Omissão do desjejum e fatores associados entre adolescentes brasileiros

Autores

  • Rosemeyre França de Paula FIUZA Universidade Federal de Mato Grosso
  • Ana Paula MURARO Universidade Federal de Mato Grosso
  • Paulo Rogério Melo RODRIGUES Universidade Federal de Mato Grosso
  • Edilayane de Meneses Sousa SENA Universidade Federal de Mato Grosso
  • Márcia Gonçalves FERREIRA Universidade Federal de Mato Grosso

Palavras-chave:

Adolescente, Desjejum, Estilo de vida, Obesidade

Resumo

Objetivo
Analisar a prevalência e os fatores associados à omissão do desjejum entre adolescentes.

Métodos
Estudo transversal com adolescentes de 10 a 17 anos de idade, avaliados entre 2009 e 2011, pertencentes a um estudo de coorte na região Central do Brasil. A omissão do desjejum, variável desfecho, foi considerada como a não realização diária dessa refeição. Foram avaliados, por meio de questionário, os fatores demográficos, socioeconômicos e de estilo de vida. A avaliação antropométrica incluiu a mensuração do peso e estatura, utilizados para a classificação do peso segundo as recomendações da Organização Mundial da Saúde. A regressão de Poisson foi utilizada na análise múltipla para estimar a associação da omissão do desjejum e variáveis demográficas, socioeconômicas, estilo de vida e condição de peso.

Resultados
Dos 1 716 adolescentes avaliados, 36,2% referiram não consumir o desjejum diariamente, sendo a prevalência maior entre as meninas (p=0,03). Após ajustes por idade e classe econômica, a omissão do desjejum foi associada a não realização dessa refeição com os pais e ao turno escolar matutino, em ambos os sexos, e à obesidade apenas entre os meninos. Fatores do estilo de vida como consumo de bebidas alcoólicas, atividade física, qualidade da dieta e tabagismo não se associaram à omissão do desjejum.

Conclusão
A omissão do desjejum foi observada em mais de um terço dos adolescentes, sendo associada a fatores demográficos e de estilo de vida. Na perspectiva de saúde pública, destaca-se a importância de encorajar o consumo dessa refeição, com ações envolvendo o ambiente escolar e a família.

Referências

Jaime PC, Stopa SR, Oliveira TP, Vieira ML, Szwarcwald CL, Malta DC. Prevalência e distribuição sociodemográfica de marcadores de alimentação saudável, Pesquisa Nacional de Saúde, Brasil 2013. Epidemiol Serv Saúde. 2015;24(2):267-76.

Ministério da Saúde (Brasil). Marco de referência da vigilância alimentar e nutricional na atenção básica. Brasília: Ministério da Saúde; 2015.

Trancoso SC, Cavalli SB, Proença RPC. Café da manhã: caracterização, consumo e importância para a saúde. Rev Nutr. 2010;23(5):859-69. https://doi.org/10.1590/S1415-52732010000500016

Affinita A, Catalani L, Cecchetto G, De Lorenzo G, Dilillo D, Donegani G, et al. Breakfast: A multidisciplinary approach. Ital J Pediatr. 2013;39:44.

Shafiee G, Kelishadi R, Qorbani M, Motlagh ME, Taheri M, Ardalan G, et al. Association of breakfast intake with cardiometabolic risk factors. J Pediatr. 2013;89(6):575-82.

Moreno LA, Gottrand F, Huybrechts I, Ruiz JR, González-Gross M, DeHenauw S, et al. Nutrition and lifestyle in european adolescents: The HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study. Adv Nutr. 2014;5(5):615S-23S.

Barr SI, DiFrancesco L, Fulgoni VL. Breakfast consumption is positively associated with nutrient adequacy in Canadian children and adolescents. Br J Nutr. 2014;112(8):1373-83.

Barufaldi LA, Magnanini MMF, Abreu GA, Bloch KV. Café da manhã: vinculado a consumo e comportamentos alimentares em adolescentes. Adolesc Saúde. 2015;12(2):7-16.

Timlin MT, Pereira MA, Story M, NeumarkSztainer D. Breakfast eating and weight change in a 5-year prospective analysis of adolescents: Project EAT (Eating Among Teens). Pediatrics. 2008;121(3):e638-45.

Deshmukh-Taskar PR, Nicklas TA, O’Neil CE, Keast DR, Radcliffe JD, Cho S. The relationship of breakfast skipping and type of breakfast consumption with nutrient intake and weight status in children and adolescents: The National Health and Nutrition Examination Survey 1999-2006. J Am Diet Assoc. 2010;110(6):869-78.

Lazzeri G, Pammolli A, Azzolini E, Simi R, Meoni V, Wet DR, et al. Association between fruits and vegetables intake and frequency of breakfast and snacks consumption: A cross-sectional study. Nutr J. 2013;12:123.

Matthews CE, George SM, Moore SC, Bowles HR, Blair A, Park Y, et al. Amount of time spent in sedentary behaviors and cause-specific mortality in US adults. Am J Clin Nutr. 2012;95(2):437-45.

Leal GVS, Philippi ST, Matsudo SMM, Toassa EC. Consumo alimentar e padrão de refeições de adolescentes, São Paulo, Brasil. Rev Bras Epidemiol. 2010;13(3):457-67.

Szajewska H, Ruszczynski M. Systematic review demonstrating that breakfast consumption influences body weight outcomes in children and adolescents in Europe. Crit Rev Food Sci Nutr. 2010;50(2):113-9.

Croezen S, Visscher TLS, Ter Bogt NCW, Veling ML, Haveman-Nies A. Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents: Results of the E-MOVO project. Eur J Clin Nutr. 2009;63(3):405-12.

Kilani H, Al-Hazzaa H, Waly MI, Musaiger A. Lifestyle habits: Diet, physical activity and sleep duration among Omani adolescents. Sultan Qaboos Univ Med J. 2013;13(4):510-9.

Hatami M, Taib MNM, Jamaluddin R, Saad HA, Djazayery A, Chamari M, et al. Dietary factors as the major determinants of overweight and obesity among Iranian adolescents. A cross-sectional study. Appetite. 2014;82:194-201.

Salvy SJ, Elmo A, Nitecki LA, Kluczynski MA, Roemmich JN. Influence of parents and friends on children’s and adolescents’ food intake and food selection. Am J Clin Nutr. 2011;93(1):87-92.

Larson N, Fulkerson J, Story M, Neumark-Sztainer D. Shared meals among young adults are associated with better diet quality and predicted by family meal patterns during adolescence. Public Health Nutr. 2013;16(5):883-93.

Martin-Biggers J, Spaccarotella K, BerhauptGlickstein A, Hongu N, Worobey J, ByrdBredbenner C. Come and get it! A discussion of family mealtime literature and factors affecting obesity risk. Adv Nutr. 2014;5(3):235-47.

Hammons AJ, Fiese BH. Is frequency of shared family meals related to the nutritional health of children and adolescents? Pediatrics. 2011;127(6):e1565-74.

Gonçalves-Silva RMV, Valente JG, Lemos-Santos MGF, Sichieri R. Tabagismo no domicílio e baixa estatura em menores de cinco anos. Cad Saúde Pública. 2005;21(5):1540-9.

Gonçalves-Silva RMV, Sichieri R, Ferreira MG, Pereira RA, Muraro AP, Moreira NF, et al. O censo escolar como estratégia de busca de crianças e adolescentes em estudos epidemiológicos. Cad Saúde Pública. 2012;28(2):400-4.

Associação Brasileira de Empresas de Pesquisa. Critério padrão de classificação econômica Brasil. São Paulo: Associação Brasileira de Empresas de Pesquisa; 2008 [acesso 2016 set 5]. Disponível em: http//www.abep.org/codigosguias/Criterio_Brasil_2008.pdf

World Health Organization. Young people’s health in context. Health Behaviour in School-aged Children (HBSC) study: International report from the 2001/2002 survey. Health Policy for Children and Adolescents, nº 4. Geneva: WHO; 2004 [cited 2016 Sept 5]. Available from: http://www.euro.who.int/__data/assets/pdf_file/0008/110231/e82923.pdf

Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M. Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med. 2008;66(6):1429-36.

Previdelli ÁN, 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.

Wendpap LL, Ferreira MG, Rodrigues PRM, Pereira RA, Loureiro AS, Gonçalves-Silva RMV. Qualidade da dieta de adolescentes e fatores associados. Cad Saúde Pública. 2014;30(1):97-106.

Gordon C, Chumlea W, Roche A. Stature, recumbent length, and weight. In: Lohman TG, Roche AMR, editors. Antropometric

standardization reference manual. Illinois: Human Kinetics Books; 1988. p.3-8.

World Health Organization. Growth reference data for 5-19 years: Body mass index-for-age, length/height-for-age and weight-for-height. Geneva: WHO; 2007.

Marchioni DML, Gorgulho BM, Teixeira JA, Verly Junior E, Fisberg RM. Prevalence of breakfast omission and associated factors among adolescents in São Paulo: ISA-Capital. Nutr Rev Soc Bras Aliment Nutr. 2015;40(1):10-20.

Branco L, de Almeida E, Passos M, de Piano A, Cintra I, Fisberg M. A Percepção corporal influencia no consumo do café da manhã de adolescentes? Saúde Rev. 2007;9(22):15-21.33. Lazzeri G, Pammolli A, Azzolini E, Simi R, Meoni V, de Wet DR, et al. Association between fruits and vegetables intake and frequency of breakfast and snacks consumption: A cross-sectional study. Nutr J. 2013;12:123.

Hamrani A, Mehdad S, El Kari K, El Hamdouchi A, El Menchawy I, Belghiti H, et al. Physical activity and dietary habits among Moroccan adolescents. Public Health Nutr. 2015;18(10):1793-800.

Kim JH, So WY. Association between frequency of breakfast eating and obesity in Korean adolescents. Iran J Public Health. 2012;41(6):50-7.

Caram ALA, Lomazi EA. Hábito alimentar, estado nutricional e percepção da imagem corporal de adolescentes. Adolesc Saúde. 2012;9(2):21-9.

Arora M, Nazar GP, Gupta VK, Perry CL, Reddy KS, Stigler MH. Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: Results of a cross-sectional study. BMC Public Health. 2012;12(1):881.

Dupuy M, Godeau E, Vignes C, Ahluwalia N. Socio-demographic and lifestyle factors associated with overweight in a representative sample of 11-15 year olds in France: Results from the WHOCollaborative Health Behaviour in School-aged Children (HBSC) cross-sectional study. BMC Public Health. 2011;11:442.

Stea TH, Torstveit MK. Association of lifestyle habits and academic achievement in Norwegian adolescents: A cross-sectional study. BMC Public Health. 2014;14(1):829.

Ahadi Z, Qorbani M, Kelishadi R, Ardalan G, Motlagh ME, Asayesh H, et al. Association between breakfast intake with anthropometric measurements, blood pressure and food consumption behaviors among Iranian children and adolescents: The CASPIAN-IV study. Public Health. 2015;129(6):740-7.

Lazzeri G, Azzolini E, Pammolli A, Simi R, Meoni V, Giacchi MV. Factors associated with unhealthy behaviours and health outcomes: A crosssectional study among Tuscan adolescents (Italy). Int J Equity Health. 2014;13(1):83.

Coppinger T, Jeanes YM, Hardwick J, Reeves S. Body mass, frequency of eating and breakfast consumption in 9-13-year-olds. J Hum Nutr Diet. 2012;25(1):43-9.

Araki EL, Philippi ST, Martinez MF, Estima CCP, Leal GVS, Alvarenga MS. Pattern of meals eaten by adolescents from technical schools of São Paulo, SP, Brazil. Rev Paul Pediatr. 2011;29(2):164-70.

Briefel RR, Crepinsek MK, Cabili C, Wilson A, Gleason PM. School food environments and practices affect dietary behaviors of US public school children. J Am Diet Assoc. 2009;109(2Suppl.):S91-107.

Fox MK, Gordon A, Nogales R, Wilson A. Availability and consumption of competitive foods in US public schools. J Am Diet Assoc. 2009;109(2Suppl.):S57-66.

Burgess-Champoux TL, Larson N, NeumarkSztainer D, Hannan PJ, Story M. Are family meal patterns associated with overall diet quality during the transition from early to middle adolescence? J Nutr Educ Behav. 2009;41(2):79-86.

Pearson N, Williams L, Crawford D, Ball K. Maternal and best friends’ influences on mealskipping behaviours. Br J Nutr. 2012;108(5):932-8.

Wunstel JW, Kowalkowska L. Wadolowska MA, Slowinska E, Niedzwiedzka LK. Habitual eating breaskfast consumption. Dev Period Med. 2015;19(2):193-201.

Manios Y, Moschonis G, Androutsos O, Filippou C, Van Lippevelde W, Vik FN, et al. Family sociodemographic characteristics as correlates of children’s breakfast habits and weight status in eight European countries. The ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project. Public Health Nutr. 2015;18(5):774-83.

Smetanina N, Albaviciute E, Babinska V, Karinauskiene L, Albertsson-Wikland K, Petrauskiene A, et al. Prevalence of overweight/obesity in relation to dietary habits and lifestyle among 7-17 years old children and adolescents in Lithuania. BMC Public Health. 2015;15:1001.

Pereira MA, Erickson E, McKee P, Schrankler K, Raatz SK, Lytle LA, et al. Breakfast frequency and quality may affect glycemia and appetite in adults and children. J Nutr. 2011;141(1):163-8.

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21-03-2023

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França de Paula FIUZA, R., MURARO, A. P. ., Melo RODRIGUES, P. R., de Meneses Sousa SENA, E. ., & Gonçalves FERREIRA, M. . (2023). Omissão do desjejum e fatores associados entre adolescentes brasileiros. Revista De Nutrição, 30(5). Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/7915

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