Collective Health Postgraduate Program, Fluminense Federal University, Niterói, Brazil.
Public Health Nutr. 2012 Jan;15(1):82-7. doi: 10.1017/S1368980011001571. Epub 2011 Jul 14.
To estimate the association between food intake and metabolic syndrome (MetS).
Cross-sectional design conducted from July 2006 to December 2007.
Adolescents assisted by the Family Doctor Program (FDP) in Niterói, a metropolitan area in Rio de Janeiro State, Brazil.
Survey of 210 adolescents. Individuals with three or more of the following components of MetS were classified as having this syndrome: TAG ≥ 110 mg/dl; HDL cholesterol < 50 mg/dl for girls aged 12-19 years and boys aged 12-14 years or <45 mg/dl for boys aged 15-19 years; waist circumference ≥75th percentile; serum glucose >100 mg/dl; and blood pressure ≥90th percentile. A semi-quantitative FFQ was used, and foods were grouped as: unprocessed or minimally processed foods (Group 1), processed culinary and food industry ingredients (Group 2) and ultra-processed foods (Group 3). The associations between food consumption and MetS were adjusted for sociodemographic, behavioural and family history covariates and were estimated using generalized estimation equations with the Poisson regression model.
MetS was diagnosed in 6·7 % of the adolescents; the most frequent diagnostic criteria included the reduction of HDL cholesterol (46·7 %), elevated serum glucose (17·1 %) and the elevation of waist circumference (16·7 %). Crude analysis showed higher average daily intakes of energy, carbohydrates and ultra-processed foods among adolescents with MetS. After statistical adjustment, the intake of ultra-processed foods (≥3rd quartile) remained associated with MetS (prevalence ratio = 2·5; P = 0·012).
High consumption of ultra-processed foods was associated with the prevalence of MetS in this adolescents group.
评估食物摄入与代谢综合征（MetS）之间的关联。
2006 年 7 月至 2007 年 12 月进行的横断面设计。
巴西里约热内卢州尼泰罗伊大都市区接受家庭医生计划（FDP）援助的青少年。
对 210 名青少年进行调查。患有以下 MetS 三个或更多组成部分的个体被归类为患有该综合征：TAG≥110mg/dl；女孩年龄为 12-19 岁和男孩年龄为 12-14 岁时 HDL 胆固醇<50mg/dl，或男孩年龄为 15-19 岁时<45mg/dl；腰围≥第 75 百分位数；血清葡萄糖>100mg/dl；和血压≥第 90 百分位数。使用半定量的 FFQ，将食物分为：未加工或最低限度加工的食物（第 1 组）、加工烹饪和食品工业成分（第 2 组）和超加工食品（第 3 组）。使用广义估计方程和泊松回归模型，根据社会人口统计学、行为和家族史协变量调整食物消耗与 MetS 之间的关联。
6.7%的青少年被诊断患有 MetS；最常见的诊断标准包括 HDL 胆固醇降低（46.7%）、血清葡萄糖升高（17.1%）和腰围升高（16.7%）。在未调整分析中，患有 MetS 的青少年的平均每日能量、碳水化合物和超加工食品摄入量较高。在统计学调整后，超加工食品（≥第 3 四分位数）的摄入量仍与 MetS 相关（患病率比=2.5；P=0.012）。
在这群青少年中，超加工食品的高摄入量与 MetS 的患病率相关。
