Gotthelf Susana J, Tempestti Claudia P
Departamento de Investigación Epidemiológica Centro Nacional de Investigaciones Nutricionales-ANLIS.
Arch Argent Pediatr. 2017 Oct 1;115(5):424-431. doi: 10.5546/aap.2017.eng.424.
Socioeconomic context and family dynamics are determining factors when considering eating habits and nutritional status among students. It has been demonstrated that skipping breakfast or having a light breakfast has an unfavorable impact on nutritional status.
To establish a relationship among breakfast, sociodemographic outcome measures, and nutritional status among students attending public schools in the urban and peri-urban areas of the City of Salta.
Descriptive, crosssectional study. Purposive, non-probability sampling of students attending urban and periurban primary schools (aged 9-13, boys and girls). Outcome measures: breakfast at home (habit, "enKid" breakfast quality, frequency, duration), nutritional status (body mass index, Z-score, World Health Organization), and sociodemographic outcome measures (family type, level of education, employment, parents' breakfast habit, commensality). Analysis of frequency, associations, logistic regression, odds ratio, confidence interval, p < 0.05, WHO AnthroPlus and SPSS v18 software.
Two hundred and eighty-three students were assessed; 49.8% attended urban schools. Overweight or obesity was observed in 46.0%. Also, 55.1% skipped breakfast at home on the day of the assessment; among those who did have breakfast, 79.5% had a poor or very-poor quality meal. Among those who skipped breakfast, 40.7% of the girls and 54.7% of the boys were overweight or obese. A greater socioeconomic vulnerability and a higher percentage of students who attended school without having breakfast were observed in peri-urban schools.
Eventually, the probability of skipping breakfast was associated with having a large family, absence of parental breakfast habit, a low level of maternal education, having breakfast alone, and being obese.
在考虑学生的饮食习惯和营养状况时，社会经济背景和家庭动态是决定性因素。已证明不吃早餐或早餐吃得少对营养状况有不利影响。
在萨尔塔市市区和城郊地区的公立学校就读的学生中，确定早餐、社会人口学结果指标和营养状况之间的关系。
描述性横断面研究。对市区和城郊小学（9至13岁，男女生）的学生进行立意非概率抽样。结果指标：在家吃早餐（习惯、“儿童套餐”早餐质量、频率、时长）、营养状况（体重指数、Z评分、世界卫生组织标准）以及社会人口学结果指标（家庭类型、教育程度、就业情况、父母早餐习惯、共餐情况）。进行频率分析、关联性分析、逻辑回归分析、比值比分析、置信区间分析，p<0.05，使用WHO AnthroPlus软件和SPSS v18软件。
对283名学生进行了评估；49.8%的学生就读于市区学校。观察到46.0%的学生超重或肥胖。此外，在评估当天，55.1%的学生在家不吃早餐；在吃早餐的学生中，79.5%的早餐质量差或非常差。在不吃早餐的学生中，40.7%的女生和54.7%的男生超重或肥胖。在城郊学校观察到更大的社会经济脆弱性以及更高比例的学生不吃早餐就上学。
最终，不吃早餐的可能性与家庭规模大、父母没有早餐习惯、母亲教育程度低、独自吃早餐以及肥胖有关。
