Braz Marici, Assumpção Daniela de, Barros Marilisa Berti de Azevedo, Barros Filho Antonio de Azevedo
Departamento de Pediatria, Universidade Estadual de Campinas (Unicamp). R. Tessália Vieira de Camargo 126, Zeferino Vaz. 13083-887 Campinas SP Brasil.
Departamento de Saúde Coletiva, Unicamp. Campinas SP Brasil.
Cien Saude Colet. 2019 Sep 9;24(9):3237-3246. doi: 10.1590/1413-81232018249.24692017. Print 2018 Feb 15.
The aim of the present study was to estimate the prevalence of added sugar intake within the maximum limit of 5% of the total energy of the diet and test associations with demographic/socioeconomic characteristics, health-related behaviors and nutritional status in adolescents. A population-based, cross-sectional study was conducted with two-stage cluster sampling. The amount of free sugar in the diet was estimated using a 24-hour dietary recall. Among the 924 adolescents evaluated, only 20.1% (95% CI: 16.8-23.9) met the recommendation of not exceeding 5% of total calories with added sugar. Higher prevalence rates of adherence to the recommendation were found among males (22.0%), adolescents aged 15 to 19 years (24.3%), those born outside the state of São Paulo (30.4%), those with less screen time (27.5%), those with a lower number of household appliances (0-7: 29.5%; 8-15: 20.3%) and those with higher diet quality scores (2nd tertile: 17.7%; 3rd tertile: 37.2%). The findings demonstrate factors associated with added sugar intake from an epidemiological perspective, revealing the simultaneity of inappropriate behaviors, that is, the adolescents who consume more sugar also have longer screen time and worse overall diet quality.
本研究的目的是估计在饮食总能量的5%这一最大限量范围内添加糖的摄入量，并测试其与青少年的人口统计学/社会经济特征、健康相关行为和营养状况之间的关联。采用两阶段整群抽样进行了一项基于人群的横断面研究。使用24小时饮食回顾法估计饮食中的游离糖量。在评估的924名青少年中，只有20.1%（95%置信区间：16.8 - 23.9）符合添加糖不超过总热量5%的建议。在男性（22.0%）、15至19岁的青少年（24.3%）、出生在圣保罗州以外的青少年（30.4%）、屏幕时间较少的青少年（27.5%）、家用电器数量较少的青少年（0 - 7件：29.5%；8 - 15件：20.3%）以及饮食质量得分较高的青少年（第二三分位数：17.7%；第三三分位数：37.2%）中，发现了更高的符合建议率。研究结果从流行病学角度证明了与添加糖摄入相关的因素，揭示了不适当行为的同时存在，即摄入更多糖的青少年也有更长的屏幕时间和更差的整体饮食质量。
