Locais e ocasiões das refeições e alimentos fontes energia e nutrientes entre adolescentes e jovens adultos

Autores

Palavras-chave:

Adolescente, Adulto jovem, Dieta, Alimentação, Estudos Transversal

Resumo

Objetivo
Este estudo teve como objetivo estimar a ingestão diária de energia e nutrientes de maior preocupação em saúde pública entre adolescentes e jovens adultos, com base nos alimentos fonte, local e tipo de refeição.
Métodos
Este estudo é de delineamento transversal que utilizou dados do Inquérito de Saúde do Município de São Paulo 2015 (ISA-Capital) focado na Nutrição. A amostra compreendeu 707 adolescentes (n=554, 12-19 anos) e adultos jovens (n=153, 20-30 anos). O consumo alimentar foi avaliado por meio do Recordatório Alimentar de 24h (R24H) e a calculou-se as fontes de energia, açúcar de adição, sódio, e gordura saturada. Os alimentos foram classificados pelo sistema de classificação “What We Eat in America?” Os locais de alimentação foram divididos em duas categorias – “em casa” e “fora de casa” – para cada refeição principal (café da manhã, almoço e jantar).
Outras variáveis sociodemográficas e antropométricas foram incluídas. Estatísticas descritivas, teste de Wald e proporções foram aplicadas para análise.
Resultados
A maioria das refeições era consumida em casa por 80,5% dos adolescentes e 66,4% dos adultos jovens. Os adultos jovens consumiam mais calorias diárias e gorduras saturadas do que os adolescentes. Tanto adolescentes, quanto adultos jovens, consumiam majoritariamente ácidos graxos saturados, sódio e, açúcares de adição fora de casa, no jantar. Os alimentos consumidos em casa eram consumidos tanto em casa quanto fora de casa, com a principal exceção do jantar, que consistia, principalmente, em alimentos processados ricos em ácidos graxos saturados, sódio e açúcares de adição consumidos fora de casa.
Conclusão
Adolescentes e adultos jovens apresentaram refeições mais ricas em gordura, açúcares e sódio fora de casa em comparação com aqueles que consomem em casa quando consumidos no jantar. Políticas de saúde pública e estratégias de mudança de comportamento devem ser consideradas independentemente do local onde suas refeições são consumidas, mas com especial atenção ao tipo de refeição.

Referências

Swinburn B, Vandevijvere S, Kraak V, Sacks G, Snowdon W, Hawkes C, et al. Monitoring and benchmarking government policies and actions to improve the healthiness of food environments: A proposed Government Healthy Food Environment Policy Index. Obes Rev. 2013;14 Suppl 1:24-37. https://doi.org/10.1111/obr.12073

Bronfenbrenner U. Ecology of the family as a context for human development: Research perspectives. Dev Psychol. 1986;22(6):723-42. https://doi.org/10.1037/0012-1649.22.6.723

Nishi SK, Jessri M, L’Abbé M. Assessing the dietary habits of Canadians by eating location and occasion: Findings from the Canadian Community Health Survey, Cycle 2.2. Nutrients. 2018;10(6):682. https://doi.org/10.3390/nu10060682

Myhre JB, Loken EB, Wandel M, Andersen LF. The contribution of snacks to dietary intake and their association with eating location among Norwegian adults – results from a cross-sectional dietary survey. BMC Public Health. 2015;15:369. https://doi.org/10.1186/s12889-015-1712-7

Rauber F, Martins CA, Azeredo CM, Leffa PS, Louzada MLC, Levy RB. Eating context and ultra-processed food consumption among UK adolescents. Br J Nutr. 2021;127(1):112-22. https://doi.org/10.1017/S0007114521000854

Hammons A, Olvera N, Teran-Garcia M, Villegas E, Fiese B. Mealtime resistance: Hispanic mothers’ perspectives on making healthy eating changes within the family. Appetite. 2021;159:105046. https://doi.org/10.1016/j.appet.2020.105046

Leech RM, Worsley A, Timperio A, McNaughton SA. Understanding meal patterns: Definitions, methodology, and impact on nutrient intake and diet quality. Nutr Res Rev. 2015;28(1):1-21. https://doi.org/10.1017/S0954422414000262

Matsumoto M, Saito A, Okada C, Okada E, Tajima R, Takimoto H. Consumption of meals prepared away from home is associated with inadequate dietary fiber, vitamin C and mineral intake among Japanese adults: Analysis from the 2015 National Health and Nutrition Survey. Nutr J. 2021;20(1):40. https://doi.org/10.1186/s12937-021-00693-6

Du Y, Rong S, Sun Y, Liu B, Wu Y, Snetselaar LG, et al. Association between frequency of eating away-fromhome meals and risk of all-cause and cause-specific mortality. J Acad Nutr Diet. 2021;121(9):1741-9. https://doi.org/10.1016/j.jand.2021.01.012

Auchincloss AH, Li J, Moore KAB, Franco M, Mujahid MS, Moore LV. Are neighborhood restaurants related to the frequency of restaurant meals and dietary quality? Prevalence and changes over time in the Multi-Ethnic Study of Atherosclerosis. Public Health Nutr. 2021;24(14):4630-41. https://doi.org/10.1017/S1368980021002196

Mandracchia F, Tarro L, Llaurado E, Valls RM, Sola R. Interventions to promote healthy meals in full-service restaurants and canteens: A systematic review and meta-analysis. Nutrients. 2021;13(4):1350. https://doi.org/10.3390/nu13041350

Kelly C, Callaghan M, Gabhainn SN. ‘It’s Hard to Make Good Choices, and It Costs More’: Adolescents’ perception of the external school food environment. Nutrients. 2021;13(4):1043. https://doi.org/10.3390/nu13041043

Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: Policy and environmental approaches. Annu Rev Public Health. 2008;29(1):253-72. https://doi.org/10.1146/annurev.publhealth.29.020907.090926

Livingstone KM, Abbott G, Lamb KE, Dullaghan K, Worsley T, McNaughton SA. Understanding meal choices in young adults and interactions with demographics, diet quality, and health behaviors: A discrete choice experiment. J Nutr. 2021;151(8):2361-71. https://doi.org/10.1093/jn/nxab106

Leme ACB, Haines J, Tang L, Fisberg M, Ferrari G, Silva VA, et al. Association between weight control behaviors and diet quality among Brazilian adolescents and young adults: Health Survey of São Paulo with focus on nutrition, 2015. Eat Weight Disord. 2022;27(2):605-18. https://doi.org/10.1007/s40519-021-01198-1

Kegler MC, Hermstad A, Haardorfer R. Home food environment and associations with weight and diet among U.S. adults: A cross-sectional study. BMC Public Health. 2021;21(1):1032. https://doi.org/10.1186/s12889-021-11102-2

Moyeda-Carabaza AF, Githinji P, Nguyen B, Murimi M. The influence of frequent consumption of foods away from home on the total diet quality and weight status among faculty and staff. J Am Coll Health. 2021;71(1):292-9. https://doi.org/10.1080/07448481.2021.1891081

Fisberg RM, Leme ACB, Previdelli AN, Mello AV, Martinez AG, Sales CH, et al. Contribution of food groups to energy, grams, and nutrients-to-limit: The Latin American study of nutrition and health/Estudio Latino Americano de Nutricion y Salud (ELANS). Public Health Nutr. 2021;24(9):2424-36. https://doi.org/10.1017/S136898002100152X

Leme AC, Baranowski T, Thompson D, Philippi S, O’Neil C, Fulgoni V, et al. Top food sources of the percentage of energy, nutrients to limit and total gram amount consumed among US adolescents: National Health and Nutrition Examination Survey 2011–2014. Public Health Nutr. 2019;22(4):661-71. https://doi.org/10.1017/S1368980018002884

Leme ACB, Hou S, Fisberg RM, Fisberg M, Haines J. Adherence to food-based dietary guidelines: A systemic review of high-income and low- and middle-income countries. Nutrients. 2021;13(3):1038. https://doi.org/10.3390/nu13031038

Cunha DB, Bezerra IN, Pereira RA, Sichieri R. At-home and away-from-home dietary patterns and BMI z-scores in Brazilian adolescents. Appetite. 2018;120:374-80. https://doi.org/10.1016/j.appet.2017.09.028

Rebolledo N, Reyes M, Corvalán C, Popkin BM, Smith Taillie L. Dietary intake by food source and eating location in low- and middle-income Chilean preschool children and adolescents from southeast Santiago. Nutrients. 2019;11(7):1695. https://doi.org/10.3390/nu11071695

Alves M, Escuder MML, Goldbaum M, Barros MBA, Fisberg RM, Cesar CLG. Sampling plan in health surveys, São Paulo, Brazil, 2015. Rev Saúde Pública. 2018;52:81. https://doi.org/10.11606/s1518-8787.2018052000471

Fisberg RM, Sales CH, Fontanelli MM, Pereira JL, Alves MCGP, Escuder MML, et al. 2015 health survey of São Paulo with focus in nutrition: Rationale, design, and procedures. Nutrients. 2018;10(2):169. https://doi.org/10.3390/nu10020169

World Health Organization. Adolescence health: Overview. Switzerland: World Health Organization; 2021. 26. World Health Organization. Body mass index – BMI. Switzerland: World Health Organization; 2010.

Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85(9):660-7. https://doi.org/10.2471/blt.07.043497

Teixeira IP, Pereira JL, Barbosa JPAS, Mello AV, Onita BM, Fisberg RM, et al. Validity of self-reported body mass and height: relation with sex, age, physical activity, and cardiometabolic risk factors. Rev Bras Epidemiol. 2021;24:e210043. https://doi.org/10.1590/1980-549720210043

Moshfegh AJ, Rhodes DG, Baer DJ, Murayi T, Clemens JC, Rumpler WV, et al. The US department of agriculture’s automated multiple-pass method reduces bias in the collection of energy intakes. Am J Clin Nutr. 2008;88(2):324-32. https://doi.org/10.1093/ajcn/88.2.324

Naska A, Lagiou A, Lagiou P. Dietary assessment methods in epidemiological research: Current state of the art and prospects. F1000Res. 2017;6:926. https://doi.org/10.12688/f1000research.10703.1

Nutrition Coordinating Center. Nutrition data system for research 2014 user manual. University of Minnesota; 2014 [cited 2023 Jan 15]. Available from: http://www.ncc.umn.edu/products/ndsr-user-manual/32. Rhodes DG, Adler ME, Clemens JC, Moshfegh AJ. What we eat in America food categories and changes between survey cycles. J Food Compos Anal. 2017;64:107-11. https://doi.org/10.1016/j.jfca.2017.07.018

Leme ACB, Fisberg RM, Mello AV, Sales CH, Ferrari G, Haines J, et al. Food Sources of Shortfall Nutrients among Latin Americans: Results from the Latin American Study of Health and Nutrition (ELANS). Int J Environ Health Res Pub Health. 2021;18(9):4967. https://doi.org/10.3390/ijerph18094967

Morais SR, Bezerra IN, Souza AM, Vergara C, Sichieri R. Eating away from home and biomarkers for chronic noncommunicable diseases in Brazilian adolescents. Cad Saúde Pública. 2021;37(1):e00219619. https://doi.org/10.1590/0102-311X00219619

Pereira JL, Castro MA, Hopkins S, Gugger C, Fisberg RM, Fisberg M. Prevalence of consumption and nutritional content of breakfast meal among adolescents from the Brazilian National Dietary Survey. J Pediatr. 2018;94(6):630-41. https://doi.org/10.1016/j.jped.2017.10.004

Souza AM, Pereira RA, Yokoo EM, Levy RB, Sichieri R. Most consumed foods in Brazil: National dietary survey 2008–2009. Rev Saúde Pública. 2013;47 Suppl 1:190S-9S. https://doi.org/10.1590/s0034-89102013000700005

Mello AV, Fisberg M, Previdelli AN, Ferrari GLM, França NAG, Kovalskys I. Dietary sources of sodium among Brazilian population: Data from Latin American Nutrition and Health Study (ELANS). Nutr Clín Diet Hosp. 2019;39(1):14-21. https://doi.org/10.12873/391veroneze

Mill JG, Malta DC, Machado IE, Pate A, Pereira CA, Jaime PC, et al. Estimativa do consumo de sal pela população brasileira: Resultado da Pesquisa Nacional de Saúde 2013. Rev Bras Epidemiol. 2019;22 Suppl 2:E190009.SUPL.2. https://doi.org/10.1590/1980-549720190009.supl.2

Rocha LL, Pessoa MC, Gratao LHA, Carmo AS, Cunha CF, Oliveira TRPR, et al. Health behavior patterns of sugar-sweetened beverage consumption among Brazilian adolescents in a nationally representative school-based study. PLos One. 2021;16(1):e0245203. https://doi.org/10.1371/journal.pone.0245203

Borges CA, Marchioni DML, Levy RB, Slater B. Dietary patterns associated with overweight among Brazilian adolescents. Appetite. 2018;123:402-9. https://doi.org/10.1016/j.appet.2018.01.001

Silva SU, Alves MA, Vasconcelos FAG, Gonçalves VSS, Barufaldi LA, Carvalho KMB. Association between body weight misperception and dietary patterns in Brazilian adolescents: Cross-sectional study using ERICA data. PLos One. 2021;16(9):e0257603. https://doi.org/10.1371/journal.pone.0257603

Bezerra IN, Sichieri R. Characteristics and spending on out-of-home eating in Brazil. Rev Saúde Pública. 2010;44(1):221-9. https://doi.org/10.1590/s0034-89102010000200001

Bezerra IN, Medeiros HB, Moura Souza A, Sichieri R. Contribution of away-from-home food to the energy and nutrient intake among Brazilian adolescents. Public Health Nutr. 2021;24(11):3371-8. https://doi.org/10.1017/S1368980020001573

Mello AV, Sarti FM, Pereira JL, Goldbaum M, Cesar CLG, Alves MCGP, et al. Determinants of inequalities in the quality of Brazilian diet: Trends in a 12-year population-based study (2003–2015). Int J Equity Health. 2018;17(1):72. https://doi.org/10.1186/s12939-018-0784-2

Monteiro LS, Rodrigues PRM, Sichieri R, Pereira RA. Intake of saturated fat, trans fat, and added sugars by the Brazilian population: An indicator to evaluate diet quality. Eu J Clin Nutr. 2020;74(9):1316-24. https://doi.org/10.1038/s41430-020-0582-y

Leme ACB, Philippi ST, Thompson D, Nicklas T, Baranowski T. “Healthy Habits, Healthy Girls-Brazil”: An obesity prevention program with added focus on eating disorders. Eat Weight Disord. 2019;24(1):107-19. https://doi.org/10.1007/s40519-018-0510-5

Leme AC, Philippi ST. The “Healthy Habits, Healthy Girls” randomized controlled trial for girls: Study design, protocol, and baseline results. Cad Saúde Pública. 2015;31(7):1381-94. https://doi.org/10.1590/0102-311X00136014

Tang L, Broad J, Lewis R, Ma DWL, Haines J; Guelph Family Health S. Transitioning a home-based, motivational interviewing intervention among families to remote delivery during the COVID-19 pandemic: Key lessons learned. Patient Educ Couns. 2021;104(9):2286-91. https://doi.org/10.1016/j.pec.2021.02.043

Sousa IC, Mucinhato RMD, Prates CB, Zanin LM, Cunha DT, Capriles VD, et al. Do Brazilian consumers intend to use food labels to make healthy food choices? An assessment before the front-of-package labeling policy. Food Res Int. 2023;172:113107. https://doi.org/10.1016/j.foodres.2023.113107

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04-06-2025

Como Citar

da Silva, V. A., Barco Leme, A. C., Veroneze de Mello, A., Apolonio Bertoni, L., & Fisberg, R. M. (2025). Locais e ocasiões das refeições e alimentos fontes energia e nutrientes entre adolescentes e jovens adultos. Revista De Nutrição, 37. Recuperado de https://seer.sis.puc-campinas.edu.br/nutricao/article/view/16088

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Saúde Coletiva

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