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Nogueira MB, Mazzucchetti L, Mosquera PS, Cardoso MA, Malta MB. Consumo de alimentos ultraprocessados e fatores associados no primeiro ano de vida em Cruzeiro do Sul, Acre, Brasil. CIENCIA & SAUDE COLETIVA 2022; 27:725-736. [DOI: 10.1590/1413-81232022272.47072020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 01/26/2021] [Indexed: 11/22/2022] Open
Abstract
Resumo O objetivo deste artigo é avaliar o consumo de alimentos ultraprocessados (AUP) e fatores associados no primeiro ano de vida. Trata-se da análise de dados do seguimento de um ano da coorte de nascimentos MINA-Brasil. Foram coletados dados socioeconômicos, demográficos e obstétricos na maternidade e no seguimento de um ano (n = 774), investigando consumo alimentar do dia anterior à entrevista, a fim de avaliar o consumo de AUP. A razão de prevalência (RP) e o intervalo de confianças (IC 95%) para consumo ≥ 3 AUP foram estimados em modelo de regressão múltiplo de Poisson com variância robusta. A prevalência de consumo ≥ 1 AUP foi 87,5%; e ≥ 3 AUP de 40,5%, estando associado a: menor escolaridade materna (≤ 9 anos [RP: 1,97 IC 95% 1,38; 2,80] e entre 10-12 anos [RP: 1,58, IC 95% 1,13; 2,20) comparados com > 12 anos de escolaridade, índice de riqueza abaixo da média (RP: 1,26, IC 95% 1,04; 1,53) e ter mãe adolescente (RP: 1,28, IC 95% 1,06; 1,55). A ausência de diversidade da dieta foi inversamente associada ao desfecho (RP: 0,65, IC 95% 0,51; 0,81). O consumo ≥ 3 AUP se associou às características maternas de menores escolaridade, índice de riqueza e idade materna, e a diversidade da dieta ao maior consumo de AUP.
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Lopes da Rocha K, Silvério RNC, Fortins RF, Santos MSD, Carmo CND, da Costa VM, Luescher JL, de Carvalho Padilha P. Determinants of ultra-processed food consumption in Brazilian children and adolescents with type 1 diabetes mellitus: a cross-sectional study. J Pediatr Endocrinol Metab 2021; 34:1449-1456. [PMID: 34704687 DOI: 10.1515/jpem-2020-0739] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2020] [Accepted: 06/20/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVES To analyze the determinants of UPP consumption among children and adolescents with type 1 diabetes mellitus. METHODS Cross-sectional study at a reference hospital for the treatment of diabetes in Rio de Janeiro, Brazil. The sociodemographic, anthropometric, dietary, and clinical factors associated with the percentage of total energy intake (TEI) consumed in the form of UPP were investigated. Food consumption was assessed by 24 h recall and the foods were classified according to the degree of processing as described in the NOVA classification, after which the TEI of each food group was calculated. Multiple linear regression was adopted in the analysis, and associations with p<0.05 were considered significant. RESULTS The study included 120 children and adolescents with a mean age of 11.74 ± 2.88 years, 53.3% female. Body mass index z-score was 0.65 (± 0.89) and 31.7% (n=38) were overweight. The average total energy consumption was 1,756.38 kcal (± 518.38). The mean percentage of TEI from UPP was 24.2% ± 17.9, meaning that 425.59 kcal (± 380.15) of all calories ingested came from such foods. The independent variables associated with the percentage of ultra-processed foods (UPP) in TEI were: per capita household income up to one the minimum wage (β: -22.03; CI 95% -35.24 to -8.82); and parents/guardians schooling of the up to nine years in formal education (β: 19.86; CI 95% 8.27-31.45). CONCLUSIONS Lower household income and fewer years in formal education seem to determine a preference for UPP over fresh and minimally processed foods.
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Affiliation(s)
- Karine Lopes da Rocha
- Josué de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | | | - Roberta Ferreira Fortins
- Josué de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Mayara Silva Dos Santos
- Josué de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Cleber Nascimento do Carmo
- Department of Epidemiology and Quantitative Methods in Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil
| | - Veronica Medeiros da Costa
- Martagão Gesteira Child Care and Pediatrics Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Jorge Luiz Luescher
- Martagão Gesteira Child Care and Pediatrics Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Patricia de Carvalho Padilha
- Josué de Castro Institute of Nutrition, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.,Martagão Gesteira Child Care and Pediatrics Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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Matos RS, Siqueira JH, Cunha DB, Molina MDCB. Impact of a randomized school-based intervention program on blood pressure levels. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2020. [DOI: 10.1590/1806-93042020000400004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Abstract Objectives: to evaluate the impact of a health program performed in a school setting on the blood pressure levels of schoolchildren in the public school system in Vitória/ES-Brazil. Methods: a randomized community trial was performed with 237 schoolchildren (6 to 12 years) from two public schools, randomly defined as the intervention and control school. Participants of the intervention group attended 11 education sessions over 4 months (July to October 2014). To test for differences between groups, the chi-square (categorical variables), and the paired t test or Wilcoxon (continuous variables) was used. The rate of variation of systolic blood pressure (SBP) and diastolic blood pressure (DBP) throughout the follow-up, according to allocation group, was evaluated using linear generalized models for time-repeated measures. Results: there was a reduction in the means of SBP (0.5 mmHg) and DBP (0.6 mmHg) in the intervention group and an increase in the control group, with a significant difference in the BP variation between groups over the follow-up period (p<0.05). Conclusion: a low-cost and easily implemented intervention may be one of the factors associated with the lowest blood pressure levels in the group studied, and reproduction in a school environment is feasible.
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Brazilian Children's Dietary Intake in Relation to Brazil's New Nutrition Guidelines: a Systematic Review. Curr Nutr Rep 2020; 8:145-166. [PMID: 30927218 DOI: 10.1007/s13668-019-0261-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
PURPOSE OF REVIEW This systematic review reports the latest scientific evidence, from cross-sectional and cohort studies, describing the dietary intake of children and adolescents from Brazil. The goal of the review was to describe intakes according to Brazil's new food classification system (NOVA) which classifies foods according to the degree of processing, i.e., unprocessed/minimally processed, processed culinary ingredients, processed food, and ultra-processed food. Due to a paucity of data using the NOVA classification system, studies with other intake descriptors were included. RECENT FINDINGS Results using the NOVA system showed a somewhat high intake of (ultra-)processed items, than of minimally processed items. Studies using other methods of dietary assessment showed not only high intake of sources rich in fat, sugar, and sodium, most of them processed items (e.g., savory snacks and sweets) but also intake of fruit, vegetables, and whole grains. Overall, the literature was marred by inconsistencies and variation in study definitions and methods making it hard to make firm conclusions regarding the dietary intake of Brazilian children. The development of tools to evaluate the complexities of dietary intake is much needed. Such a tool needs to be accepted and adopted by numerous study groups, to describe dietary status among Brazilian children and devise the most effective, and to evaluate the success of nutrition education programs.
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Silva MA, Milagres LC, Castro APP, Filgueiras MDS, Rocha NP, Hermsdorff HHM, Longo GZ, Novaes JF. The consumption of ultra-processed products is associated with the best socioeconomic level of the children's families. CIENCIA & SAUDE COLETIVA 2019; 24:4053-4060. [PMID: 31664378 DOI: 10.1590/1413-812320182411.25632017] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2017] [Accepted: 04/17/2018] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to evaluate the intake of ultra-processed foods and associated factors in prepubertal children. It is a cross-sectional study with 378 children aged 8 and 9 years enrolled in public and private schools in Viçosa-MG. Food intake was assessed by three 24-hour dietary recalls. Dietary data were entered into the Diet Pro® 5i software to quantify energy intake. The Two-Step Cluster technique was used to analyze food consumption groups, with the Stata 13 software package. The foods were grouped and classified as "healthy" and "unhealthy" eating markers. The association between the sociodemographic variables and the groups formed was examined by Poisson Regression. Two food groups were formed: "healthy" and "unhealthy". The caloric intake of ultra-processed foods was lower in the "healthy" group (20.5%) than in the "unhealthy" group (24.1%; P = 0.043). The multivariate model showed that private school children (PR = 1.25, P <0.001), who did not receive Bolsa Familia (PR = 1.13, P = 0.036) and had working mothers (PR = 1.38, P <0.001) had increased probability of unhealthy food consumption. Ultra-processed food intake was associated with greater purchasing power of families of prepubertal children.
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Affiliation(s)
- Mariane Alves Silva
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Luana Cupertino Milagres
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Ana Paula Pereira Castro
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Mariana De Santis Filgueiras
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Naruna Pereira Rocha
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Helen Hermana Miranda Hermsdorff
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Giana Zarbato Longo
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
| | - Juliana Farias Novaes
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV). Av. Peter Rolfs s/n, Campus Universitário. 36570-900 Viçosa MG Brasil.
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Bevilaqua CA, Pelloso SM, Marcon SS. Stages of change of behavior in women on a multi-professional program for treatment of obesity. Rev Lat Am Enfermagem 2016; 24:e2809. [PMID: 27737377 PMCID: PMC5068905 DOI: 10.1590/1518-8345.0549.2809] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2014] [Accepted: 03/15/2016] [Indexed: 11/23/2022] Open
Abstract
Objective: to ascertain the effectiveness of an intervention program in relation to
anthropometric measurements and stage of readiness for behavioral change in women
with excess weight. Methods: the intervention group (IG) was made up of 13 women, and the control group (CG),
by 20. The intervention lasted 16 weeks, and included the practice of guided
physical activity three times a week, and health education once a week. The
application of the questionnaire on stage of readiness for behavioral change, and
the anthropometric evaluations, were undertaken at two points - before and after
the period of intervention. The statistical analysis involved tests of comparison
and association. Results: in general, at the first point, the participants in the two groups were
predisposed to make changes in what they ate and in their physical activity.
However, significant difference was only observed in relation to weight, body mass
index (BMI), waist circumference and waist-hip ratio and readiness for change
among the members of the intervention group. Conclusion: the intervention programmed was effective in weight loss, reduction of waist
circumference and waist-hip ratio, and in changing behaviors related to the
practicing of physical exercise and eating habits.
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Affiliation(s)
- Cheila Aparecida Bevilaqua
- MSc, Assistant Professor, Campos Videira, Instituto Federal Catarinense, Ciência e Tecnologia, Videira, SC, Brazil
| | - Sandra Marisa Pelloso
- PhD, Full Profesor, Departamento de Enfermagem, Universidade Estadual de Maringá, Maringá, PR, Brazil
| | - Sonia Silva Marcon
- PhD, Full Profesor, Departamento de Enfermagem, Universidade Estadual de Maringá, Maringá, PR, Brazil
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Ruschel LF, Henn RL, Backes V, Melo PD, Marques LADS, Olinto MTA. Insegurança alimentar e consumo alimentar inadequado em escolares da rede municipal de São Leopoldo, RS, Brasil. CIENCIA & SAUDE COLETIVA 2016; 21:2275-86. [DOI: 10.1590/1413-81232015217.00742015] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2014] [Accepted: 08/25/2015] [Indexed: 11/22/2022] Open
Abstract
Resumo Estudo transversal, de base escolar, que avaliou insegurança alimentar (IA) e associação com consumo alimentar inadequado (CAI) em 782 escolares (6,9 ± 0,5 anos) do 1º ano do ensino fundamental das escolas municipais de São Leopoldo, RS. Os dados foram obtidos das mães/responsáveis. Mediu-se IA com a Escala Brasileira de Insegurança Alimentar, e ingestão com questionário de frequência alimentar. Os alimentos foram classificados em marcadores de alimentação saudável (MAS) e não saudável (MANS) e receberam pontuação segundo a frequência de ingestão. MAS: 0 - 1 dia – zero; 2 a 3 dias – 0,25; 4 a 5 dias – 0,75; 6 a 7 dias – 1, sendo o inverso para os MANS. Os escores podiam variar de 0 a 25 (EMAS) e de 0 a 19 (EMANS). Um escore total (ET) padronizado foi obtido [EMAS*(19/44) + EMANS*(25/44)] e a pontuação podia variar de 0 a 22. Os escores foram categorizados em terços e o 1º considerado CAI. A IA foi de 45,1% e as pontuações médias foram 5,9 (EMAS), 15,9 (EMANS) e 11,6 (ET). Não se identificou associação entre IA e CAI. IA elevada e baixos escores alimentares exigem ações intersetoriais para garantir acesso à alimentação em quantidade e qualidade adequadas nesta população.
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Oliveira JS, Barufaldi LA, Abreu GDA, Leal VS, Brunken GS, Vasconcelos SML, dos Santos MM, Bloch KV. ERICA: use of screens and consumption of meals and snacks by Brazilian adolescents. Rev Saude Publica 2016; 50 Suppl 1:7s. [PMID: 26910539 PMCID: PMC4767035 DOI: 10.1590/s01518-8787.2016050006680] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 10/28/2015] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVE To describe the length of exposure to screens and the prevalence of consumption of meals and snacks by Brazilian adolescents in front of screens. METHODS We evaluated 74,589 12 to 17-year old adolescents from 1,247 schools in 124 Brazilian municipalities. A self-administered questionnaire was used. Its segment regarding nutrition contained questions about using TV, computers, and video game systems, having meals while watching TV, and consuming snacks in front of screens. Consumption of meals and snacks in front of screens was analyzed according to the following variables: geographical region, gender, age range, type of school (public or private), and school shift. The prevalences and their respective 95% confidence intervals were estimated under a complex sampling design. RESULTS A great deal of the adolescents (51.8% IC95% 50.7-53.0) [corrected] reported spending two or more hours a day in front of screens. That habit was more frequent among male adolescents, private school students, morning shift students, and students from Brazil's South region. More than half of the adolescents (56.6%, 95%CI 55.4-57.8) reported almost always or always having meals in front of TV, and 39.6% (95%CI 38.8-40.5) of them said they consumed snacks in front of screens exactly as often. Both situations were the most prevalent ones among the girls, who attended public schools and were from Brazil's Midwest region. CONCLUSIONS Length of exposure to screens and consumption of meals and snacks almost always or always in front of screens are high among Brazilian adolescents. It is necessary to develop strategies aiming to reduce the length of screen use, considering the media reality that children and adolescents have been experiencing from earlier and earlier ages. That context must therefore be analyzed in an indissociable way.
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Affiliation(s)
- Juliana Souza Oliveira
- Núcleo de Nutrição. Centro Acadêmico de Vitória. Universidade Federal de Pernambuco. Vitória de Santo Antão, PE, Brasil
| | - Laura Augusta Barufaldi
- Departamento de Vigilância de Doenças e Agravos Não Transmissíveis e Promoção da Saúde. Secretaria de Vigilância em Saúde.Ministério da Saúde. Brasília, DF, Brasil
| | - Gabriela de Azevedo Abreu
- Instituto de Estudos em Saúde Coletiva. Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil
| | - Vanessa Sá Leal
- Núcleo de Nutrição. Centro Acadêmico de Vitória. Universidade Federal de Pernambuco. Vitória de Santo Antão, PE, Brasil
| | - Gisela Soares Brunken
- Instituto de Saúde Coletiva. Universidade Federal de Mato Grosso. Cuiabá, MT, Brasil
| | | | - Marize Melo dos Santos
- Departamento de Nutrição. Núcleo de Estudos em Saúde Pública. Universidade Federal do Piauí. Teresina, PI, Brasil
| | - Katia Vergetti Bloch
- Instituto de Estudos em Saúde Coletiva. Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil
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Ultra-processed food consumption in children from a Basic Health Unit. J Pediatr (Rio J) 2015; 91:535-42. [PMID: 26092227 DOI: 10.1016/j.jped.2015.01.007] [Citation(s) in RCA: 62] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2014] [Revised: 12/31/2014] [Accepted: 01/05/2015] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES To evaluate the contribution of ultra-processed food (UPF) on the dietary consumption of children treated at a Basic Health Unit and the associated factors. METHODOLOGY Cross-sectional study carried out with a convenience sample of 204 children, aged 2-10 years old, in Southern Brazil. Children's food intake was assessed using a 24-h recall questionnaire. Food items were classified as minimally processed, processed for culinary use, and ultra-processed. A semi-structured questionnaire was applied to collect socio-demographic and anthropometric variables. Overweight in children was classified using a Z score >2 for children younger than 5 and Z score >+1 for those aged between 5 and 10 years, using the body mass index for age. RESULTS Overweight frequency was 34% (95% CI: 28-41%). Mean energy consumption was 1672.3 kcal/day, with 47% (95% CI: 45-49%) coming from ultra-processed food. In the multiple linear regression model, maternal education (r=0.23; p=0.001) and child age (r=0.40; p<0.001) were factors associated with a greater percentage of UPF in the diet (r=0.42; p<0.001). Additionally, a statistically significant trend for higher UPF consumption was observed when data were stratified by child age and maternal educational level (p<0.001). CONCLUSIONS The contribution of UPF is significant in children's diets and age appears to be an important factor for the consumption of such products.
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Ultra‐processed food consumption in children from a Basic Health Unit. JORNAL DE PEDIATRIA (VERSÃO EM PORTUGUÊS) 2015. [DOI: 10.1016/j.jpedp.2015.07.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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