At-home and away-from-home dietary patterns and BMI z-scores in Brazilian adolescents

Cunha, Diana Barbosa; Bezerra, Ilana Nogueira; Pereira, Rosângela Alves; Sichieri, Rosely

doi:10.1016/j.appet.2017.09.028

Cited by 38 publications

(50 citation statements)

References 52 publications

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“…The study identified rice and beans among the most frequently consumed foods 4 . The dietary patterns identified in our study are also similar to those reported by Cunha et al 21 , who also used factor analysis to identify dietary patterns in Brazilian adolescents and found a pattern characterized by traditional Brazilian foods, another marked by the consumption of bread-and-coffee, and a third pattern characterized by unhealthy foods.…”

Section: Discussionsupporting

confidence: 89%

“…In the last five years, it has been witnessed a trend in the use of methodologies for assessing food consumption in Brazilian children and adolescents based on the identification of dietary patterns 11,12,13,14,15,16,17,18,19,20,1,21,22 . However, such studies involve localized samples, denoting a gap in studies with nationally representative probabilistic samples of Brazilian adolescents according to geographic region.…”

Section: Introductionmentioning

confidence: 99%

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Padrões alimentares de adolescentes brasileiros por regiões geográficas: análise do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA)

et al. 2019

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O estudo teve como objetivo identificar os padrões alimentares de adolescentes brasileiros para cada uma das cinco regiões do país, e verificar se há diferença na adesão dos padrões alimentares de acordo com idade, sexo e tipo de escola. Foram analisados dados de 71.298 adolescentes de 12 a 17 anos que participaram do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA), pesquisa transversal, nacional, multicêntrica e de base escolar. Os dados de consumo alimentar foram obtidos por meio de recordatório alimentar de 24hs, e para a identificação dos padrões alimentares foi aplicada análise fatorial. A associação entre as características dos adolescentes e os padrões alimentares foi verificada por meio de análises de regressão linear, estratificadas por idade e ajustadas por estado nutricional, ingestão energética total e atividade física. Nas cinco regiões foram identificados três padrões alimentares com características similares: padrão tradicional, padrão pão e café e padrão não saudável. A Região Norte apresentou um quarto padrão alimentar caracterizado por alimentos típicos da região: padrão tradicional Norte. Em todas as regiões, os adolescentes do sexo masculino registraram maior adesão ao padrão tradicional e menor adesão ao padrão não saudável. entre os estudantes de escolas privadas foi observada maior adesão ao padrão não saudável e menor adesão ao padrão tradicional. Os resultados sugerem que, entre os adolescentes avaliados, ser do sexo masculino foi associado ao maior consumo de alimentos tradicionalmente brasileiros como o arroz e feijão, já o maior nível socioeconômico esteve associado ao consumo de alimentos não saudáveis como bebidas açucaradas e lanches.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Padrões alimentares de adolescentes brasileiros por regiões geográficas: análise do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA)

et al. 2019

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“…Such increases allow us to reflect on the type of choice most likely to be made by low-income teenagers when they have lunch outside the home, since the costs of traditional meals tend to be higher than snacks. A study that evaluated eating patterns outside the home showed that adolescents were the group with the lowest adherence to a "traditional meal" that included beans, and the highest adherence to an "ultra-processed food" pattern [9].…”

Section: Discussionmentioning

confidence: 99%

“…Several factors can interfere with adolescent food consumption: political and commercial factors, income, social and family norms, media influence, longer periods away from home and physical activity, among others [3,[6][7][8]. Regardless of the consecutive analysis indicating a change in diet patterns and an increase in consumption of ultra-processed foods that are replacing home cooked meals, the Brazilian population, adolescents included, regularly consume beans [2,7,[9][10][11][12][13][14][15][16]. Some studies have shown that adolescents opt for snacks and commercial foods instead of regular meals, leading to high consumption of sodium, simple sugars and saturated fats, and low consumption of calcium, folate, iron and fibers.…”

Section: Introductionmentioning

confidence: 99%

Impact of Bean Consumption on Nutritional Outcomes amongst Adolescents

et al. 2020

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Brazilian adolescents have undergone a noteworthy nutritional epidemiological transition. There is an increase in the prevalence of overweight and high consumption of ultra-processed foods in parallel with patterns of traditional meals that include beans. This study analyzed associations between bean consumption in the diet of adolescents and nutrition outcomes. Multiple regression analysis showed a significant reduction in body mass index (BMI), body fat percentage (%BF) and LDL-cholesterol (LDL-c) values among those with bean consumption equal to or greater than five times a week. Adolescents who had lunch outside the home and those who did not have the habit of having lunch showed a significantly higher BMI. There was an increase in the %BF among married adolescents and those who did not have lunch. There was a reduction of LDL-c among those with intermediate per capita income and those who consumed processed juice less than 5 times a week, and an increase among those who did not have breakfast. There were significant interactions between sexual maturation, energy consumption, physical activity and energy consumption. Thus, in the context of this study, the presence of beans in the diet, at frequencies equal to or greater than five times a week, can be considered a proxy for healthy eating.

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“…15 Because dietary intake, as a rule, follows a pattern of consumption and diet itself is a modifiable risk factor, understanding dietary patterns can provide useful information about the associations between diet quality and its influence on health, especially in relation to obesity. 16,17 The analysis of dietary patterns has been identified as a more realistic representation of dietary habits, 18 since it takes into account the complex interactions between nutrients and other components of a diet, thus making interventions to change eating habits possible. 16,17 However, Shi et al 19 suggested that the ideal is to interpret an eating pattern as a predictor of the risk of being overweight in childhood or childhood obesity, beyond associating eating patterns with nutrient intake.…”

Section: Introductionmentioning

confidence: 99%

Dietary Patterns and Childhood Obesity Risk: A Systematic Review

2020

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Background: Childhood overweight and obesity are recognized as predictors of the risk of obesity in adulthood. The aim of this systematic literature review was to determine the association between dietary pattern and obesity risk among children. Methods: Articles were selected from databases (Cochrane Library, Lilacs, Eric, Livivo, and PubMed/Medline), without limitations regarding language or date. Database-specific search terms included the key words ''obesity,'' ''diet,'' ''dietary pattern,'' ''childhood,'' ''children,'' ''adolescents,'' and relevant synonyms. The review included studies that reported the assessment of the dietary pattern in childhood and that correlated eating patterns with the obesity risk through cluster analysis (CA) and/or factor analysis and/or principal component analysis and presented odds ratios (ORs). The methodology of the selected studies was evaluated using the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies. Owing to the heterogeneity among the assessments of the association of dietary patterns and obesity, the results are described narratively. Results: Using a selection process in two phases, 16 articles were included. Fifteen studies used a cross-sectional design, and one case-control study. The included studies showed variation in sample size (range = 232 to 10,187 children/adolescents) and age (range = 1-19 years old). The studies reported between two and five dietary patterns each. The OR for the relationship between the dietary pattern and the risk of childhood obesity ranged from OR = 1.02; confidence interval (95% CI) (0.91-1.15) to OR = 3.55; 95% CI (1.80-7.03). In this study, the dietary patterns identified by the studies were given different names. The food intake patterns identified could, in most factor or CA studies, be categorized as (1) potentially obesogenic foods that increased risk of becoming overweight (including fatty cheeses, sugary drinks, processed foods, fast food, candies, snacks, cakes, animal products, whole milk, and refined grains) or (2) food classified as healthy with the weakest association with the risk of becoming overweight or obese (including low levels of sugar and fat and high levels of fruits, vegetables, whole grains, fish, nuts, legumes, and yogurt). Conclusion: Overall, the results indicated from most studies that a diet with a lower percentage of obesogenic foods should be effective in reducing the risk of developing obesity.

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At-home and away-from-home dietary patterns and BMI z-scores in Brazilian adolescents

Cited by 38 publications

References 52 publications

Padrões alimentares de adolescentes brasileiros por regiões geográficas: análise do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA)

Padrões alimentares de adolescentes brasileiros por regiões geográficas: análise do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA)

Impact of Bean Consumption on Nutritional Outcomes amongst Adolescents

Dietary Patterns and Childhood Obesity Risk: A Systematic Review

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