Departamento de Salud Pública, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile.
Centro de Investigación en Epidemiología Cardiovascular y Nutricional (EPICYN), Universidad de La Frontera, Temuco, Chile.
Am J Hum Biol. 2023 Aug;35(8):e23900. doi: 10.1002/ajhb.23900. Epub 2023 Apr 5.
We estimated the association between the consumption of select ultra-processed food (UPF), homemade fried food and overweight/obesity in Latin American university undergraduate students during the COVID-19 pandemic.
We conducted an analytical cross-sectional study. 4539 university students (73.6% female, mean age 22.5 ± 4.4) from 10 Latin American countries completed a self-administered online survey. UPF eating habits and homemade fried food were measured according to a validated survey. Height and body weight were self-reported. Body mass index (BMI) was calculated. A BMI ≥25 kg/m was categorized as overweight/obesity. Ordinal logistic regression models were applied.
Snacks (36.2%) and homemade fried food (30.2%) had a higher prevalence of consumption than sugary drinks (22.5%) and fast food (7.2%). The greatest strength of association was found between fast food consumption [odds ratio (OR) = 2.16; 95% confidence interval (CI): 1.63-2.85], sugary drinks [OR = 2.05; CI: 1.63-2.59] and homemade fried food [OR = 1.46; CI: 1.16-1.85] with overweight/obesity.
Latin American university undergraduates present risky eating behaviors associated with overweight and obesity. Effective policies to promote healthy eating should be incorporated and issued from universities to reduce the consumption of UPF and promote homemade, healthier and more natural food.
本研究旨在评估在 COVID-19 大流行期间,拉丁美洲大学生消费特定超加工食品(UPF)和自制油炸食品与超重/肥胖的相关性。
本研究采用分析性横断面研究设计。来自 10 个拉丁美洲国家的 4539 名大学生(73.6%为女性,平均年龄 22.5±4.4 岁)完成了一份在线自填式调查问卷。根据经过验证的调查,对 UPF 饮食习惯和自制油炸食品的消费情况进行了测量。身高和体重由学生自我报告,然后计算体重指数(BMI)。BMI≥25kg/m2 被归类为超重/肥胖。采用有序逻辑回归模型进行分析。
与含糖饮料(22.5%)和快餐(7.2%)相比,零食(36.2%)和自制油炸食品(30.2%)的消费更为普遍。快餐消费与超重/肥胖的相关性最强(比值比 [OR] 2.16,95%置信区间 [CI] 1.63-2.85),其次是含糖饮料(OR 2.05,CI 1.63-2.59)和自制油炸食品(OR 1.46,CI 1.16-1.85)。
拉丁美洲大学生存在与超重和肥胖相关的高风险饮食行为。应从大学层面制定和实施有效的政策,促进健康饮食,减少 UPF 的消费,提倡自制、更健康和更天然的食品。