Neutzling Marilda Borges, Araújo Cora Luiza Pavin, Vieira Maria de Fátima Alves, Hallal Pedro Curi, Menezes Ana Maria Baptista
Programa de Pós- graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, RS, Brasil.
Rev Saude Publica. 2007 Jun;41(3):336-42. doi: 10.1590/s0034-89102007000300003.
To describe the frequency and associated factors of high-fat and low-fiber diets among adolescents.
A cross-sectional study was carried out in adolescents aged 10-12 years in Pelotas, southern Brazil, in 2004 and 2005. Dietary patterns in the previous 12 months were evaluated using the Block questionnaire comprising 24 food items scored according to the frequency of consumption of high-fat and low-fiber food. In the crude analysis, the prevalence of high-fat and low-fiber diets were compared according to subgroups of independent variables (sex, skin color, socioeconomic condition, maternal schooling and adolescent's nutritional status). In order to adjust for confounders, multivariable analysis using Poisson's regression was carried out for each outcome.
There were 4,452 adolescents included in the study, most of them (83.9%) had low-fiber diets and more than one third (36.6%) had high-fat diets. Socioeconomic condition and maternal schooling were directly associated with consumption of high-fat diets. Adolescents from socioeconomic groups A+B and C had lower prevalence of low-fiber diet.
The prevalence of low-fiber and high-fat diets was high in this population of adolescents. Public policies targeting the determinants of dietary habits are necessary and urgent.
描述青少年中高脂和低纤维饮食的频率及相关因素。
2004年和2005年在巴西南部佩洛塔斯对10至12岁的青少年进行了一项横断面研究。使用包含24种食物的布洛克问卷评估前12个月的饮食模式,这些食物根据高脂和低纤维食物的消费频率进行评分。在粗分析中,根据自变量亚组(性别、肤色、社会经济状况、母亲受教育程度和青少年营养状况)比较高脂和低纤维饮食的患病率。为了调整混杂因素,对每个结果使用泊松回归进行多变量分析。
该研究纳入了4452名青少年,其中大多数(83.9%)有低纤维饮食,超过三分之一(36.6%)有高脂饮食。社会经济状况和母亲受教育程度与高脂饮食的消费直接相关。来自A+B和C社会经济群体的青少年低纤维饮食的患病率较低。
该青少年人群中低纤维和高脂饮食的患病率很高。针对饮食习惯决定因素的公共政策是必要且紧迫的。