Diet quality in students aged 7 to 10 years in São Paulo: Association with the number and the locations of the meals

Authors

  • Bárbara Grassi PRADO Universidade de São Paulo
  • Patrícia de Fragas HINNIG Universidade de São Paulo
  • Luana Fiengo TANAKA Universidade de São Paulo
  • Maria do Rosário Dias de Oliveira LATORRE Universidade de São Paulo

Keywords:

Child nutrition, School feeding, Food habits

Abstract

Objective
To analyze the relationship between diet quality and meal number and location in school children aged 7-10 years in the city of São Paulo, Brazil.

Methods
This was a cross-sectional study of school children aged 7-10 years of two public schools in São Paulo, Brazil, in 2013. Food intake was investigated by three 24-hour recalls and diet quality was assessed by the Healthy Eating Index adapted for Brazil.

Results
Most schoolchildren had breakfast, fewer than five meals a day, no meal at school, three or more meals at home, and no meals away from home. Having breakfast was associated with higher intake of vegetables and milk, and higher number of daily meals was associated with lower sodium intake. The high prevalence of home meals was associated with lower intake of saturated fats, calories from fat, and sugar, and with higher diet quality. Meals away from home were associated with higher intake of whole grains, and  calories from fat and sugar.

Conclusion
Higher intake of healthy foods takes place at home, so food and nutrition education activities should encourage food at home and healthy food choices away from home. 

References

Moreno LA, Rodríguez G. Dietary risk factors for development of childhood obesity. Curr Opin Clin Nutr Metab Care. 2007; 10(1):336-41. http://dx. doi.org/10.1097/MCO.0b013e3280a94f59

Haapalahti M, Mykkänen H, Tikkanen S, Kokkonen J. Meal patterns and food use in 10 to 11-year-old Finnish children. Public Health Nutr. 2003; 6(4):365-70. http://dx.doi.org/10.1079/phn2002433

Hammons AJ, Fiese BH. Is frequency of shared family meals related to the nutritional health of children and adolescents? Pedriatrics. 2011; 127(6):1565-74. http://dx.doi.org/10.1542/peds. 2010-1440

Mamum AA, Lawlor DA, O’Callagnan MJ, Williams GM, Najman JM. Positive maternal atitude to the family eating together decreases the risk of adolescente overweight. Obes Res. 2005; 13(8):1422-30. http://dx.doi.org/10.1038/oby. 2005

Pearson N, Biddle SJH, Gorely T. Family correlates of breakfast consumption among children and adolescents: A systematic review. Appetite. 2009; 52(1):1-7. http://dx.doi.org/10.1016/j.appet. 2008. 08.006

Utter J, Scragg R, Mhurchu C, Schaaf D. At-home breakfast consumption among New Zealand children: Associations with body mass index and related nutrition behaviors. J Am Diet Assoc. 2007; 107(4):570-6. http://dx.doi.org/10.1016/j.jada. 2007.01.010

Rech RR, Halpern R, Costanzi CB, Bergmann MLA, Alli LR, Mattos AP, et al. Prevalência de obesidade em escolares de 7 a 12 anos de uma cidade Serrana do RS, Brasil. Rev Bras Cineantropom Desempenho Hum. 2010; 12(2):90-7. http://dx.doi.org/10.5007/ 1980-0037.2010v12n2p90

Ortega RM, Redondo MR, Lopez-Sobaler AM, Quintas ME, Zamora MI, Andres P, et al. Associations between obesity, breakfast-time food habits and intake of energy and nutrients in a group of elderly Madrid residents. J Am Coll Nutr. 1996; 15(1):65-72. http://dx.doi.org/10.1080/07315724. 1996.10718566

Brasil. Ministério da Saúde. Resolução/CD/FNDE nº 38 de 16 de julho de 2009. Dispõe sobre o aten dimento da alimentação escolar aos alunos da edu cação básica no Programa Nacional de Alimentação Escolar (PNAE). Diário Oficial da União. 2009; 16 jun.

French SA, Story M, Neumark-Sztainer D, Fulkerson JA, Hannan P. Fast food restaurant use among adolescents: Associations with nutriente intake, food choices and behavioral and psychosocial variables. Int J Obes Relat Metab Disord. 2001; 25(12):1823-33. http://dx.doi.org/10.3402/fnr. v59.26488

Lin BH, Guthrie J, Frazao E. Quality of children’s diets at and away from home: 1994-96. Food Rev. 1999; 22(1):2-10.

Taveras EM, Berkey CS, Rifas-Shiman SL, Ludwig DS, Rockett HRH, Field AE, et al. Association of consumption of fried food away from home with body mass index and diet quality in older children and adolescents. Pediatrics. 2005; 116(4):518-24. http://dx.doi.org/10.1542/peds.2004-2732

Previdelli AN, Andrade SC, Pires MM, Ferreira SRG, Fisberg RM, Marchioni DM. Índice de Qualidade da Dieta Revisado para população brasileira. Rev Saúde Pública. 2011; 45(4):794-8. http://dx.doi. org/10.1590/S0034-89102011005000035

Pinheiro ABV, Lacerda EMA, Benzecry EH, Gomes MCS, Costa VM. Tabela para avaliação de consumo alimentar em medidas caseiras. São Paulo: Atheneu; 2004.

Galante AP. Desenvolvimento e validação de um método computadorizado para avaliação do con sumo alimentar, preenchido por indivíduos adultos utilizando a Web [doutorado]. São Paulo: Univer sidade de São Paulo; 2007.

Instituto Brasileiro de Geografia e Estatística. Pes quisa de orçamentos familiares 2008/2009: tabelas de composição nutricional dos alimentos consu midos no Brasil. Rio de Janeiro: IBGE; 2011.

German Institute of Human Nutrition Potsdam Rehbrucke, Departament of Epidemiology. The multiple source method. Potsdam: German Institute of Human Nutrition Potsdam-Rehbrucke; 2007 [cited 2015 Nov 20]. Available from: https://nugo. dife.de/msm

Associação Brasileira de Empresas de Pesquisa. Critério de classificação econômica do Brasil. São Paulo: Abep; 2011.

São Paulo. Decreto nº 35.458, de 31 de Agosto de 1995. Diário Oficial do Município de São Paulo. 1995; 1 set, p.1.

Sturion GL, Silva MV, Ometto AMH, Furtuoso COM, Pipitone MAP. Fatores condicionantes da adesão dos alunos ao Programa de Alimentação Escolar no Brasil. Rev Nutr. 2005; 18(2):167-81. http://dx. doi.org/10.1590/S1415-52732005000200001

Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl J. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc. 2005; 105(5):743-60. http://dx.doi.org/10.1016/j.jada.2005.02.007

Affenito SG. Breakfast: A missed opportunity. J Am Diet Assoc. 2007; 107(4):565-9. http://dx.doi.org/ 10.1016/j.jada.2007.01.011

Benton D, Jarvis M. The role of breakfast and a mid-morning snack on the ability of children to concentrate at school. Physiol Behav. 2007; 90(2- 3):382-5. http://dx.doi.org/10.1016/j.physbeh. 2006.09.029

Nicklas TA, Baranowsky T, Cullen KW, Berenson G. Eating patterns, dietary quality and obesity. J Am Coll Nutr. 2001; 20(6):599-608. http://dx.doi.org/ 10.1080/07315724.2001.10719064

Teo CRPA, Corrêa EM, Gallina LS, Fransozi C. Pro grama nacional de alimentação escolar: adesão, aceitação e condições de distribuição de alimen tação na escola. Nutrire. 2009; 34(3):165-85. http:// dx.doi.org/10.1590/S1415-52732007000300007

Danelon MAS, Danelon MS, Silva MV. Serviços de alimentação destinados ao público escolar: análise da convivência do Programa de Alimentação Escolar e cantinas. Segur Aliment Nutr. 2006; 13(1):85-94. http://dx.doi.org/10.5007/1980-0037.2010V12 N4P221

Nielson SJ, Siega-Riz AM, Popkin BM. Trends in food locations and sources among adolescents and young adults. Prev Med. 2002; 35(2):107-13. http:// dx.doi.org/10.1006/pmed.2002.1037

Philippi ST, Laterza AR, Cruz ATR, Ribeiro LC. Pirâmide alimentar adaptada: guia para escolha dos alimentos. Rev Nutr. 1999; 12(1):65-80. http://dx. doi.org/10.1590/S1415-52731999000100006

Prado BG, Guimarães LV, Lopes MAL, Bergamaschi DP. Efeito de ações educativas no consumo de ali mentos no ambiente escolar. Nutrire. 2012; 37(3):281-92. http://dx.doi.org/10.4322/nutrire. 2012.022

Verstraeten R, Roberfroid D, Lachat C, Leroy JL, Holdsworth M, Maes L, et al. Effectiveness of preventive school-based obesity interventions in low- and middle-income countries: A systematic review. Am J Clin Nutr. 2012; 96(2):227-8. http:// dx.doi.org/10.3945/ajcn.112.035378

World Health Organization. Creating an enabling strategies: Report of Joint Technical Meeting held by WHO and FSA/UK. Genebra: WHO; 2010.

Organização Pan-Americana da Saúde. Américas livres de gorduras trans: conclusões e recomen dações. Washington (DC): OPAS; 2007.

Consensus Action on Salt and Health. Action on sugar. London: University of London; 2014.

Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde. Plano de ações estratégicas para o enfrentamento das Doenças Crônicas Não Transmissíveis (DCNT) no Brasil 2011-2022. Brasília: Ministério da Saúde; 2011.

Brasil. Ministério da Saúde. Plano Nacional de Saúde - PNS: 2012-2015. Brasília: Ministério da Saúde; 2011.

Published

2023-04-05

How to Cite

Grassi PRADO, B. ., de Fragas HINNIG, P. ., Fiengo TANAKA, L., & Dias de Oliveira LATORRE, M. do R. (2023). Diet quality in students aged 7 to 10 years in São Paulo: Association with the number and the locations of the meals. Brazilian Journal of Nutrition, 28(6). Retrieved from https://periodicos.puc-campinas.edu.br/nutricao/article/view/8258

Issue

Section

ORIGINAL ARTICLE