Assumpção Daniela de, Capitani Caroline Dario, Rocha Ana Carolina, Barros Marilisa Berti de Azevedo, Barros Filho Antonio de Azevedo
Universidade Estadual de Campinas, Campinas, SP, Brazil.
Rev Paul Pediatr. 2019 Jul 4;37(4):419-427. doi: 10.1590/1984-0462/;2019;37;4;00014. eCollection 2019.
To estimate the prevalence of gluten intake according to demographic, socioeconomic, and health-related behavioral variables in adolescents.
This is a population-based cross-sectional study with a two-stage cluster sampling, conducted in Campinas, São Paulo, in 2008-2009. Foods containing gluten were identified using a 24-hour Recall. We calculated the prevalence and adjusted prevalence ratios with multiple Poisson regression.
The study had a sample of 924 adolescents aged 10 to 19 years. Among the foods assessed, 26.9% (confidence interval of 95% - 95%CI 25.3-28.6) contained gluten. We found a higher prevalence of gluten intake in younger individuals (10 to 14 years), as well as in subgroups of adolescents who had a higher number of household appliances, attended school, consumed fewer beans and vegetables during the week (<4 times), and whose head of the family had better education level (≥12 years of schooling). The main food sources of gluten in their diet were: bread, cakes, and cereals (30.2%), chocolate milk (14%), chicken nuggets (12.3%), and cookies (11%).
The results of the study show the epidemiological profile associated with gluten intake in adolescents and could support actions aimed at promoting healthy eating habits and preventing gluten-related diseases.
根据青少年的人口统计学、社会经济和健康相关行为变量，估计麸质摄入量的流行情况。
这是一项基于人群的横断面研究，采用两阶段整群抽样，于2008 - 2009年在圣保罗州坎皮纳斯市进行。使用24小时膳食回顾法确定含麸质的食物。我们通过多重泊松回归计算患病率和调整后的患病率比值。
该研究样本为924名10至19岁的青少年。在评估的食物中，26.9%（95%置信区间 - 95%CI 25.3 - 28.6）含有麸质。我们发现年龄较小的个体（10至14岁）以及拥有较多家用电器、上学、一周内食用豆类和蔬菜较少（<4次）且户主教育水平较高（≥12年 schooling）的青少年亚组中麸质摄入量较高。他们饮食中麸质的主要食物来源为：面包、蛋糕和谷物（30.2%）、巧克力牛奶（14%）、鸡块（12.3%）和饼干（11%）。
该研究结果显示了与青少年麸质摄入量相关的流行病学特征，并可为旨在促进健康饮食习惯和预防麸质相关疾病的行动提供支持。
