da Silva Alanna Gomes, da Silva Thales Philipe Rodrigues, Malta Deborah Carvalho
Universidade Federal de Minas Gerais (UFMG), Escola de Enfermagem, Departamento de Enfermagem Materno Infantil e Saúde Pública, Belo Horizonte, MG, Brazil.
Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Enfermagem, Departamento de Enfermagem na Saúde da Mulher, São Paulo, SP, Brazil.
J Pediatr (Rio J). 2025 Mar-Apr;101(2):247-254. doi: 10.1016/j.jped.2024.09.006. Epub 2024 Nov 8.
To identify the dietary patterns of Brazilian adolescents and to verify their associated factors.
Cross-sectional study with data from the 2019 National Survey of School Health. Students aged 13 to 17 participated in the survey, totaling a sample of 125,123 adolescents. The variables were divided into two groups: healthy and unhealthy diet. Principal component analysis was used to identify the dietary patterns. To evaluate the association, logistic regression was used, estimated by the Odds Ratio, with the respective 95 % confidence intervals.
Two main components were identified: first related to regular consumption of fruits, vegetables, and beans; the second related to non-regular consumption of sweet treats, soft drinks, and fast food. The highest likelihood of regularly consuming the first was observed among adolescents residing in the Central-West and Southeast regions, with higher maternal education, who abstained from alcohol, engaged in physical activity, were not sedentary, ate breakfast, had lunch or dinner with their parents, refrained from eating while engaging in other activities, and participated in school meal programs. The lowest likelihood of not regularly consuming the second was found among male adolescents aged 16 to 17, attending public schools, who abstained from alcohol, and were not sedentary.
This study identified two dietary patterns, both linked to socioeconomic factors and healthy lifestyle habits. Recognizing these patterns among adolescents enables health surveillance efforts aimed at reducing diseases and health problems.
识别巴西青少年的饮食模式并验证其相关因素。
采用横断面研究,数据来自2019年全国学校健康调查。13至17岁的学生参与了该调查,共有125123名青少年作为样本。变量分为两组:健康饮食和不健康饮食。采用主成分分析来识别饮食模式。为评估相关性,使用逻辑回归,通过比值比估计,并给出各自的95%置信区间。
识别出两个主要成分:第一个与经常食用水果、蔬菜和豆类有关;第二个与不经常食用甜食、软饮料和快餐有关。在中西部和东南部地区居住、母亲受教育程度较高、戒酒、进行体育活动、不 sedentary、吃早餐、与父母一起吃午餐或晚餐、不在从事其他活动时进食以及参加学校膳食计划的青少年中,观察到经常食用第一种食物的可能性最高。在16至17岁、就读于公立学校、戒酒且不 sedentary的男性青少年中,发现不经常食用第二种食物的可能性最低。
本研究识别出两种饮食模式,均与社会经济因素和健康生活方式习惯相关。在青少年中识别这些模式有助于开展旨在减少疾病和健康问题的健康监测工作。