

Relationships of beverage consumption and actigraphy-assessed sleep parameters among urban-dwelling youth from Mexico

Lifestyle patterns associated with common mental disorders in Brazilian adolescents: Results of the Study of Cardiovascular Risks in Adolescents (ERICA)

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