Silva David Franciole de Oliveira, Lyra Clélia de Oliveira, Lima Severina Carla Vieira Cunha
Departamento de Nutrição, Universidade Federal do Rio Grande do Norte, Natal, RN, Brasil,
Cien Saude Colet. 2016 Apr;21(4):1181-96. doi: 10.1590/1413-81232015214.08742015.
The scope of this study was to conduct a systematic review to establish the major dietary habits of adolescents and the corresponding association with cardiovascular risk factors. Research was performed in the LILACS, SciELO, PubMed, Scopus and Web of Science databases in addition to a manual search for original articles published between 2005 and 2014. Of the 371 entries identified; 26 fulfilled the inclusion criteria and were covered in the review. The main dietary habits observed were Western (61%) Healthy (42%) and Traditional (38%). Western dietary habits were positively associated with total cholesterol and SM, while Healthy dietary habits were inversely associated with fasting glycaemia, DBP and SM and positively with HDL-C, all of the aforementioned associations with very low (D) quality of evidence in accordance with the GRADE rating. The Traditional dietary habits were considered a risk factor for hyperglycemia, hyperinsulinemia and hypertriglyceridemia and protection for physical activity and eutrophic BMI. Although these results need to be analyzed with caution, due to the low quality of evidence, there is a clear need for actions aimed at promoting healthy dietary habits in adolescents in order to contribute to the prevention of cardiovascular risk factors.
本研究的范围是进行一项系统综述,以确定青少年的主要饮食习惯及其与心血管危险因素的相应关联。除了手动检索2005年至2014年间发表的原始文章外,还在LILACS、SciELO、PubMed、Scopus和科学网数据库中进行了研究。在识别出的371条记录中,有26条符合纳入标准并在综述中涵盖。观察到的主要饮食习惯为西式(61%)、健康式(42%)和传统式(38%)。西式饮食习惯与总胆固醇和收缩压呈正相关,而健康饮食习惯与空腹血糖、舒张压和收缩压呈负相关,与高密度脂蛋白胆固醇呈正相关,根据GRADE评级,上述所有关联的证据质量都非常低(D)。传统饮食习惯被认为是高血糖、高胰岛素血症和高甘油三酯血症的危险因素,对身体活动和正常营养状态的体重指数有保护作用。尽管由于证据质量低,这些结果需要谨慎分析,但显然需要采取行动促进青少年的健康饮食习惯,以有助于预防心血管危险因素。